I'm not a regular listener of Stern's, but by reading the interview excerpt GD posted I immediately 'got' what he was saying: he's at his shrink's office talking about the four million listeners and he addresses his own 'sickness' of competitiveness that won't let him enjoy the moment but instead obsess over the fans that haven't followed. I don't get that he's whining about them not actually following him- he's mocking himself.
(Of course, I haven't had any coffee yet- I'll revisit this thread after a few cups).
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