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Actor / EntertainerI'm two-time Emmy nominee Billy Eichner, dammit! AMA!

Nov 22nd 2016 by billyeichner • 35 Questions • 3158 Points

Hello, I am Dr. Justin McWilliams, an interventional radiologist at UCLA (https://www.uclahealth.org/justin-pryce-mcwilliams)!

I specialize in using medical imaging (x-ray, CT, etc.) to treat your medical issues in a minimally invasive way, often helping patients avoid major surgery.

Working through a tiny incision, we can do some amazingly powerful things: open clogged vessels, eradicate cancer with ice probes, control life-threatening bleeding, shrink enlarged prostates, ablate varicose veins to make your legs look and feel great, and kill tumors with chemotherapy delivered directly to their blood supply. And that is just a small sample of what we do! More info here: http://www.sirweb.org/patients/

I divide my time between treating patients and performing medical research. Ask me anything about interventional radiology, cancer treatment, minimally invasive solutions to your medical problems, the world of academic medical research, exciting new technologies in medicine, or anything else!

Proof: http://imgur.com/a/YbPhY News segment I was featured in with more info: https://www.youtube.com/watch?v=JNyKc9UHJ9A&t=28s

Edit: Hey all, I have to go to angio club (this is like a little club where dorky IR doctors show each other cool cases and drink cheap wine). This was really fun, have never done it before. Planning to come back to answer more questions tomorrow morning at 11 am EST. Feel free to share on your social media so we can generate more fun questions. Thanks everyone! -Justin

Edit #2: Will have to go at 1 pm EST- I am giving a lecture on HHT and liver AVMs at 1030 here in California, and my chairman will be there, so I better be on time. Thanks!

Edit #3: Have to go, but I'll be back when I have time, since I am a little OCD and can't leave questions unanswered, it will haunt me. Special thanks to UCLA resident physician Kevin Seals (https://twitter.com/kevinsealsmd) for telling me about Reddit and helping put this together. Reaching out to Kevin on Twitter is probably the best way to get ahold of me if needed. Cheers everyone!

Q:

Are you still upset about the lack of Ratatouille representation at Disneyworld/Disneyland?

A:

How lickable is this thread?


Q:

What is your favourite feature which the average Excel user wouldn't necessarily know about?

A:

My boyfriend used to work in the ER as a scribe before he started medical school. He swore that on nights there was a full moon, weird things would happen. People would, for some reason, be more aggressive/emotional than usual, leading to strange or violent injuries. There was such a correlation, people (doctors, nurses, staff alike) would mark the date of the full moon on the calendar just so they weren't blindsided by an especially busy night. He always tried to get that day off, but of course, it wasn't always up to him.

My aunt, who's also an ER nurse in a different city, apparently swears the same thing. My mom's best friend, another ER nurse in another city, has also been remembered to say the same thing.

Have you noticed any correlation?


Q:

What are some good white elephant gifts for $20 or less?

A:

Why is it that hospitals can have incredible hardware like electron microscopes, yet pagers are still being used?


Q:

Yes, EXTREMELY.

A:

6


Q:

Ctrl-` switches to formula view and back. Love it! :-)

-- Alex [MSFT]

A:

Yup! It's actually a really common superstition. I think it's probably all in our heads, but I swear we have the craziest patients, especially psych patients on full moons!


Q:

Socks. You can get ones with funny prints which may seem ridiculous, but will come in handy when you keep putting laundry day off.

A:

Good question! I wonder this myself when I'm walking around the grocery store looking like a drug dealer. I think it is because we need a cheap device that doesn't lose contact in hospital basements and other locations lacking cell service. Sat phones are too expensive to give us, I guess. I do have all my pages go to my cell phone as well, though, so I don't have to carry that thing everywhere I go...


Q:

Where does the character of Billy on the Street end and Billy Eichner begin? Do you think it's hard for people to seperate you from the guy yelling about Meryl Streep? Is this an issue with friends and dating?

A:

Graham and Kathleen: raising a young daughter into such publically visible setting as streaming and Desert Bus for Hope, how do you balance that?

As Penelope gets older will you allow her to get more involved in LRR/DB and streaming in general, or less and explicitly keep her away from internet publicity?

Additional question, do you ever plan to revisit making full length sketches should a fitting script arise?


Q:

I work in data analysis and use pivot tables every day. They are great, but for ONE feature; "Summarize Values By" cannot be applied to all values. So you have to right click, find the menu, and select "SUM" or "GROUP" or whatever for each column in Values.

There should be an option to set everything in "Values" to the same summarization. If there is already an option to do this then please, I will give you my money for it.

A:

Oh man, I'm an ED nurse and I would never go back to the floor. On the floor, if you get a fucking asshole patient, they are yours for 12 hours, and they will probably be there when you come back tomorrow too. Multiple doctors round and put in new orders all day, multiple meals, accuchecks, bed changes, baths, med pass for all of your patients scheduled at the same time and they all have 15 meds each. Oh, and did you need something? Have fun paging the doctor 20 times while your patient yells at you for not having the order yet. In the ED, you have that patient for maybe 4 hours. They can't eat or drink until testing is done and then you can throw them the one sandwich you have in stock if they want it. Don't like it, they can order once they get upstairs or get their own food when they leave. No bathing, limited toileting. You get your patient, you assess, draw blood, monitor, and provide meds as needed, then send them on their way. It's great.


Q:

Question 2 : Notifications are great, and we also CamelX3 a lot as well. Camel misses certain things (other retailers, coupons, additional discounts taken at checkout, lightning deals) so if you want the absolute best price, it's best to get a little more coverage.

A:

Are you concerned about the long term effects of radiation exposure from fluoroscopy?


Q:

I think with all of my other appearances - Difficult People and all the talk shows etc people now realize its a character. And if they dont they are stupid. I have many friends and dates, I am very sexy and popular.


Q:

Hi Noytal,

Thanks for the feedback. You can do this with Power Pivot ("Summarize By" in Advanced). For non-data model based pivot tables, do add an item to https://excel.uservoice.com, we look forward to having the community vote on this!

thanks, ash [MSFT]

A:

100% agree. I don't think I could EVER go back to the floor. The only other area I could see myself in would be trauma ICU, but even that I'm not sure if I'd really enjoy as much as ED.


Q:

Question 1: We recently wrote a piece about Amazon Basics which might interest you: http://thewirecutter.com/blog/should-you-consider-amazonbasics/

A:

I stand next to an X-ray beam almost every working day, so I am definitely concerned. Not so much about becoming sterile or anything, since that takes really high doses, but about small incremental risks of cancer, particularly leukemia or lymphoma. I'm hoping that instead, I will develop cool mutant powers like Spider Man, but I am told that is really really unlikely.

I wear a lead kilt and lead vest that make me look like a really slow Scottish warrior, and it protects from about 90% of the scatter radiation that I experience. I also wear a radiation badge that gets turned in every month, and radiation safety officers write me scary sounding emails about how many milliGray I was exposed to, but never really equate that to how much risk I'm exposed to. Fortunately I've done my own research, and it seems that the cancer risk from my occupational radiation exposure is fairly small in the grand scheme (cancer risk for the general population is 40%, but for me might be 40.5% or 41% after a lifetime of working in IR).

Interesting is that there are reports out there of cardiologists having tumors grow on the left side of their brain or face - this is more common because cardiologists typically stand with the radiation beam on their left side (same as me). I typically protect against this by hiring fat fellows (block a lot of X-rays) and standing behind them as much as possible.


Q:

Will you ever do Billy in the Sheets?

A:

I'm pretty sure the answer is that they go utterly mad.


Q:

Power BI, my friend.

A:

How was work this week?


Q:

Four things: 1. Thank you for your reliable reviews. 2. Any rec'd laptop bags (not backpacks) less expensive than your briefcase recs? 3. Bluetooth headset rec for dictation s/w (spec, Dragon for Mac)? I didn't see it mentioned in recent reviews.. 4. Sugg: How about a new section just for baby-related stuff (we're expecting our first..). Thank you!

A:

What is the most difficult procedure you have ever performed?


Q:

Flash Fill for me - https://support.office.com/en-us/article/Turn-Flash-Fill-on-3f9bcf1e-db93-4890-94a0-1578341f73f7

My most favorite trick on it is that it can actually be activated by Ctrl+E, many people don't know that. ;)

-Jeff Zhang (MSFT)

A:

I worked an extra shift this week (I usually only work three 12 hour shifts a week) for overtime pay so I'm pretty exhausted. I work again tonight (I do night shift, 7pm-7am) and this will be my 5th night in a row. I try to do all my days in a row if I can get back on a normal sleep schedule during my days off.

It was pretty busy on and off the last couple of days. Saw a ton of sick kids and my first flu + patient of the season. We also had a lot of high acuity (sicker) patients.


Q:

Answer to 4: Baby-related gear is something we're definitely considering expanding our coverage on and we make sure to log all these requests and suggestions from readers, so I'll make sure to make a note. Also, congratulations!

A:

Wow tough question. One was a TIPS (which is basically a shunt placed through the liver under semi-blind X-ray guidance, used to relieve pressure in the portal system in patients with cirrhosis) that I was doing in a patient who was actively vomiting blood, bucking around on the table and generally trying to die. Another was a patient with a massive pulmonary pulmonary embolism who was 500 pounds and I was trying to navigate a catheter through the lung arteries to suck out the clot as their blood pressure was tanking and they were coughing blood and I had to decide whether to keep trying or call the surgeons to crack her chest. Both turned out OK, the TIPS patient survived and got a liver transplant a few days later, and the PE patient I was able to suck out enough clot to get them out of the woods, and the next day she was sitting up in the ICU eating french toast. Win.


Q:

Do you ever think you look like the handsome Shrek from Shrek 2?

A:

I'll just get it out of the way:

What on earth triggered this in the first place way back in 07?

and

Have you got to the point where you're quietly wondering what is happening and why so many people throw money at you?

Probably the two questions that'll be asked most.

As an aside, thanks for this. Been watching myself since the first and an LRR fan since the end of Season 1/start of Season 2. Love you guys and everyone involved with DB. Thank you!


Q:

Is worth it to learn index match. It's so much more flexible

A:

Are there any situations that you see on a regular basis that just make you want to say "oh no. Not another one"?


Q:

I don't speak for the company as a whole, but I can give you some insight as the most remote person on the WC staff. I spend most of the year as a digital nomad, and other than occasional issues with time zones, I've never had an issue. In fact, when I first started travelling full time, Brian (the founder) was exceptionally supportive. Since the company started as a bunch of remote people, that was always in its DNA (to use some marketing speak). So even as the company has grown, the tools we have to work together have grown with it. As much as I hate Slack, the team uses it to great effect to communicate in real time, perhaps better than if they were all in the same office.

Honestly, and again I'm just speaking for myself, offices seem exceptionally archaic to me.

A:

Current med student who is very interested in a carrier in IR. What would you say would make a strong application for someone who is applying to an IR residency? Any suggestions about creating a strong application would be greatly appreciated.


Q:

I look like MOANA!!!

A:

Matt: I fell behind transposing the answer on this one, I'll get the video up shortly.

The gist:

James and Paul were the originators. James wanted to do a fund raiser for Child's Paly, and things sorta came together from there. Child's play was started in response to a news article that was negatively representing video gamers, and Desert bus was developed as a response to the various groups that were advocating for the prohibition of video games due to violence back in the 90's. so they seemed like a good fit.

Paul wanted to do some streaming on the internet (and this was 10 years ago, so it was a pretty new thing), and thus desert bus was born.


Q:

I love the Table feature. Most of the time I work with simple tables of information, and Tables makes it easy to manage (format, manipulate, write formulas against, etc.) compared to a normal cell range. Try it out! Just select your tabular data and click Insert->Table (or press CTRL+T). -Joe [MSFT]

A:

Oh yeah, most definitely. One of the most annoying things I see is that soooo many patients treat the ED like a clinic, coming in for very minor issues that could easily be handled at an urgent care or could wait until a patient sees their primary care provider. It congests the whole department, drastically increases wait times, and makes it much harder for patients with true emergencies to be seen. What bothers me even more is when these patients fail to understand that they are NOT an emergency, and thus will have it WAIT. People refuse to understand when a sick patient is taken from the waiting room to a room before they are. I try to explain to these individuals that the ED does not work on a first-come-first-serve basis, and that the sickest patients are seen FIRST. I can't count the number of times people have yelled at me, cussed me out, or became aggressive due to the wait time - I work in a VERY busy ER. It's the most frustrating thing ever when people who aren't even that sick have such a sense of entitlement and don't give a fuck if someone else is dying and needs medical attention BEFORE them.


Q:

We also rely on tons of apps and tools to ensure that our communication is as seamless and collaborative as companies with more traditional office spaces. We wrote a piece about the different tools we use: http://thewirecutter.com/blog/11-apps-we-use-for-remote-working/

A:

Definitely start by not having any mis-spellings in your application or personal statement.

A strong application is the combination of a few things:

1) Good med school transcripts. Try to get some letters of distinction, or honors, or whatever your school offers. Work hard and be the first one there and last one to leave. It will be noticed.

2) High board scores. Especially step 1. It sucks to study for it but it is well worth it. A high score here can carry you a long way.

3) Good letters of recommendation. These get more important the farther along in training you get. If you are working hard and studying hard, and you aren't a total a-hole, then this should work itself out.

4) Research experience. Especially for academic institutions, they want to see one or more projects that you have carried through to the end. First author on a paper, or at least on a poster or conference presentation.

5) A really beautiful head-shot. Just kidding. Kind of.

Notice I didn't include a great personal statement. These all read basically the same to me, so I just skim them, looking for any signs that you are a mass murderer or serial rapist. Otherwise they don't make much difference, at least to me.


Q:

Ok, last question from me. Have you ever had a celebrity on Billy on the Street who just didn't get it?

A:

Might we ever get purchasable shame ticket pads? I would love them for personal use when watching DB at home


Q:

I'm late, but is there any plan to make it so a highlighted range would stay highlighted when switching between screen? For example, I highlight a column and then go to a screen where I need to enter data. My highlight no longer shows. It would be pretty nice for data entry and auditing.

A:

Have you ever seen anything which was too gross for you to handle?


Q:

Thanks for the work you guys do. I have a dozen of your recommendations and the dishwasher is getting installed on Friday. Any parenting stuff on the horizon? Holy hell the baby market is filled with overpriced garbage.

A:

Hi Dr. McWilliams, just wanted to jump on with a very related question. I'm a current radiology resident planning to apply into IR prior to the switch in 2020, and I'm having a hard time gauging my competitiveness and how many programs/where to apply, since the more "objective" standards including grades and board scores are not as relevant to a fellowship application. I've heard great letters of recommendation and research become even more important (especially prior to the interview invitation), but wouldn't everyone have great letters and at least some research? How do you differentiate between candidates at that phase?

I guess from a practical standpoint that what I'm asking is, is there any way to gauge how competitive I am in order to figure out how broadly I should apply?


Q:

Interesting idea. By highlight, do you mean the cells that you selected with your keyboard/mouse? Feel free to add your request to our uservoice site: https://excel.uservoice.com/ -Joe [MSFT]

A:

I don't really have a choice to not do anything "gross". I really hate working with sputum and respiratory secretions but I have to suck it up and do it anyways. I usually just put on a mask/face shield if it really grosses me out. I once had to put a nasogastric tube (feeding tube that goes from the nose to the stomach) in a patient who had a small bowel obstruction. He had basically been puking up fecal matter and blood because of the blockage. The smell was probably the most disgusting thing I've ever smelled. He had also vomited all over himself and the ground. But I still had to do it anyways :(


Q:

We're definitely thinking about covering parenting stuff in the near future! Also, depending on what age range you're looking for, we just put together a pretty great guide to the best learning and STEM toys we love: http://thewirecutter.com/reviews/learning-toys-and-stem-toys-we-love/

A:

It takes some introspection. Look at the following things in yourself:

-How good is my board score? Yes we still look at that!

-Did I get AOA or lots of good grades in med school? We still look at that too!

-Is my radiology residency considered "top-tier"? That definitely helps your cause.

-Have I won any sort of awards or honors during residency?

-Did I do a lot of research, more than my peers?

-Has your own IR program told you you would be a shoo-in at their program?

If you have a lot of yeses to the questions above, you probably are sitting pretty, and applying to a dozen or so programs will do. If not, apply widely, since you can always turn down interviews after you are granted them.


Q:

Would you invite Nas back for a redemption segment??

A:

Is this desert bus located geographically south to last years desert bus?


Q:

This was the number one voted comment one of the other times you guys did this AMA.

Really surprised you didn't remember it, and actually a little upsetting. If memory serves, it had a few thousand up votes.

A:

How difficult is it to get a job in nursing?


Q:

During residency, be nice to nurses. You never know who they have the ear of.

A:

YES!


Q:

Yes. Our venue this year is one block south of our previous two.

A:

Can you explain your scenario a bit more? Are you selecting a range or highlighting through a specific operation - Sanjay [MSFT]


Q:

As you probably know, there's a significant nursing shortage which is only projected to worsen in the near future. It's quite easy to find a job if you have nursing experience already. It's tough for newly graduated RNs out of school to find a job because it's REALLY expensive for hospitals to train brand new nurses and they pose a liability risk to the hospital since they are so inexperienced. Most hospitals have new graduate RN programs with several months of extensive orientation. It makes it even more difficult if you have an associate's degree rather than a bachelor's because there is a huge push for bachelor's to be the entry level degree for RNs even though RNs with associate's and bachelor's practice under the exact same scope of care and can do the exact same job.

A:

This is 1000% true. Not just during residency, either. Nurses can make your life easy or very, very hard.


Q:

For a dollar, What goes up and down but still remains in the same place?

A:

Hi Canada, this is your loud downstairs neighbors. Can you send us some Hope? We're a bit low at the moment.


Q:

The "Large Address Awareness" is great..... ...but what's the holdup on just getting rid of 32bit?

A:

Would having personal experience help? I had a daughter who had a brain tumor that ended up making it necessary for her to have a trach, gtube, and ventilator. She had episodes of respiratory failure when she got upset and needed to be bagged by whoever was with her which was almost always me, on top of the regular trach care and tube feeding and whatnot. I was basically her nurse for 3 years without actually going to school. Now the next logical thing seems to be nursing school since I already have so much experience. I know that experience will help me in school because she was such a complex patient but I've wondered if it'll matter when I need to find a job once I'm done.


Q:

What was your favorite class in college?

What is your favorite "ghetto gourmet" trick for dressing up cheap food?

How have things changed in the last 10 years in your field?

What do you consider to be the most exciting developments in cancer treatment in the last 5-10 years?

My stepmother has survived 5 years after a pancreatic cancer diagnosis, which would have been a death sentence not so long ago but for people like you, so thank you all for your hard work!

A:

My career???


Q:

Working on it. Tune in.

A:

On the technical side, marshalling between 32 and 64 bits to support the existing add-ins would introduce a significant performance cost. Which means we'll have to support 32 bits for the customers who need their add-ins to be as fast as in older versions. So, back to square one.

-- Alex [MSFT]


Q:

I'm so sorry to hear about your daughter :( I don't think it would hurt to mention your experience with your daughter, especially once you get an interview. I wouldn't go so far as to put it on your resume, since it's personal experience, but definitely mentioning it during the interview - and giving it as a reason for wanting to get into nursing - would help give you a step up above other candidates with no experience. I would DEFINITELY recommend trying to get a job as a CNA (certified nursing assistant) while you're in school though because having direct patient contact in an acute care setting makes you look much better from the perspective of the hiring manager. In my state, after you finish your first semester of nursing school, you can apply for your CNA license. Good luck!

A:

Any math class and logic. I actually got a perfect 100% for logic, for the whole semester. Didn't miss a point. I remind my girlfriend of this constantly.

I am king of ghetto gourmet. First, put blueberries on any cold cereal. Also, you can make pretty good quesadillas over the open flame of your gas range, just use tortillas and shredded cheese. And no one can convince me that there is a better mac and cheese than the classic Kraft box with the orange powder cheese. You can dress that up with hot dog slices, but I wouldn't say you need to.

The last 10 years in IR have seen an explosion of technologies. Our equipment keeps getting smaller, and new devices are coming out all the time, so the scope of what we can treat keeps getting bigger. Surgeons have seen the writing on the wall and have started to try to learn our techniques. It has created a competitive environment in health care, but overall patients are benefiting.

For cancer treatment, I'd say the advances of ablation technologies that allow us to cure (not just treat) small cancers have been big. Y90 radioembolization, which allows us to deliver massive doses of radiation through the blood vessels into very targeted locations, is very cool too. Also, the nascent field of personalized oncology, where biopsies are used to find what the cancer is susceptible to, and a custom cancer-fighting agent is personalized to the patient. As above, that one may be huge.

Thanks! Wish I could take credit for that one, but hopefully we keep getting better!!


Q:

Your Grinder bit on Conan was hilarious. Is that something is staff brings to you or did you have a hand in crafting it?

A:

Dream big. 1 BILL FOR BILL!!!


Q:

Let's be real here:

Does the Microsoft Excel team prefer waffles or pancakes? [serious]

A:

If you know the show, how would you compare your view of doctors in the ER vs. the way things were portrayed on "Nurse Jackie"?


Q:

Can you speak to the turf wars between IR and vascular surgery? Do radiologists make better interventionalists because of the dedicated rads experience?

A:

His staff came up with that one! I love Conan


Q:

We think it's possible. We don't think it'll be easy. That said, it's Desert Bus 10, and people like beating their previous high scores. So we think it's possible for sure.

That said, even if we don't, as of right now we've raised $326,000 - that's an incredible amount of money raised for charity, so it's no failure even if we don't pass DB9.

A:

Waffles are superior in every way: crisper, lots of wells to hold the syrup, and they look like a spreadsheet. -Stacy [MSFT]


Q:

Out of all the "medical" shows I've seen, I think Nurse Jackie comes the closest to reality. I think that's due in part to the writers being nurses and actually working in the medical field. There are definitely still parts of the show that are unrealistic which is frustrating but it's far better than most other shows. I also have heard of some nurses who have gotten addicted to narcotics and fired after they were caught, but I heard it all second hand. It's a little bit difficult for me to compare the hospital Jackie works at to mine because All Saints is a trauma center, whereas the hospital I work for is not.

A:

It's a pretty open war in many ways- we pioneered the procedures, but they adopted them and have gotten quite good at them in many cases. I do still believe that the imaging skills are what separate us from the other doctors who try to do our procedures. There is a power in my ability to have a patient come in, interpret their MRI scan, treat them, and interpret their imaging results, allowing me to determine what the best follow-up treatments will be.

TL;DR - yes, we are way better.


Q:

I love your work Billy, but enough about you. What did you think of Denzel Washingtons performance in Phantom of the Opera?

A:

What do you do with all the hats used on Feed Dump? Do you still have them all, and if not, when was the last time you purged your collection?


Q:

and they look like a spreadsheet.

I will never look at spreadsheets the same way again.

A:

Most of the time you don't get closure. If there was no apparent cause for the death we don't find out.


Q:

is your girlfriend also a Doctor, if so what kind?

A:

He was WONDERFUL.


Q:

Basically we collect all the hats we get for feed dump and hang onto them for a while. From time to time we perform a cull and keep the very best hats. The rest are sent to a farm upstate to charity. If we hung onto them all we'd have rooms that were floor to ceiling with hats, and it would just be untenable, but most of your favorite LRR hats are FeedDump Hats.

A:

Why choose? -Jen [MSFT]


Q:

Like the other person said, we often don't get to follow up on many of our patients because we really don't have them for more than 12 hours at the max before they're either discharged or transferred to the floor. This patient was a medical examiner case (autopsy) and there would be no way of me finding out at this point what they discovered was the cause of death. I really wish I could find out though.

A:

No she works in finance. I had dated doctors in the past, but sometimes it's nice to leave work at work and not "talk shop" all the time. I don't talk too much about my procedures and she doesn't tell me too much about her Excel spreadsheets, and instead we cuddle on the couch and watch Westworld


Q:

Is Cate Blanchett a good actress or is she just tall?

A:

Why the switch from 8 hour shifts to 12 this year? Will there be more codrivers next year? (Kate Stark needs a shift with Kathleen or Jamie.)


Q:

I think I speak on behalf of all accountants everywhere when I say, thank you for Excel.

Where do you see Excel going from here? Are there any "game-changing" new features on the horizon, or is the focus going to instead be to continue to polish the existing product?

A:

when my husband was a resident he was doing an ED rotation. He saw someone for pain (idr the details.) Closed the curtain and stood there charting for a few minutes. He hears the guy immediately get on his phone "Hey man, I got 30 percocet! you wanna buy?" He just opened the curtain like...you know these aren't soundproof, right?


Q:

What is the most disgusting case you've had? Funniest case?

A:

She's one of the best!


Q:

WE've done 12 in the past, we've done 24 in the past, shift durations have never been locked, it's always something we're willing to play with. We didn't think that 8 hours quite gave the drivers time to make the shift their own. 12 feels like a better duration for the drivers, without pushing them so hard that they spend the rest of the event recovering.

A:

What "game changing" new feature would you like to see?


Q:

Wow, that sucks that you gave him the benefit of the doubt and he tried to play you like that :( It's patients like that who make us skeptical of everybody.

Or when I see that a pt is allergic to nsaids, tylenol, morphine, toradol, etc. I already know where we are headed.... Literally had a patient the other day ask for pain meds and rattle off the aforementioned allergy list and then you, the only medicine that works for me is IV dilaudid (claimed PO didn't work) and that he also needed IV benadryl and IV phenergan because it made him itchy and nauseous. Then tried to tell me I needed to push it straight into his port and then flush it with 10cc afterwards. Doc ordered it in a 50ml bag of NS and PO benadryl. Needless to say he was pissed, haha.

A:

I think I have been showered with every bodily fluid at some point, which has prompted me to come up with a definite ranking of bodily fluids, in terms of which ones I don't want splattered on me... in order from most to least disgusting: -Feces -Vomit -Saliva -Urine -Ascites -Blood

At this point I'd say the last 3 don't bother me at all. Urine for example is sterile and really is just filtered blood, so it doesn't seem disgusting to me at all any more.

But I digress. I did have a patient who was having heavy GI bleeding from the stomach. When that happens, the blood passes through the digestive tract and gets semi-digested into a nasty semi-solid blood/feces cocktail called "melena". The patient came down for me to stop the bleeding, and proceeded to "melena" all over my shoes as I was helping transfer the patient to the table... and I wasn't wearing shoe covers. This prompted a stat trip to Sports Authority for new sneakers.

Funniest case- I had a patient come in for treatment of varicocele, which is like a "bag of worms" in the scrotum composed of blood vessels due to incompetent venous valves in the abdomen. Usually patients come for treatment because the varicocele hurts, or is causing a decrease in sperm counts... but he wanted it treated because he didn't like how it looked on camera. Turned out he was a male porn star. I happily treated him (but never looked for my handiwork on the internet)


Q:

Hey Billy, the "Bob Dylan or Anal" segment you did was one of the funniest episodes I've seen...but why restrict yourself? Anal WITH Bob Dylan?

A:

Any plans to turn Lava Bears into an official module?


Q:

If I switch my computers region from "English (US)" to "German (Germany)" (where I'm located), it takes 5,3x the time for calculating. Even worse when choosing Hindi: It needs app. 33x the time for calculating (here is the full report: http://professor-excel.com/performance-excel-study/) What is the reason? Are you going to solve this?

A:

What's the funniest thing that has happened while you were on shift?


Q:

Have you ever had fluoro stop working midway through a procedure? What do you do in that situation?

A:

Then I would deserve the Nobel Prize.


A:

A better way of looking at this performance difference is that lookups in English are faster :-) The reason is that we can short-circuit English to byte comparison. More complex scripts require involving more heavy Unicode machinery.

-- Alex [MSFT]


Q:

I think probably some of the conversations with the drunk/intoxicated patients. We always get a kick out of messing with them/egging them on if they're really wasted (only works for the happy drunks - not so much the nasty ones). If we have someone in one of the hallway beds near the nursing station, and they're really drunk and they start talking to us we'll engage in conversation and it usually turns out to be pretty funny.

A:

Yea, a few times. Usually a re-boot gets it going again, just like my PC and iPhone. If it doesn't, I wish I could say I get out a scalpel and just dive in there the old-fashioned way, but in reality we just move the patient to another fluoro suite (we have 4 IR suites here at RRH).


Q:

Which guest on Billy on the Street have you slept with or want to sleep with the most if you could?

A:

Have any of you reached peak bus yet this year?


Q:

Why do you love VBA? The best programmer in the world could make the the neatest and tidiest VBA code in the world with perfect comments and it would still look like spaghetti after the second procedure.

The thing is, although efficient at tiny macro tasks, a mess. Let it stay as legacy, the last thing we want is more tools being made with it.

A:

Have you ever had a patient who had something stuck up their butt?


Q:

How many years of training does it take to become an Interventional Radiologist?

A:

DEBRA MESSING HANDS DOWN


Q:

It's only Wednesday :[

A:

You should explore the JavaScript and other samples on http://dev.office.com !


Q:

I haven't personally had a patient that has happened to. I've heard of a couple of nurses who have, but it's not very common. Though, I have had a couple of patients who've had a retained tampon or condom. It's much easier to get that out than something that is in the rectum! All the MD has to do it use a vaginal speculum and take out the object.

A:

4 years university + 4 years med school + 1 year internship + 4 years diagnostic radiology + 1 year IR = 14 years after high school. Sounds bad but to be honest those years were some of the best of my life, and the training and learning were really fun. Now that I'm out on my own I have real responsibility and spend a lot more of my time waking up at 4 am worrying about patients.


Q:

Any plans to broadcast Difficult People in the UK?

Best Parks and Recreation filming story?

A:

If you could add one feature to Desert Bus, what would it be?


Q:

How does Excel decide to change things based on the cell values? For example, I regularly handle surveys and one field uses text ranges (i.e. 0-2, 3-4) but it automatically converts it to a date, then when I change it to a text field, makes it a 5 digit number instead of the original data?

A:

I work registration in the ED and there are actually a good amount of people who come in with stuff stuck up their butt. Usually its a vibrator, but we've also seen shampoo bottle caps, a hairspray cap, a plant stand leg...


Q:

Can you explain how the field of interventional oncology will grow? Like radonc will it also be put on the back burner to personalized onc chemo in the future?

In line with that do you think interventional radiology will be the big field of the future with its own residency?

A:

I hope DP gets to the UK very soon but haven't heard anything! Loved filming Donna's wedding party on P&R. And Aziz made me do the "She Drove Me Here!" line over and over cause he loved it so much haha - He's on Billy on the Street in a few weeks!


Q:

Oncoming traffic. Burnout-style.

A:

When a user first types a formula or value into a cell, Excel attempts to parse the string using a large set of number formats including dates, scientific notation, currency and more. Because a string like 3-4 matches a date format (such as March 4th or 3rd of April) we commit the value as a date. When you convert the formatting back into text, we show the date value as a string. (Times and Dates are stored in Excel as a floating point number of days since an epoch)

-Nathan [MSFT]


Q:

Jeez, I guess I lucked out that it doesn't happen at my ED too often!

A:

IO is definitely growing. Cancer is really common (about 40% of us will be diagnosed with cancer during our lifetimes) and people are looking for minimally invasive treatments and cures, such as those that we offer in IR. So I expect that will really grow. I do agree that personalized onc chemo has great potential, but it has quite a ways to go... and maybe like flying cars, it may not reach the potential we expect as quickly as we hope it will.

Regarding IR residency, it's already a reality! Medical students can now apply directly to IR residency, which is a 5 year training program after internship. So 4 years med school, 1 year internship, and 5 years of diagnostic and interventional radiology (essentially 3 years diagnostic and 2 years interventional)


Q:

What would you say to someone who has never heard of you to make them want to watch one of your shows?

A:

What comments in the after Desert Bus survey have surprised you?


Q:

"1-2" should be prioritized to a string of "1-2" and not "JAN-02"

A:

Do you feel like your hospital has adequate equipment for lifting heavy patients?

Have any of your colleagues suffered back injuries?


Q:

Med Rad tech here.

I've heard chatter about changes that would allow nurses to order, perform and report their own imaging work. What do you feel of this suggestion? I myself am very concerned about this as I completed years of schooling in order to take appropriate diagnostic images while you've undergone even further education to ensure those images are appropriately interpreted. I don't feel these jobs could be accurately done by an RN.

While it's probably less of a concern with high level IR procedures, what do you think about the possibility of rads and their image reading being replaced with computers? We already see this being done on a limited scale in mammography with CAD being used as a "second read", but it hasn't seen much penetration beyond that.

Beyond poor quality imaging (low quality images, sloppy pos'n), what is something that drives you nuts about us imaging techs?

Least favourite type of case to do/read? I've heard many complaints about the GI tract (swallows and enemas) from my doctors here. And then bitching about bone age studies.

A:

its for people who have a brain who like funny things and arent basic mainstream motherfuckers


Q:

The addition of the chat monitor was a recommendation of the survey. We were surprised that we hand't thought of it ourselves. It was an obvious add, and a huge improvement.

A:

Not a solution, but a workaround: prepend ' to force Excel treat "1-2" as text.

-- Alex [MSFT]


Q:

It's actually funny that you mentioned that, because last night one of my coworkers had a patient who ended up falling because she was morbidly obese (500 lbs) and tried to get up to walk to the bathroom (said she did it at home) and slid down the side of the bed. It took about 8 full grown men to get her back up on the bed. We can get bariatric beds from other parts of the hospital, but they're hard to come by. We also don't have any special equipment in the ED to lift big patients (such as hoyer lifts). After that, pretty much everyone who'd been helping out in that room came out sweating. And yeah I know tons of nurses who complain about back pain, including myself and I'm only in my mid 20s. Thankfully it's nothing serious (I've had an xray done and it was fine) but I worry about it worsening in the future.

A:

I haven't heard this change myself, but I agree that it is a bad idea. There is a reason why we have to spend 14 years in training- there really is a lot to learn

Regarding CAD, this is definitely already here in some areas (like mammo), and for the rest of radiology, it is coming. I think it is a matter of time before you do a scan, and a computer auto-compares that to a library of millions of normal and abnormal scans, using pattern recognition. Then it spits out a report. Probably will still have a radiologist to double check it, but someday the humans will be the quality control rather than the other way around.

We have amazing techs at UCLA IR. The best thing a tech can do is anticipate what the doctor might want next. Sometimes you know the equipment so well you can suggest what tool might be right for the job. That's the sign of a great tech... along with staying in/near the room within shouting distance.

Least favorite case is definitely the dialysis graft de-clot. You spend an hour hugging the X-ray beam trying to pull and remove clot out of the graft, and when you finally do the angio run at the end to check your work, it is already clotted again. So discouraging sometimes.


Q:

Will you be releasing an album anytime soon? Glitter and Ribs is always stuck in my head.

https://youtu.be/yzqw57Q3eNI

A:

What's your favourite challenge you've participated in?

Love you guys! Well done for all your hard work over the last 10 years!


Q:

Any plans to extend Microsoft excel or other office products to Linux operating systems? I know it is a longshot but having access to these would be nice.

A:

I work at a hospital, too.

-Do you use epic? If so.. -Do you sit on your phone all day now that you have epic and let your pca do your work?


Q:

Hi Dr. McWilliams, with new applicants being corralled into the esir or integrated pathways and the vir fellowship disappearing what are your tips for evaluating all the new programs as an interviewee?

A:

wow thanks for remembering Glitter and Ribs - that is really one of the best things ive done i think


Q:

Bill getting so into "Don't Stop Me now" that he crashed was great.

Johhny is a big fan of having the exercise bike in - especially the fact that he didn't remember having done it while driving and only found out that it happened upon seeing the gif posted to chat was something else.

James liked cutting Tally's hair with the horsehead mask.

Ben liked the really goofy mortal kombat stuff.

Tara: In Desert Bus 8, being taken to the gay bar and fed grapes and stuff.

Matt: The Bus King Pageant stands out to me.

Tally: Ashton performing Baby Got Back in an Afrikaans accent.

Jer: The Werner Hertzog readings rate very high. Previously he had thought the twilight dress up challenge was his favorite, but having rediscovered the video again last night, he... remembers why he wanted that buried.

A:

Hey there,

No plans currently in the works. We never say never, but for the foreseeable future, if you want to use Excel on Linux operating systems, it will have to be through a browser.

-Charlie [MSFT Excel Team]


Q:

The hospital I worked at previously when I did med/surg had Epic and I really liked it. I use Cerner (Firstnet in the ED) now and don't like it as much.

A:

Tough time to be an applicant, since IR is a popular field right now- I think we had 220 applicants for our 3 integrated IR spots. But just realize you will be able to get into IR even if you "only" match diagnostic radiology. So look for DR programs that have a strong associated IR program (and offer ESIR) and also apply to integrated IR programs, which would be even better. As far as evaluating programs, it helps to talk to the current or past fellows, they will be brutally honest- or come shadow in the department or do away rotations to see for yourself. There are lots of good programs but you have to find one where you feel like you fit in. For example I thought of going to Miami Vascular for fellowship (which is an amazing place) but I was single at the time and the thought of being in beautiful South Beach and never doing anything fun because I was spending 18 hours a day at the hospital just crushed my soul too much. So I stayed at UCLA and never regretted it.


Q:

Based on your segment with Sean Hayes, who is the most famous person you have in your phone?

A:

Dear Dr's LRR,

If you were a part of the DB overlay what part would you be and why?


Q:

Why does CTRL+A work in the search box? Every time I'm searching for something, and I need to do another search, I click in the box, press CTRL+A and start typing a new query, and gets added onto the end of my previous query...

A:

As an EMT, how much of our pt. report do you actually care about? And what extra could be be providing you that we aren't providing?


Q:

PGY-1 here who's been accepted into a DR program with ESIR. I'm concerned that software will soon enable computers to interpret imaging in the near future, reducing the need for DR physicians, perhaps relegating them to just double-checking the computer's work. Is my fear justified?

A:

Hmmm..maybe Poehler?


Q:

The donation total. It gets poked, and I bet that feels kinda nice.

A:

That'd be a good suggestion to add to User Voice: http://excel.uservoice.com/

-- Alex [MSFT]


Q:

It depends on how acute they are. If they're not that serious I can get most of the information I need from the triage info/chart and I'm gonna be talking to the patient anyway so just a chief complaint/any super pertinent info is good. If it's a patient coming from a NH or ALF, I can get history and meds, etc from the paperwork. I'm mostly interested in knowing the story, onset of symptoms, mental status at time of arrival vs baseline, meds given in the ambo, if they have a line established, and medical history pertinent to the chief complaint. I also wanna know if family's coming or has been contacting (if coming from NH).

A:

Yea see above- it's a ways off though. In the same way, wouldn't you have some concern that an inpatient medicine doctor could be replaced by a robot that takes in all the lab values, vitals, X-ray reports, and synthesizes a diagnosis and best treatment based on its internal library of best practice literature? I've seen Terminator 2. I know what's going to happen. But overall I think robots are going to help us rather than replace us, at least for a long while.


Q:

Your favorite episode to shoot on Parks & Rec??

A:

Is James excited to get an entrance this year?


Q:

Hi Team,

I spend the vast majority of my waking life working in Excel and I love it. I’ve always had one lingering question though. Working in finance, I have to geometrically link numbers (returns) quite often. The formula is relatively straight forward, something like: =PRODUCT(1+(A2:A4))-1. I understand that the product function is not expecting an array to be passed, so using this formula, #VALUE! Is returned. However, stepping into the cell and executing with ctrl+shift+enter (rather than just enter) ‘forces’ the formula to execute (becoming: {=PRODUCT(1+(A2:A4))-1}) and returns the expected result. My question: why make this a necessary extra step? What is the danger of just having this formula execute with a simple ‘enter’ command? You have no idea how many people I’ve had to explain this to over the years…

Thanks so much!

A:

As a foreigner: is it really like in movies, that patients are rejected is they don't have insurance?


Q:

Corindus makes a robotic angioplasty system for interventional cardiologists that allows the physician to step away from the table and control stent placement from a computer, away from the radiation source. Has UCLA begun adopting a similar device for IR procedures and/or does a similar device for IR procedures exist?

A:

SHE DROVE ME HERE!!!


Q:

Yeah!

James: I didn't really get an entrance of my own, but being able to initiate the event with a great opening number, which was my idea, was pretty great.

A:

The reason =PRODUCT(1+(A2:A4))-1 behaves like this is because Excel performs "implicit intersection" on the range A2:A4. It does this because PRODUCT expects a single value as its first argument - so Excel attempts to narrow the range you provided to a single cell.

How does this work? Excel chooses the cell in the same row as your formula. So if you input your formula in Row 2 through 4 the formula returns a result, while in all other rows it will error with #VALUE. CTRL-SHIFT-ENTER suppresses this narrowing behavior and you get your desired result.

MrExcel has a video on the implicit intersection: https://learnmrexcel.wordpress.com/2012/08/06/learn-excel-2010-named-range-and-implicit-intersection-podcast-1579/

  • Joe McD [MSFT]

Q:

No. There's a law in the US called EMTALA that requires patients to be taken care of in an emergency setting regardless of insurance status. A good chunk of the patient population where I work is uninsured and many are undocumented immigrants.

A:

Yes there is a similar robot system for IR, that allows remote control from the control room outside the angio suite, or even from across the world, theoretically. The technology though is still in its infancy. A lot of our procedures are performed by guiding shaped wires and catheters through the blood vessels or other parts of the body, and there is a certain "feel" - like a tactile feedback - that you get when you are holding/advancing/spinning the wire and catheter that can't really be replicated when you're just holding the controls of a robot. So as much as I like the idea of sitting on my sailboat in the Caribbean and curing cancer via robot, I think it is a ways off from reality. Plus I don't have a sailboat. And, I've never been to the Caribbean. Academic medicine doesn't pay that well...


Q:

How fun was it to work with Lin-Manuel Miranda and are you guys besties now?

A:

What was your favorite moment of DBX so far?


Q:

Why did office become a subscription based program?

Did any of you meet Bill Gates?

Did Bill give any orders on what to add, make, etc?

A:

Ughh I hate it when I see nurses teach new nurses to tear the finger tip off, it's such a bad habit to get into... It's bad for the patent and it's bad for the nurse


Q:

How did you decide on IR and what fields were you choosing between as a medical student?

A:

ive known Lin for over 10 years - we used to perform at the same small comedy theaters in NY way back when


Q:

Zippotricks McEdgelord.

A:

Subscription: we wanted to offer a new model of buying Office that wasn't about buying new software when you bought a new computer so that we could deliver functionality outside of the old "box software" model, get new features out to folks quicker than traditional/slow upgrade cycles, and help users with service-based offerings such as Office365 and even things like the new Designer feature in PowerPoint (that helps you make beautiful looking slides using cloud services).

Meeting Bill Gates: Yup! I've met Bill a couple of times. The first, and most memorable, was at his house when I was an intern. They stopped doing that years ago, but he was a very gracious and patient guy with all the ridiculous questions that us interns were throwing at him.

Bill's "orders": Oh yeah, over the years Bill has weighed in on what we should and shouldn't do for every single version. I still remember contributing to my first BillG review. Me and Dan (one of the other folks commenting here) built this crazy prototype and Bill (rightly) ripped it apart. Good times.

-Charlie [MSFT Excel Team]


Q:

If I had to put on gloves every time I touched a patient, I would go through, like, 100s of gloves per shift. We can touch a patient without gloves on as long as there's no fluids involved. Obviously if the person is gross or has an obviously contagious disease then I'll wear them and I definitely wear gloves when I start IVs. I wash my hands constantly though. You're always so busy in the ER so you just simply don't have time to put on gloves each and every time you need to touch a patient or get vitals.

A:

I went into med school fully expecting to do ER or orthopedic surgery. But then I found that ER spends much of their time dealing with drug-seekers and deadbeats (not that they don't need help, but they are emotionally taxing!) and ortho spends much of their time mindlessly hammering and making sexist comments, only one of which I was good at. So I was kind of lost, but I liked the idea of being like an oracle that people came to for advice and answers to their problems, which is basically what a radiologist does- so I went into radiology. But then a few years in, I really missed the patient care aspect, and doing things with my hands, and discovered IR. The first day of IR fellowship I realized I had made the best decision of my life. Never looked back.


Q:

I love you, you motherfucker! What is your favorite movie and/or TV show from the 80s?

Also, would you say ''fuck you'' to me please?

A:

Why is Beej ?

Bonus, why is glass shark ?


Q:

What is the coolest spreadsheet you have ever seen designed?

A:

My mom's a nurse, do you know her?


Q:

What's one thing you wish nurses knew regarding recovery of IR patients?

A:

FUCK YOU!!! And its The Golden Girls duh


Q:

He just is.

A:

A workbook that made creative use of circular references to solve the shortest route out of an arbitrary maze. Not particular useful but fun to build :)

-- JoeMcD [MSFT]


Q:

Yes. I know all the nurses in the entire world.

A:

Call my fellow before you call me. Especially if it's after 9 pm.


Q:

What type of ice cream should I eat?

A:

Have you considered doing a "Desert Bus Zero" which would be similar DB1 in order to return to a more simpler time?


Q:

Why can't we still not open two workbooks with the same name at the same time?

A:

How often do people come in with things stuck in their asses? What's the weirdest thing you've ever witnessed or heard of being pulled out of an ass?


Q:

In the event description, you mention using ice probes to eradicate cancer. How does that work? Never heard of that technique!

A:

Coffee


Q:

Every year, about halfway through planning that year's desert bus.

A:

Allowing two workbooks with the same name would make entering formulas that reference them quite confusing:

=[Book]Sheet!$A$1 

Which one did the user mean?

-- Alex [MSFT]


Q:

I already answered this question above

A:

That refers to cryoablation. Liquid gases like CO2 or liquid nitrogen can be circulated from a tank into a specialized needle, where the cold energy is concentrated around the needle tip, producing a zone of freezing encompassing the targeted tumor. It's a cool (ha) treatment because it is almost painless in many cases, and can effectively kill tumor cells by causing the water-rich cells to crystallize and shatter their cell membranes. At the end of the procedure the cancer is dead and the patient just has a few needle-sized holes about the size of an IV that heal in a day or two. Patients don't need anesthesia and go home the same day.


Q:

Hey Billy! I like you. Your show is good.

Q: What did you cut from the Michelle Obama episode?

A:

Long time crafter, first time questioner. I've been making sprites for Desert Bus for a few years and am always amazed at the variety of other prizes that people donate to the cause.

What is the most memorable prize you've auctioned off or given away in ten years of Desert Bus?


Q:

Why did you name it Excel? Or did you guys name it at all? I mean, it is a spreadsheet program...

A:

What about tumor lysis syndrome? Or is the tumor mass being killed at the time of treatment too low for that?


Q:

Not much, just a handful of questions cause it was too long

A:

The two that come to mind are Penn auctioning off the trip to Vegas and then tripling it.

Also the houseboat. It was a damn houseboat.


Q:

Obviously for the endless supply of "I excel at this" jokes. :) -Joe [MSFT]

A:

Correct, not enough tumor being killed at one time for that. You can get "cryoshock", which sounds like a new PS4 game but is actually where you freeze too much tissue (like in the liver) and your cytokines go bananas and you end up in DIC and organ failure and overall a world of hurt. But it's super rare, never had it happen.


Q:

Are you as shocked as the rest of us that Elena is a pop culture sensation?

A:

Typo or nefarious reason why MomoCon doesn't appear on the LRR wiki for DB9 Prize Sponsors? ;P


Q:

Why did you name it Excel? Or did you guys name it at all? I mean, it is a spreadsheet program...

A:

BioMed engineering grad student. Just learned about CT and MRI this week, truly fascinating stuff. What future do you see for medical imaging in the world of big data? I would imagine that using a person's genetics, medical history, and scans of other patients with similar backgrounds could paint a better picture for treating various problems. How has big data affected your field?

Also I'm a USC alum. I hope you're prepared to get your butt kicked this weekend.


Q:

Nope, funniest person in the world other than Julie Klausner

A:

Likely an oversight. We're sorry!


Q:

Here we use "XL", which is handy, since it's easier to fit on a license plate than "WORD" or "PPT" :-D

-- Alex [MSFT]

P.S.: Mine is "XLRULEZ", naturally.

A:

Always ready for UCLA to lose. I gave up on expecting wins a long time ago. UCLA's MO is to beat lots of cupcake teams early in the season, just to get your hopes up, then crush your dreams with a string of late-season losses. So yes, I'm well prepared.

Glad you brought up big data. This is going to be absolutely huge in healthcare in general and in IR/radiology in particular. We capture a massive amount of data, but right now it is not meaningfully synthesized and summarized in a useful way. There are efforts underway to use standardized reporting (I run a SIR committee for this) so that all IR reports contain the same information in the same place- this would allow auto-exporting of data into huge registries. Once that can be combined with auto-pulling of outcomes data from the electronic medical record, we will be able to answer questions like "which treatment is better" or "what is the likelihood of this outcome" with great confidence due to the massive sample size.

This is just one example. Another would be the rad/path report, which is also being pioneered at UCLA. Why have the radiology report separate from the pathology report? They both are trying to establish the right diagnosis, and each has strengths and weaknesses, so the best approach would be to meld the two reports into a unified report that has the best accuracy in establishing diagnosis.


Q:

I love Billy on the Street and Difficult People and all of the Craig scenes on Parks and Rec so much and I think you'll be the funniest person on Earth once Martin Short dies.

My question: Would Drew Barrymore like this new season of Billy on the Street?

A:

To Graham: Was there ever a game that you considered too bad to inflict upon Alex for a Watch and Play?


Q:

Is there anything that you thought would be a cool feature to add then it turns out to be the most used and important one?

A:

Have you ever had to call it quits during a procedure because it became too technically challenging? When should you think about punting to another day or service?


Q:

Yes but she would forget when its on

A:

Incidentally, the bone zone rates a solid 7 on the Turner Lickability Scale.


Q:

Not sure if you used the iPhone version of Excel at all, we added a full screen view feature there, which takes you to full screen on the phone to view only the current sheet content. It's very helpful for users to navigate the content on a small screen. I'm not sure if the most used, but it's absolutely a popular one on the phone version.

  • Jeff Zhang (MSFT)
A:

Almost never, it is kind of a pride thing. I tend to carry through almost to a fault, which sometimes means tough procedures last for hours and the back table looks like a garage sale with piles of catheters and wires. But if it truly looks like I can't do it, or if I run to more than 60 minutes of fluoro time, or if any point it is becoming unsafe to the patient, then I would definitely just stop and try again another day (or sometimes refer to surgery, if it can't be handled by minimally invasive means). Luckily I have really excellent IR colleagues, so I can always have them try as well- sometimes you just need a different set of eyes and a different pair of hands.


Q:

You should sing more often on TV, have you thought of segments on Billy On The Street where you could show off that voice?

A:

To be fair, Desert Bus is like one really extended Loading Ready Live


Q:

When I am using Excel formulas such as vlookup or index match (often combined with offset and/or Indirect), there will commonly be more than one instance of a result that I am looking for. Sometimes, I want to pick up the first instance, but other times I would like to pick up the 2nd, 3rd, 4th, nth instance. For example, let's say I am using a look-up function on a table with cities down the left, and sports team from those cities on the right. In this example, I want to know all sports teams associated with Chicago, not just the first or last one. I know there is a way to do this using an Array formula, which I have used. However, Array formulas are brutal to work with, especially when applying them to a big data set. Is there another workaround that allows you to specify the instance (2nd, 3rd, nth) it occurs without using an array?

A:

Hey, I recently had the misfortune of finding myself on one of your colleagues' fluoro tables, in desperate need of a percutaneous nephrostomy. It was 2:30 AM, the IR was irritated because he had to return for this procedure (ER didn't release me as they were supposed to, so...the IR team split, only to return an hour and change later). Dude used NO anaesthesia, just a couple of syringes of lidocaine. So....after the procedure, when they pried my fingers our of the ceiling tiles and brought me back down to the table, if I had ANY body fluids available to me....I'd have considered splashing them on Dr. Mengele. Please tell me this is NOT SOP.

Very entertaining AMA. Thank you for all your good work!


Q:

I would love to sing more, not sure I'd do it on Billy on the Street though...but you never know!

A:

This is pretty much our answer, yeah.


Q:

Since you're already making it work with array formulas, I assume you are already aware of SMALL and LARGE to get the Nth smallest or largest item from an array. When I'm filtering a range using INDEX, I often find an extra disambiguation column (ROW()/2000000) to help for sorting and extracting multiple entries.

I don't know of any easier way to do this right now, but feel free to vote at uservoice. https://excel.uservoice.com/forums/304921-excel-for-windows-desktop-application/suggestions/10633782-vlookup-for-2nd-3rd-etc-occurrance

-Nathan [MSFT]

A:

Yea one thing that always amazes me is the difference in pain tolerance from person to person. For some people, a nephrostomy tube under local anesthetic is no big deal. For others, they absolutely can't do it unless it's under general anesthesia. I'm going on record by saying that old women are by far the toughest. The wimpiest are men, with their pain tolerance in inverse correlation to how many tattoos they have. Always blows my mind that they can get a 2 foot skull tattooed on their chest but my 25 gauge lido needle makes them nearly pass out from pain.


Q:

Why are you only wearing a purple shirt for everything in this new season?

A:

It would, though, be nice if they set aside an hour and a half within Desert Bus to do LRL-type sketches. Like how they did a live QWERPline last year. (Probably didn't have time to plan it though, what with the staying awake all night.)


Q:

Hey Excel team!! As a Business major and stats minor, I use Excel daily and have a few questions.

1) What would you say is the most underutilized tool/data pack? (specifically that could be useful in business or stats)

2) How many functions can you "string" together in a single cell before excel crashes, I've written some pretty long strings but excel has spit out the answer every time

3) How come when Im working with the same data pack and functions/spreadsheets as my professors I can never get my sheets to work nearly as well as them?

A:

Few things!

 

1) As a radiologist, what up and coming imaging technologies are you most excited about? I hear a lot about optogenetics making huge headway in the field of neuroscience, do you see something similar for hepatology?

 

2) With so much new research and publications printed daily and worldwide, how do you and your fellow radiologists keep up to date to give your patients the best care?


Q:

Continuity

A:

As answered by another user below, Desert Bus basically is a big LRL.


Q:
  1. Some of my favorite tools within Excel are Tables, PivotTables, and Named Ranges. If you are familiar with these, you can do some pretty incredible things. Check out the Excel Sudoku Solver blog post To see some pretty great uses of named ranges.

  2. There's no direct limit on the number of functions, but the maximum number of characters in a cell is 32k and the maximum nesting level of functions is 64. Check out Excel limits and specifications for more information.

  3. I'm curious what kinds of differences you're seeing here. If you're seeing calculation or performance issues, definitely post them to https://answers.microsoft.com/en-us/msoffice/forum/msoffice_excel?auth=1Excel.

Jim [MSFT]

A:

1) HIFU is one of the really cool new technologies- basically an ultrasound beam can be concentrated on a target, and the ultrasound energy causes vibration of the tissue resulting in heating. The targeted tissue can be heated enough to cause cell death. The whole thing can be done under direct MRI guidance and completely noninvasively- there are no needles needed. It is just starting to be used for prostate cancer, uterine fibroids, and soon will start seeing more use for liver and breast cancer, I think.

2) That's tough- there are way too many scientific journals out there. I go to a lot of conferences, where half the time I am playing words with friends on my phone, but the other half of the time I am listening to world experts summarize all the latest knowledge. Or sometimes I'm the one up there giving the presentation, which severely limits the amount of words with friends I can play simultaneously.


Q:

First I wanted to thank you for tweeting about the upcoming election for Senate in Louisiana. To stay local... Do you think Elena could get David Duke to change his views?

A:

Pokemon Sun or Moon? Also: which starter?


Q:

Do you know of any free Excel training programs? I use it everyday at work - pivot tables/vlookup are my favorite features but I still feel like a total noob using it.

A:

Are you the Sorcerer Supreme of our Universe?


Q:

youre welcome! and god i dont know...i guess if anybody could...david duke can suck my dick

A:

James: Sun

Matt: Moon

The only starter I'll ever accept as legitimate is squirtle.


Q:

Great question! Please go to the Excel Tech Community and in the top pinned post or in the resources section, you will see link to all Free training programs for Basic, Intermediate & Advanced Users. https://techcommunity.microsoft.com/t5/Excel/ct-p/Excel_Cat -Sangeeta [MSFT]

A:

I think Trump already took that title


Q:

Hi Billy! You're stupid hot. How do you keep your voice healthy?

A:

Hey LRR! Big fan. Today you auctioned off a tour of Wizards of the Coast. Have you ever considered donating a tour of The Moonbase? Seems like it'd be fun!


Q:

Who did the flight simulator?

A:

My Wife has cervical cancer. HERE'S THE CATCH! She has two of EVERYTHING. 2 uteri, 2 cervical canal and 2 vaginal canals. No one wants to give her a hysterectomy because it's to "risky" "strange" could a robotic surgery remove the tumors without having to get a hysterectomy? We're from Fl but are in NJ right now because he is the first gyno to give her a yes I'll take a look.


Q:

Well thank you...and nothing really...sleep as much as I can

A:

The moonbase is... not actually very big. It'd be a short tour.


A:

Hmm this one's out of my wheel-house. I'd recommend getting out of Florida and getting yourself to a state with a real academic medical center.

Just kidding, Florida. But really, get to a big tertiary care academic hospital with lots of specialists, they'll know what to do.


Q:

Billy, I am such a HUGE fan of Difficult People. Any word on S3?

A:

You know Kimjongillia from insomniac gamers holds the record for most points in a single run right? I believe he got to 4 points on his own. Coulda been 5 though.


Q:

Who did the flight simulator?

A:

In private practice, what are the common procedures that the private guys love to see, ie fast and pays well? What has greatly increased or decreased in compensation for IR? There seems to be many companies peddling many versions of equipment that seems minutely different. What is your philosophy on trialing new equipment? What equipment in the next 5 years do you see greatly improving what you already do?


Q:

They are writing it now - we start shooting in March!

A:

That's pretty impressive.


Q:

Nobody here did - there was a source repository mix-up and Flight Sim folks checked it in by accident

A:

IVC filters used to be the best procedure out there. 15 minutes, pop the filter in, send the patient out, collect $1000 (or something like that). Then cardiologists and vascular surgeons started doing them too. But people didn't think, hey what happens to all those filters we put in? Meanwhile the filters were fracturing and embolizing and causing problems because they weren't being retrieved. Now you see lots of ads on TV for lawyers wanting to sue for IVC filter complications. Meanwhile, reimbursement for IVC filters dropped- which was a good thing, I think. Now the reimbursement is good for varicose veins and embolization procedures, so those are quite popular.

IR compensation depends on a lot of factors, some of which I don't really understand, but basically Medicare tries to equate a new IR procedure (like an ablation, for example) with something that takes a similar amount of effort, that it already has reimbursement data for (like a colon resection). Then it adjusts it over time.

True about lots of companies peddling similar equipment. I think we have 6 different companies selling us embolization coils, for example. This is the product of capitalism, and overall I'm in favor of it, because the competition drives innovation and lowers prices. So we trial new equipment all the time.

In the next 5 years I think controllable catheters and wires, and improved angio equipment allowing us to map out all the vessels in the organ of interest and direct us where we need to go, will make a big difference. Maybe robots too, but I hope not, cuz I'd like to keep my job.


Q:

Hey Billy! Been a huge fan of yours since you were on FoD and covered Madonna at the Super Bowl. Any chance for a Billy on the Street and Impractical Jokers crossover?

Please say no.

Also, you're super talented beyond berating people for their pop culture/personal opinions, do you have any desire to do any serious/dramatic roles on stage or on film?

Thanks!

P.S. Send Elena my love!

A:

Is there a specific time when you upload the streams to loadingreadylive or just when you have them ready?


Q:

Any plans to build some of the features that ThinkCell offers?

BTW, I love O365 and Office 2016.

A:

Thanks for being so generous with your time!

  1. What's your favorite kind of procedure to do? What was the most rewarding time you did that? When did you first do it?
  2. What's your least favorite part of your job? What gets in the way of your being productive? What could make those things better?
  3. What kind of follow up do you do on patient outcomes? Do you get any feedback as to how well both a given procedure is working and how well you/your team are doing them?
  4. How do you decide which procedures you'll do vs. the fellow vs. the resident?
  5. What's the nicest thing a patient has done to thank you? What about someone you trained?
  6. What's your favorite paper you've authored? What's your favorite paper you've read?

Thanks again!


Q:

wow, thank you!! As for IJ...no.

And yes definitely want to take on some other roles when time allows!

A:

When they're ready.

We're working towards a consistent schedule.


Q:

ThinkCell is a great add-on for Office. There is a Uservoice for additions to the Waterfall chart here: https://excel.uservoice.com/forums/304921-excel-for-windows-desktop-application/suggestions/11120742-include-thinkcell-add-on-waterfall-chart-capabilit If there are other items you would like to see, please add them to user voice. MSFT-Leif

A:
  1. I really love treating liver cancer. Most people are given the diagnosis as a death sentence, because most of them have cirrhosis and would go into liver failure if they underwent a curative surgical resection. So they get referred to me with little hope. Sometimes, the cancer is too advanced, and there is little I can do- but in most cases, I can stop or even cure the cancer using minimally invasive techniques. I also love the liver cancer population, they often have a history of harmful behaviors like alcohol or drug use, have reformed themselves, and are really appreciative that a doctor wants to help them. Just a great feeling to go into clinic after the procedure and tell the patient their tumor is cured. I will never get tired of that.

  2. Meetings. I have so many meetings, where precious little usually gets done. I try to follow the 4 hour work-week advice: avoid all meetings, and if you have to go, show up 15 minutes late and leave 15 minutes early. That way all the small talk is already out of the way, you can get something out of it and get out of there before you waste your entire day looking at some admin's Powerpoint.

  3. We do. A lot of our research consists of retrospective studies where we review patient outcomes and use that in reverse to figure out how we should best do procedures and who we should best do them on. It's a big part of what I do, and thankfully I have lots of good medical students and residents who are keen to jump through all the IRB hoops and spend lots of hours sifting through patient charts to collect this.

  4. I'm always supervising, but I try to let the trainee do as much as they safely can. Exceptions would be really critically dying patients, really high-risk procedures, and the occasional time when I get bored watching and decide I just want to "show them how it's done". IR really is fun, but kind of like video games, it is more fun to play than to watch.

  5. I had an absolutely adorable elderly patient who had kept a medical text from the 1800s- it had belonged to her grandmother. It was called "The Cottage Physician" and it had awesome chapters on how to make salves and ointments and potions for any ailment (this was well before antibiotics and the like). I had been treating her for cancer for a few years, and one clinic visit she brought it down and gave it to me. I took it to a professional book restorer who re-did the cover and it now sits on my shelf in my office at home. Gives me a smile every time I look at.

  6. I can't say any of my papers have been New England Journal-worthy. I'm more of a clinician than a researcher, so although I do have a number of publications, I'm not going to say any were world-changers. Favorite paper I've read? There was a terrific paper on how to correlate hepatic arterial anatomy with angiograms, that I think about every time I do a chemoembolization procedure. Totally nerding out right now.


Q:

If you could be any dog breed which would you be?

A:

Dear Drs LRR,

What is one thing about Desert Bus that has surprised you the most?


Q:

Could you suggest the best programming that helps to automate tasks/ report for the online version of Excel ?

A:

NASA guy here!

2 questions:

With the focus and new space race more directed towards Mars, how do you think we will be able to take care of our new colony on Mars after we inhabit that planet?

Do you think even simple diagnostic machines such as X-ray and ultrasound will be viable in that climate?


Q:

An ENORMOUS sheepdog

A:

The generosity of the community. People coming back year after year to watch this nonsense. It will never stop being a delightful surprise.


Q:

Check out the REST APIs that we expose as part of the Microsoft Graph: http://dev.office.com/excel/rest

-Brian [MSFT]

A:

Oh man. All I know about Mars I know from Total Recall, the original Schwarzenegger one, not that crappy re-boot. I assume there will be lots of strippers with 3 boobs, which I would not be in favor of treating, but probably there will also be frostbite, radiation sickness, bone density problems from lower gravity, seasonal affective disorder, and all kinds of infectious disease coming from a concentration of people in a small station. Probably we won't need many interventional radiologists, but if they ask me, I'll definitely go.

I really doubt we would decide to put the X-ray or ultrasound machines outside on Mars, as that would be really really cold for patients, who already have to wear those embarrassing ass-less gowns. So since the machines will be inside in normal temperatures, I expect they will work fine.


Q:

You bring so much joy into my life and after moving to NYC it has been my dream to get screamed at on the street by you! Excited by all you have achieved and look forward to more.

What would you say your greatest life philosophy is?

A:

Would you rather 500 duck sized busses or 1 bus sized duck?


Q:

First of all: as a finance major, I love you guys and your product. You're wizards.

As far as I can tell, Excel has seemingly endless depth despite being easy to use. Where do you go from here? How are you working to improve it?

A:

I'm an M2 that is very interested in IR. How do you see the new IR residency working in terms of how prepared fresh attendings will be to perform procedures as compared to the current 1 year of fellowship? Also, since I'll be applying in the next years do you think competitiveness will be similar to DR? I'm hearing a lot of whispers that it may be very competitive with the number of available slots tightly controlled using Derm as a model.


Q:

Hmmm....trust your vision and fight to the death for what you want

A:

Definitely 500 duck sized busses. Jer might differ.


Q:

Thank you! We do have a lot of wizards around here (I'm level 34, personally). ;-)

As far as where we go next, we're always working on adding new functionality to Excel and always thinking about new directions for the product. We're listening a lot to the user feedback we get from the Excel Community and always trying to make the producteasier to use.

For specifics, we're planning to ██████████████ and then we're going to make a huge splash with ███████████████████ and ████████████████. I think you'll really like ██████████████████ as well. Hope that helps! ;-P

Jim [MSFT]

A:

I think the new IR residency will make better IR physicians. 1 year of fellowship just isn't enough any more. The extra time in IR, the ICU month, the clinic experience, all will produce IR doctors who are better equipped to treat patients rather than just do procedures.

Competitiveness seems higher than DR, significantly so, because the number of slots is quite low. This will expand in the next few years, but IR is a hot field right now (for good reason!)

Remember that there will be an independent residency (which is much like a fellowship, you apply for it during DR residency) so if you don't get into an IR integrated residency, you can still do the DR pathway and get into IR later. I don't think there is any secret meeting of the minds saying we want to limit slots, it is just a matter of funding and the fact it is a whole new training program.


Q:

How did you get so smoking hot all of sudden? This is a legitimate question I wish to know the answer to.

A:

Will there ever be a Loading Ready Run hat or toque?


Q:

I clicked so hard on spoilers that weren't there :(

A:

Schwannomas in difficult places like tied up in the cauda equina or under the sciatic nerve under the buttock/ back upper leg. Would these treatments you mention apply?


Q:

working out a lot and more cardio than i used to do

A:

There have defiinitely been one-off, hand knit LRR touques or hats. whether those will ever become an official thing? Who knows.


Q:

Great to hear that you love the product. We continue to improve the product in terms of reliability and performance. We have millions and millions users worldwide and it is important to keep Excel as a reliable experience for all of them. See this blog post on some of the themes around Intelligent Cloud Services and Collaboration which we will working towards.. https://blogs.office.com/2016/09/26/office-365-news-in-september-at-ignite-intelligence-security-collaboration-and-more/ -Sangeeta [MSFT}

A:

Not sure- I don't do nerve or CNS work- we have a whole department of Neurointerventional Radiology here at UCLA. I should have them do a Reddit!


Q:

Who would you marry, kill and fuck? Jessica Chastain, Kathy Griffin, Emma Stone. Go!

A:

Do you think cancer can be cured in the future?


Q:

Marry Emma Stone, Fuck Jessica, Kill Kathy (she'll survive - NOTHING can kill KATHY GRIFFIN)

A:

Yea, I think so. Cancer really is just our own cells that have a few of the wrong switches switched, causing them to replicate uncontrollably. Once we can find and target the right switches, possibly using our own immune system, we can possibly reverse the process. We are seeing this work really well in some cancers like melanoma, but we have a long ways to go. What will be interesting is whether the fight against cancer will be tougher than the fight against infectious disease- both can mutate to evade treatment and are really tough opponents.


Q:

Thanks for doing this! I'm a big fan. Difficult People is hands down the best original program on Hulu. You're fantastic and the writing is incredible.

You were stellar on Parks and Rec, my favorite side character. Do you have a favorite moment from that show? Did you learn anything from that cast that you apply towards your projects/career going forward?

Thanks, again!

A:

Hi Dr. McWilliams. Care extender at Ronald Reagan MC here! There's a chance I might have seen you around. Thanks for taking the time to do this AMA.

I am currently in year 3 of undergrad planning to apply to med school the upcoming cycle. I got interested in IR ever since my grandfather's cancer metastasized to his liver, and he underwent TACE treatment. Could you explain the TACE procedure, and maybe why TACE would be better than other approaches in certain scenarios for treating liver cancer? Since my grandfather only stayed one night post-op, I am assuming that TACE's upsides are that its highly localized and minimally demanding on the patient. Other than that, my understanding of the hows and whys behind TACE is pretty limited.

Also could you expand on the differences between IR and vascular surgery? (interest in both!) Are there instances where IR docs will work closely with vascular surgeons, or do the two specialties tend to operate autonomously? They seem similar in certain regards, but I can imagine they are significantly different in terms of approaching treatment and practice.

Finally, what are your thoughts on AI in medicine, and its possible applications (or implications) for IR?

Just wanted to say that its doctors like you who have allowed me to spend more valuable time with my grandfather, so thank you for all that you do!


Q:

It was a very relaxed set so i guess I learned that things dont always need to be frantic to be good...not always my go to philosophy haha...

A:

Just page or email me! Happy to talk more, running out of time here.


Q:

What game show do you think you would do best as a contestant?

A:

My father is an interventional radiologist, and always says the specialty is a dying breed. The minimally invasive procedures performed by IR's are increasingly being taken over by other specialties in the hospital. Have you found this to be the case and do you see a future for the specialty?


Q:

Billy on the Street

A:

They've been saying this for 30 years. Yet, we are training more IRs now than ever before, and they are getting good jobs. As discussed above, it has more to do with getting the right skills and putting yourself out there. Patients want minimally invasive treatments- can you believe that they used to cut you open to drain an abscess? I can drain that in 15 minutes with a tiny tube. There will continue to be a push for more and more of these treatments, and IR will continue to be at the forefront. I foresee growth of the field beyond the pace of other specialties.


Q:

How is Elena doing after the election? I saw the clip where she said she might kill herself if trump were elected. Also, was she ever able to get rid of her phone stalker?

A:

She's ok. She' a survivor and she'll be on Billy on the Street for the first time this season next Tues!!!


Q:

Will you have Elena narrate the audiobook of your memoir?

A:

LOL


Q:

Hi Billy! Love the show. I have two questions: 1. Do you reach out to celebrities to be on your show or do they approach you to be on your show? 2. Have you thought about doing a segment with Ellen DeGeneres? I think you two would be really great together!

Sending love from Canada :)

A:
  1. A mix of the two.
  2. Would love to shoot with Ellen! I'll be on Ellen for the first time in Jan!!! So excited.

Q:

Some of my favorite segments are the ones where you get really political eg, "Mark Twain or Eddie Murphy" and "Queen Latifah or a Brave Person". Do you get any pushback on that stuff from the network? Will there be more in store this season?

A:

No thankfully - I have final cut on the show - and yes we played "Immigrant or Real American?" last week and there are more coming up


Q:

What's next? Loved you in Parks and Rec and your dynamite in bobs burgers (Witch please!) hope to see/here more of you on BBs

-Willy.

A:

i have a few others shows - Billy on the Street airs TONIGHT on Tru TV at 10:30, plus Difficult People on Hulu and a new series Friends From College next year on Netflix. I also have a fun lil cameo in Hairspray Live in a few weeks


Q:

What do you miss most about living in/near Chicago?

A:

GOING TO COLLEGE


Q:

Exactly whose dreams are you making come true?

A:

Figure it out...


Q:

Sometimes when I see you play the game "for a dollar," you don't give the person a dollar even though they answered correctly. Are you pocketing the money?

A:

Ha no


Q:

A huge media conglomerate gives you a nearly blank check to make some kind of art. (Book, movie, tv show, painting, poem, no limits) what do you make?

A:

Hmmm I NEED MORE TIME.


Q:

Billy, you make me laugh harder than anyone on TV. Have you ever been hit while doing BotS?

A:

No but Thank you!!


Q:

Did u ever work as a waiter? You're very convincing in the Hulu show

A:

Very briefly, I was a terrible waiter but a good bartender


Q:

Do u cry from laughing when u hang out w Julie?

A:

ha...sometimes!


Q:

If you could have anyone on your show dead or alive, who do you thing you'd have the most fun with?

A:

Kate Winslet


Q:

Was that Nas moment as awkward as it looked?

A:

yup


Q:

How do you feel now that Trump is President-elect? I know that you supported the #imwithher campaign

A:

He makes me sick and his comrades are even worse - its a nightmare I am prepared to fight!


Q:

What has been your favorite segment you've guest starred in? Helping Conan with Grindr was by far my favorite!!

A:

Loved Conan on Grindr and every appearance with Letterman and the Emmys with Seth Meyers


Q:

I watch you from the UK. I love Billy On The Street and adore Difficult People. Do you have any other projects in the works? Also P.S. Can you tell me to fuck off? If you want to embellish your insult I'm a 35 year old IT Contractor with 3 dogs.

A:

I on a new series on Netflix next year called Friends with College with Keegan Michael Key, Fred Savage and Cobie Smulders and a great cast!


Q:

Thanks for your show. I've been watching since you were only on YOUTUBE! I hope some day you make it to Bravo. You're hilarious and I've tinkled while watching. Who has been your favorite guest, besides Nas? Where do you hope to take things next? And I'd like to take you to lunch some time. Thanks Billy.

A:

Why Bravo?


Q:

I have to ask Billy this is kind of tacky but it's my chance we've noticed you getting better and better looking have you had some work done?

A:

Yes, full body head to toe has been completely redone thank you for noticing


Q:

Love you, thank you for the laughs and your big-ass heart! Will you ever do a show with Meryl?? And are you truly happy? I hope you find love and joy, you deserve it!

A:

ha thats very nice - thank you!! As for Meryl...maybe one day...


Q:

Is there anything more to life than just being ridiculously good looking?

A:

not really


Q:

What game would you play if you got Trump to come onto the show?

A:

Will never, ever be invited