On January 8, 1975, Johnny Carson joked during his Tonight Show monologue that Elvis, turning 40, was now wearing “orthopedic blue suede shoes” and needed a surgical hip lift, only allowed to swivel in front of a registered nurse. The audience laughed—but Elvis didn’t. Watching from home, the King felt humiliated. Though Carson never said “fat and forty,” that’s how Elvis took it. According to cousin Billy Smith, Elvis was furious, deeply hurt, and never watched Carson again. Behind the glitz, he was a man battling insecurity—and that night, the joke cut deep.
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