GUT GURU

GLP-1s are everywhere right now and the hype is loud, the brand names are confusing, and the real tradeoffs can feel impossible to pin down. 🔴 Dr Ben and Friends 

We wanted a straight answer, so we brought in Dr. Jameil, a board-certified general surgeon and fellowship-trained bariatric surgeon, to explain how obesity medicine actually works when you’re sitting across from a real clinician, not an ad or a comment thread. 

With comedian, filmmaker, and professor Brinn Daniels in the studio, we keep it light while we get serious about what patients need to know. 

We break down GLP-1 and GIP medications: what they are, how they reduce appetite, why they can affect digestion, and why many people may need to stay on them long term. Then we zoom out to the bigger question people are really asking: GLP-1 vs bariatric surgery. 

Dr. Jameil explains who is a good candidate based on BMI and co-morbidities, how insurance criteria can differ from medical guidelines, and what smart questions to ask your surgeon, including complication rates and reversibility.

From there, we walk through the main weight loss surgery options in plain language: gastric sleeve, Roux-en-Y gastric bypass, and why more mal-absorptive procedures like duodenal switch or SADI are reserved for specific cases. We also talk about the full patient journey, including dietitian support, psychology clearance, the fight against liquid calories like soda and sweet tea, and what results can look like in terms of excess weight loss and health improvements like diabetes remission, sleep apnea relief, and less joint pain. We finish with the future of bariatrics: Da Vinci robotic surgery, endoscopic sleeve gastroplasty (ESG), and why the human connection still matters.

THANKS TO OUR GUESTS:

Dr Jameil: IG @drjameil, TT @bariatricbro, www.tennesseestyleweightloss.com

Brinn Daniels: IG @brinn_does_comedy, www.brinndaniels.com

Subscribe wherever you listen, share this with a friend and leave a review so more people can find honest conversations about weight loss, health, and a little comedy along the way.

This episode was produced by Angie Debelak with post-production editing by Ben Hill Sound.

Thanks for listening to Dr Ben and Friends.  Laughter is the best medicine...unless you're treating bowel or bladder incontinence.  See you next time!

Team Dr Ben

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Transcript

Welcome And Meet The Guests

Dr Ben 0:09

Knock knock howdy folks. Hello from Nashville. Welcome to Dr. Ben and Friends, the podcast dedicated to putting he MED in comedy. We're shining a big bright spotlight on everyday healthcare heroes and comedians. So we're so glad you're here. I'm your host, Dr. Ben, board-certified orthopedic surgeon and stand-up comedian. I prescribe prescriptions of laughter and an occasional anti-inflammatory. Today, co-hosting is the unstoppable and awesomely funny Ms Brinn Daniels.

Brinn Daniels 0:44

Hi, nice to be here.

Dr Ben 0:46

Yes, and our healthcare hero rock star is Dr. Jameil. Dr. Jameil's in. Hey, thanks for having me. Incredibly talented, board-certified general surgeon who's fellowship trained in bariatric surgery. I can't wait to hear more about that. Bariatric surgery, we're going to learn about that. He's making miracles and we're telling jokes here. So that's right. Dr. Ben and Friends Podcast prescribes 100% comedy without the copay. So we're celebrating healthcare heroes and comics who dedicate themselves to making this world healthier and funnier. So grab your stuff scope or coffee and let's buckle in. A

Sponsor: The Needles Group

Dr Ben 1:26

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Brinn Daniels On Starting Comedy

Dr Ben 1:45

All right. Dr. Jameil, Ms Brinn, do you uh two know each other?

Brinn Daniels 1:50

No, we've never met before. Nice to meet you.

Dr Ben 1:52

Nice to meet you too. All right. Well, Dr. Jameil, Ms Brinn is a very talented comedian. She's also a filmmaker, and uh, she's a university professor in filmmaking, and she produces uh shows for the Clean Comedy Collective, the stand-up comedy. And uh we're excited to hear more about uh what she does. So she has awesome big heart for comedy and filmmaking. I do too.

Brinn Daniels 2:17

All right, great. I can't wait.

Dr Jameil 2:18

Frequenter at Zanies,

Speaker 2 2:20

actually. Are you really?

Dr Jameil 2:21

Yeah. Oh yeah, you're the true deal. Yeah, that's great.

Dr Ben 2:23

Yeah, so yeah. All right. Tell us a little about yourself. What do you do?

Brinn Daniels 2:28

Yeah, so I um I started comedy during COVID, which was a very great time to start. The biggest comedians in the world were doing backyard shows. And if you didn't already have a career, you pretty much couldn't do it. But it was nice for me. I was able to write for a really long time before I got to perform. Uh, I started working with the Clean Comedy Collective pretty quickly in a, I would say around 2022, maybe even 2021. And then I joined them as a producer in 2023. So I've been producing shows for them for the last three years now, actually, three years this month, which is great. Anniversary. Yeah, anniversary, big anniversary. And I produce, I currently produce a show out of Spring Hill at this beautiful Christian business coffee shop. And we have a rotating comics, and it's on the third Saturday of every single month uh in Spring Hill.

Dr Ben 3:17

All right. And uh what's the name of the uh coffee shop where you just love coffee in Spring Hill. Shout out to Just Love. Go check out that show. That's a great show.

Brinn Daniels 3:25

Yeah, you've been on the show.

Dr Ben 3:26

It was a great, great time. So check out that one. And then uh, you know, I during the pandemic tried doing uh comedy uh via Zoom, but uh turns out I'm not remotely funny.

unknown 3:40

Not remotely.

Dr Ben 3:40

So Dr. Jameil here is a general surgeon and a bariatric surgeon. Uh Brinn, any idea what what do you think he does every day?

Brinn Daniels 3:48

Is it is it like uh Grey's Anatomy or I am not I am not very medically inclined. So I hear bariatric and I'm a word person and I think geriatric okay commercial maybe somebody older or um bariatric pressure, I think. So I'm thinking older people have a lot of gas. Is it anything to do uh

Dr Jameil Bariatric Surgeon

Brinn Daniels 4:11

you know?

Dr Jameil 4:11

I I'm a general and bariatric surgeon, so like I practice surgery on a lot of older people. My gallbladder this morning was late 70s, but bariatric surgery, I mean pressure, it's pressure on the knees to be overweight. So overweights or weight loss surgery basically. So uh gastric bypass, sleeves, and then you know, the big thing is revisional surgery. So a lot of those patients had surgery 20, 30, 10 years ago, may need a second operation to fix this or that or help with weight regain. So I do a lot of that as well.

Brinn Daniels 4:44

Oh wow. Yeah. So you're helping real people.

Dr Jameil 4:47

I mean, that's the goal. Yeah.

Brinn Daniels 4:49

I hope that when I make people laugh, I'm helping them, but that's amazing.

Dr Jameil 4:52

I think actually you probably do a lot. So yeah. And I I wake up every day and I listen to uh comedy on um just my Facebook reels, and I have a list of comedians I listen to. So it definitely starts my day off for.

Brinn Daniels 5:04

I'd love to hear your list. You can you give us a couple?

Dr Jameil 5:06

Yeah, I love. I mean, so I've seen Shane Gillis live. Mark Norman is the newer one I've been watching a lot of later. Um Dave Chappelle. Yeah, exactly. Comedy art.

Brinn Daniels 5:19

Yeah.

Dr Jameil 5:20

Um, I've seen Dave Chappelle a couple times when I was in med school. And then he's so great live. He's yeah, he's amazing.

Brinn Daniels 5:27

Different than special early 2000s at uh Caroline's Comedy Club in York when I was in school. Oh my gosh. Yeah, so fantastic.

Dr Jameil 5:34

Different for sure. Like great experience. And then who else is a good one? I've seen Dr. Ben five times, actually. All right, yeah, huge fan of the very supportive. Yeah, that's it. Is a record. Um, and then who's the the I saw you had a very, I think pretty famous guy on your last one.

Brinn Daniels 5:53

Okay.

Dr Jameil 5:53

He's on Dave Ramsey's show all the time. He's a therapist. Delony, yeah. He was really good. Yeah, he's super funny. Yeah, yeah. So I love comedy, it's great. I think it does a lot of things.

Brinn Daniels 6:03

That's great.

Dr Jameil 6:04

Good things for people. So yeah.

Brinn Daniels 6:05

You do a lot of serious stuff all day. So I imagine it's probably nice to start with something a little lighter.

Dr Jameil 6:09

Yeah. I mean, yeah, I I own my own practice, so it's, you know, believe it or not, I think that's the more stressful part of my day is is the, you know, uh running a business hiring and firing, running a business. The surgery part is like the fun part of my day. I love that part. So um, and I think Ben, you know, Dr. Ben could agree with that too. But yeah, that's the best part of my day for sure. Um, but it's good to get a jump start on the day with something like comedy. So yeah.

Dr Ben 6:34

Yeah, but all the other stuff, the dictation and medical records, that's the bane of our existence.

Dr Jameil 6:39

Yes.

Dr Ben 6:40

Well, we're gonna jump right in then, uh, hearing more about what you do. Yeah, Dr. Jameil.

GLP-1 Meds Explained For Weight Loss

Dr Ben 6:45

Uh, we actually have a question from a listener. Okay. So a uh listener wrote in and it's Adam S from Brentwood, Brentwood, Tennessee, not California. Uh we'll just jump right in. How do bariatric surgeons feel about the GLP one medications like Ozempic and Munjaro? I'm gonna ask. And are they taking food off your plate, so to speak? So what what are those exactly for the listener and for dumb orthopedic surgeons that uh aren't sure? What's GLP?

Dr Jameil 7:14

Absolutely. So I get asked that all the time. And it's kind of funny you mentioned COVID with starting a comedy career. Well, I was finishing fellowship when the GLP ones were just taken off, and we saw, you know, bariatrics saw like a 30% drop in our volume of surgeries because they're great. So, what are GLP ones? So, GLP1 and GIP, which are the two hormones that are in the medications these days, is a class of medications, actually been around for a long time since like 2005, but not like the weekly injection we have now, are gut hormones naturally produced that help with digestion, help with control of your appetite. So I tell this is a comedy show. So there's a joke I heard in med school from one of our professors. Um, they created Ozempic, the plan was to treat diabetes, use this GLP1 gut hormone agonist to decrease the A1C, help diabetics become better. But just like Viagra, that is actually was invented for hypertension or for high blood pressure. Didn't work so well for hypertension, but they were in for a big surprise. And so it's the same thing. We actually go. So um it's a clean show. Keep it clean. That's right, that's true. Um, so anyway, long story short, osempic worked great for diabetes, but I also noticed a lot of people were losing a ton of weight. So then they got branded for weight loss, and it was called Wagovi. So Ozempic and Wegovi are a drug called semaglutide. It's one gut hormone agonist, GLP1. That's why the name or the class of the drugs is actually GLP1s. Um, then another medication came out uh throughout the last five years called terzepatide that actually acts like GLP1 and GIP, or and I say act like it, it helps your body produce more of these two hormones. And that also helps people lose weight, improve their diabetes. The brand names of that medication um or those medications is Manjaro and Zeppound. I bring up the names because it's very confusing for patients and for people to understand like why are there six names for the only two types of actual peptides? Well, that's why. It's just the branding of the medication. The way they work decreases your desire for food, you eat less, it slows down your gut, you eat less, you have less food on your plate, and basically people lose weight because they just are having less calories. And to your second question, when I was in fellowship and saw the decrease in volume and every bariatric surgeons struggling, I was like, I have to get on this. It's a clearly a very good treatment for obesity and for diabetes, just like bariatric surgery. And so my practice does 50% at least half my patients are on some sort of GLP1 medication to help them with their obesity. Um, so it's been a really rewarding, honestly, part of my practice.

Brinn Daniels 9:56

Wow.

Dr Jameil 9:57

So yeah.

Brinn Daniels 9:57

And so does does has that reduced how much surgery that you have to do?

Dr Jameil 10:00

I mean, well, I started from scratch. So I went from a zero to now I'm doing 10 to 20 cases a month. It's actually helped me build my practice up a lot because they trust me, they get to know me. And so they're like, the GLPO1's not working for me. My BMI's still 40 plus. I really is there another option? I'm like, yeah, I actually can do surgery for you as well. And so I leave it up to the patient to decide, you know, what do they want? How do they want their obesity treated?

Brinn Daniels 10:27

Um, and so nobody wants a one-trick pony doctor.

Dr Jameil 10:30

No, and you need to have a couple tricks up your side. A couple tricks for sure. So um that's why I love I love being an obesity doctor because it's there's and the next thing I'm starting in uh March of this year will be endoscopic procedures to help with weight loss too. So that's incisionless surgery, basically. Um, so I think it's a fascinating field. There's just so many options.

Brinn Daniels 10:49

Wow. Yeah, I can't wait to hear more about those too.

Dr Jameil 10:52

Yeah.

Dr Ben 10:52

And just listener too at home. If you're scheduled for an elective surgery, we need to know if you're on those medicines because they want you to stop those well ahead of time so that the food can move through your stomach. We don't want to operate electively on patients with full stomachs. Absolutely.

Common Sense Healthcare Ads We Wish Existed

Dr Ben 11:09

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Who Qualifies For Bariatric Surgery

Dr Ben 11:54

Dr. Jameil, uh so tell me who is a good candidate for bariatric surgery? Can you talk about the BMI or body mass index and who uh who exactly qualifies and who's a good candidate?

Dr Jameil 12:06

Absolutely. So BMI is body mass index, like you said. And so right now, um there's two ways to look at it. I'll keep it brief, but basically there's what the insurance requires and what our society, the American Society of Metabolic and Barrier Surgery, requires. Insurance always lags what real doctors want, because you guys know why. I mean, they want to save money somehow. Um, but so if you look at what medically we think is necessary, it's a BMI of 30 with an illness like diabetes, hypertension, sleep apnea, et cetera, or a BMI of 35 plus. In terms of most insurances in Tennessee, if not all, I think except for one, it's BMI of 40 or BMI of 35 with a comorbidity or an illness like diabetes. When a patient comes to me and, you know, so with the GLP ones, that's throwing a whole nother wrench into everything. Um, I really look at the patient, their lifestyle, can they tolerate surgery? You know, and then how old are they? If they're 25, most commercials, most doctors, most of those like ads you see on Instagram don't mention the fact that you have to be on a GLP one the rest of your life. So if you're 25 years old, I really just start to discuss that with them. And for some reason, you know, they're like, I don't want to be on medication forever. Maybe surgery is a better option for me because it's more weight loss and it's you know, it's permanent.

Dr Ben 13:26

And uh, listener, just briefly, that BMI body mass index, it takes your uh height, your weight, and your gender. And then if you're in a range like 18 to 25, that's healthy. If you're under 18, it's underweight, and then over 25 is overweight, and over 30 is obese and then over 35s.

Dr Jameil 13:44

Classes of obesity. So yeah, class one, like just like you said, you're perfect. 30 to 34.9 is class one, 35 to 39.9 is class two, uh, 40 plus is class three. Okay. Yeah.

Brinn Daniels 13:55

I've been lots of different weights in my day, but I'll tell you what makes me upset is that this it's just like drinking alcohol, the BMI. It matters so much what your height is. Yes. And I'm five foot tall, so I am like living on a razor's edge with all of that stuff.

Dr Jameil 14:09

Yeah. Not much room to move there.

Brinn Daniels 14:12

No.

Dr Ben 14:13

And with uh joint replacements, too. A lot of times I can't even schedule the joint replacement if the BMI is over 40. So then I have Dr. Jameil on the case. We gotta get the BMI below 40 to replace your joint. That's right. Your knee or your hip.

Sleeve Versus Bypass And Beyond

Dr Ben 14:28

Yeah. So all right, Dr. Jameil, can you kind of walk us through some of these various procedures that get thrown out there, like the gastric sleeve or the um, you know, gastric bypass, duodenal switch, like what are all these procedures? Yeah, some ruin y procedure.

Dr Jameil 14:43

Yeah, absolutely. So there's dumb it down for the orthopedic surgeons and I'll do my best. And the comedians for sure. So the stomach is basically an organ that's probably just under the size of a football when it's distended. And so the first one is a sleeve. There's a gastric bypass or ruin Y. You have to say both names because patients hear different things and have heard different things. So ruin Y, gastric bypass, the um duodenal switch, and then there's a newer one that I've just started doing called a single nastomosis duodenal ileal bypass or a SAD S. And so I'll briefly talk about all them all. That last one, the last two are pretty complicated, but the two main ones I do are the sleeve and the bypass. So a sleeve, I cut out about 70 to 80 percent of the stomach. You take it from the football to a banana-shaped stomach. Wow. Okay, and so you can imagine by doing that, you really cannot eat that much. There's also a hormone in that part of the stomach that I'm removing permanently called ghrelin that's responsible for your appetite. It lowers your appetite by taking out that part of the stomach.

Brinn Daniels 15:45

So it's a great name for a hormone that does something so bad. It's so close to gremlin.

Dr Jameil 15:50

You know, movie. The Gremlins. Exactly.

Brinn Daniels 15:52

Um there's gotta be a joke in there for us, Dr.

Dr Ben 15:56

We'll work on that.

Dr Jameil 15:56

Yeah, I love it. But yeah, and then the bypass, I basically, you know, this is um I make a small little stomach crouch from the stomach, and then I reroute your intestines so that you have restriction, you can't eat that much, and then you also can't absorb as many of the calories. So that's a ruin Y gastric bypass. The other two procedures, much less commonly done. They're very malabsorptive. It's really for severely obese patients, you know, over B my 50, 60. And so you could get there pretty quickly, but um, but with your height and everything. But yeah, it's for uh, you know, very obese, severely obese patients. Um, I do, you know, I've done three Sadies in the last two years, and and basically you do a sleeve and then you do a more malabsorptive procedures to the small intestine. And so the whole goal is restriction and reduce the absorption of the calories that people eat.

Brinn Daniels 16:47

Do you just reduce the absorption? Does that mean like are you going to the bathroom more or yes?

Dr Jameil 16:52

Yeah. Yeah. So you're pretty good at this.

Brinn Daniels 16:54

So yeah, it's um I can make some gross deductions. Yeah.

Speaker 4 16:58

Um, yeah, no, exactly. So like the more malabsorptive it is, the more they do actually have diarrhea issues sometimes. And duodenal switch SADI, especially, um, it's really malabsorptive in terms of the range of the procedures I mentioned. And so they actually do have three or four. I mean, can I talk about poop on this show? Sure. Clean, but yeah, not as clean. Hitting them with the old duodenal switch. That sounds like a horrible. It's uh yeah. So no, it's it's uh so that's why we just I'm not gonna do a bunch of those unless they really need it because they're in the bathroom more. Yeah.

Brinn Daniels 17:32

I gotta know more about the duodenum. That is such a fun word to say. Yeah, what does that function how does that function in your body?

Dr Jameil 17:39

Um, what is a duodenum? Yeah, so it's the first part of the small intestine, and you know, you have the stomach, esophagus. We're basically just a big tube, right? So esophagus, stomach, duodenum, and then jejunum and ilium. So duodenum, jejunum, and ileum are the three parts of the small intestine. The duodenum is the first part, it's relatively short. It's got four segments. And so I just come across the first segment of it with a stapler and do the rest of that procedure. It's really important for absorption. Your gallbladder and pancreas and liver all hook up to that area to keep it simple. And so a lot of those enzymes and proteins come, you know, meet up with the duodenum and then that goes into your body.

Brinn Daniels 18:18

So if I'm having stomach issues and I would like and I'm in polite company, could I say, ooh, my duodenum's acting up before I run to the restroom?

Dr Jameil 18:28

Absolutely.

Brinn Daniels 18:28

I love it.

Dr Jameil 18:29

Yeah. That's good.

Brinn Daniels 18:30

It's good to have these things in your pocket, right?

Dr Jameil and Dr Ben 18:32

And then it doesn't sound so I'd go with, oh, my pancreas. Okay, with a pancreas. Yeah, that's right. All right. I heard it's fun. Diarrhea is uh hereditary. It runs in your genes. I don't know.

Dr Jameil 18:47

I think so. Dr.

The Pre Op Program And Lifestyle Changes

Dr Ben 18:49

Jameil, so walk us through the kind of typical patient's journey of having this uh like pre-operatively, yeah. But to kind of, you know, do they have to modify diet or see psychiatry or anything? Or how long does the surgery take? How long are you in the hospital? Kind of can you walk us through briefly?

Dr Jameil 19:05

Um yeah, I mean, so basically it's it's a range, you know. So people at a minimum have to be in a program for like four months.

Brinn Daniels 19:13

Okay.

Dr Jameil 19:14

Um but you mean by a program? Uh so we have a my office runs a complete bariatric program. I have um access to psychologists, I have two dietitians I employ, um, two physician assistants that help me see the patients. And so they have to, like you said, like do a program, get a psychology clearance, work with the dietitians, and at a minimum four months. But you know, I moved to Tennessee, never heard of sweet tea in my life, and got here, and it's like it's a serious addiction. So some patients require eight to 10, 12 months to get through till they can, like, you know, kick these habits, right? So um they may be in a program pre-operatively for a while. And then we do the surgery, um, usually in the hospital for 24 hours. Um, I've started to do some same-day sleeves and things like that where they can leave the same day because it's gotten so safe. And then um they go home. And then after, biggest bang for your buck is after, you know, all the follow-up, making sure they take their vitamins, not having too many diarrhea spells or duodenal issues, like you said. Um, and uh and and making sure they're maintaining their weight loss. So um, it's it's a lifelong thing. I mean, they can't go back.

Brinn Daniels 20:22

Is there a number one? You mentioned sweet tea, and I think that probably is really difficult here in the South. Is there like a number one or like top three things that people have to give up?

Dr Jameil 20:30

Like yes, I mean it's liquid calories.

Dr Jameil and Brinn Daniels 20:33

Like yeah. Um, soda or sweet tea?

Dr Jameil 20:37

It's they both have sugar. It's a lot. Soda's addictive. I mean, it's really addictive. And so, yeah, I mean, soda, sweet tea juices, like you know, the other thing that's kind of funny when I moved here, you can get nicotine in your body in so many different ways that I didn't even know about. So I'm gonna make them stop all of that before surgery, too. Um, but yes, liquid. Yeah, wounds. Yeah, same as ortho, ortho um surgeons do. So sodas, sweet teas, juices, coffee with whatever kind of creamer, and that's like the number one battle always. Yeah.

Dr Ben 21:12

But they could do like artificial sweeteners?

Dr Jameil 21:14

They can. Like tea. Stevia. I try and push them off those things, but it's it's a really bad addiction. So, like, you know, for a lot of patients, just switching to a um a non-sugar version of their drink, like unsweet tea or unsweet tea with stevia, or um, I mean, we we don't like diet cokes and stuff like that, but yeah, try to get them to a healthier point before surgery.

Dr Ben 21:38

Okay. And then on average, how much can a patient expect to lose, or like a certain percentage of or get them down to a certain BMI or Yeah.

Dr Jameil 21:46

Um, so we call it excess weight loss. So you the way I describe to patients, if your normal BMI is twenty five, anything above that is excess. So a sleeve is the out of the procedures I mentioned, the lowest, you know, weight loss procedure. They'll lose about 50 to 70% excess weight loss.

Dr Ben 22:03

Okay.

Dr Jameil 22:04

And then the bypasses next, about 60 to 80%. When you get to the duodenal switch and Sadie, it's a little more than both of those procedures. And so but you know, people range. And then just comparatively, the weight GLP ones don't even still don't get for most patients up to the weight loss you'd expect, even with a sleeve. So in really good terzepatite patients, they can get like 20% total body weight loss.

Brinn Daniels 22:32

So um is that more for fine-tuning then instead of kind of big issues, or does it depend?

Dr Jameil 22:38

You know, when they come to see me, it's like I never want to talk about surgery ever. So don't even bring it up. And I'm like, okay, we'll put you. Even if they're being my 60, I you know, I want to help them lose some weight one way or the other. So if that's what they want, that's what they want.

Brinn Daniels 22:51

Um you're getting more people asking for the GLP ones than a lot more, than the stomach stapling or whatever.

Dr Jameil 22:58

Yeah, exactly. Yeah. Um, and and that I understand that. Who who wants surgery right away? Like, that's you know, it's a big deal. So yeah.

Brinn Daniels 23:05

I don't know. I surgery sounds better to me. I'd love to eat like a bird. Like, wouldn't that be nice?

Dr Jameil 23:09

Yeah.

Brinn Daniels 23:10

I do not eat like a bird currently.

Dr Jameil 23:12

Um overall, afterwards, like the health picture, they're yeah, I'm sure. Everything improves. Diabetes, I mean, 75% cure with a gastric bypass uh after surgery, even if they regain the weight. Um less knee replacements for you. I mean joint pain is joint pain's better, back pain's better, uh, hypertension, um, sleep apnea can be gone. You know, cancer, cancer risk goes down significantly. So it I mean, you know, weight loss affects everybody.

Brinn Daniels 23:45

And what about during I mean, because COVID, right? That was uh it adversely affected overweight people more.

Dr Jameil 23:53

Significantly. So I mean, I was like a lot of the patients tell me my first question is how long have you been doing with weight? COVID's an answer for a lot of patients because huge depression, immobility, couldn't leave the house, picked up a lot of you know, eating DoorDash, DoorDash, another big one. Yeah, you know, stuff like that. So these mobile devices that we can just order food right away. Um, so COVID was a big one. Yeah, absolutely.

Dr Ben 24:21

And then the patients that come to you, what if they're kind of on the fence about, like we said, surgery? I don't know if I want surgery. What's the conversation you have with them about kind of alleviating concerns, asking questions? What questions should our listeners be asking a bariatric surgeon?

Dr Jameil 24:36

Yeah, I mean, I think you know, I took the approach of like centered around the patient. So um essentially ask, okay, just like you said, you know, what's the most effective with my age? Like, what do you think is the best option? Do I really have to stay on this medication forever? If anyone tells you you don't, they're the data does not support that. So you you really technically have to be on it forever, just like that.

Brinn Daniels 25:01

He stops judiciously short of saying they're lying to you.

Dr Jameil 25:04

Maybe, yes. They are lying.

Brinn Daniels 25:07

No, that's good.

Dr Jameil 25:08

Um, and then you know, what are the side effects of the surgery and what are the side effects of the meds? Like which one, you know, and so some people which one can you live with? Yeah, correct. Is this really reversible? Well, the bypass technically is reversible. The sleeve is not, you know, it's your that part of your stomach's gone forever. Um, and then, you know, I think it's fair to ask how many of these have you done and what are your complications? People ask me, I'm straightforward with them. And the other thing is I tell them if the surgeon says they've never had a complication, they are lying to you. So I've had my own, like, just like any surgeon, we've all had those things happen.

Dr Jameil and Dr Ben 25:41

Yeah, the complication rate's never zero, so they've never they're lying or they've never operated before. Correct, exactly. So no one's complication rate is zero.

Brinn Daniels 25:49

I've gotten to the point where even pizza I have complications from. I have a piece of pizza and then I'm on Yeah, because I don't have an allergy to gluten and I don't have an allergy to tomatoes.

Dr Jameil 25:57

Yeah.

Brinn Daniels 25:58

But I just kind of have a little bit of a reaction to it where I don't sleep.

Dr Jameil 26:01

Yeah.

Brinn Daniels 26:01

And I still eat pizza because pizza's delicious, but you have to. Pizza's too good.

Dr Jameil 26:05

Causes insomnia. Yeah.

Brinn Daniels 26:07

Yeah. Isn't that weird?

Dr Jameil 26:08

Oh.

Dr Ben 26:08

Yeah. I'm lactose intolerant, so I have little problems with my duodenum when I eat pizza.

Brinn Daniels and Dr Ben 26:13

You need that old duodenal switch.

Common Sense Healthcare Ads We Wish Existed

Brinn Daniels and Dr Ben 26:21

Thanks, team. Now it's time for common sense healthcare ads we wish existed. From Dr. Ben, because real sponsors still don't know this awesome podcast exists yet. This episode of the Dr. Ben and Friends Podcast is brought to you by Digestion Dynamo Drink. Chug this elixir for perfect gut health. Turns your tummy into a well-oiled machine. Literally, with optional oil changes. Side effects may create burps that sound like symphonies.

Robots Endoscopy And The Future Of Surgery

Dr Ben 26:51

And Dr. Jameil, uh, let's talk a little too now about technology and like robots and the Da Vinci that I hear about both in general surgery, bariatric surgery. What role has technology played? Where is it going? Is it going to be taking your job?

Dr Jameil 27:05

Yeah, I mean, yeah, basically, um, I don't even do the surgery anymore. It's awesome. I just plug it in and no. Uh, yeah, I get asked that all the time. Like, are you doing the surgery? I'm like, uh so the robot is great. It's a fantastic instrument. There's one main one that most hospitals use. There are more coming out for you know competition and maybe some potential advancements. Basically, I put in these little instruments called trocars on the patient's body. I hook the robot up to it, and then I go and sit kind of like a video game on something called the console. And I'm literally just sitting there using my hands and finger monitor, looking at the patient's abdomen. Uh, it's and you're just kind of sitting up like the gallbladder this morning. That's how I did it on the robot. And the robot right now. Exactly. It's a video playing. He's over in the clock. But I'm actually sewing the battle together, so it's awesome. We actually have camera controls like that where it's like a literal PS5 controller and you can control which way it goes and up and down. Very similar. Literally, that's so maybe maybe I could do your job because I you know I wouldn't trust it. Some gamer out there that's gonna be doing it. Well, you're gonna be later.

Brinn Daniels 28:10

So gamer's gonna be taking your job. And now describe this robot because people probably have some um image in their mind of when you say robot. Yeah.

Dr Ben 28:18

Um what is this robot?

Dr Jameil 28:19

It's not an actual robot. I want to describe it. It's not an actual robot. It's literally has all these arms coming out. It's got these arms that connect to the patient's body after I put in the insertion sites to the patient's body. I put those in, so you know that's the thing. How many arms?

Brinn Daniels 28:31

Because that you said arms. Yeah, that's terrifying. I don't want like a robot spider giving me a no, it's not like the matrix where like the thing goes in your belly and does it. Um or like aliens where it pops out the other way.

Dr Jameil 28:43

Um but yeah, it's like four arms, they hook up to the patient's abdomen, and then I and then once they're hooked up, it's literally simultaneous when I move, the robot arms move in so staple in the bow. Very precise. Yeah, super precise. It's it's awesome. And I can do a bypass now in like, you know, I'll just be honest, my fastest one's 36 minutes. Really proud of that. But um, yeah, safely 45 minutes to an hour to do a gastric bypass, which you know, 10 years ago, big incision, ICU, you know, like way different.

Brinn Daniels 29:13

So the 36 minutes wasn't safe.

Dr Jameil and Dr Ben 29:15

It was safe, should awesome. Now, could these be done remotely? You know, I I honestly, I yeah, like I bet they can't, I bet that technology is coming in the next five years. Actually, Elon thinks we won't even have jobs in five years. So what do you think? I gotta start comedy. Um gotta do something else.

Brinn Daniels 29:33

They're taking those jobs too. Yeah, yeah.

Dr Jameil 29:36

Um, I think that's crazy. So yeah, like, you know, what you won't even trust uh a robot right now. I mean, I think it's just I'm sure the technology is there, but there's no human being that wants you know a robot talking to it about its surgery and then doing it, you know. So I just think there's not that human connection.

Dr Ben 29:56

Um and I use a robot, yeah. I use a robot in orthopedic surgery, but it's nothing like your Da Vinci I have robot envy, I often say. Yeah, because ours is very rudimentary, it's nothing as precise as yours. It's just kind of an arm that has a saw blade to make geometric cuts, but yours can do a lot more.

Dr Jameil 30:13

So yeah, I mean it but yours but it's also helped your precision. Right.

Dr Ben 30:18

It lines it up, takes a little uh the human air out uh by eyeballing it, it lines it up perfectly. Yeah, yeah. Now you mentioned endoscopic procedures too. Can we talk about the what do you mean by endoscopic and what what procedures can you do?

Dr Jameil 30:30

Yeah, so I'm gonna be doing endoscopic sleeve gastroplasty or ESG. And so instead of me making incisions to do the sleeve that I talked about, um, I'll basically go in the patient's mouth down the esophagus into the stomach with this one centimeter, 1.5 centimeter device. I tell patients it's like a colonoscopy, but from the other side. So uh, and then I use that to literally suture together layers of the stomach. So instead of from football-sized stomach being able to actually have food in it, now it's much thinner, but it's held together by sutures on the inside. So it's a sweet procedure. I mean, I'm gonna do my first two coming up in March. I've done a lot of training for it. Um I do a lot of endoscopy already, so I do a lot of EGDs already. Um, and so it's just another kind of a newer procedure that just got approved by our society this year. And so um yeah, I think it's gonna be a great option for patients. So I would call it a stomach tightening procedure. Stomach tightening, yeah.

Brinn Daniels 31:26

See, that sounds pleasant, but not the way you described it. They're asleep, right?

Dr Jameil 31:31

They're asleep, they're asleep. And I would say it's like uh it's your best secret, right? No one's gonna know that you even had a weight loss procedure.

Brinn Daniels 31:38

So yeah, no scar. That's a good point. Stomach tightening. That's right.

Dr Ben 31:42

Uh Dr. Jameil, how do you uh make patients feel kind of comfortable before, during, and after surgery? I imagine people are very stressed about it, nervous. Yeah.

Brinn Daniels 31:52

They call it in a bedside manner, right?

Dr Jameil 31:54

Call in a buddy that's a comedian to come tell some jokes.

Dr Jameil and Dr Ben 31:57

Always, yeah. Cheer them up. Get some laughs. It does work, yeah. Um, you know, I mean, how do you do it? You're you're like a you've been doing this a lot longer than I have, and fantastic surgeon tell jokes.

Dr Ben 32:07

Yeah. Um, laughter is the best medicine unless you're treating bowel or bladder incontinence. That's probably the worst.

Dr Jameil and Dr Ben 32:14

It's the worst medicine. Absolutely.

Brinn Daniels 32:16

That's it off the duodenal switch. That's what I've heard.

Dr Ben 32:20

I actually called the incontinence hotline today and they told me to please hold. But uh imagine you have a great bedside manner, I'm sure that kind of thing.

Dr Jameil 32:30

I mean, I love my patients. We get to know each other. Like, I'm I'm pretty informal. Um, so that you know, that helps. And like I just I don't go over the risks and benefits the day of surgery. I did it two weeks before at the pre-up appointment. So I'm like, I'm not gonna talk about that the day of. Um, and then I just yeah, bedside manner and uh just remind them that I know what I'm doing, I've been doing this, and I'm gonna take good care of you, you know.

Dr Ben 32:55

I had a um mentor in training, and you probably abide by this anyway, but uh said that patients don't care how much you know until they know how much you care. And so I think just kind of they don't really care about hearing all the, you know, how big your brain is and stuff, but yeah.

Brinn Daniels 33:12

That's why we don't want the robots. We know they don't care.

Dr Jameil and Dr Ben 33:15

They don't care.

Brinn Daniels 33:16

I've seen enough movies to know that there's the one rule, right, where they're not supposed to do any harm. And then what happens in every movie is right, they do all the harm.

Dr Jameil 33:23

What's the one with like Will Will Smith, I think, and it's a yeah, dude. That's coming, dude.

Brinn Daniels 33:29

It is coming, it's terrifying. Did you guys see the recent uh where they put all the these AI assistants had their own like Facebook kind of like chat thing where they were talking smack about all the people that they help?

Dr Jameil 33:41

Oh, yeah.

Brinn Daniels 33:41

Yeah, that that came out this week or last week.

Dr Jameil 33:43

I've read it, like crazy it'll lie to people. I mean, it can start to make up, yeah.

Dr Ben 33:48

It's just gonna make up, fabricate.

Dr Jameil 33:49

Yeah, and uh I mean, there's the one story of like the well, that's I mean, that's depressing.

Dr Jameil and Brinn Daniels 33:55

I don't want to talk about it, but yeah, it's just it's you know, and my bariatric surgeon might lie to me, but at least just a chance that he cares a little bit, right? Little chance, there's no chance with that robot.

Dr Jameil and Dr Ben 34:05

That's right. Maybe some they'll build a program some compassion in there. I don't know.

Brinn Daniels 34:09

Oh, yeah, that's a good idea.

Dr Ben 34:11

So you want to get on that? Decompress after a stressful day.

Dr Jameil and Brinn Daniels 34:16

Man, I listen, I love, I'm telling you, I love comedy. Like I'll sit there and just watch it on he's pandering, yeah. Mark Norman, whoever, just watch their movies.

Dr Jameil and Dr Ben 34:24

Favorite guest. That's right.

Dr Jameil 34:25

I'll be back. Um, yeah, comedy. Uh you know, I I don't have my social media apps on my phone during the day because I'm like busy, so I don't want to be distracted, and then I'll just download, watch for a little while.

Brinn Daniels 34:37

And you're not one of those TikTok dance doctors. You're not doing that.

Dr Jameil 34:40

I thought about it. I do have a TikTok. He's got the movie checker.

Dr Ben 34:44

That's right. You do have a TikTok dance?

Dr Jameil 34:46

It's called well, no, not a dance yet, but I have a TikTok called Bariatric Bro.

Speaker 1 34:51

Oh my gosh, that's a great name. I love it.

Dr Jameil and Brinn Daniels 34:52

Patient found me yesterday on TikTok, and that's why she came to see me. And I was like, oh, I gotta start doing this more. But um they're saying that with universities. Yeah, follow it.

Brinn Daniels 35:00

Yeah, with universities that they're a lot of their admissions people are having to get on TikTok because that's where that's where the kids are.

Dr Jameil 35:06

Really?

Brinn Daniels and Dr Ben 35:06

I believe it. I was like, I do not want to oh, I don't want to get on there. Yeah, you do. You have to keep up. I mean, that's where they are.

Dr Jameil and Dr Ben 35:13

That's

What Doctors Can Learn From Stand Up

Dr Ben 35:14

true. Uh Dr. Jameil, do you have you love comedy? Do you have any questions for uh uh comedians or how do you do it?

Dr Jameil 35:21

I mean, you've asked me to go up and do a four-minute bit. I'm like, there's just no way. Dr.

Dr Ben 35:25

Jameil actually thought about doing stand-up for about it.

Dr Jameil 35:30

The whole 20 seconds, I was like, you know, I'm gonna do this.

Dr Jameil and Dr Ben 35:33

And then those guys you mentioned, they make it look so easy. Yeah. Doing like our specials, just getting up there and talking.

Dr Jameil and Brinn Daniels 35:38

I know they've failed before, right? Like everyone flops at some point, tons of times. Um, my question is, how do you do it? Like, it's just terrifying.

Brinn Daniels 35:47

You have to not care, you have to be perfectly fine with failure. I always wanted to do stand-up comedy. Like ever since I was a kid, I used to watch SNL and all the comedians, like way before it was appropriate for me to. My parents were very nice to me and let me watch all of this stuff. But I always wanted to, and I never, I was like, Oh, I'm never gonna do it. That's terrifying. People won't like me. You know, that was when I was 20. Yeah. You know, and then you get a little older, I won't say how old. And you just go, I don't care. Because you have to not, you have to not care and be ready to like put it all out there.

Dr Jameil 36:18

Yeah.

Brinn Daniels, Dr Jameil, and Dr Ben 36:19

And then when you get that first laugh, like like really big laugh, it's quite a rush. Adrenaline rush. Addictive. Yeah. I don't need alcohol, I don't need drugs. I need I need a good laugh. Yeah.

Dr Jameil 36:31

Yeah. Yeah. I think it's I just think you guys are courageous. Like, you know, uh public speaking is hard for most people, I feel like, but then try and tell a joke with you know who knows what kind of audience is out there. I mean, yeah.

Dr Ben 36:44

Yeah, I think it was Seinfeld that said people's number one fear is uh public speaking, and that's ahead of number two, which is dying. So if you're at a funeral, more people would rather be in the coffin than standing up front giving the eulogy. Yeah, that's true. But it it was definitely terrifying, it's less terrifying each time. But and then I kind of you hear all the greats say that they've bombed and did sets in front of quiet rooms or been heckled, so that kind of gives you a little reassurance that if all the greats were doing it, yeah, and they have it wanna do it, Dr.

Brinn Daniels 37:14

Ben, because you you seemed like you were pretty successful. He's a good surgeon! You didn't really need a side gig . He's a great surgeon. Yeah.

Dr Jameil 37:20

I don't know if you guys know this about Dr. Ben. He's he's a like very well-rounded. You've operated some people in the hospital. You like people like coming to you, so I send you patients all the time.

Dr Ben, Brinn Daniels, Dr Jameil 37:29

Yeah. Um, I guess it was mainly I heard an anesthesiologist tell a dad joke, and I thought that was so funny. It was actually an anesthesiologist said, Um, your next patient wants to do his own anesthesia. So I told him, Go ahead, knock yourself out. And so then I I was retelling that joke and uh getting a lot of uh mileage out of that. And people were laughing, I'm like, Oh, that's kind of cool. Yeah. Because as Brinn and Dr. Jameil can probably tell you, not everyone can tell a joke. Yeah, even uh and I've you've noticed people try to tell jokes, and it's like there is a certain skill set to that. Yeah, absolutely. So then I had to get another dad joke because I can't keep reusing the same one, and then one led to another, and so I was just starting making your own. Right. And then uh and then the chief of staff at the hospital wanted me to perform stand-up at a medical staff meeting, and I said, I'm not a stand-up comedian, I just tell dad jokes, and yeah. So I thought, well, you only live once. So I wrote a little five-minute set, and I thought I was gonna have a panic attack.

Brinn Daniels 38:28

That was it's so fun.

Dr Jameil 38:30

So I've seen you over the last what two years now that you've been in Zanies. Um, and like the last one I thought was your best performance I've seen, because you I mean you you didn't care. I could just tell like you didn't care about that.

Dr Ben 38:41

Yeah, like Brinn was saying you just have to go out there, you know you're funny, you just have to convince the audience of that.

Dr Jameil 38:45

You just rip through it, and it was great.

Dr Ben and Brinn Daniels 38:46

I you know, not very like scientific too, so I kind of just try to think this is like an experiment. You're telling a joke if you don't get the response you want. Well, let me see what can I switch to tell it better, yeah, work on the timing or delivery . You're a surgeon just slice out a couple words here and move something over there.

Dr Ben 39:02

Yeah. I like it.

Dr Ben and Brinn Daniels 39:03

So it's uh it's kind of like an experiment. It's not that it you bombed or that uh you failed. It's just part of the experiment. Well, how can I do differently? How long ago was that when they asked you to do that five minute That was uh uh summer of twenty-three.

Brinn Daniels and Dr Ben 39:19

Oh man. And then some and in twenty twenty-five you were named Nashville's funniest comic. Look at that. Look at you. Nashville's amazing.

Dr Ben 39:27

It was just a little 96 comedian competition. It was on anything too. Nothing too large.

Brinn Daniels 39:34

Yeah, yeah.

Dr Jameil and Dr Ben 39:35

Several several different uh stages and audience voting and panel of judges, but so but that was uh that was fun. Where do you come up with your material?

Brinn Daniels 39:46

Well, I have children, so that's a lot of it. And I'm also a teacher. I do. I have a lot of family stuff about my kids, and you know, kids say crazy, crazy things.

Dr Jameil 39:57

Yeah.

Brinn Daniels, Dr Jameil, and Dr Ben 39:57

Um, and then yeah, you get a lot of excuses as a teacher, so I have a lot to draw from there. And then I'm from Florida. I mean tons of stuff there. Yeah. No less than, and and I always joke that um there's no better way to become a stand-up comedian than the way that I was born. Have you heard this one, Dr. Ben, how I was born?

Dr Jameil and Dr Ben 40:18

Uh tell the listener. This is a good story.

Brinn Daniels 40:20

I I uh was literally my mom had been to the doctor that day, and they said, Oh, you know, they took a look and they said, Oh, she's pushed all the way back up. Like she's not coming anytime soon. And then in the middle of the night, my mom got up to go to the bathroom and my head came out.

Dr Jameil 40:36

No.

Brinn Daniels 40:37

Sitting on the toilet. The very first thing that I saw in God's green Earth side, right? Yeah. So I joke that my my dad from that day on, he never called me by my name, Brinn. He just always referred to me as number two.

Dr Ben 40:53

Were you the second child?

Brinn Daniels 40:54

I was also. Oh, yeah. Yeah. So it worked on lots of people.

Dr Ben 40:59

Oh, that's good.

Brinn Daniels 41:00

So that'll do it.

Dr Jameil 41:01

How do you live that down? That's awesome.

Brinn Daniels 41:03

You embrace it. Yeah. Yeah. I told my kids that story. I told my my oldest daughter that story. One time she, I think it was she hadn't gotten the the part that she wanted in a play, and she was just beside herself. And I couldn't, nothing I said would console her. And I was like, Honey, do you want me to tell you a funny story? And I told her, and she immediately turned around. And this before I was a stand-up comedian, you know, as well. But I logged that. I was like, okay, that's a good one. I'm gonna tell. And then she started telling anybody that would come to the house. I think she was eight, you know. And every time somebody came to the house, they were like, Hey, do you want to hear a story about how my mom was born?

Dr Jameil 41:39

So when you were pregnant, were you like month nine, you know, like getting ready to just avoid bathrooms at all costs?

Brinn Daniels 41:47

Yeah, I absolutely did. Yeah, and then my uh my sister-in-law was a nurse, and she told me that her number one fear, uh, not to do another poop joke, uh, was that you know, she would she would poop on the operating table or whatever. And so then that's all I could think about.

Dr Jameil, Brinn Daniels, Dr Ben 42:02

So not talk more about poop, but the reason we do have a general surgeon, guts and butts, it's like what I do . Oh my goodness. Um, but yeah, I the reason I didn't do OB was because like, yeah, I just couldn't, I don't know. It was it's graphic. You think general surgery is bad, you know, um hemorrhoids and intestines and stuff. But I don't know how many OBs they're great, but like, man, yeah, it's a lot of fluids in one, you know, one hour period.

Dr Jameil and Dr Ben 42:28

If they call uh natural birth deliveries, how come they don't call C sections takeout? That was that'll be my question when I have OB on the actually makes a sense. Right.

Dr Jameil 42:40

You gotta take it out. That's right.

Dr Ben 42:42

Um, but for as far as gathering in material for comedy, becoming a comedian certainly has made me more observant to like things every day that you might just pass up and because there's comedy and everywhere you you look, you just have to look. And so a lot of times before that you just kind of went to your day and you weren't very observant, but now I'm kind of on the lookout for is there something in that or make a little note of it, or you pass a funny sign. Yeah.

Dr Jameil 43:07

Um you guys have a process for like vetting jokes out before they even make it to the stage? You try, I know you try some at work sometimes and it's like that, but like how do you open up? Try the student jokes on your students, obviously.

Brinn Daniels 43:20

Yeah, if if if I make my students laugh, either it's time for grades to be posted or it's a good one, you know?

Dr Ben 43:25

That's right, that's good.

Brinn Daniels 43:26

But yeah, I try them out on my kids and then we have open mics. Um, and so you have to because you really do have to do it on stage, but you go to an open mic and it's a room just full of c other comedians, nobody's gonna laugh. Hardly ever is somebody gonna laugh because they're all thinking about theirs.

Dr Ben 43:40

Doctors get excited when uh patients poop. Yeah.

Brinn Daniels 43:43

So it sounds like there's just as much uh excitement for poop as for your job as being a mom, being a young mom. Potty training. I like potty training. You do that's awesome.

Dr Ben 43:53

We get excited over uh dropping a deuce. Yeah.

Brinn Daniels 43:58

So Doctor Jameil, you are Also known as the gastric guru, the bypass boss.

Dr Jameil 44:04

That's a good one.

Brinn Daniels 44:06

The waster whisperer.

Dr Jameil 44:07

Okay. The waste. Well, I, you know, um, one good nickname I get from a lot of my patients, they're like, I told my friends that you're my fat doctor. And I'm like, am I supposed to take offense to that?

Dr Ben 44:18

Or you're a fat doctor? Or you're the fat doctor.

Brinn Daniels 44:23

What about like ph? Or nobody's old enough for that? Or ph doctor, the phat doctor with ph? That's like a good thing.

Dr Jameil 44:31

Like she got a phat it.

Brinn Daniels 44:34

Just H myself.

Dr Jameil 44:36

Millennial over here. I'm sorry.

Brinn Daniels 44:38

Oh, yeah.

Dr Jameil 44:38

Okay. I'm the elder millennial, so I'm just on the other side of it. Wait, so let me ask you one more question about comedy. Yeah. Because, you know, our road is uh I want to be a doctor, so I'm gonna go college, med school, residency, fellowship, fine job. What uh so if I was to say, like, okay, I do want to start comedy, and I actually did make a list of like topics I started to observe, and then I just, you know, I was like, I'm too scared for this. What how how would you tell someone to do or get this started? I mean, we heard Dr.

Brinn Daniels, Dr Jameil, and Dr Ben 45:08

Ben's path, but like what's your just be willing to work for chicken wings and no work for something like uh to a paper. No, sorry, like a sign your name. Yeah, if you can sign your name up on an open mic and uh and not care what people think about you. But yeah, I mean, just just writing, writing down all of those things, going to an open mic. Yep. Start networking.

Dr Ben 45:28

Meeting other comedians that do shows. You'll meet like a brand who produces a show and like, hey, you're pretty funny. Why don't you come on my show at uh Just Love?

Brinn Daniels 45:37

Yeah, thanks for the plug.

Dr Ben 45:39

And then you start networking and building and making yourself available and coming up with good material and being funny and friendly.

Dr Jameil 45:47

Yeah, yeah. Yeah. Okay.

Dr Jameil and Dr Ben 45:49

So it's just that organization. But usually traditionally it's like an open mic where you would start.

Dr Jameil and Brinn Daniels 45:54

That's like the med school of the residency. Yeah. Yeah.

Dr Jameil 45:59

It's probably the whole thing's residency for a while.

Brinn Daniels 46:01

Yeah. Yeah. I wasn't kidding about being paid in chicken wings for a few years.

Dr Ben 46:06

And then hopefully it grows and you're like a guest on someone else's show or a feature.

Brinn Daniels 46:10

Or a famous doctor's podcast.

Dr Ben, Brinn Daniels, Dr Jameil 46:12

Or we're gonna launch careers on this podcast. That's right. Um, but you'll maybe host for somebody's show or be a guest or a feature, and then and then eventually you can headline when you get to that 45 minutes to an hour, then you can be a proper headliner. Yeah.

Brinn Daniels 46:28

At a real club.

Dr Ben and Brinn Daniels 46:29

Yeah. Yeah. So that's awesome. That's kind of traditional. It's the progression. I think probably most of the comedians. Yeah. So I'm trying to bypass all that. No.

Dr Jameil and Brinn Daniels 46:39

Gastrically or the switch. Yeah. He's switching it up.

Brinn Daniels, Dr Jameil, and Dr Ben 46:43

He's taking the duodenal switch. He didn't go through the traditional route of being a boxer. Is he a boxer though?

Dr Jameil and Dr Ben 46:51

Well, but he's kind of bypassed all that, and now he's getting paid much more than most boxers. Yeah, I know.

Brinn Daniels, Dr Jameil, and Dr Ben 46:57

So just marketing himself and be willing to hit people and be hit. And be hit.

Dr Jameil 47:02

I think it's lost his last fight. So all

Closing (secondary mic-yikes!)

Dr Ben, Brinn Daniels, Dr Jameil 47:09

right, folks. Well, that's a wrap. I like to keep my patients and listeners in stitches. I think we have all the sutures in now. Thank you for joining with Dr. Bennett Friends podcast in the heart of Nashville. Remember, some of us are serious in surgery, but some of us can be seriously funny also. So if you've loved today's episode celebrating comics and comedians, please hit that subscribe button. You can find us anywhere you get your podcast YouTube, Spotify, Apple, Amazon. And so your word of mouth, though, is our greatest support. So please tell a friend, share an episode. We'd love to hear from you and your friends your favorite dad joke. And uh today we had the very talented Ms Brinn Daniels. Ms Brinn, where can our listener find you?

Brinn Daniels 47:54

I'm on Facebook, Brinn Daniels, and also on Instagram at Brinn DoesComedy. B-R-I-N-N.

Dr Ben 48:01

Yes, look her up. Very funny. Thank you. And then Dr. Jameil, thanks for being on the show today. Where can patients and listeners find you?

Dr Jameil 48:10

Yeah, so I uh my social media pages are Dr. Jameil for Instagram, so D R J A M E I L. I have a Facebook page for my uh practice, Tennessee Style Weight Loss. And um I have a TikTok, Bariatric Bro. Well bit. Fairy Hip. That's right. And then uh my website, Tennessee StyleweightLoss.com. Or if you just look me up on Google, I should show up. Hi up there, you know, SEO and all that stuff. Uh and I have three offices: Hendersonville, Clarksville, and Muirfreesboro. So come find us at one of our locations to talk about weight loss, or I mean, another gall bladder out, that's also fine.

Dr Ben 48:49

I love it. Thank you both for being on the episode. Listener, tune in next time when Dr. Ben and Friends will be putting the med in comedy. All right, thank you.

unknown 49:03

Dr. Ben and Friends.