Episode Transcript
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Speaker 1 (00:08):
I'm Heather Dubrow, and we're going to keep this between us.
Speaker 2 (00:12):
No, we're not, not really.
Speaker 1 (00:15):
You have one line.
Speaker 2 (00:17):
I forgot it but not really but not really.
Speaker 1 (00:20):
That was good, all right, all right? So here's how
it works here between us. We talk about what we're
going to talk about, and our brilliant producers kind of
write down our bullet points so we could stay on track.
But then what happens is life happens and takes a
turn and we need to talk about something else. So
(00:40):
this past weekend, first of all, my mom just moved
to La. That's three podcasts that we need to do,
but for another time, because I really need to assimilate
all of that, yes, and get used to it, and
we can have a conversation about parents and all of
that but mother in law, yes, and all of those things.
(01:01):
But today what I want to tell you about is
Terry and I took my mom out for dinner on
Saturday night. We went to Mister Chowd's for dinner.
Speaker 2 (01:09):
Which we love. Oh I love them.
Speaker 1 (01:12):
We go there all the time.
Speaker 2 (01:14):
Food is amazing. If you haven't been in a long time,
you must go. It's so good. What's your favorite thing
that's the problem. I like it all you do, and
I can't stop.
Speaker 1 (01:25):
You want to go over your order though, Oh my gosh,
I just get the one ton soup. Yes, you get
the chicken lettuce cups. Yes, you get the chicken sautes
I do. And then you like the fiery beef, the
Beijing chicken, yes, the fried rice, the.
Speaker 2 (01:40):
Candy chicken, the string beans. The candy chicken, that's the Beijing.
We call it candy chicken cause taste I can.
Speaker 1 (01:48):
And the exo string beans and oh it's so good.
Speaker 2 (01:52):
And a couple of martinis usually.
Speaker 1 (01:58):
The least yes, and we already on the rest and like.
Speaker 2 (02:01):
The third left. The last time we were there, mister
Chann was there.
Speaker 1 (02:03):
Yeah, yeah, yeah, Michael and Vanessa were there last time
we were there. Okay, so this is what happens. So
we're sitting at the table. I'm sitting between it right,
a round table. I'm sitting between my mom and Terry,
and there's a table next to us with some people
and a table next to them. Okay, and I go
(02:24):
to the restroom. A comeback from the restroom, and Terry
is not at the table, and I notice everyone is
looking in one direction. So I look over and see
Terry heimliking this woman. Why is that funny?
Speaker 2 (02:42):
It just like sounded like I was, by the way,
where's Terry always over there looking somebody?
Speaker 1 (02:49):
But it was funny. It was like sort of like
a seat out of a movie. Like everyone was, you know,
like everyone's looking at the eclipse, like everyone was looking
in that direction. So I see him doing that, and
I stood there at our table for a second and
watched him talk to her and whatever, and then he
came back. So I was actually out of the room.
So tell me what happened.
Speaker 2 (03:09):
Oh, I didn't realize that. Huh. So we were at
sort of our favorite table that they always put us at,
and there's like.
Speaker 1 (03:19):
Four round tables against the wall.
Speaker 2 (03:21):
Against the wall. Yeah, and next to us, to our
left was a table full of people who I could
tell knew who we were because I could see when
we walked and they started, they did the whole This
was the thing. This is relevant the reason I'm telling that.
Speaker 1 (03:38):
There's such a fame horre that you noticed that.
Speaker 2 (03:40):
An incredible fame horror. I noticed immediately, who's noticing us
or not? Okay? And then next to them was another
table the choker no, yes, that was the choker.
Speaker 1 (03:53):
They were one table away.
Speaker 2 (03:54):
There were one table away right, so right, and then
to our right was another table who I noticed they
noticed who we were to.
Speaker 1 (04:03):
Oh my god, do you see what I live with?
And they wonder why we think they and and I
wonder why they think we call the paparazzi. There it is.
Speaker 2 (04:12):
And I remember wondering or not whether the choker's table
knew who we were. I remember processing because you were
facing you.
Speaker 1 (04:21):
Were facing that, we were like the middle round tables,
so you were facing the next door table and the chokers.
Speaker 2 (04:27):
Yes, right, okay, so what happened?
Speaker 1 (04:30):
So did you see the person choking? First of all?
Speaker 2 (04:33):
No, no, So I remember hearing the table next to
us having chatter about various things that you.
Speaker 1 (04:44):
Were eavesdropping your to the bathroom.
Speaker 2 (04:47):
I guess right. Yes, I was sitting there with your mom.
Speaker 1 (04:50):
So you were letting my mom talk. You weren't interested,
so you were eavesdropping on the table next.
Speaker 2 (04:54):
I just remember them sort of certain. You know, things
that prickle my like when you say to a dog walk,
you know, they go like squirrel. Yeah, they had mentioned watched, yeah,
something about something. I just thought, oh, I wonder anyway,
And all of a sudden, out of the blue, the
guy at the table turns right to me as if
(05:15):
he knews me, and he goes, they need you over there,
and I go they do? He go, yes, you need
to go over there, and I go, well, I guess
he does know who I am.
Speaker 1 (05:25):
And this is the first thought in the emergency.
Speaker 2 (05:28):
Yeah, there's yes.
Speaker 1 (05:30):
Now are you immediately thinking I know what this is
going to be.
Speaker 2 (05:33):
I hope it's not that I know immediately it's going
to be a medical emergency.
Speaker 1 (05:38):
I know that. But I'm saying, are you thinking, oh God,
I hope I don't have to give mouth to mouth someone.
Speaker 2 (05:42):
I hope I didn't. It's gonna be a medical emergency.
And to be honest with you, I thought to myself,
I wonder if it's going to be someone choking. And
I started immediately walking over there, wondering if the knives
were sharp enough to be able to get to do
to cut a hole in her throat so I could
(06:02):
open up her trachia and get air in her airway.
Speaker 1 (06:06):
That's in case the doesn't work.
Speaker 2 (06:08):
That's in case the So you go over there. So
I mean, I was I swear I was looking at
and just I don't know why, I just was And uh.
Speaker 1 (06:16):
Were you looking for knives on the way over?
Speaker 2 (06:18):
I was looking for knives on the way over. No,
mister Chiles doesn't have any like steak knives.
Speaker 1 (06:23):
Yeah, no, that's not a thing. We use chopsticks.
Speaker 2 (06:25):
Right, So do me a favor. If you're gonna choke,
do it at Mastros or Steak forty eight.
Speaker 1 (06:29):
Don't you remember Vicky choked at Pastro's once?
Speaker 2 (06:32):
Oh yeah, Vicky Gumbels. Yeah. So anyway, I go over there,
and I remember this. I mean, obviously, I was board
certified in general surgery. I did seven years of general
surgery trading. I was chief resident in general surgery, and
I was on trauma call every other night doing nothing
(06:55):
but gunshot wounds and car accidents. Nothing. And you do boobs,
and now I do booths. Now I suck fat on
people and have them complain that one brow is one
millimeter lower than the other. Okay, anyway, so I remember
walking over there and this really ridiculous. Maybe this is
(07:16):
too much information, but this really ridiculous sense of calm
came over me. I don't know why I thought this.
Whatever this is, this is going to be nothing compared
to that fourteen year old kid who got shot three
times in the abdomen and I had to open him up,
and I had like ten minutes to take his spleen
out and his stomach and get control of his bleeding,
and and the news cameras were out there, and I
(07:38):
knew I was gonna I thought, whatever it is, it's
going to be nothing. That's what you were.
Speaker 1 (07:43):
Thinking about as you're searching for knives on the way too, taps.
Speaker 2 (07:45):
I just thought, I don't know why. I just thought
this is going to be so straightforward. I go over
there and there's a woman standing doing the whole I'm
joking things.
Speaker 1 (07:57):
The sign of choke, no air at all.
Speaker 2 (08:02):
Seemed to be some little air I don't know, and
whoever whatever mail was with her was sort of like,
you know, I felt like he was going to put
his fingers in her throat, which is like you do
not do that.
Speaker 1 (08:16):
Yeah, and with someone trying to heimlick her when he was.
Speaker 2 (08:20):
About to do it, and I go, let me do it.
So I said to her, Hey, this is gonna hurt,
and I apologize and I went, I got from behind
her and I went wham, and nothing happened, and I thought, well,
that's one and it didn't.
Speaker 1 (08:39):
So many in your head? Can you do before your worried?
You got to cut the neckle.
Speaker 2 (08:43):
To me, it was a little bit about what she
looked like, like if she was conscious or not, if
she loses consciousness.
Speaker 1 (08:52):
Are you thinking to call nine to one one at
any point?
Speaker 2 (08:54):
No, because this is like you got two minutes and
you know nine one one, what are they going to do?
You know you're gonna get there in five six minutes.
It's over by then.
Speaker 1 (09:06):
So that was one.
Speaker 2 (09:07):
So that was one. Nothing happened. I did it again.
Nothing happened, and he seemed to get worse, and she
was really showing the thing like you know nowhere, I
can't you know nothing. And then I said to her,
I said, I'm really sorry about this, and I and
I thought, I'm gonna break our ribs. Yeah, I'm here.
(09:29):
It comes, and you know, I lift weights every day
and if you haven't seen me recently, I'm sort of
incredibly muscular. I'm kidding, And so I got actually, I'm
kind of I'm kind of muscular right now. By the way,
that guy with the twelve million followers have four part.
By the way, the guy with the twelve million followers
last night at the Italian restaurant Garcia. Yo, we're saying
(09:51):
his name. Well, he came up. Who came up to
me and said, you're rich? Remember that guy?
Speaker 1 (09:57):
Anyway, I was in the bathroom apparently everything. Oh, I
was on the phone, right, I was at aloe next
door picking up a jacket, and I was on the
phone with Emily.
Speaker 2 (10:05):
Yeah, we were at a restaurant with our son, and
my son said, oh my god, that guy is so famous.
I go, because you don't know who he is. You
know who he is. And then he sees me and goes,
oh my god, it's you, And I go, none his
famous as men to my son. Anyway, whatever, this is
a terrible story, so let me go.
Speaker 1 (10:21):
You could you stick with the story.
Speaker 2 (10:24):
So I say to her, I'm sorry. I whisper in
her ear and I go, damn. And I really that
was three and I really gave her a home and
she could talk. Okay, nothing came out, but it dislodged
whatever it was.
Speaker 1 (10:41):
Is it possible to win down?
Speaker 2 (10:42):
Yeah, it probably was. You know, in the area between
the trachea and esophagus. It and it must have gone
down the goose right the esophagus, And then of course,
you know me, I'm obsessed with the epiglottis, and I
don't want to bore the audience as to what the
epiglog is, but I'm about to anyway. But by the way,
(11:02):
this is totally fascinating, so don't change the channel yet.
But the epiglottis is this incredibly sensitive piece of tissue
that's brilliant, that's super small, that flaps over your breathing
tube called your trachea and your esophagus. You're swallowing tube
so rapidly and so effortlessly that you can eat and
(11:25):
talk and drink and talk and breathe and talk. It
covers the perfect hole because think about it, if you eat,
if you eat and you breathe at the same time,
it's going to go down. You're gonna choke. It's going
to go down your breathing tobe into your lungs, and
it's a disaster. So it's just the most amazing piece
of tissue. One of the things that makes it really
(11:46):
amazing is that one side of it, the swallowing side
of it, has certain kinds of cells and the breathing
side of it has other kinds of cells, and if
anything of a particulate nature, anything made out of liquid
or solid, touches the breathing side of it.
Speaker 1 (12:06):
Before, it's crazy you ever had like a crazy choking fit,
but you were just like drinking water or something. It's
because that little droplet touched the other side.
Speaker 2 (12:16):
Yeah, it's not that it went on the wrong tube,
is what everybody thinks. It could touch the other side
of that epiglow. It's that piece of tissue. So anyway,
so her epiglots, so obviously it went down the tube
it touched. However, the other side of the epigloss. She
was like, but I could tell she was not obstructed.
Speaker 1 (12:34):
Right, So you hung with her for a few minutes.
Speaker 2 (12:35):
So I was really pleased and very appreciative and thankful
weirdly to her that it worked.
Speaker 1 (12:44):
She told her many times, He's glad he didn't.
Speaker 2 (12:46):
Have to cut her throat up. Yeah, And I was
there for that. And so she said, I'm okay, I'm okay,
I'm okay. She sat down and I kept looking over
at her, and I saw that she started to eat.
Speaker 1 (12:59):
I would never eat again. Can I just say that
I would have left. I would I would have.
Speaker 2 (13:04):
Had a big dream just for all of you in
the medical profession. I checked her pulls, and I checked
her respiratory rate, and I checked everything else, and she
was fine to not call the ambulance and not go
to the paramedics. Okay, But the final part of this
part of the story, unless you want to say something,
is I look over there and she's eating and they're
(13:26):
having a lovely time. Later and I get up to
go to the bathroom and I walk over and I
thought I should check on her anyway. I go, you, okay,
everything good? She goes yeah, and I go, I go
good because the other option wasn't very fun. And they go,
what was that? I go, you were one Heimlich maneuver
away from me slicing a hole in your neck. Did
(13:49):
she need to know that so that I could get oxygen?
Did she need to know into your lungs? I was
going to do that that very next move, just so
you know. And I've done it many times and it's
not pretty.
Speaker 1 (14:05):
But here's the and here's the rub by the.
Speaker 2 (14:07):
Way would have been super bloody too, but it would
have been kind of cool. Not in a restaurant, No,
not in a restaurant.
Speaker 1 (14:25):
So he comes since back down. They were very nice,
they came over and say goodbye. But what struck us
was when the bill came.
Speaker 2 (14:34):
The bill came, so yeah, I mean it's weird because
I didn't, you know, expect anything.
Speaker 1 (14:44):
Not from them. I'm saying, like from the restaurant.
Speaker 2 (14:47):
Well, to be honest with you, I don't know about
the restaurant.
Speaker 1 (14:51):
I don't know. If I was a restaurant owner, well, look,
if you saved my life, I probably would have picked
up your bill.
Speaker 2 (14:57):
How about the dessert. No, the restaurant gave us dessert.
Speaker 1 (15:03):
By the way, they always give us dessert. Here's my point.
If I owned a restaurant and I love this restaurant
and they're always wonderful to us. But like, if I'm
just saying it, but were my restaurant and someone saved
another customer's life, I think I would comp the bill.
Speaker 2 (15:20):
Yeah, would you. Well, if somebody saved my wife's life,
I would pick up their meal. Okay, I mean it's
on me tonight. But what was interesting was we were
at this Italian restaurant last night with these super famous
influencers who came up to our table and they asked
(15:42):
me for some plastic surnery advice, and I gave them free,
of course, plastorgery advice. They immediately demanded to buy us
something drinks, and I just gave them free plastor device.
And I stood up. I go, can I just tell
you a funny story? I said, listen, I don't want
you buying my drinks because it's already done. Forget it.
Don't even ask think about it. It's already done. I go,
(16:04):
I go. Can I say a funny story? I heimlted
someone last night in a restaurant, saved their life and
they didn't even pick up dessert.
Speaker 1 (16:13):
Okay, but this has happened to us before. Yes, so
I think everyone will remember when Terry had that mini
stroke and we were at the ivy and we were
only on appetizers and drinks, right, that's all we had ordered, actually,
and you know, we had to call nine to one
one and we were out in the front of their
and my son Nick was with us and all that stuff,
(16:36):
and I was trying to figure out what the next
steps were. And I said to NICKI I'm like, go
get my jacket, pay the bill, whatever. And then later
I thought We've been going to this restaurant for thirty years.
They didn't go. Don't worry about it. Oh, oh, take
care of it.
Speaker 2 (16:52):
To make matters even worse, you're gonna.
Speaker 1 (16:54):
Talk about the Ivy at the Shore. Yes, Yes, Then
we were at the Ivy at the Shore years ago.
Speaker 2 (16:58):
Got years earlier, and we eat there three four times
a week. We actually had a table there, yep. And
I'm eating, drinking or drinking an Ivy gimlet and chewing
on the ice and there was a piece of glass
in the ice and it cut a big laceration in
my tongue that was bleeding.
Speaker 1 (17:17):
He was sitting at the table with a napkin with
a bleeding tong and they didn't even comp the gimlet.
Speaker 2 (17:25):
And they didn't even comp the gimlet. Yeah, and I
had a full blown laceration.
Speaker 1 (17:30):
Mike, isn't that crazy?
Speaker 2 (17:32):
You know?
Speaker 1 (17:32):
Do you think by doing.
Speaker 2 (17:33):
That, it's like they're afraid to admit they're emitting.
Speaker 1 (17:37):
Yeah, I mean.
Speaker 2 (17:38):
I was a piece of glass in their ice, you know, I.
Speaker 1 (17:40):
Guess all right, But I were sort of joking but
not really. But let me ask you this, because I
was sort of curious about this. This was the first
time I've heard all those details about what happened, because
you didn't tell me all that. But I guess I'm wondering.
And this is kind of a silly question. But do
you get nervous like you know some people? And I
understand you're a very highly trained so I understand you
(18:01):
don't get nervous. But you know, you're in the middle
of a restaurant, You've had a drink. You're not in
doctor mode. This isn't a patient. You're in the middle
of a restaurant. There's a lot of eyeballs and cell
phones around. What do you don't have a moment walking
over there like I gotta be careful or you know,
(18:24):
nothing like that, or is it just like I'm a doctor,
I gotta go do my lilf.
Speaker 2 (18:27):
I'll tell you why I don't. I don't based on
two things. One, no matter what it is, it's not
gonna require anything. Well, doing a chriychothyroidotomy is pretty technical,
to be honest with you, but I can do it
in my eyes closed. I mean, you know, I hope
you wouldn't. Yeah, but it's not gonna require anything for
(18:48):
me to be technically superb. That moment because there's nothing around. Right,
It's only so much I can do. I'm gonna cut,
I'm gonna slice open your neck. I'm gonna find your
trachya and your your cricothyroid membrane. I'm gonna cut a
hole in it, and i'm gonna put my finger in there.
They say, put a straw. Fuck the straw. I don't
(19:09):
even know the straws. You know who knows it's the
straws anymore. I'm gonna put my finger in there and
make sure you get air.
Speaker 1 (19:15):
And I'm gonna say, probably be a paper straw, whatever work.
Speaker 2 (19:18):
I'm gonna save your life. Period, end of story. So
what I have to do from a surgical point of view,
for a surgeon who's trained in general surgery, he's done
over one thousand trauma surgeries, it's not technically very difficult.
And number two, there's a thing called the Good Samaritan Law.
Speaker 1 (19:38):
Right, which means you're not libel I.
Speaker 2 (19:41):
Don't have any Yeah. Good Samaritan Law, at least in California,
says that if you don't have a DOT an established
doctor patient relationship with someone and there's an emergency, they
cannot sue you for negligence.
Speaker 1 (19:55):
I get it. But you're still your famous, you're you know,
and you're in this.
Speaker 2 (19:59):
Bos but you're better than me to do this.
Speaker 1 (20:02):
I get it. I'm just wondering if there's any emotionality
to it or it's just like you're.
Speaker 2 (20:07):
In go mode normally. The only emotionality is when this
happens on a plane, is am I going to be doing?
Am I going to be back in the galley for
six hours with this diabetic who's having chest pain having
to rather than lying down watching some cool thing having
a cocktail with my wife? Am I going to be
back there with nothing.
Speaker 1 (20:31):
That proposing to my wife?
Speaker 2 (20:33):
Oh? Let's by the way, we did that last week.
So when it's in a restaurant, I mean, you know,
somebody needs help, I'm going to save their life. That's it.
End of story.
Speaker 1 (20:44):
So that begs the question, and I get asked this
a lot, So I kind of wanted to put this
out there as long as I knew we were talking
about this about operating on family, because I think people
have different ideas of what's appropriate not appropriate. How do
you think about operating on your family and friends?
Speaker 2 (21:04):
So I don't think doctors should work on their family
and friends. I think it's a bad idea. I think
you may lose perspective, you may not go through the
sort of normal program that you normally do with your patients,
and people cut corners and do shortcuts. Oh you know,
I'll just do this. It's my wife or it's my sister,
(21:26):
and that's when mistakes are made. The only time I
do do it, however, where I will operate on a
family or a family member or a friend is when
it's in an area of which I feel I have
a very well developed set of skills, a super specialty
of mine. So like the only time I've ever operated
(21:48):
and agreed to operate on your friends is when I go,
I don't operate on friends and they show me their
problem and it's like, oh, that's a really I had
this one friend of you who I said, no way,
and then she showed me her situation. I go, that
is really really hard to fix unless you know how
(22:09):
to fix it. You've done so much, Bun, and I've
done so much that I said, okay, I'll take that on.
And so like, if you had something.
Speaker 1 (22:17):
Because people always ask would you operate on me, I would.
Speaker 2 (22:20):
Never operate in you unless you had something that was
a result of a procedure, and it was very very
high risk, and I had done it, and I was
a specialist in it, and I would never let any
what my hernia. You had a very particular type of
hernia that.
Speaker 1 (22:39):
A belly button hernia. Yeahbilical hernia that was so bad
and pronounced it. I was kind of ignoring it. And
then Terry said to me, he was like, listen, if
you end up with pain and we have to go
to the hospital, I can't help you, and they're going
to cut you vertically and you're not gonna like that.
And it was a very very difficult umbilical hernie.
Speaker 2 (23:03):
Well, it was very difficult and very specific. And if
a general surgeon would have done it, even under elective circumstances,
the chances that the hernia that the belly button stock
would have died was very very high.
Speaker 1 (23:17):
We don't want a dead belly, right, and so.
Speaker 2 (23:19):
It would have left you with a fixed hernia and
a massive cosmetic deformity. I am one of the few
people I know who knows how to do that. I
don't Plastic surgeons very rarely are both general surgeons and
plast surgeons Plus you have to know exactly how to
open up the stock, fix the hernia, preserve the blood
supply to the perimeter of the stock so the belly
(23:42):
button above it doesn't die. And you know, I've done
this for ten years on botched. So I did that
on you.
Speaker 1 (23:50):
And there's this thing in surgery where they go while
you're there, meaning like, oh, you're having your foot fixed,
You're like, while you're there, could I have a breast augmentation?
Speaker 2 (24:02):
Yeah? I didn't do that.
Speaker 1 (24:03):
No, no, but he totally cleaned up my stomach and
fixed my c section scar. Yeah, and you know, tighten
things up. So thank goodness, that's got something out of
that while you're there on that difficult umbilical herding.
Speaker 2 (24:17):
For you, I would that's the only And then, of course,
if one of my kids had a very unusual cosmetic problem,
you would do that. I would do.
Speaker 1 (24:29):
Well, you did operate on Max's mouth.
Speaker 2 (24:32):
Yes, my daughter had split her a little six five five.
Speaker 1 (24:38):
She was playing on the playground and another kid swung
a bucket and this bucket I have to describe this.
There was like a stack of buckets and what they
did this, whoever made these buckets, they put these sort
of kind of like spikes on the side that were
(24:58):
how do I describe that bit? You, No, it was
like it was almost like a triangle, right, So it
came off the bucket to the side and then sloped
back down to like a shark fin. Okay, it was
like shark fins on the side of the bucket, so
that way when you stacked the buckets, they wouldn't stick together, right,
(25:20):
that's the right way to describe it. But the shark
fins are like shark fins. And so this kid swung
the bucket and that shark fin, the point of it
struck my daughter right in the upper lip and popped
the thing. And her lip literally splayed open, popped open.
Not even blood, it just popped open. And I was
(25:41):
at I'll never forget this. I was at a mommy
and me class with our daughter cat right, and I
was in the mommy and me class and the director
of the school walked in and she looked at me.
She goes, Heather, can you come out of here? And
I knew something was I literally left the kid on
the floor. Thank god, I had friends in the class
that took care of her, and I walked out and
they showed her to me and I went, you're okay, honey,
(26:04):
And I hugged her and I put her like on me,
and I picked up the phone and I dialed Terry's
office number. He was in surgery, and I said, please
put the phone to his ear and I go, she
has a cut through the vermilion border. And he said who,
And I said Max, And he goes bring her in.
Explain what the vermilion border.
Speaker 2 (26:25):
So it's you know, where the lip bends and the
upper lip starts.
Speaker 1 (26:29):
It's like where you put your lipliner.
Speaker 2 (26:31):
Yeah, the red part, you know, it gets the thing,
It gives the lip its shape. And it was so
extensive you could see all her teeth through it.
Speaker 1 (26:38):
You could see and.
Speaker 2 (26:40):
She had just eaten, widely split open lip laceration and
I thought, I'm fixing.
Speaker 1 (26:46):
That, and she had just eaten. So we had to
sit there like.
Speaker 2 (26:49):
That for hours. But I will tell you I wouldn't
take a bump off my kid's nose. I wouldn't pin
my kid's ears back, even though I could with my
eyes closed. I wouldn't do a facelift on you. I
wouldn't uh For all of.
Speaker 1 (27:04):
You out there that think I struck it rich marrying
a book because everyone always says to me, you're so
lucky or married to a plastic surgeon. I would just
love that nothing.
Speaker 2 (27:16):
By the way, I will tell you plastic surgeons very
often do operate on their family members and their wives
and their so on. And I'll tell you something, more
often than not, they look weird. Why do you think that,
I think you're tempting the complication gods. I think despite
how common cool they may be, they are slightly freaked
(27:37):
out operating on them. And I mean, it's one thing
when you operate on a patient and they're unhappy, they
you spend as much time as they need to tell
you about why they're unhappy. You do revisions on them,
and I usually am very very happy to do it
in anything I can to make them look better. But
I don't want to take them home.
Speaker 1 (27:57):
With me, right, you don't want a pre opt They leave.
Speaker 2 (28:00):
The office and I get to go home. But could
you imagine that something goes wrong on your wife or
your kid and you have to And by the way,
by the way, you know what happened recently, there is
a I'm not going to give the details, there's a
very famous dermatologist here who you know is in La
(28:24):
just died, okay, from a cosmetic procedure, from a complication,
from a complication, And the surgeon may have been very
very very close to that person, in other words, related,
the surgeon was related. Now they have to live with that.
Speaker 1 (28:44):
It's just terrible.
Speaker 2 (28:45):
And you know, I would be devastated by losing any
I haven't done that, fortunately, knock on wood. I'd be
devastated by losing any patient, but your parent, your wife, child,
your brother.
Speaker 1 (29:00):
And also I would think in high stakes situations like
you know, neurosurgery, cardiac surgery, I mean I would think
that the ability to make life or death decisions objectively, yeah,
really objectively would be hard if it's your family.
Speaker 2 (29:19):
And I got news if I was doing like let's
say I was doing a facelift on you and you're
in the neck.
Speaker 1 (29:25):
Why do we keep going back to that, Well, are
you saying I need a facelift?
Speaker 2 (29:30):
No, you do not need a facelift. I'm doing a
facelift on you, and I go down into your neck
and I see your your external jugular vein, and you
see it all the time, and it's really big, and
it's right there in front of you. I can on
a non relative, I can operate right above it, go
past it. I can even cauterize next to it. I
can dissector with If I'm looking at your jugular vein,
(29:54):
I'd go jugular vein heather. And if I've cut a
hold of it, she's gonna believe that. You know, I
don't need that, and you know that's why we're not
supposed to do that on your relatives, right, can we swearch?
Speaker 1 (30:06):
I don't want to talk about plastic surgery because now
I'm in a mode, but I want to switch a
little bit. So here's my question. You and I used
to talk about how interesting it was that people will
only admit to some things and not others like it
used to be. You know, you'd get your hair colored,
but you wouldn't say you had botox. Then you'd say
you have botox, but you wouldn't say a filler. Then
that was okay. But you can't say surgery. Then certain
(30:27):
surgery is okay, breast is okay, tummy's okay. No one
will admit to getting liposuction because that's like cheating, and
so there's all these levels of it. What I am
finding so interesting right now is how many women are
out there talking about their facelifts.
Speaker 2 (30:47):
Yeah, the transparency is great and amazing.
Speaker 1 (30:50):
You know what's so smart about it? It totally takes
it off the table. It's like, yeah, I had this
thing done, really happy about it. Move on, what else
are we talking about?
Speaker 2 (31:01):
Or else?
Speaker 1 (31:01):
It's more like what did she do? And I think
people talk about you for longer if you're not transparent.
Not that I think people need to be. I think
it's a personal choice. But how do you feel about that?
Speaker 2 (31:12):
Well, I think it's it's a double edged sword. I mean,
so you know, Chris Kardashian talked about her facelift. Yeah,
she was very happy with it. She had to talk
about it, let's be honest, because she looked so different.
And she looked great, but she looked different. And then
when she came out and talked about it, she mentioned
(31:33):
the surgeon's name or whatever, and I'm sure his practice
has exploded since. And then like the next week, Kylie
jar about her breast, talked about her breast and gave
the doctor's name and the procedure, and that blew up.
I'm sure the doctor's office, you know, with all requests,
And then I thought, you know, wait a minute, wait
(31:54):
a minute, you're just sent five thousand girls like you
into that doctor office to have that done, when two
years earlier you said it was one of the biggest
regrets of your life doing that operation. So if you're
going to talk about if you're going to be transparent,
go the next step and say if you had a
(32:15):
negative experience, not about the doctor, but if you had
an And she didn't have another experience with the doctor.
She she just thought she was she thought she was
too young, and she didn't like what it ended up
doing to her breast. So it kind of buggered me.
Speaker 1 (32:28):
I thought, you know, maybe she feels good about him.
Speaker 2 (32:31):
Now, No, she does. She said it was the And
by the way, our best friend at the time said,
all their plastic surgery, they so regret doing it so young.
They don't recommend doing it. And I think, you know,
if you're going to talk, you know, give both sides
of it, because I'm.
Speaker 1 (32:46):
Talking about are very happy. These are people in their
fifties and sixties that are like having faceless they're being
totally transparent. But I just want to say that I
think it's great.
Speaker 2 (32:56):
I think it's great. I think it's smart.
Speaker 1 (32:57):
Because the one thing that I don't like, and again,
I don't think if someone doesn't want to talk about
what they've had done, that is their prerogative. It's their
private medical information, no big deal. But I don't like
if it's someone I know that had something done and
someone's like, oh, like, what do you attribute you know,
this new look of yours? Like, don't say you sleep
more and you drink more water, because that's unrealistic.
Speaker 2 (33:19):
I mean again, the other thing I don't like about
it is, you know, well, the thing I'm so proud
about being associated with Botched is that it gives both
sides the equation. Right. It says, Okay, plastic surgery, it
can be great when done under the right circumstances for
the right reasons. But hey, there's another side to plastic surgery.
And when somebody who's very famous has a very good outcome,
(33:42):
I think that's wonderful for them that they don't have
to have people bugger them and say, oh, did you
have any work done? Are you willing to admit it?
And every time they walk the press line, right, That's
what I'm saying. So it takes the pressure off. Then
so good. But it creates so much enthusiasm to go
under the knife and have a chemical coma, and I
(34:02):
think that I think it provides a certain level of
super enthusiasm when maybe it's better if you're going to
have a procedure rather than say, well, if that celebrity
had it, I'm just going to go run in and
have it done. And I'm so enthusiastic and I don't
want to hear any of the negatives.
Speaker 1 (34:21):
Well, no, I think what's good about it is that
I think that if people are transparent about what they're
doing and they're going to board certified doctors and doing
it safely, which they are, that I think it allows
people to go, you know what, there's this thing that's
always bothered me about myself, and look, if they're admitting
to it and they could do it, maybe I don't
(34:43):
have to feel shameful about it. Maybe I can do
you know, maybe I've always wanted like larger breasts, or
maybe I want to take the bump off my nose,
or want to have my ears pinned back, or have
my stomach fixed after having all these children, like whatever
it is, I think it opens up the car conversation
because look, we live in California. People have plastic surgery
(35:05):
and they talk about it. There are many areas of
a country where they don't, And so I think it's
cool that it's become more of an open conversation that
people can do things for themselves that make them feel good.
Speaker 2 (35:19):
I totally agree. I just don't want to provide an
overwhelming enthusiastic sense of you should have these things done
because this celebrity is doing it when you know and
this is something that's on the plastic surgeons. Plastic surgeons
have expensive offices and overheads, and they want to go
on fabulous vacations and so on, and that we love
(35:42):
when our offices are filled with new patients. But I
think they might be a little bit less inclined to go.
Hold on for a minute, let me tell you what
you're getting yourself. I know how enthusiastic you are, but
let me tell you what you're getting yourself into.
Speaker 1 (35:58):
Well, I think good doctors would, right.
Speaker 2 (36:00):
Yeah, I think you'd be surprised. I think if you
went with a hidden camera to five or ten Great
Beverly Hills plastic surgeons and went in for a consult
a I think they would all tell you you needed
that operation, and b the chances they would tell you
the risks in that first meeting are very very low.
(36:24):
Now that's certainly not true for all Beverly Hills plastic surgeons,
the ones that I know, like Paul Nassef, like the
real the top guys. We're gonna tell you, Hey, I'm
glad you're enthusiastic about it, and it's me. You know
me from TV, so you trust me. But let me
just tell you there's something you need to sleep on
about this. You know, people do have problems and they go, well,
(36:46):
you're the botch doc dor I've seen them, and I go, yeah, yeah,
but I have them too.
Speaker 1 (36:49):
I just think USA, even in the best of hand, even.
Speaker 2 (36:52):
In the best of hands, every one happened. Every one
of these doctors who have operated on these celebrities who
you're seeing these fabulous results have had disaster results, whether
they're willing to admit it or not, every one of them.
So I think it's transparency is wonderful, But I just
want to make sure the plastic surgeons are giving them
(37:15):
an idea of Hey, let's go over what the risks are,
because there's scars, nerve damage, skin death, you know, fat
that you can and heart attack, bup, up, up, up up.
And once you've heard that, let's start with the stuff
that's scary and then we'll get onto the enthusiastic stuff.
Speaker 1 (37:34):
Right, So they're making an informed decision. I totally agree
with that.
Speaker 2 (37:37):
So that's the only.
Speaker 1 (37:38):
Because you know, people do what people and we were saying,
in the best of hands, things can happen. People don't
think of plastic surgery as surgery, right.
Speaker 2 (37:47):
So I think it's, oh, it's it's surgery. People die,
people have scars. I mean, there's this amazing program that's
been on for about ten years where these two gifted
surgeons fixed complications from plastic surgery. It really highlights this
this if you're interested, it's on Ian Peacock.
Speaker 1 (38:18):
Do people know that you moved your practice to Beverly Hills.
Speaker 2 (38:21):
So I had a very very big practice in Newport
Beach where people would fly in from all of the world.
I moved the entire practice, sold my surgery center, and
I'm now on Roxbury Drive.
Speaker 1 (38:32):
Is that cool?
Speaker 2 (38:33):
I want to tell you something. It's the coolest thing
being a Beverly Hills plastic surgeon. It really is.
Speaker 1 (38:39):
You know what his favorite thing is. If you've been
listening to the podcast, you'll know that the pharmacy downstairs
sells those gummy candies with the sorbitol that he enjoys.
Speaker 2 (38:47):
Did you guys see me eating them when I was kidding?
Speaker 1 (38:49):
Okay, well, I'm not trying to throw it back.
Speaker 2 (38:51):
I actually tried to finish the last one before you
saw that money.
Speaker 1 (38:54):
But anyway, so I'm curious about this. First of all,
what percentage of your practice was out of town anyway?
Speaker 2 (39:04):
Yeah?
Speaker 1 (39:05):
Yeah, so it's probably the same now.
Speaker 2 (39:08):
Yeah, But I mean, I think the people who are
in Los Angeles and Beverly Hills who wanted to see me,
they didn't necessarily want to come down to Newport Beach.
But now I'm in Beverly Hills. I'm very excited about them.
Speaker 1 (39:19):
But I know plastic surgery is kind of regional. But
I'm just curious. Are you seeing a difference in what
people are asking for, even the difference between Newport Beach
and Beverly Hills. Yes, well, all right, explain that what's
hot in Newport and what's hot in Beverly Hills.
Speaker 2 (39:35):
So I think you know what I need. Beverly Hills
people I think do plastic surgery, believe it or not,
earlier the Newport Beach people. Yeah. I think when it
comes to facelifts, they do it a lot earlier, okay
La people than in Newport. And maybe that's partly the
Krish Kardashian effect now.
Speaker 1 (39:54):
So you're seeing more face lifts.
Speaker 2 (39:55):
The more faces, I think that breast implants weirdly. This
is my initial impression. People don't want to be as
big as they want to be in Newport or natural.
Speaker 1 (40:06):
Oh, bigger in Newport.
Speaker 2 (40:07):
I think they want to be bigger in Newport.
Speaker 1 (40:09):
That's what I was going to say. You're outside, you're
in bikinis.
Speaker 2 (40:13):
Yeah, yeah, yeah, I think they want to be a
little more natural. I think you know now of course,
because the ozembic effect, there's a lot more surgery to
do for loose skin.
Speaker 1 (40:25):
Oh that's interesting. I didn't think about that because so
many people are on the GLP ones. Yeah, you're seeing more.
Is that ozipic face isn't really a thing, though, is it?
Is it just because you've lost weight quickly?
Speaker 2 (40:36):
I mean it is because you lost what I actually
saw this this health influencer on YouTube the other day
talk about the difference between losing weight on GLPS and
losing weight with a regular diet and fasting. And at
the end of it, I looked at he's a very
bright doctor. I go, you just made that whole thing
(40:56):
up zero. Listen. I'm certified by the American Board of
Obese Messine. I have read every obesity article. I know
everything there is to know currently even last month's New
England Journal Medicine about these obesity drugs and the effects
(41:17):
on the body in obesity. And you know, ozemba face
is a real thing just because people are losing it
very quickly.
Speaker 1 (41:24):
It's the same thing. But like if you go on
a crash diet, like I know for me, look after
I had the kids, I would go on the cabbage
soup diet. One of my faves. Weight Watchers is always
a top of mind. Although you use you lose it
slower and more evenly on weight Watchers, which I like,
So your face doesn't do that. But when I've done
(41:44):
a crash diet, my face will drop and right and
it takes a minute to bounce back. But that I
guess that begs the question if people that are going
on glp ones and losing weight really quickly and their
face falls, is it going to bounce back? Like? Maybe
should they be running into the plastic surgeon or giving
it a beat?
Speaker 2 (42:01):
I think you should give it a beat. I think
that's a very important point. You bring up this whole
zampic face. Plastic surgeons love this phenomenon because as soon
as somebody loses weight very quickly, it's like, okay, you
need to come in right now and have these things done.
But don't because everyone knows when they've lost weight. You
tend to weirdly lose in your face first.
Speaker 1 (42:20):
Why is that?
Speaker 2 (42:22):
I think it's the easiest. I think it's the most
metabolic part of face.
Speaker 1 (42:26):
I mean, if you lose visceral fat first, you like.
Speaker 2 (42:29):
To lose visceral fatt.
Speaker 1 (42:30):
First, not necessarily fat around the organ.
Speaker 2 (42:33):
You don't necessary when you lose weight very very quickly,
you don't necessarily lose visceral fat first. Okay, I think
when you lose it more slowly, you will tend to
lose the visceral fat first, right, But when you lose it,
I mean, look, you see someone you haven't seen for
a while and they got sick. They their faces look
(42:57):
really gaunt even when they're still kind of skinny fat,
you know, and so your body will re equilibrate, So
take a little beat pause before you rush in and
start having needles injected into your face.
Speaker 1 (43:12):
It reminds me of Mommy makeovers. It's like, you know,
the same thing happens when you have a baby. So
you have a baby, and everyone wants to rush into
the plastic surgery, tummy talks, boobs done. Like I thought
for maybe four minutes, maybe longer, about having a breast
because I used to have huge, d natural breast and
(43:35):
then after having all the kids, they just totally went away. Yeah,
and I thought about we talked about it. We did
for like half a second about implants. But I'm allergic
to everything, including latex and all those things, and I thought,
oh my god, these things will just jump out of
my body. But I bounced back.
Speaker 2 (43:49):
So it's so bounced back. I mean, can you imagine
having a baby your skin is really loose in the
first month that you run into have a tummy tuck,
and then you look a year later at that same
abbot and it looks like they almost had a tummy
tuck already, not to let your body recover, and you
know it's a living, breathing, physiologic structure. It'll get better.
(44:11):
So pause, don't rush in, because I promise you you
go to a plastic surgeon. He sees you or she
sees you as a pre op and not ever not
everybody's a pre op. Okay, you said everyone's a pre
Well the big, the big joke in plastic surgery is
what do you call a person who says they're never
(44:32):
going to have plastic surgery? The answer is a pre opt.
Speaker 1 (44:36):
And there it is. So you're all preops. You're all
apparently including me, but not by him. Okay, great, well
this has been lovely.
Speaker 2 (44:48):
And by the way, talk about plaster regret. My new
show Botch presents Plastic Surgery rewind on E and Peacock
Wednesday night, SA tenth, I mean, which is doing very well.
Apparently those are all celebrities who you all know who
regret having their plastic surgery.
Speaker 1 (45:04):
So everyone's stay tuned for that show. Don't forget to
watch housewives 'RU on Thursday nights at eight. Yeah, it's
the number two show on Peacock this week, but the
number one unscripted show on Peacock.
Speaker 2 (45:19):
Yeah, your show, That Housewives show is wow.
Speaker 1 (45:22):
Yeah, a lot of fans out there, it's a wow. Well,
thanks for listening everybody. Remember that we release episodes every
Wednesday at four am Pacific time, and you can listen
on the iHeartRadio app, Apple Podcasts or wherever you get
your podcasts.
Speaker 2 (45:35):
And I'll be honest with you, I expect you by
four to ten to have downloaded it.
Speaker 1 (45:39):
Okay, and send you send him along.
Speaker 2 (45:42):
For four am. I'm kidding. Hi everyone, Night,