One Ring To Rule Them All

0:03Conan O 'Brien needs a fan. Want to talk to Conan? Visit teamcoco.com slash call Conan. Okay, let's get started. Hi, Raheel. Welcome to Conan O 'Brien Needs a Fan. Hey, everybody. Hey, Raheel. How are you? I'm doing amazing. So excited to meet you guys. Yeah. How are you? First of all, where are you contacting us from? So I'm down in Miami. Oh, okay. Other side of the U.S., yeah. Very nice. And tell us a little bit about yourself, Raheel. Yeah. So I'm currently in my fellowship. So I finished med school and I did my training. I'm still currently in my training. and I'm doing gastroenterology and hepatology.

0:43Oh, good lord. That's impressive. You're a gastroenterologist. And what was the other field too? And hepatology. So they go kind of hand in hand. Hepatology is blood? Liver. Ooh. Sorry. So liver connected to intestine. Yes. Intestinal tract. That all makes sense. Okay. Yeah. We'll clean that up. What do you want me to do? What? Who's going to clean it up? Girls? I'm not cleaning anything. He's going to edit it? Yeah, just so I know what hepatology is. Anyway, so you'll do as you're told. Okay, I'm sorry, Raheel. We can just reconfigure it so that hepatology is actually blood. So Raheel, how are you?

1:26So Raheel, how are you? I'm doing great. It's great to meet you guys. Now, I've always heard hepatology is the study of the liver. Is that correct? Yeah, I actually learned that from your podcast earlier. Thank you. So that's, you know, I never make mistakes when it comes to medicine because I, too, am well trained. Well, first of all, congratulations. You're a young man and you're seems like you're very well educated. And that's very cool. And you've you're going to help a lot of people. Tell us a little bit about your training. What are you interested? Well, first of all, have you worked with a lot of patients so far?

2:01Has it all been textbook stuff? Yeah, no. So I've done so, you know, our med school is four years after our undergrad. And then we do three years of internal medicine, which is all, you know, patient facing hospital based long days, long hours. And then GI hepatology is another three years after that. So I'm about halfway through right now. So it's been about four and a half, five years. It's such a dedication it takes in the field of medicine. uh i there is no preparation for being in comedy there's no it's i'm ashamed i'm ashamed that you just get to dive in and be an ass and uh and um whatever start getting to practice immediately i'm so impressed by the fact that you've had you've spent years and years and years of your life uh preparing and i'm glad you have because i'm sure you're gonna be very good at what you do you're gonna help save a lot of lives that's the hope i mean you know even this many years and every day it feels like I'm still trying to figure out what's going on with everybody.

3:04So it's one of those things where learning never stops. You kind of keep going at it. New things, new experiences, new patient interactions, it all makes it worth it. Okay, I've talked about this a lot, but can you hook me up with Prophafol? Oh, geez. Oh, geez. Come on. Because when I've had colonoscopies, they give me this drug Prophafol, and I've talked about it before, but it's the happiest I've been in my entire life. It's an absolutely amazing feeling and it's miraculous. And so if you could become my secret illegal supplier of Profofol, I don't see how anyone traces it back to us. I don't see one way that it leaks out and it's tracked back to us.

3:45That's just what I'm saying. By the way, I'm terrible at committing crimes. Have you performed any colonoscopies? Is that something that they've trained you to do? Yeah, yeah. So we kind of get into it from day one from our trainings. So, you know, our first year we're fumbling around trying to figure out what we're doing. It's a new technical skill and it's, you know, not necessarily intuitive when you get started. And then, you know, over the first year, you really get your confidence. And then second year, you really start to build your skill, build your efficiency. Can I just say, I hate to interrupt, but Braheel, doesn't that kind of suck for the patient?

4:21If you're saying like, yeah, you know, first year, you're just jamming a camera in there. You don't know what you're doing. It's banging up against stuff And you just have to kind of force it Isn't that, I mean, you don't want to be I don't want to encounter you At that stage, Raheel, as a patient Is that fair to say? You do with propofol It's that magic stuff that You're right, okay, so I wake up And I don't know what's happened Exactly, you ask, after they wake up They ask, are we getting started? And that's the magic of propofol Even though you've been banging around in there for three hours What do they say banging around in there?

4:53Just moving furniture Come on Do you think you're pretty good at it now? I would like to think so. You know, my attendings might say otherwise behind closed doors, but at least to my face, I say I'm doing well. Good. Good. I would think when is the I would think the technology is going to improve to the point where you just swallow like a little pill or something and it works its way through your system really quickly. And the pill comes out the other side and said, everything is fine. colon. They have one. Do they? They have one of those for the small bowel, for like the small intestine, but the colon is just so wide and distended.

5:29It can't really take pictures of the whole thing. And thankfully, I hope it doesn't because then I'll be out of a job. See, that's the problem is technology replaces a lot of, I mean, I'll be replaced by AI in about a year. Yeah. We'll have a fake cone in here. Less than a year. Okay. That's good to know. Just let me give you a heads up. Our ratings might go up. All right. That's nice. That's nice. Let's turn up the let's turn up the knob on the comedy portion of the Conan. Hey, it's working. Well, I think that's I think that's fantastic. Now, what about you? What is it? Does looking at people's intestines, has it in?

6:05Is it at all adjusted or informed the way that you eat or the way that you treat your body when you look at other people's intestines? No. And it's like, it's always a running joke. Whenever you see GI fellows, you can always like tell who they are in the hospital because they're literally just running to the cafeteria, stuffing whatever the food they can in their mouth between procedures and then running back to the procedure room. The field and the, you know, the practice is just so fast paced and we're just running to see patients running to do procedures. I like literally when I tell patients and counsel them clinic, I just basically say everything I don't do in my life.

6:42And oh, my God, that's fascinating to me. So you're telling them, well, it's really good to, you know, eat a lot of roughage and don't eat processed foods. And it's really good to avoid the and then you don't listen to it at all. I'll be stuffing a pizza in my mouth as I'm telling them that. OK, all right. Are you pretty healthy? Are you a healthy eater other than when you're at work, when you're not, let's say you're not at work. Are you fairly healthy about your diet? uh i'd like i try to be um i'm vegetarian you know as as uh just religiously so um that kind of lends itself to eating more like you know um lentils and vegetables and getting your your greens in right yeah i'm not a big lentil guy i'm going to tell you right now you know what i don't like i mean i don't think i've ever said hey um i need me some lentils yeah you know uh or i when i'm in a restaurant.

7:34I don't, it's not the first thing I asked the waiter, Hey, you got lentils. What's the lentil situation? Let's run down the list of the lentils of the day. Exactly. I want to see the lentil sommelier come out and taste the lentil. So, um, do you fast ever? I do. Um, cause that's a big thing. Now people believe that fasting and I would like your opinion on this because I know people that fast and they say it's good for them. And now there's a lot of science that's saying fasting is good. But I always wonder, is it one of those things where 10 years from now they're going to tell us, actually, it's terrible for you.

8:10We changed our minds, you know? I think. So I think the I don't know. This is just what I've seen off of Instagram, probably. But oh, good. You're a doctor, are you not? Hi, doctor. Can you tell us what you're seeing on Instagram? Can I have some of that pizza? Hello, doctor. Tell me what's on TikTok. Go ahead. Sorry. Go ahead. Go ahead. No, I was going to say, I feel like I've seen some people or some some some some other experts kind of saying that the data around intermittent fasting isn't all that it was cracked up to be earlier. So, you know, but, you know, as far as fasting, I do not necessarily for the health benefits, but I did just in terms of religion.

8:53Oh, OK. What is. Can you tell me specifically what your religion is? yeah so my religion is called jainism so practitioners are called jain um and so we have kind of you know there's similar things in other cultures there's like ramadan for for people who follow islam there's uh like lent and things like that but in jainism we have this eight day eight or ten day religious festival called barushan and during that time we can do different days of fasting you know some people will do just the last day um and then you know kind of as much as you can so i've done eight day fasts basically no food eight day fast yeah i mean that for eight days no food of any kind or can you take some sustenance just boiled water when there's daylight out and this kind of stretches back you know to the start of the religion and the different like pre-technology ages and stuff like that but but yeah just water for eight days uh okay i have questions uh as a as a doctor do you think that that's okay to go eight days without any food other than water i don't uh this was all pre-med school like this is like me in undergrad me in med school okay um i don't think it's the healthiest i don't think it's the healthiest thing to do right um i do think it's a really interesting test of determination interesting test of self-will and you can really push your body to the limit in a way that, you know, outside of thinking medical, but you can really see what your body is capable of in those eight days.

10:31Are you even able to get out of bed on the eighth day? Are you debilitated? Yeah, no, you can live life as is. You know, one, the first time I did it, I was an undergrad. The second time I was in med school and you live life as is, you know, the first couple of days are the hardest where you're, you know, I feel like if it's 11 o 'clock and I'm like, it's lunchtime, your body's just so used to it. And then after like day one, day two, your body kind of adjusts to that feeling of, I'm not eating. And so let me occupy myself with other stuff. And then the rest of the week, honestly, just kind of, you just don't feel that sensation of hunger as much.

11:10You know why? That's because your body is eating itself. On day seven, hey, I don't feel so bad. Yeah, you just ate your heart. Your body's like, I'm good. Yeah, liver's gone, heart's gone. Now I'm working on the third rib.

11:38I mean, it's all, it's all, it's fascinating to me because clearly there is a large religious component in many religions. There's a big religious component to denying yourself food, fasting, going without, and people feeling like they reach a higher plane or that they feel that they've gained something by seeing what they could do by denying themselves. So there's clearly some kind of link here. It's just, we don't know, obviously, what this completely what the science is and maybe it's different for all kinds of people i don't know yeah no i mean i just going through the experience it really showed like what the body is capable of um was it the health testing i doubt it um but it was an experience and how do you break after eight days yeah what do you is the is it do you do you get a a you know like a nine tiered hamburger what do you get i mean i know you're a vegetarian i'm just thinking about what i would do I would try to go to In-N-Out and say, can you make a hamburger that has nine patties?

12:41They can. That's structurally sound. Shuffle like a deck of cards. Yeah, I want a card dealer in here, a really good one to shuffle the patties and make a nine-tiered sandwich. And then I want my jaw unlocked so I can eat it in one bite. What is your, what do you, when you would break fast, what would you eat? So you actually have to go very slow. Because you basically have to re-wake your bowel. And you're not going to like this, but it's not even lentils, but it's like lentil water. So like the water that you cook your lentils in. I'm a big fan of lentil water. Don't get me wrong. I'm a foe of the lentil.

13:23That is my lifelong foe is the lentil. But lentil water and I are best chums. Yeah, it's just that and like sugar water. And you just try to wake your, you know, wake your GI system back up and then you slowly, slowly advance diet. Right. Right. Do you have a question for Conan, Rahel? I do. And it's like a, you know, a life dilemma that I'd love to get some insight of yours. So I am planning on proposing to my girlfriend. And so, you know, I'm about to start the whole ring shopping thing. and her parents happen to be jewelers. And so I'd like to know how you would kind of navigate the clear conflict of interest when I have no negotiating power on my side.

14:14Okay, your question is you don't want to purchase the ring from the parents. Is that it? I do, but how would I get the best deal or negotiate my way when I have no power on my side? Can you haggle with your future in-laws? Are you assuming they're not going to give you the best deal that they might be trying to make a profit off this? Do you get along with your girlfriend's parents? No, I do. I do. They're lovely. They're lovely. Okay, so my guess is they're going to give you a good deal. But that's the assumption that, you know, that's... He can't go anywhere else. He can't go to another jeweler.

14:48So they're just going to be like, oh, he's going to pay whatever we tell him to pay. I would pay like three times the price. I don't know these people. I don't know who they are. You tell me they're nice people. I'm questioning whether you have to buy the ring from them. You have to. Well, you could say, Raheel, that it's important for you that the ring you give your future wife have passed through your body. Oh, that's not what I thought. I said, hmm, like, I just want to be an independent man. No, no. And it's important to you that, A, you buy the ring and then it passed through your GI tract in order because that's such an important part of your life.

15:31And they're not going to want to sell you one of their rings once they hear that. It's a symbolism of... It's a symbol of your... It's a symbol of what you do, your profession, what you're giving your life to, but also you are willing to process this ring in every way that a human can process something. And then they're going to not want to sell you a ring at that point. No, because there's a good chance it'll get stuck in there like a sunflower seed. It's not. What? Raheel, you'll buy a ring that will pass easily through the lower bowel, will you not? It'll get stuck. Yeah. At my current fellow salary, I don't think I can afford anything that's going to get stuck.

16:12Yeah. Yeah. And you can also encase it in a prune or something that's going to go through pretty quick. Come on. Don't eat the ring. Don't eat the ring. Oh, you're telling me that what I'm telling him is stupid? How is it stupid that he buy a ring, stick it in a prune, eat it, pass it through his body, clean it off and give it to his wife and bypass his her parents who are jewelers? I don't see one problem with that plan. Raheel, what do you think? I could get behind most of it.

16:43Well, listen, in all seriousness, I think you buy the ring from them. Are they going to be able to keep their mouth shut? Because you do want it to be a surprise when you give her the ring. I know. And so I don't know if I can tell her whenever this podcast comes out, if she can listen to it or if I just cut it halfway. She's an intelligent woman. I'm assuming she's not listening. So I think you're OK. Do you think her parents are going to have a lot of input on what the ring is or do you get to choose that freely? We've kind of talked about it and they've told me what her preferences are. Oh, for God's sake.

17:15She already knows. What preferences are. Her most expensive item. I think they can keep a secret. So I'm hoping. But do they know what she wants? Because you keep talking about what, you know, Eduardo brings up a good point, which is they know what their preferences are. But what's her preference? No, they've said, you know, they're a family of jewelers, a couple of generations. So jewelry is very ingrained. I think they've always talked about that kind of stuff, like over the dinner table, probably. And so they definitely know her preferences. And I think they definitely guide me the right way.

17:49They're sweet people, and this is obviously said, you know, with a touch of jest. But, yeah. Well, I think it's all going to go swimmingly. I just want to make sure that it's a nice surprise. You know, that when you pull that ring out of yourself, that it's a surprise. This is now part of the proposal? He's pulling it out of his body? If he times it right, he can say, how did he get over here? Oh, no. No, no, no, no, no. I was going to ask you. No. He's got to rinse it first. You can't just pull it out. You have the water running. Get over here now! Get over here now! Squat? He's going to squat?

18:29No, come on. Your fiance can never listen to this. You could fire it across the room. Oh, my God. Is it like a carnival game? Stick your finger out, honey. No. Here she comes. Your parents helped me pick it out. Your parents picked it out a week ago And then I ate it with a lot of corn Now listen I'm sorry Raheel Come on Raheel Raheel I'm looking right now at a transcript of this entire conversation And I see that I've made No missteps whatsoever Everything I've said is rational And should be done So congratulations No Raheel you are a impressive young man. I think you're going to have a great career.

19:20I wish you the best with this proposal. I think it's all going to go swimmingly. And I hope I bump into you in person someday because I like you. You're a fine fellow. Think really seriously about swallowing the ring. Just think about it. It's a good idea. Probably get on. Thank you guys so much. It was so great meeting you guys. All right. Take care, man. Thanks. See you later. Conan O 'Brien needs a fan. With Conan O 'Brien, Sonam Ovcesian, and Matt Gourley. Produced by me, Matt Gourley Executive produced by Adam Sachs, Jeff Ross, and Nick Leow Incidental music by Jimmy Vivino Take it away, Jimmy Supervising producer, Aaron Blair Associate talent producer, Jennifer Samples Associate producers, Sean Doherty and Lisa Berm Engineering by Eduardo Perez Get three free months of SiriusXM when you sign up at SiriusXM.com slash Conan Please rate, review, and subscribe to Conan O 'Brien Needs a Fan wherever fine podcasts are downloaded.