April 10, 2024 • 23 mins
What we know about the Arizona abortion ban. Disneyland threatens lifetime ban for disability cheats. Dr. Jim Keany, Co-Director of the Emergency Room at Mission Hospital in Mission Viejo, joins The Bill Handel Show for 'Medical News'! Dr. Keany talks with Bill about why salt could be killing you, accelerated aging is being linked to cancer in younger adults, and resident doctors joining unions.
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(00:01):
You're listening to bill Handle on demandfrom kf I am six forty. You
are listening to the bill handle.Show you you're lucky. Yeah, yeah,
just shut it out, sell it, don't medal what You've gotta save
bodies. So you're coming back.It cuts it tamp I am six forty.
(00:29):
Bill Handle Here. It is aWednesday morning, April tenth. Coming
up at eight thirty. We gotdoctor Jim Keeney coming with us. A
couple of stories that are breaking out. Was it yesterday? I did the
story about Yes, I did aboutresidency, and that is doctors doing resident
programs getting virtually no money and eightand working eighty hours a week. Thank
(00:53):
you. So they're unionizing at Kaiser. So we'll talk to Jim about his
residency program and a few other metaissues. Now, yesterday massive news broke
in the world of abortion, andthat has to do with Arizona's highest court
upholding an eighteen sixty four law.Log goes back to eighteen sixty four,
(01:15):
last year of the Civil War,that bans nearly all abortions. I mean,
it's kind of crazy in this modernday and age. Even those people
that are against abortions that are goingand this may be a little bit tough.
And here's what it says. Allabortions are banned except to save the
(01:38):
life of the mother. By theway, we don't know what that is.
Does she have to be on death'sdoor? How about contracting a syndrome
or contracting an illness that could killher? And the doctor says, we
have to abort the baby. Isit going to kill her? We really
(01:59):
don't know, but there's a goodchance, not enough. We don't know.
Hasn't been litigated. Now, thiswas eighteen sixty four. Arizona became
a state in nineteen twelve and outlawsabortion from the moment of conception. Here
we go again. They didn't evenknow when is conception. No one has
any idea, certainly not in eighteensixty four. No exceptions for rape or
(02:23):
incest. Now until now, theabortion. Abortion has been legal in Arizona
through fifteen weeks of pregnancy and sinceoverturning Roe, supporters and opponents of well
the rights in Arizona been fighting incourt whether that's eighteen sixty four law,
which sat dormant for decades, couldbe in force, or whether it effectively
(02:49):
neutralized every other law that dealt withabortion. Twenty twenty a law was passed.
However, it was predicated on Roev. Wade. Roe v.
Waight is gone. So what thecourt says that only leaves one law on
the books, granted is eighteen sixtyfour. Granted it's pretty punitive, but
(03:15):
that's the law, and that iswell it controls Arizona. Go wait a
minute, I mean, how canthat be because there's no other law.
This is one of those things wherethe law has not been removed from the
books. Now, the reality is, first of all, the court said
we're going to hold off for fourteendays because we're going to move it down
to the lower court to have themdecide on the constitutionality of the law itself.
(03:38):
That hasn't been determined, and it'sgoing to be weeks before it goes
into effect. And abortion providers,well, they're going to go through May
still providing abortions. After that,it's a mandatory two to five year sentence
for doctors. Mandatory if it's goingto be enforced. Now, the Attorney
(03:59):
general, who's a Democrat, atthe governor, who's a democrat. I
said, well, the governor saidthis is ridiculous. I mean, this
is an affront to women's reproductive rightsof any kind. And the Attorney General,
a Democratic Democrat, also said,no way, this is not going
to be enforced. So that makesit easy, doesn't It depends what if
a Republican conservative governor or a gcomes in. I don't know what the
(04:26):
statute of limitations on this one,but if this is in place, that's
going to be interesting. Now,in a majority opinion, the justices did
say that a policy matter of thisgravity has to be resolved by our citizens,
either through the legislature or through theinitiative process. So is this going
(04:46):
to hold up? It won't.It won't. It won't be enforced by
the Attorney General. The legislature isgoing to pass a more reasonable, if
you will, anti abortion law.That's a given because so far, in
every state in which the people votedon reproductive rights after Row, they've upheld
(05:09):
reproductive rights or moved towards reproductive rights. And this thing, and here's where
the anti abortion folks are missing theboat. They thought after Roe v.
Wade they won the battle. Well, they won that war, but the
battle only started. Why the majorityof people in this country believe in abortion,
Women believe in abortion in a bigway. They like to determine what
(05:33):
they want to do with their ownbodies. Now you have the Evangelical Christians,
for the most part, women whofall in line, and not negatively.
I'm just saying they fall in linewith the concept that it's the killing
of a human being and therefore youshould have no right to determine whether you
kill a person or not. Sothat's a legitimate stand. I mean,
(05:53):
I disagree with it, but that'sa legitimate stand. However, the backlash
has been extraord I got to tellyou, they weren't expecting it. The
anti abortion folks are not expecting.We're not expecting this, and that is
going to be a big issue inthe presidential in November. Joe Biden consistently
in favor of reproductive rights, consistentlyhas never gone off of that. Donald
(06:18):
Trump, well, early days,he was in favor of abortion. Then
when he grabbed the evangelical vote,he was against abortion, and a few
weeks ago he said I will Iwill look at I'm in favor of a
federal ban. Then he turned this. Then he turned around a few days
ago and said, I'm not infavor of a federal ban, every state
(06:41):
should decide. That's exactly what Roesays. Is there a movement for a
federal ban, It's never going tohappen, at least not with the makeup
of politics today. So we're goingto see what happens. So it's a
big deal. So keep in mind, it's not Supreme Courts of Arizona saying
abortion good or excuse me, abortionbad. It's saying that since the only
(07:05):
law that is now on the books, this is what has to be enforced
until there's a change, and therewill be a change. Okay. Want
to go into a story about Disneylandand something called what is it? The
Disability Access Yeah, thank you.You know. The reason I'm going to
(07:29):
amy on this is she has anannual pass and she liked Neil Disneyland fanatic.
So lying about having this disability accesspass, what Disney is saying people
who have ADHD say they have HDA t H A DHD and get a
pass. Irritable bowel syndrome. Idon't know how you prove it except the
(07:51):
obvious, and you're not standing inline very long anymore as they ask you
to leave other disorders. It's alsofor things like autism and other neurotransmittal diseases.
It's also if you are in awheelchair. Well, how about here
is the problem I said, asa personal story that they're really clamping down
(08:13):
on this. I have a littleside business where I have a kiosk and
I sell those foldable canes, youknow, the kind that you can fold
up like a hurricane. Yeah,no, not like a hurricane. Those
you know, little canes that youknow people who have to wear and have
to walk around with a cane.You can buy something for about twelve dollars
(08:33):
and you go into Disneyland with themand you put them in your person and
you undo it when you need it. And yeah, and there you go
with a cane and you walk inand it works well. And this is
right outside of Disneyland. And itlooks like I'm not gonna be able to
do that because they have video camerasall over the place and it's unfortunate.
But the easy way is, Imean, what do you do if someone
(08:54):
walks and they rent a wheelchair?Now, what are they gonna do?
Or you walk in with a canethat someone's just bought for me outside of
the Park's problem, however, thisone is even more of a problem.
So, Amy, I don't knowif you're happy about the fact that these
(09:15):
disability lanes are getting longer and longerand people are able to go in front
of you. I'm not happy thatpeople are cheating the system because, Okay,
now sneland put it in place tohelp people who maybe, like if
you have an autistic kid and theycan't sit and wait in the lines,
too much stimulation for them to waitin the line for forty five minutes or
(09:35):
an hour. So this basically givesthem the ability to cut in the line
like the fast pass people or theGenie plus people do, which is a
benefit that you pay for if yougo I don't want to do the lines,
I'm going to pay an extra twentyfive thirty dollars. Stay can amember
with the president. So what stopsyou from telling your kid look down at
the ground, don't answer me,be a little bit nervous. And that's
(09:58):
how we're going to go to that'sthe problem. Bill. People are doing
that. Okay, with that inmind, how are they going to undo
that? And they're saying if youcheat, by the way, if we
catch your cheating, you're done.Lifetime ban at any Disney park any kind.
The ticket is non refundable. Ifyou have a pass, we're canceling
(10:20):
that and we're not gonna give youany money back. Okay, So they
can do that fair enough. Theyhave a right to do that because there
it is on the ticket. Youcan't cheat. Now, how do you
how do you deal with someone whois a kid as adhd What do you
say? No, he doesn't.Do they have a doctor on staff?
Do they have a psychologist on staff? No? But they have a series
(10:41):
of questions. I believe that they'regoing to be asking you. They're not
gonna need You're not going to haveto provide proof, like we're talking to
Nick pouliyo'cheani about this, because otherparks do require that, like you have
to have something from a doctor sayingyes I've been diagnosed with this, or
yes I have a broken leg orsomething like that. Disney doesn't require it
because they did a really nice thingby making all of their services available to
(11:03):
everybody, or at least trying tothe problem is that people are taking advantage.
Of course they are. It sucks, of course it does. Who
wants to wait, I've stopped goingto Disneyland years ago when you went to
the Indiana Jones Temple of Doom.Little Ride, Little ride, great ride,
and you'd wait an hour and ahalf for a three minute ride.
(11:24):
It kind of I just don't getit. I really don't. And the
New Utopia, no, I meanI've never been on that because that line
is completely crazy. And now Iwould go on there if I brought my
kids and I had them pretend theywere autistic and we could cut the line,
and then you would get kicked outof the park only if they can
catch you. And there's they won'tsay why or how. We have video
(11:46):
cameras. They're not asking for medicalproof, although that gets kind of interesting.
Who is going to provide medical proof? I mean that is well,
you can say if you don't,you're not going to be in line,
But then then there's a loss theretoo, And I think, well,
and you're fraudulently filling out and testifyingand saying that you have something because you're
filling out a form of some sort. Yeah, but it's not to get
(12:09):
the access pass. Yeah, butit's not under the penalty perjury first of
all for that, so you're notgonna get in trouble other than by Disney
Disney itself. But I just don'tI just don't get it. Now it
has become this disability access service pass, the most widely requested service at Disneyland
and Disney Worlds, the volume triplingover the last five years, and they're
(12:31):
taking steps to preserve this program onlybecause they understand that it's valuable for a
lot of people. And they're dealing, like you said, various different ways.
They have videos where every single inchof the park is covered. There's
no place you can go other thanmaybe a toilet stall where you're not being
videoed. And I don't know howthat translates into you have a problem.
(12:56):
So let's say irritable bowel syndrome,so you hit the bathroom every five minutes.
Okay, that proves it, doesn'tit. I think it's more for
like somebody who's got a wheelchair orcrutches and they ditch them and start running
around when they're not waiting in lineor something like that. Yeah, that
I can see. But you know, when I did go to Disneyland,
(13:16):
I borrowed a friend of mine's wheelchair, and this was years ago, and
I had no problem. I wentto the front of the line, and
I went right up there and gotinto the ride with some help, you
know, and got out and therewas a wheelchair waiting for me. And
I gotta tell you that one worked. And don't forget the canes that I
sell people those foldable This is whythey're cracking down. Bastards, Go Disney,
(13:41):
go bastards. No, Bill,it's great that they provide this for
people. How much is your annualpass? Can I ask? You don't
have to tell me, but Istill don't ask more than one thousand,
less than two? Wow? Youknow what does that prove? Disability?
Right there? My mental disability forspending that money. No, okay,
(14:07):
fair enough, it's worth it tome, of course it actually okay.
I talked to Neil. He goesout there. I used to three times
a week, would go out there, just have a meal, or just
walk around, or sit on apark bench and go there. Do you
know what I'm gonna do A quickstory years ago, and when I used
to go to Disneyland like regularly MarchFebruary, March midweek, five thousand people
(14:31):
would be in the in the park. You did not wait for a ride.
It's changed Yeah, matter of fact, the only thing you could stay
on, but they don't let you. You have to get off and go
around and get back on. Yeahthat's changed. Okay, yesterday and Jim
Keeney is with this er extraordinary specialist, extraordinary. Good morning, Jim,
(14:52):
Good morning, Bill. Yeah,thanks taking the time. So here's what
I did a story yesterday, andthat is and if you've been looking at
it, but Kaiser doctors up northKaiser PERMANENTNI northern California are voting to whether
to unionize and argue at one oftheir primary considerations. One of their primary
(15:13):
points of unionizing is the residency program. You go to medical school and then
you apply for a residency and someare what a couple of years, some
are five years, depending on thespecialty. And they're saying, we work
way too hard, we work waytoo many hours, and we make way
too little money. First of all, your views and a little bit of
(15:35):
history, your history of residency.Yeah, I mean we all went through
it. It was part of therite of passage in a way, and
I think it's something we all acceptedwhen we embarked on our medical career.
So it's not something that comes asurprise when you arrive at that level and
(15:56):
you're expected to work one hundred hourweeks and get paid you know, essentially
minimum wage when you look at thedollars per hour. So yeah, my,
you know, all my friends graduatedfrom college, they were getting jobs,
you know, close to six figuresjust on graduation, especially if they've
graduated from good schools. And Iwas making less than half that and working
(16:22):
you know, double sometimes triple thehours. I mean, that's I'm sorry,
no, that's it's it's a bitcrazy and there. And so they've
corrected since then. So the firstcorrection was, you know, we could
work. We would do thirty sixhours on, eight hours off, every
every day for six weeks on certainrotations, and that works out to be
(16:44):
over one hundred hours a week.But they've now limited residencies because of a
famous you know, Livy Zion casewhose father was a New York senator and
and she died from a residences mistake, who had been up for thirty six
or forty eight hours, And sothey change it. Now you can only
work eighty hours a week, whichI know that may sound to some people
(17:07):
like a lot, but I'll tellyou eighty hours is pretty doable when you're
used to one hundred. Well,yeah, but that's you're looking at anybody
else working eighty hours a week inthe real world, and that not that
it's not the real world, butin non medical world, would say,
are you out of your mind?And let me ask you about surgical residence.
Okay, you're doing one hundred hoursor eighty hours, and residents do
(17:29):
a lot of surgery, a lotof it. Who's going to grab someone
in their seventy ninth hour and asksallow them to operate on you? Yeah,
I mean, it's it is crazy, right, So, but the
crazier thing is that your fine motorskills don't deteriorate when you're tired anywhere,
you know, any extent that youwould think. It's more judgment and kind
(17:55):
of the large motor skills. Imean, driving the car home is probably
the most dangerous thing you do afteryou're working that many hours for anyone,
like, not just for yourself inthe car, but for the other people
on the road. That's probably moredangerous than you operating at that point.
But no, it's it's it's hardbecause I'll tell you, since they dropped
the hours, you can you cankind of see the difference in experience.
(18:18):
You know, you're getting a thirdless experience now when you finish residency compared
to when we could work over onehundred hours a week. In especially a
surgical residency, where experience, youknow, doing procedures and getting enough time
and enough procedures under your belt bythe time you graduate, it makes a
lot harder. And so you eitherthen have to extend residency programs to some
(18:42):
insane length of time, or youhave to accept that when people come out
of residency they're not fully ready todo every procedure in the book. Okay,
that's the other side of it.I'll greate you that you're an e
Are you board certified ER doctor?How long can you get a residency at
ER if I'm not mistaken? Isthat correct? Correct? So at the
(19:04):
time my residency was three years,there were some that were four years,
and I think a lot of themnow have gone to four years and were
there any long? Well, there'salso fellows after that and sort of you
start working when you're forty six,and then you realize that when you call
the plumber to fix your toilet,that that guy makes more money than you
(19:25):
do. As a cardiovost surgeon,and you go, what am I doing?
How do you feel about unionization?You know it's I probably haven't researched
this enough to have a really goodopinion, but you know, I feel
like nobody was surprised by this.They all signed up for it. This
is this was part of the trackfor being a doctor. I think what
(19:45):
people are forgetting too is you're nota full fledged doctor. So it's not
like you walk in and should bemaking what a doctor makes. You need
somebody looking over your shoulder. Youneed, you know, you need teaching,
and so it is a teaching facilitythat requires Now you're having paid basically
two doctors to do the job ofone when you're in the operating room,
(20:06):
because because you know you can't yourfirst surgery is you're not going in there
alone. You're going in there withsomebody with experience. Okay, So how
many times you wake up in themorning saying I should have been a plumber?
Yeah quite a bit, I'll betall right. Jam A couple of
other stories, and one of thisis a link to aging and cancer among
young people. And now is thissomething that is happening more and more or
(20:32):
they're simply discovering connection that's always beenthere. It's a little bit of both,
Bill, because you know, there'sthere's always been a connection with biological
aging and cancer as people have startedto look into it. But we're recognizing
also that biological age is advancing fasterin some young people. Don't know exactly
(20:53):
why that was kind of the keyof this article is that they are able
to now look at certain markers forbiological versus chronological age. Right. So
it's interesting because your your teaser rightsaid that that cancers associated with aging and
young people, and and that's that'skind of an oxymoron, right, Like,
(21:14):
if you're young, how are youaging? But chronological age is you
know, the calendar, and everybody'schronological age is the same. You were
born one year and then you moveto the next year. But biological aging
measures markers especially related to you know, your your health DNA function. Uh.
There's things called telomers. They're likeyou know the little plastic caps on
(21:36):
the end of your shoelaces. Uh. Telombers are those on your DNA and
so they hold your DNA from kindof unraveling out of control. Uh.
And those get are very long atbirth and they get shorter as you age.
So you can look at telamer lengthfor example, as a biological aging
thing. There's we know that DNAmethylates, where it gets extra chemicals into
(22:00):
it that make it not function normally. We can measure that. So there's
there's objective ways to measure your biologicalage, and when we look at those,
we see that people within an biologicalage are at a much higher risk
for cancer. Okay, So lifestyleversus or connected to genetics in terms of
aging, yeah, and both playa factor. You can't really separate them
(22:23):
out. You know, people withgood genes, you know dos tend to
get away with certain things that maybeother people can't. But still, you
know, it's both together. Ifyou want to avoid unnecessary cancers, you
really have to live a good lifestyleas far as you know, avoiding all
those things we know cause cancer,you know, eating well or getting enough
(22:45):
exercise, getting enough sleep. Peopleignore that quite often, and you know,
avoiding i'll call tobacco, all thosethings. Yeah, and I know
you're pretty careful about what you eat, except last time when we went to
dinner and you had a steak andyou ate it like a rabid dog,
where I threw a steak on thefloor. I was there, Jim.
(23:08):
All right, that's true. Bythe way, I'm making that up.
Jim. We'll catch you next Wednesday. Thank you as always. All right,
take care, take care, allright. I'd love dealing with Jim
and I always harass him whenever wego out. All right, guys,
we're done. Coming back again tomorrow. Wake up call with Amy King at
five the rest of us come aboardat six. This is KFI AM six
(23:32):
forty Live everywhere on the iHeartRadio app. You've been listening to the Bill Handle
Show. Catch My Show Monday throughFriday six am to nine am, and
anytime on demand on the iHeartRadio app.
You're listening to bill Handle on demandfrom kf I am six forty. You
are listening to the bill handle.Show you you're lucky. Yeah, yeah,
just shut it out, sell it, don't medal what You've gotta save
bodies. So you're coming back.It cuts it tamp I am six forty.
(00:29):
Bill Handle Here. It is aWednesday morning, April tenth. Coming
up at eight thirty. We gotdoctor Jim Keeney coming with us. A
couple of stories that are breaking out. Was it yesterday? I did the
story about Yes, I did aboutresidency, and that is doctors doing resident
programs getting virtually no money and eightand working eighty hours a week. Thank
(00:53):
you. So they're unionizing at Kaiser. So we'll talk to Jim about his
residency program and a few other metaissues. Now, yesterday massive news broke
in the world of abortion, andthat has to do with Arizona's highest court
upholding an eighteen sixty four law.Log goes back to eighteen sixty four,
(01:15):
last year of the Civil War,that bans nearly all abortions. I mean,
it's kind of crazy in this modernday and age. Even those people
that are against abortions that are goingand this may be a little bit tough.
And here's what it says. Allabortions are banned except to save the
(01:38):
life of the mother. By theway, we don't know what that is.
Does she have to be on death'sdoor? How about contracting a syndrome
or contracting an illness that could killher? And the doctor says, we
have to abort the baby. Isit going to kill her? We really
(01:59):
don't know, but there's a goodchance, not enough. We don't know.
Hasn't been litigated. Now, thiswas eighteen sixty four. Arizona became
a state in nineteen twelve and outlawsabortion from the moment of conception. Here
we go again. They didn't evenknow when is conception. No one has
any idea, certainly not in eighteensixty four. No exceptions for rape or
(02:23):
incest. Now until now, theabortion. Abortion has been legal in Arizona
through fifteen weeks of pregnancy and sinceoverturning Roe, supporters and opponents of well
the rights in Arizona been fighting incourt whether that's eighteen sixty four law,
which sat dormant for decades, couldbe in force, or whether it effectively
(02:49):
neutralized every other law that dealt withabortion. Twenty twenty a law was passed.
However, it was predicated on Roev. Wade. Roe v.
Waight is gone. So what thecourt says that only leaves one law on
the books, granted is eighteen sixtyfour. Granted it's pretty punitive, but
(03:15):
that's the law, and that iswell it controls Arizona. Go wait a
minute, I mean, how canthat be because there's no other law.
This is one of those things wherethe law has not been removed from the
books. Now, the reality is, first of all, the court said
we're going to hold off for fourteendays because we're going to move it down
to the lower court to have themdecide on the constitutionality of the law itself.
(03:38):
That hasn't been determined, and it'sgoing to be weeks before it goes
into effect. And abortion providers,well, they're going to go through May
still providing abortions. After that,it's a mandatory two to five year sentence
for doctors. Mandatory if it's goingto be enforced. Now, the Attorney
(03:59):
general, who's a Democrat, atthe governor, who's a democrat. I
said, well, the governor saidthis is ridiculous. I mean, this
is an affront to women's reproductive rightsof any kind. And the Attorney General,
a Democratic Democrat, also said,no way, this is not going
to be enforced. So that makesit easy, doesn't It depends what if
a Republican conservative governor or a gcomes in. I don't know what the
(04:26):
statute of limitations on this one,but if this is in place, that's
going to be interesting. Now,in a majority opinion, the justices did
say that a policy matter of thisgravity has to be resolved by our citizens,
either through the legislature or through theinitiative process. So is this going
(04:46):
to hold up? It won't.It won't. It won't be enforced by
the Attorney General. The legislature isgoing to pass a more reasonable, if
you will, anti abortion law.That's a given because so far, in
every state in which the people votedon reproductive rights after Row, they've upheld
(05:09):
reproductive rights or moved towards reproductive rights. And this thing, and here's where
the anti abortion folks are missing theboat. They thought after Roe v.
Wade they won the battle. Well, they won that war, but the
battle only started. Why the majorityof people in this country believe in abortion,
Women believe in abortion in a bigway. They like to determine what
(05:33):
they want to do with their ownbodies. Now you have the Evangelical Christians,
for the most part, women whofall in line, and not negatively.
I'm just saying they fall in linewith the concept that it's the killing
of a human being and therefore youshould have no right to determine whether you
kill a person or not. Sothat's a legitimate stand. I mean,
(05:53):
I disagree with it, but that'sa legitimate stand. However, the backlash
has been extraord I got to tellyou, they weren't expecting it. The
anti abortion folks are not expecting.We're not expecting this, and that is
going to be a big issue inthe presidential in November. Joe Biden consistently
in favor of reproductive rights, consistentlyhas never gone off of that. Donald
(06:18):
Trump, well, early days,he was in favor of abortion. Then
when he grabbed the evangelical vote,he was against abortion, and a few
weeks ago he said I will Iwill look at I'm in favor of a
federal ban. Then he turned this. Then he turned around a few days
ago and said, I'm not infavor of a federal ban, every state
(06:41):
should decide. That's exactly what Roesays. Is there a movement for a
federal ban, It's never going tohappen, at least not with the makeup
of politics today. So we're goingto see what happens. So it's a
big deal. So keep in mind, it's not Supreme Courts of Arizona saying
abortion good or excuse me, abortionbad. It's saying that since the only
(07:05):
law that is now on the books, this is what has to be enforced
until there's a change, and therewill be a change. Okay. Want
to go into a story about Disneylandand something called what is it? The
Disability Access Yeah, thank you.You know. The reason I'm going to
(07:29):
amy on this is she has anannual pass and she liked Neil Disneyland fanatic.
So lying about having this disability accesspass, what Disney is saying people
who have ADHD say they have HDA t H A DHD and get a
pass. Irritable bowel syndrome. Idon't know how you prove it except the
(07:51):
obvious, and you're not standing inline very long anymore as they ask you
to leave other disorders. It's alsofor things like autism and other neurotransmittal diseases.
It's also if you are in awheelchair. Well, how about here
is the problem I said, asa personal story that they're really clamping down
(08:13):
on this. I have a littleside business where I have a kiosk and
I sell those foldable canes, youknow, the kind that you can fold
up like a hurricane. Yeah,no, not like a hurricane. Those
you know, little canes that youknow people who have to wear and have
to walk around with a cane.You can buy something for about twelve dollars
(08:33):
and you go into Disneyland with themand you put them in your person and
you undo it when you need it. And yeah, and there you go
with a cane and you walk inand it works well. And this is
right outside of Disneyland. And itlooks like I'm not gonna be able to
do that because they have video camerasall over the place and it's unfortunate.
But the easy way is, Imean, what do you do if someone
(08:54):
walks and they rent a wheelchair?Now, what are they gonna do?
Or you walk in with a canethat someone's just bought for me outside of
the Park's problem, however, thisone is even more of a problem.
So, Amy, I don't knowif you're happy about the fact that these
(09:15):
disability lanes are getting longer and longerand people are able to go in front
of you. I'm not happy thatpeople are cheating the system because, Okay,
now sneland put it in place tohelp people who maybe, like if
you have an autistic kid and theycan't sit and wait in the lines,
too much stimulation for them to waitin the line for forty five minutes or
(09:35):
an hour. So this basically givesthem the ability to cut in the line
like the fast pass people or theGenie plus people do, which is a
benefit that you pay for if yougo I don't want to do the lines,
I'm going to pay an extra twentyfive thirty dollars. Stay can amember
with the president. So what stopsyou from telling your kid look down at
the ground, don't answer me,be a little bit nervous. And that's
(09:58):
how we're going to go to that'sthe problem. Bill. People are doing
that. Okay, with that inmind, how are they going to undo
that? And they're saying if youcheat, by the way, if we
catch your cheating, you're done.Lifetime ban at any Disney park any kind.
The ticket is non refundable. Ifyou have a pass, we're canceling
(10:20):
that and we're not gonna give youany money back. Okay, So they
can do that fair enough. Theyhave a right to do that because there
it is on the ticket. Youcan't cheat. Now, how do you
how do you deal with someone whois a kid as adhd What do you
say? No, he doesn't.Do they have a doctor on staff?
Do they have a psychologist on staff? No? But they have a series
(10:41):
of questions. I believe that they'regoing to be asking you. They're not
gonna need You're not going to haveto provide proof, like we're talking to
Nick pouliyo'cheani about this, because otherparks do require that, like you have
to have something from a doctor sayingyes I've been diagnosed with this, or
yes I have a broken leg orsomething like that. Disney doesn't require it
because they did a really nice thingby making all of their services available to
(11:03):
everybody, or at least trying tothe problem is that people are taking advantage.
Of course they are. It sucks, of course it does. Who
wants to wait, I've stopped goingto Disneyland years ago when you went to
the Indiana Jones Temple of Doom.Little Ride, Little ride, great ride,
and you'd wait an hour and ahalf for a three minute ride.
(11:24):
It kind of I just don't getit. I really don't. And the
New Utopia, no, I meanI've never been on that because that line
is completely crazy. And now Iwould go on there if I brought my
kids and I had them pretend theywere autistic and we could cut the line,
and then you would get kicked outof the park only if they can
catch you. And there's they won'tsay why or how. We have video
(11:46):
cameras. They're not asking for medicalproof, although that gets kind of interesting.
Who is going to provide medical proof? I mean that is well,
you can say if you don't,you're not going to be in line,
But then then there's a loss theretoo, And I think, well,
and you're fraudulently filling out and testifyingand saying that you have something because you're
filling out a form of some sort. Yeah, but it's not to get
(12:09):
the access pass. Yeah, butit's not under the penalty perjury first of
all for that, so you're notgonna get in trouble other than by Disney
Disney itself. But I just don'tI just don't get it. Now it
has become this disability access service pass, the most widely requested service at Disneyland
and Disney Worlds, the volume triplingover the last five years, and they're
(12:31):
taking steps to preserve this program onlybecause they understand that it's valuable for a
lot of people. And they're dealing, like you said, various different ways.
They have videos where every single inchof the park is covered. There's
no place you can go other thanmaybe a toilet stall where you're not being
videoed. And I don't know howthat translates into you have a problem.
(12:56):
So let's say irritable bowel syndrome,so you hit the bathroom every five minutes.
Okay, that proves it, doesn'tit. I think it's more for
like somebody who's got a wheelchair orcrutches and they ditch them and start running
around when they're not waiting in lineor something like that. Yeah, that
I can see. But you know, when I did go to Disneyland,
(13:16):
I borrowed a friend of mine's wheelchair, and this was years ago, and
I had no problem. I wentto the front of the line, and
I went right up there and gotinto the ride with some help, you
know, and got out and therewas a wheelchair waiting for me. And
I gotta tell you that one worked. And don't forget the canes that I
sell people those foldable This is whythey're cracking down. Bastards, Go Disney,
(13:41):
go bastards. No, Bill,it's great that they provide this for
people. How much is your annualpass? Can I ask? You don't
have to tell me, but Istill don't ask more than one thousand,
less than two? Wow? Youknow what does that prove? Disability?
Right there? My mental disability forspending that money. No, okay,
(14:07):
fair enough, it's worth it tome, of course it actually okay.
I talked to Neil. He goesout there. I used to three times
a week, would go out there, just have a meal, or just
walk around, or sit on apark bench and go there. Do you
know what I'm gonna do A quickstory years ago, and when I used
to go to Disneyland like regularly MarchFebruary, March midweek, five thousand people
(14:31):
would be in the in the park. You did not wait for a ride.
It's changed Yeah, matter of fact, the only thing you could stay
on, but they don't let you. You have to get off and go
around and get back on. Yeahthat's changed. Okay, yesterday and Jim
Keeney is with this er extraordinary specialist, extraordinary. Good morning, Jim,
(14:52):
Good morning, Bill. Yeah,thanks taking the time. So here's what
I did a story yesterday, andthat is and if you've been looking at
it, but Kaiser doctors up northKaiser PERMANENTNI northern California are voting to whether
to unionize and argue at one oftheir primary considerations. One of their primary
(15:13):
points of unionizing is the residency program. You go to medical school and then
you apply for a residency and someare what a couple of years, some
are five years, depending on thespecialty. And they're saying, we work
way too hard, we work waytoo many hours, and we make way
too little money. First of all, your views and a little bit of
(15:35):
history, your history of residency.Yeah, I mean we all went through
it. It was part of therite of passage in a way, and
I think it's something we all acceptedwhen we embarked on our medical career.
So it's not something that comes asurprise when you arrive at that level and
(15:56):
you're expected to work one hundred hourweeks and get paid you know, essentially
minimum wage when you look at thedollars per hour. So yeah, my,
you know, all my friends graduatedfrom college, they were getting jobs,
you know, close to six figuresjust on graduation, especially if they've
graduated from good schools. And Iwas making less than half that and working
(16:22):
you know, double sometimes triple thehours. I mean, that's I'm sorry,
no, that's it's it's a bitcrazy and there. And so they've
corrected since then. So the firstcorrection was, you know, we could
work. We would do thirty sixhours on, eight hours off, every
every day for six weeks on certainrotations, and that works out to be
(16:44):
over one hundred hours a week.But they've now limited residencies because of a
famous you know, Livy Zion casewhose father was a New York senator and
and she died from a residences mistake, who had been up for thirty six
or forty eight hours, And sothey change it. Now you can only
work eighty hours a week, whichI know that may sound to some people
(17:07):
like a lot, but I'll tellyou eighty hours is pretty doable when you're
used to one hundred. Well,yeah, but that's you're looking at anybody
else working eighty hours a week inthe real world, and that not that
it's not the real world, butin non medical world, would say,
are you out of your mind?And let me ask you about surgical residence.
Okay, you're doing one hundred hoursor eighty hours, and residents do
(17:29):
a lot of surgery, a lotof it. Who's going to grab someone
in their seventy ninth hour and asksallow them to operate on you? Yeah,
I mean, it's it is crazy, right, So, but the
crazier thing is that your fine motorskills don't deteriorate when you're tired anywhere,
you know, any extent that youwould think. It's more judgment and kind
(17:55):
of the large motor skills. Imean, driving the car home is probably
the most dangerous thing you do afteryou're working that many hours for anyone,
like, not just for yourself inthe car, but for the other people
on the road. That's probably moredangerous than you operating at that point.
But no, it's it's it's hardbecause I'll tell you, since they dropped
the hours, you can you cankind of see the difference in experience.
(18:18):
You know, you're getting a thirdless experience now when you finish residency compared
to when we could work over onehundred hours a week. In especially a
surgical residency, where experience, youknow, doing procedures and getting enough time
and enough procedures under your belt bythe time you graduate, it makes a
lot harder. And so you eitherthen have to extend residency programs to some
(18:42):
insane length of time, or youhave to accept that when people come out
of residency they're not fully ready todo every procedure in the book. Okay,
that's the other side of it.I'll greate you that you're an e
Are you board certified ER doctor?How long can you get a residency at
ER if I'm not mistaken? Isthat correct? Correct? So at the
(19:04):
time my residency was three years,there were some that were four years,
and I think a lot of themnow have gone to four years and were
there any long? Well, there'salso fellows after that and sort of you
start working when you're forty six,and then you realize that when you call
the plumber to fix your toilet,that that guy makes more money than you
(19:25):
do. As a cardiovost surgeon,and you go, what am I doing?
How do you feel about unionization?You know it's I probably haven't researched
this enough to have a really goodopinion, but you know, I feel
like nobody was surprised by this.They all signed up for it. This
is this was part of the trackfor being a doctor. I think what
(19:45):
people are forgetting too is you're nota full fledged doctor. So it's not
like you walk in and should bemaking what a doctor makes. You need
somebody looking over your shoulder. Youneed, you know, you need teaching,
and so it is a teaching facilitythat requires Now you're having paid basically
two doctors to do the job ofone when you're in the operating room,
(20:06):
because because you know you can't yourfirst surgery is you're not going in there
alone. You're going in there withsomebody with experience. Okay, So how
many times you wake up in themorning saying I should have been a plumber?
Yeah quite a bit, I'll betall right. Jam A couple of
other stories, and one of thisis a link to aging and cancer among
young people. And now is thissomething that is happening more and more or
(20:32):
they're simply discovering connection that's always beenthere. It's a little bit of both,
Bill, because you know, there'sthere's always been a connection with biological
aging and cancer as people have startedto look into it. But we're recognizing
also that biological age is advancing fasterin some young people. Don't know exactly
(20:53):
why that was kind of the keyof this article is that they are able
to now look at certain markers forbiological versus chronological age. Right. So
it's interesting because your your teaser rightsaid that that cancers associated with aging and
young people, and and that's that'skind of an oxymoron, right, Like,
(21:14):
if you're young, how are youaging? But chronological age is you
know, the calendar, and everybody'schronological age is the same. You were
born one year and then you moveto the next year. But biological aging
measures markers especially related to you know, your your health DNA function. Uh.
There's things called telomers. They're likeyou know the little plastic caps on
(21:36):
the end of your shoelaces. Uh. Telombers are those on your DNA and
so they hold your DNA from kindof unraveling out of control. Uh.
And those get are very long atbirth and they get shorter as you age.
So you can look at telamer lengthfor example, as a biological aging
thing. There's we know that DNAmethylates, where it gets extra chemicals into
(22:00):
it that make it not function normally. We can measure that. So there's
there's objective ways to measure your biologicalage, and when we look at those,
we see that people within an biologicalage are at a much higher risk
for cancer. Okay, So lifestyleversus or connected to genetics in terms of
aging, yeah, and both playa factor. You can't really separate them
(22:23):
out. You know, people withgood genes, you know dos tend to
get away with certain things that maybeother people can't. But still, you
know, it's both together. Ifyou want to avoid unnecessary cancers, you
really have to live a good lifestyleas far as you know, avoiding all
those things we know cause cancer,you know, eating well or getting enough
(22:45):
exercise, getting enough sleep. Peopleignore that quite often, and you know,
avoiding i'll call tobacco, all thosethings. Yeah, and I know
you're pretty careful about what you eat, except last time when we went to
dinner and you had a steak andyou ate it like a rabid dog,
where I threw a steak on thefloor. I was there, Jim.
(23:08):
All right, that's true. Bythe way, I'm making that up.
Jim. We'll catch you next Wednesday. Thank you as always. All right,
take care, take care, allright. I'd love dealing with Jim
and I always harass him whenever wego out. All right, guys,
we're done. Coming back again tomorrow. Wake up call with Amy King at
five the rest of us come aboardat six. This is KFI AM six
(23:32):
forty Live everywhere on the iHeartRadio app. You've been listening to the Bill Handle
Show. Catch My Show Monday throughFriday six am to nine am, and
anytime on demand on the iHeartRadio app.
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