May 29, 2024 • 25 mins
... Retiring abroad continued. The loneliness of the American worker. Los Angeles launches plan to tackle medical debt making hospitals unhappy. 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 Matthew Perry & the Ketamine boom, common snack foods raising risk of cognitive problems, and why strokes might be increasing in people under 65.
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Transcript
Episode Transcript
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(00:00):
You're listening to Bill Handle on demandfrom KFI AM six forty. You are
listening to the Bill Handle Show.And this is KFI AM six forty Bill
Handle. Here. It is aWednesday morning, May twenty ninth, Humpday.
(00:27):
Look at the big stories that areout there that we're looking at.
The jury will start deliberating today inthe Donald Trump hush money trial, and
we'll see how long that works.Closing arguments yesterday, oh man, they
went on forever. Prosecution took fivehours. The jury was there until eight
o'clock last night Eastern time. Imean, that's kind of crazy, and
(00:49):
they just decided to go forward.So today this morning, the judge is
charging the jury, which means notonly taking credit cards, but also it's
a legal term for giving instructions ofthe jury. And then deliberations start going.
Okay, I'm going to go backto the story. And as soon
as I saw this story, Iwent, okay, this is me all
(01:11):
over the place CNN dot com astory about how many more Americans are looking
at retiring overseas, and I'm rightin the middle of that. I have
been talking about and thinking about it. When I retire, don't know when
at this point, I don't havea magic date. I am going over
streats. I'm going to retire inItaly. And what am I doing in
(01:32):
October? I am off to Italy, to the town of Verano. Verona.
I always mispronounced that. Yeah,I'm gonna live there, and I
don't know how to pronounce the cityLas Ajallis, And I'm going to be
there looking for places. I gota real estate agent that's over there that
(01:55):
I'm gonna beat with because I wantto live in Italy. Can't hear you,
Neil, I said you should lookin the city of Morano. Oh,
that's very good, which, bythe way, is where they blow
glass. And I'm not going toget into that one because that becomes way
too anti FCC regulations. And itis all about just getting out of the
(02:19):
United States for retirement. Now theUS. The opportunities in the US,
I don't think they exist anywhere elsein the world like here. And this
is my adopted country. I willalways be an American citizen. I will
always vote in an American election becausethis is my country. But retiring,
this is a very tough place toretire. It's very expensive to retire here.
(02:44):
Medical costs. Medical insurance is astronomicaloverseas. The state pace through your
taxes, or if you die,buy private insurance, it's a couple hundred
dollars a month, and you're stillgetting world class medicine if you're talking about
major cities. Now, granted,if you're in living in some little Turkish
(03:07):
city out in the hinterlands, you'renot going to get the kind of quality
medical care that you get here.But you can go to Appalachia here and
you're not going to get the qualitymedical care, and so you have a
slower quality of life. And let'ssay you don't speak the language. You
know, there are expact communities.You go to Mexico and there are American
(03:28):
communities that have fifty thousand people inthem. You don't have the word speak
a word of Spanish, and you'reliving in effectively what is a Mexican country
or an American city, And youknow it costs you one thousand dollars a
month, twelve hundred dollars a monthin Mexico in one of these communities buys
you a very nice standard of living, including a house cleaner, a cleaner
(03:53):
that comes in once a week andcleans your house. So many people who
make eleven hundred dollars a month canafford a house clean. You don't even
need to speak the language anymore.With Ai and the translators. Oh that's
true. Friends Milan that are actuallycoming to town next month, and you
(04:14):
know one of them only speaks Italianand he and I speak through Google Translate
all the time. Yeah, yeah, I mean I use that all the
time. You know, I evenlooking at uh. I remember there was
a friend of mine that was lookingto get into radio and he was trying
to figure out how to speak Englishand he couldn't quite understand how to say
sofa king or cuquet was a realproblem. Oh right, okay, I
(04:41):
had to go there. Well,you know you can figure out that one.
In any case, I'm in themiddle of that, and it's gonna
cost me half the price to retireat the same standard of living, and
it's kind of of neat. Thefood well tremendous. You know what a
(05:04):
glass of wine costs. And I'mnot a wine drinker, but a glass
of wine at a good restaurant inItaly is six bucks. Oh, sign
me up. And it's a goodclass of wine. Try that one,
or you have a first class mealfor twenty two dollars a person, or
twenty dollars a person. You can'tget a burrito a taco bell for twenty
(05:29):
two dollars anymore. It's it's avery different lifestyle and an and which you're
not gonna get good tacos in Italy. That's true. I got food.
Yeah. I once was taken myfriends of mine in London to the one
Mexican restaurant one and they brought intortillas from overseas and it was a fortune
(05:50):
because there's one Mexican restaurant in allof London and people went ooh my god,
we have foreign food. It wasthe crappiest food I've ever had in
my life, and it was fiftybucks ahead. This was twenty five years
ago when it when the main dishwas Elfish and Chippo's. Yeah. So
(06:15):
it makes all the sense in theworld. And I'm right there, and
you'd be surprised ask how many people. I was shocked walking around the building
and mentioning that I've been looking toretire overseas, particularly Italy, and how
many people said to me, Oh, yeah, that's where I'm going.
How many people are actually looking specificallyto retire overseas, And for some reason,
(06:40):
it's Italy. I just love Italy. There's just something about Italians that
just make it happen. They're verygood. Pizzas are better here, by
the way, they just are.That's not the pizza, but the pasta
all homemade. They don't know fromdry pasta over there. I mean,
(07:00):
just so you know what, I'llend up doing a couple of shows from
Italy at some point and just setme come over here. I want to
coffee. Ooh, the coffee toois amazing. Just let us know when
you want to do the show,Amy and ConA. No, listen,
you can do the show from anywherewith the technology today, I mean anywhere
(07:27):
they'rein lies our next story. We'retalking during the break about the fact that
about half the time I'm not inthe studio, I broadcast from home because
I now live a little over anhour from the studio, and that would
never have happened. It would neverhave happened. It all started in COVID
(07:47):
and Neil broadcasts from home a goodpart of the time and those and I'm
not alone, by the way,A lot of people a tremendous number of
shows in general broadcast from home.And that is just a comparison, or
it's just part of the way wework. Now we can do it because
(08:09):
of technology. You can do itbecause of zoom. Where everybody used to
get together in person, now it'szoom meetings more so than ever. My
partner, Savell, who used totravel for sales meetings, used to travel
to meet major customers and that wasthree days you had to fly, let's
(08:31):
say, to the East coast.You had the meeting, you went out
that night or the next day,and that's three days and I half a
week no travel. I'm sorry.And now Savel no travel. Yeah,
have Savel no travel. It's verystrong. That should be on the car.
You know. Most of the showshere at KFI are in studio,
though like for instance, I didyesterday, I did the show from home
(08:54):
with you, and then I goin and I was with Gari and Shannon
in studio when I was doing TastyTuesday. Okay, so yeah, but
you're ten minutes away from the studiotoo, that a lot you were an
hour and a half. That wouldbe a little different now, And Anne
was saying it is when we're alltogether in studio. It is just better.
(09:15):
And you know why it's better becausewe talked during the breaks. We
meet in the hall. We dochit chat before and after the show.
Same thing happening toakfast? Did youever? Did you ever get breakfast?
We did not, And you gotto get breakfast for a while, Ann,
because I keep Oh, I don'tknow, because I'm at home and
(09:37):
it's to walk in. Why don'tyou get breakfast? Because you don't.
That's a good point. We're alltogether. Who's higher on the food chain
and or con and the producer,she can order it, she can have
it delivered, right, Anne,Because I'm a girl. Oh yeah,
there's that too. Wow, Yeah, exactly, well, and then you
(10:00):
can clean up after everybody eats too, because you're a girl. And then
Amy Amy is a woman broadcaster.That's because of the threat of that lawsuit
that Amy was about to file fordiscrimination against KFI. Congratulations, Amy,
you got the job. I wasnever going to file a lawsuit against KFI.
(10:24):
She would come in and put apillow over your face at night,
don't unders, Amy, because she'snice? Yeah, so where was I?
Oh? So all how you wishyou were yes, all of the
cooler talk that happens doesn't exist withzoom meetings, and psychologists and studying what
happened during COVID and it's aftermath saysthat is so important because people even with
(10:50):
zoom meetings are lonely, lonely ashell, that they just don't have the
same work ability. And it's yet, we're herd animals. We have to
be with people. I don't,but you have to be with people.
That's just the way we are wired. That's human beings DNA, and we're
(11:11):
losing that. Now. Are wegaining in productivity because we don't have to
travel because I don't have to drivean hour and a half. No,
No, the productivity has not gottenbetter, even though it is. The
time is there for a couple ofreasons. First of all, it's contrary
to this herd mentality where we needto get together and have social intercourse and
(11:35):
talk to each other before meetings,and we now have more time outside of
the meetings. But the bottom lineis that and interesting enough, we didn't
figure this out. Everybody thought theproductivity was going to go way up.
It didn't, and in many casesit went down, which proves the important
(11:56):
of just chit chat, of justgossip, of just being around people,
the importance of asking Ann to arrangebreakfast for you guys, which Anne won't
do because for some reason she thinksI'm asking her because she's a girl,
which of course is absolutely true.But that doesn't mean I'm still not offering
(12:16):
breakfast. Okay. I think thetakeaway here is loneliness is part of Well,
there's a song title here, Cono, what's the song title? Loneliness
is next to godliness? I thinkhe actually played the song. Have already
(12:37):
Yeah, I've already Bill, Yeah, because one wants him to be out
of the studio anyway. Yeah,Well, Tomorrow I'm in studio and Friday,
Friday, I'm in studio, whichI try to do about half the
(12:58):
time. So you know what's funnyis tomorrow and Amy Kno and I are
going to your home to do theshow from that. See that's so strange.
And by the way, as Ilook at you on the monitor,
which all of us do now studio, we're not studio. We're looking at
each other on the monitor, andNeil, I have to tell you monitor
in person, you're still the sameugliness. Yeah, you and I are
(13:20):
the only ugly people on the show. Have you noticed that? Look at
the monitors? Yeah, yea.So I pretend that I'm good looking.
That's why I only have very poorfriends. I don't have wealthy friends.
I have only poor friends, soI can feel richer. I know.
I was just mentioning to Neil howmuch fun we're having today. It's just
(13:43):
been an up show, just ridiculouslyfun. And so let's end it with
something that I want to talk about, and that is death with Jim Keeney
Rier. Doctor Jim, thank youfor helping us end the show on a
death level, because you know howmuch I love that. That's your job.
(14:05):
Yeah, okay, I want togo into the Matthew Perry story because
the big part of it not onlyMatthew Perry, of course, of friends
dying, but him dying of whatappears to be, among other things,
ketamine ketamine overdose. And I've gottwo stories to share, and then I
want you to comment. I hadmy back surgery. I'd fallen down and
(14:30):
my back, as you know,Jim exploded, discs went out and they
had to call the paramedics to takeme to the doctor. Were then a
surgery and ketamine. The paramedics broughtin ketamine. It did nothing for me.
There was so much pain. Mydaughter who has terror nightmares unfortunately Barbara
(14:50):
and she's grown up with him.The only thing that is helping is ketamine
infusion. Ketamine explain how ketamine isuse for anything and everything, and how
we really don't understand what it actuallydoes well. Kennamine is being used for
things like pain control and depression.It's been used in areas where we just
(15:15):
see a lot of trouble controlling eitherpain or depression. So we see people
with post traumatic stress disorder. Itreally seems to help them quite a bit.
People we noticed it because we useketamine as a dissociative. It's called
a dissociative anesthetic, so you kindof you're not fully out, but you're
(15:39):
also not really in the present moment. You're kind of dissociated. So it's
safer than a lot of other anestheticsthat we use because people don't tend to
inhale their own saliva and then chokeon it or vomit in the middle of
the procedure and choke on it.They don't typically have their oxygen level drops.
(16:00):
Started using it a few decades agoin the emergency RAM and noticed that
people with things like a headache thatwe couldn't get rid of all of a
sudden, you know, they neededa procedure done. We use ketamine.
They wake up and they say they'reheadaches gone. Or people with depression reporting
that they feel much less depressed evenafter one episode of using the ketamine.
So that's what kind of led toit being used in those areas. And
(16:22):
it's definitely not a first line drug. This is not like I have a
headache, you know, instead oftaking that tailanol or I reprofen, will
go with ketamine. But it's forfour people who have had problems just refractory
to every other treatment, and theydo seem to get some relief. Now
the FDA approving it for whatever treatmentthere is in the insurance company picking up
(16:45):
and paying for it, we're notthere yet. And why Well, again,
so FDA does kind of regulate whatcan be sold in the market.
Once it's sold and considered safe,well then physicians can use it however they
want. We don't need FDA approvalfor a certain indication. So so that's
(17:07):
where it gets to use what wecall off label and that's legal. I
mean, we're allowed to use anydrug that's that's considered safe and effective off
label. But you know, peoplecan't advertise that way. You can't.
You can't advertise an off label usefor the drug because then that's advertising and
that's regulated. Insurance company is keyoff the FDA as well. So a
(17:29):
lot of times, yeah, it'snot covered. Sometimes you can get a
special authorization. If if you've beenrefractory to every other treatment, you're going
to the emergency room constantly, you'reyou're using higher risk stuff like like tons
of narcotics, then sometimes you canget this approved so that you know you
can you can get some pain relief. But yeah, it's just that's the
(17:52):
process. That's how medicine works.So it's not unusual that we use things
off label. And do you useit off label all the time? No?
Are you a fan? I meanyou personally, Jim Keeney, Oh
yeah, Do I take it personally? No? Do it? I don't
know. I'm talking about it ina medical sense, yeah, yeah.
And it's not something because it's aninjection, it's not something we prescribe.
(18:15):
I understand that there are these kindof uh, what are considered fly by
night type of practices online where youcan get pills sent to you, but
or nasal spray or something like that. I don't I don't actually know what
it is. I know it's probablynot a good idea because we monitor it
closely. I mean, this kindof you know, gives me the Michael
Jackson propofol vibe here is that youknow, we use propofile regularly as well,
(18:41):
but we closely monitor you heart monitor, oxygen monitor. You know,
there's people standing by if you haveany complications or issues. Uh and and
so in those cases, propofile andkedmine are safe. But when you're you're
using it at home, it's adifferent story. So there's a lot there's
there's clinics out there that have antiphesiologistser and they are running the clinic as
(19:03):
if you know, you're you're ina hospital, like you're hooked up to
all the appropriate monitors. That's alot different than an online company sending you
something through the mail and taking itat home. Okay, Man Matthew Perry
clearly had had sent to his housebecause he just simply odd on it.
So I'm assuming there was absolutely nomedical care there at all. Yeah,
(19:25):
I don't know. Because I thoughtthere were reports that he was using ketamine.
I just assumed that it was anI legitimate clinic. Maybe that was
a bad assumption, and then maybein addition to that, he was supplementing
with some home use. But Idon't really know the details of whether he
was or not. And I don'tthink that it's not that the death report
(19:45):
says that he died from a ketemineover No, No, that was part
of it. That was part ofit, and he drowned. I think
he drowned and that was the actualcause of death. But ketamine was certainly
a ketamine overdose was certainly involved fromwhat I understand. Of course, that
became big news because of the deathof Matthew Perry. All right, let's
switch gears, Jim. Here isa headline. When I looked at it,
(20:06):
I said, oh, this hasnothing to do with me. Common
snack food are raising the risk ofcognitive problems according to neurologists. I'm assuming
that's a study. And do wehave the name of the common snack foods
to make sure that I eat themwhere they're part of my life, right?
I think? No, this isthis isn't about like just eliminating oreos,
(20:30):
but you still get free doos.You know, that's not this kind
of story. Unfortunately, the bottomline is that highly processed foods, when
you look at the label and youjust don't recognize any of the ingredients,
is something you put in in yourown kitchen when you're cooking something that's highly
processed. It it comes in aprinkly package when you open it that's highly
(20:52):
processed. So the goal here isthat we know that these are linked to
poor health. Another study showing thatit's actually least to link to increases in
stroke and cognitive disorders like dementia.So you know, to protect your brain,
eat healthy. That's the bottom line. If you can buy it in
(21:14):
the store and cook it yourself athome or prepare it with you know,
just a knife, then you probablyare doing the right thing. But I
have a question about any of thatwhen you talk about if you do A
or B and there's a thirty percentincrease of stroke or a fifty percent increase
of heart attack, and I lookat that, but if it's one out
(21:36):
of a thousand or one out often thousand, so the percentage goes from
one out of one thousand to onepoint five out of a thousand. I
mean, are we talking about minusculelevels where it's no big deal or is
it substantial? No, you bringup a good point. I mean,
this whole idea of statistics really is. You know, if you can double
(21:59):
your chances of winning the lottery,that sounds great, doesn't it. But
that's just buying two lottery tickets andyou're probably still going to lose, you
know, So sometimes doubling your riskdoesn't mean anything. But when stroke is
the fifth leading cause of death inthe United States, that's a really common
event. It's not a rare eventlike winning the lottery. So if you
can reduce your risk of a commonevent, then it's significant. Do you
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pay attention to that? Is itsomething that you look at? Well,
you know I do. But Iknow that hanging out with me is confusing,
right because I tend to eat healthyall the time, and then when
I go out to dinner, Isplurge or when I go out to lunch,
So those are my splurges. Sopeople see me in public, like
when you and I go out,I end up eating all the bread in
(22:44):
two bread baskets, plus you know, the sixteen out steak, But then
I don't eat for a couple ofdays, so it all balances out.
So again people, well, Iguess it all boils down to the word
moderation, and unfortunately many many ofus do not eat moderately. I eat
way too much junk food. Andat this point they're saying sixty percent of
(23:08):
our caloric intake in America is fromhighly or ultra processed foods. So you're
getting things just out of balance thatwe never were meant to get. I
mean they even talk right now about, you know, the imbalance of omega
fatty acids. Omega fatty assids weresupposed to be good. But when you're
taking in mostly omega six or linilaicacid in things like cottonseed oil and those
(23:30):
types of things, you're taking itin an amazing out of balance way compared
to normal human eating prior to processedfoods. And when we're talking about processed
food, one of my favorite thingsin life is process deli meats, and
that's considered right up there in theprocessed food category, isn't it. Yeah.
(23:51):
I mean there's a lot of thingsadded that, again, you wouldn't
add in your own kitchen. Andyou know, the other one is sodas.
People don't think about it, butthat's an ultralate, highly process us
food with a lot of just chemicalsin water, and you're drinking it regularly
and in large quantities. Yeah,but it's hard to smoke your turkey or
smoke your ham. So yeah,that's the extent. I mean, that's
(24:12):
the farthest extent. But even makingeverything from scratch effectively is a big deal.
Yeah. No, I'm not sayingthat. You know, deli meats
are a good thing. It's fineto have deli meats ever once a while.
But if you're eating, you know, a two inch thick pastrami sandwich
every single day, you've got aproblem. Right. But if you're putting
(24:33):
a few slices for flavor on betweentwo pieces of bread and not as the
main sustenance of your life, thenthere's two different stories. One one is
more of a condiment and the otherone is more of a main course.
Got it, Jim, Thank you. We'll catch you again next Wednesday.
Medical news always great stuff. Allright, we're done, guys, that's
(24:55):
it. Day is done, andso we do this all over again tomorrow
morning. Wake up call with Amyat five am and the rest of us
right here until let me see whattime Right about now. Kf I as
through all that's going on live sothat we can tell you everywhere that you
(25:15):
need to know. K S theRadio app to Los Angeles, Orange County
live everywhere on the iHeart Radio 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 KFI AM six forty. You are
listening to the Bill Handle Show.And this is KFI AM six forty Bill
Handle. Here. It is aWednesday morning, May twenty ninth, Humpday.
(00:27):
Look at the big stories that areout there that we're looking at.
The jury will start deliberating today inthe Donald Trump hush money trial, and
we'll see how long that works.Closing arguments yesterday, oh man, they
went on forever. Prosecution took fivehours. The jury was there until eight
o'clock last night Eastern time. Imean, that's kind of crazy, and
(00:49):
they just decided to go forward.So today this morning, the judge is
charging the jury, which means notonly taking credit cards, but also it's
a legal term for giving instructions ofthe jury. And then deliberations start going.
Okay, I'm going to go backto the story. And as soon
as I saw this story, Iwent, okay, this is me all
(01:11):
over the place CNN dot com astory about how many more Americans are looking
at retiring overseas, and I'm rightin the middle of that. I have
been talking about and thinking about it. When I retire, don't know when
at this point, I don't havea magic date. I am going over
streats. I'm going to retire inItaly. And what am I doing in
(01:32):
October? I am off to Italy, to the town of Verano. Verona.
I always mispronounced that. Yeah,I'm gonna live there, and I
don't know how to pronounce the cityLas Ajallis, And I'm going to be
there looking for places. I gota real estate agent that's over there that
(01:55):
I'm gonna beat with because I wantto live in Italy. Can't hear you,
Neil, I said you should lookin the city of Morano. Oh,
that's very good, which, bythe way, is where they blow
glass. And I'm not going toget into that one because that becomes way
too anti FCC regulations. And itis all about just getting out of the
(02:19):
United States for retirement. Now theUS. The opportunities in the US,
I don't think they exist anywhere elsein the world like here. And this
is my adopted country. I willalways be an American citizen. I will
always vote in an American election becausethis is my country. But retiring,
this is a very tough place toretire. It's very expensive to retire here.
(02:44):
Medical costs. Medical insurance is astronomicaloverseas. The state pace through your
taxes, or if you die,buy private insurance, it's a couple hundred
dollars a month, and you're stillgetting world class medicine if you're talking about
major cities. Now, granted,if you're in living in some little Turkish
(03:07):
city out in the hinterlands, you'renot going to get the kind of quality
medical care that you get here.But you can go to Appalachia here and
you're not going to get the qualitymedical care, and so you have a
slower quality of life. And let'ssay you don't speak the language. You
know, there are expact communities.You go to Mexico and there are American
(03:28):
communities that have fifty thousand people inthem. You don't have the word speak
a word of Spanish, and you'reliving in effectively what is a Mexican country
or an American city, And youknow it costs you one thousand dollars a
month, twelve hundred dollars a monthin Mexico in one of these communities buys
you a very nice standard of living, including a house cleaner, a cleaner
(03:53):
that comes in once a week andcleans your house. So many people who
make eleven hundred dollars a month canafford a house clean. You don't even
need to speak the language anymore.With Ai and the translators. Oh that's
true. Friends Milan that are actuallycoming to town next month, and you
(04:14):
know one of them only speaks Italianand he and I speak through Google Translate
all the time. Yeah, yeah, I mean I use that all the
time. You know, I evenlooking at uh. I remember there was
a friend of mine that was lookingto get into radio and he was trying
to figure out how to speak Englishand he couldn't quite understand how to say
sofa king or cuquet was a realproblem. Oh right, okay, I
(04:41):
had to go there. Well,you know you can figure out that one.
In any case, I'm in themiddle of that, and it's gonna
cost me half the price to retireat the same standard of living, and
it's kind of of neat. Thefood well tremendous. You know what a
(05:04):
glass of wine costs. And I'mnot a wine drinker, but a glass
of wine at a good restaurant inItaly is six bucks. Oh, sign
me up. And it's a goodclass of wine. Try that one,
or you have a first class mealfor twenty two dollars a person, or
twenty dollars a person. You can'tget a burrito a taco bell for twenty
(05:29):
two dollars anymore. It's it's avery different lifestyle and an and which you're
not gonna get good tacos in Italy. That's true. I got food.
Yeah. I once was taken myfriends of mine in London to the one
Mexican restaurant one and they brought intortillas from overseas and it was a fortune
(05:50):
because there's one Mexican restaurant in allof London and people went ooh my god,
we have foreign food. It wasthe crappiest food I've ever had in
my life, and it was fiftybucks ahead. This was twenty five years
ago when it when the main dishwas Elfish and Chippo's. Yeah. So
(06:15):
it makes all the sense in theworld. And I'm right there, and
you'd be surprised ask how many people. I was shocked walking around the building
and mentioning that I've been looking toretire overseas, particularly Italy, and how
many people said to me, Oh, yeah, that's where I'm going.
How many people are actually looking specificallyto retire overseas, And for some reason,
(06:40):
it's Italy. I just love Italy. There's just something about Italians that
just make it happen. They're verygood. Pizzas are better here, by
the way, they just are.That's not the pizza, but the pasta
all homemade. They don't know fromdry pasta over there. I mean,
(07:00):
just so you know what, I'llend up doing a couple of shows from
Italy at some point and just setme come over here. I want to
coffee. Ooh, the coffee toois amazing. Just let us know when
you want to do the show,Amy and ConA. No, listen,
you can do the show from anywherewith the technology today, I mean anywhere
(07:27):
they'rein lies our next story. We'retalking during the break about the fact that
about half the time I'm not inthe studio, I broadcast from home because
I now live a little over anhour from the studio, and that would
never have happened. It would neverhave happened. It all started in COVID
(07:47):
and Neil broadcasts from home a goodpart of the time and those and I'm
not alone, by the way,A lot of people a tremendous number of
shows in general broadcast from home.And that is just a comparison, or
it's just part of the way wework. Now we can do it because
(08:09):
of technology. You can do itbecause of zoom. Where everybody used to
get together in person, now it'szoom meetings more so than ever. My
partner, Savell, who used totravel for sales meetings, used to travel
to meet major customers and that wasthree days you had to fly, let's
(08:31):
say, to the East coast.You had the meeting, you went out
that night or the next day,and that's three days and I half a
week no travel. I'm sorry.And now Savel no travel. Yeah,
have Savel no travel. It's verystrong. That should be on the car.
You know. Most of the showshere at KFI are in studio,
though like for instance, I didyesterday, I did the show from home
(08:54):
with you, and then I goin and I was with Gari and Shannon
in studio when I was doing TastyTuesday. Okay, so yeah, but
you're ten minutes away from the studiotoo, that a lot you were an
hour and a half. That wouldbe a little different now, And Anne
was saying it is when we're alltogether in studio. It is just better.
(09:15):
And you know why it's better becausewe talked during the breaks. We
meet in the hall. We dochit chat before and after the show.
Same thing happening toakfast? Did youever? Did you ever get breakfast?
We did not, And you gotto get breakfast for a while, Ann,
because I keep Oh, I don'tknow, because I'm at home and
(09:37):
it's to walk in. Why don'tyou get breakfast? Because you don't.
That's a good point. We're alltogether. Who's higher on the food chain
and or con and the producer,she can order it, she can have
it delivered, right, Anne,Because I'm a girl. Oh yeah,
there's that too. Wow, Yeah, exactly, well, and then you
(10:00):
can clean up after everybody eats too, because you're a girl. And then
Amy Amy is a woman broadcaster.That's because of the threat of that lawsuit
that Amy was about to file fordiscrimination against KFI. Congratulations, Amy,
you got the job. I wasnever going to file a lawsuit against KFI.
(10:24):
She would come in and put apillow over your face at night,
don't unders, Amy, because she'snice? Yeah, so where was I?
Oh? So all how you wishyou were yes, all of the
cooler talk that happens doesn't exist withzoom meetings, and psychologists and studying what
happened during COVID and it's aftermath saysthat is so important because people even with
(10:50):
zoom meetings are lonely, lonely ashell, that they just don't have the
same work ability. And it's yet, we're herd animals. We have to
be with people. I don't,but you have to be with people.
That's just the way we are wired. That's human beings DNA, and we're
(11:11):
losing that. Now. Are wegaining in productivity because we don't have to
travel because I don't have to drivean hour and a half. No,
No, the productivity has not gottenbetter, even though it is. The
time is there for a couple ofreasons. First of all, it's contrary
to this herd mentality where we needto get together and have social intercourse and
(11:35):
talk to each other before meetings,and we now have more time outside of
the meetings. But the bottom lineis that and interesting enough, we didn't
figure this out. Everybody thought theproductivity was going to go way up.
It didn't, and in many casesit went down, which proves the important
(11:56):
of just chit chat, of justgossip, of just being around people,
the importance of asking Ann to arrangebreakfast for you guys, which Anne won't
do because for some reason she thinksI'm asking her because she's a girl,
which of course is absolutely true.But that doesn't mean I'm still not offering
(12:16):
breakfast. Okay. I think thetakeaway here is loneliness is part of Well,
there's a song title here, Cono, what's the song title? Loneliness
is next to godliness? I thinkhe actually played the song. Have already
(12:37):
Yeah, I've already Bill, Yeah, because one wants him to be out
of the studio anyway. Yeah,Well, Tomorrow I'm in studio and Friday,
Friday, I'm in studio, whichI try to do about half the
(12:58):
time. So you know what's funnyis tomorrow and Amy Kno and I are
going to your home to do theshow from that. See that's so strange.
And by the way, as Ilook at you on the monitor,
which all of us do now studio, we're not studio. We're looking at
each other on the monitor, andNeil, I have to tell you monitor
in person, you're still the sameugliness. Yeah, you and I are
(13:20):
the only ugly people on the show. Have you noticed that? Look at
the monitors? Yeah, yea.So I pretend that I'm good looking.
That's why I only have very poorfriends. I don't have wealthy friends.
I have only poor friends, soI can feel richer. I know.
I was just mentioning to Neil howmuch fun we're having today. It's just
(13:43):
been an up show, just ridiculouslyfun. And so let's end it with
something that I want to talk about, and that is death with Jim Keeney
Rier. Doctor Jim, thank youfor helping us end the show on a
death level, because you know howmuch I love that. That's your job.
(14:05):
Yeah, okay, I want togo into the Matthew Perry story because
the big part of it not onlyMatthew Perry, of course, of friends
dying, but him dying of whatappears to be, among other things,
ketamine ketamine overdose. And I've gottwo stories to share, and then I
want you to comment. I hadmy back surgery. I'd fallen down and
(14:30):
my back, as you know,Jim exploded, discs went out and they
had to call the paramedics to takeme to the doctor. Were then a
surgery and ketamine. The paramedics broughtin ketamine. It did nothing for me.
There was so much pain. Mydaughter who has terror nightmares unfortunately Barbara
(14:50):
and she's grown up with him.The only thing that is helping is ketamine
infusion. Ketamine explain how ketamine isuse for anything and everything, and how
we really don't understand what it actuallydoes well. Kennamine is being used for
things like pain control and depression.It's been used in areas where we just
(15:15):
see a lot of trouble controlling eitherpain or depression. So we see people
with post traumatic stress disorder. Itreally seems to help them quite a bit.
People we noticed it because we useketamine as a dissociative. It's called
a dissociative anesthetic, so you kindof you're not fully out, but you're
(15:39):
also not really in the present moment. You're kind of dissociated. So it's
safer than a lot of other anestheticsthat we use because people don't tend to
inhale their own saliva and then chokeon it or vomit in the middle of
the procedure and choke on it.They don't typically have their oxygen level drops.
(16:00):
Started using it a few decades agoin the emergency RAM and noticed that
people with things like a headache thatwe couldn't get rid of all of a
sudden, you know, they neededa procedure done. We use ketamine.
They wake up and they say they'reheadaches gone. Or people with depression reporting
that they feel much less depressed evenafter one episode of using the ketamine.
So that's what kind of led toit being used in those areas. And
(16:22):
it's definitely not a first line drug. This is not like I have a
headache, you know, instead oftaking that tailanol or I reprofen, will
go with ketamine. But it's forfour people who have had problems just refractory
to every other treatment, and theydo seem to get some relief. Now
the FDA approving it for whatever treatmentthere is in the insurance company picking up
(16:45):
and paying for it, we're notthere yet. And why Well, again,
so FDA does kind of regulate whatcan be sold in the market.
Once it's sold and considered safe,well then physicians can use it however they
want. We don't need FDA approvalfor a certain indication. So so that's
(17:07):
where it gets to use what wecall off label and that's legal. I
mean, we're allowed to use anydrug that's that's considered safe and effective off
label. But you know, peoplecan't advertise that way. You can't.
You can't advertise an off label usefor the drug because then that's advertising and
that's regulated. Insurance company is keyoff the FDA as well. So a
(17:29):
lot of times, yeah, it'snot covered. Sometimes you can get a
special authorization. If if you've beenrefractory to every other treatment, you're going
to the emergency room constantly, you'reyou're using higher risk stuff like like tons
of narcotics, then sometimes you canget this approved so that you know you
can you can get some pain relief. But yeah, it's just that's the
(17:52):
process. That's how medicine works.So it's not unusual that we use things
off label. And do you useit off label all the time? No?
Are you a fan? I meanyou personally, Jim Keeney, Oh
yeah, Do I take it personally? No? Do it? I don't
know. I'm talking about it ina medical sense, yeah, yeah.
And it's not something because it's aninjection, it's not something we prescribe.
(18:15):
I understand that there are these kindof uh, what are considered fly by
night type of practices online where youcan get pills sent to you, but
or nasal spray or something like that. I don't I don't actually know what
it is. I know it's probablynot a good idea because we monitor it
closely. I mean, this kindof you know, gives me the Michael
Jackson propofol vibe here is that youknow, we use propofile regularly as well,
(18:41):
but we closely monitor you heart monitor, oxygen monitor. You know,
there's people standing by if you haveany complications or issues. Uh and and
so in those cases, propofile andkedmine are safe. But when you're you're
using it at home, it's adifferent story. So there's a lot there's
there's clinics out there that have antiphesiologistser and they are running the clinic as
(19:03):
if you know, you're you're ina hospital, like you're hooked up to
all the appropriate monitors. That's alot different than an online company sending you
something through the mail and taking itat home. Okay, Man Matthew Perry
clearly had had sent to his housebecause he just simply odd on it.
So I'm assuming there was absolutely nomedical care there at all. Yeah,
(19:25):
I don't know. Because I thoughtthere were reports that he was using ketamine.
I just assumed that it was anI legitimate clinic. Maybe that was
a bad assumption, and then maybein addition to that, he was supplementing
with some home use. But Idon't really know the details of whether he
was or not. And I don'tthink that it's not that the death report
(19:45):
says that he died from a ketemineover No, No, that was part
of it. That was part ofit, and he drowned. I think
he drowned and that was the actualcause of death. But ketamine was certainly
a ketamine overdose was certainly involved fromwhat I understand. Of course, that
became big news because of the deathof Matthew Perry. All right, let's
switch gears, Jim. Here isa headline. When I looked at it,
(20:06):
I said, oh, this hasnothing to do with me. Common
snack food are raising the risk ofcognitive problems according to neurologists. I'm assuming
that's a study. And do wehave the name of the common snack foods
to make sure that I eat themwhere they're part of my life, right?
I think? No, this isthis isn't about like just eliminating oreos,
(20:30):
but you still get free doos.You know, that's not this kind
of story. Unfortunately, the bottomline is that highly processed foods, when
you look at the label and youjust don't recognize any of the ingredients,
is something you put in in yourown kitchen when you're cooking something that's highly
processed. It it comes in aprinkly package when you open it that's highly
(20:52):
processed. So the goal here isthat we know that these are linked to
poor health. Another study showing thatit's actually least to link to increases in
stroke and cognitive disorders like dementia.So you know, to protect your brain,
eat healthy. That's the bottom line. If you can buy it in
(21:14):
the store and cook it yourself athome or prepare it with you know,
just a knife, then you probablyare doing the right thing. But I
have a question about any of thatwhen you talk about if you do A
or B and there's a thirty percentincrease of stroke or a fifty percent increase
of heart attack, and I lookat that, but if it's one out
(21:36):
of a thousand or one out often thousand, so the percentage goes from
one out of one thousand to onepoint five out of a thousand. I
mean, are we talking about minusculelevels where it's no big deal or is
it substantial? No, you bringup a good point. I mean,
this whole idea of statistics really is. You know, if you can double
(21:59):
your chances of winning the lottery,that sounds great, doesn't it. But
that's just buying two lottery tickets andyou're probably still going to lose, you
know, So sometimes doubling your riskdoesn't mean anything. But when stroke is
the fifth leading cause of death inthe United States, that's a really common
event. It's not a rare eventlike winning the lottery. So if you
can reduce your risk of a commonevent, then it's significant. Do you
(22:22):
pay attention to that? Is itsomething that you look at? Well,
you know I do. But Iknow that hanging out with me is confusing,
right because I tend to eat healthyall the time, and then when
I go out to dinner, Isplurge or when I go out to lunch,
So those are my splurges. Sopeople see me in public, like
when you and I go out,I end up eating all the bread in
(22:44):
two bread baskets, plus you know, the sixteen out steak, But then
I don't eat for a couple ofdays, so it all balances out.
So again people, well, Iguess it all boils down to the word
moderation, and unfortunately many many ofus do not eat moderately. I eat
way too much junk food. Andat this point they're saying sixty percent of
(23:08):
our caloric intake in America is fromhighly or ultra processed foods. So you're
getting things just out of balance thatwe never were meant to get. I
mean they even talk right now about, you know, the imbalance of omega
fatty acids. Omega fatty assids weresupposed to be good. But when you're
taking in mostly omega six or linilaicacid in things like cottonseed oil and those
(23:30):
types of things, you're taking itin an amazing out of balance way compared
to normal human eating prior to processedfoods. And when we're talking about processed
food, one of my favorite thingsin life is process deli meats, and
that's considered right up there in theprocessed food category, isn't it. Yeah.
(23:51):
I mean there's a lot of thingsadded that, again, you wouldn't
add in your own kitchen. Andyou know, the other one is sodas.
People don't think about it, butthat's an ultralate, highly process us
food with a lot of just chemicalsin water, and you're drinking it regularly
and in large quantities. Yeah,but it's hard to smoke your turkey or
smoke your ham. So yeah,that's the extent. I mean, that's
(24:12):
the farthest extent. But even makingeverything from scratch effectively is a big deal.
Yeah. No, I'm not sayingthat. You know, deli meats
are a good thing. It's fineto have deli meats ever once a while.
But if you're eating, you know, a two inch thick pastrami sandwich
every single day, you've got aproblem. Right. But if you're putting
(24:33):
a few slices for flavor on betweentwo pieces of bread and not as the
main sustenance of your life, thenthere's two different stories. One one is
more of a condiment and the otherone is more of a main course.
Got it, Jim, Thank you. We'll catch you again next Wednesday.
Medical news always great stuff. Allright, we're done, guys, that's
(24:55):
it. Day is done, andso we do this all over again tomorrow
morning. Wake up call with Amyat five am and the rest of us
right here until let me see whattime Right about now. Kf I as
through all that's going on live sothat we can tell you everywhere that you
(25:15):
need to know. K S theRadio app to Los Angeles, Orange County
live everywhere on the iHeart Radio 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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