July 24, 2024 • 24 mins
Alexa is in millions of households and yet Amazon continues to lose billions. Retirement gets harder the longer you wait. 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 how much we should be pooping, more and more people using diabetes drugs like Ozempic for weight loss, and a Listreria outbreak has already killed 2.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:01):
You're listening to bill Handle on demandfrom KFI AM six forty Bill Handle here
KFI on a Wednesday tonight, JoeBiden speaks. I think it's what five
o'clock our time that we get tolisten to Biden explain why he's bailing out.
And I'm actually looking forward to thatto see how he's going to picture
(00:22):
that, how he's going to paintthat picture. Also, it was the
hottest day ever on Earth on Sunday. And guess what, We're in a
little bit of trouble right to saythe least. Okay now Alexa because I
don't want to really, you know, blow your ear charms out, do
I okay? Alexa is wildly successful. I mean Amazon comes out with it
(00:50):
and it's just sold like crazy,and it has lost money from minute one.
And there's a neat new CEO atAmon who is saying, you know
what, we're going to change thataround. It's Andy Jasse, who in
the last couple of years has beenthe CEO. Jess Bezos is basically building
(01:11):
his five hundred million dollar yacht andhe's having a rip roaring good time,
and so Jasse is looking at thisand saying, wait, a minute,
we're losing money on this. Howdo you lose money on a product that
you have millions of sales? Well, it's the way Amazon looked at the
sale. And Lee explain, whenyou buy a razor, a razor blade
(01:34):
from Jillette, for example, theysell it to you for virtually nothing.
It's the blades, it's the downcell. That's where they figure they're going
to make the money. Same thingwith the Alexa is they figured we were
going to make a lot more money, or they were going to make a
lot more money because we were goingto buy we were going to increase our
sales. Now it turns out wedon't use Alexa for that, you know,
(01:57):
we use Alexa for what's the weather? Right, give me some information,
what's the stock market today? Andso what Jase has said, what
we have is we have a multibillion dollar system that tells people the weather.
That's what we have. No one'sbuying anything, and that has been
their model is incorporating how much moneythey are going to make. And if
(02:23):
we lose money now it really doesn'tmatter. Well he says, it really
does matter because we can't do thatanymore. And Jasse is fixing all of
this. By the way, it'snot just Alexa, it's a lot of
other products too. So Jasse isrethinking. This was Bezos, a Bezos
era eurometric inside Amazon, and itputs a financial value to a product or
(02:50):
service based on how the customers willbuy using that service. Downstreaming, downstream
impact. And it has been usedacross Amazon business lines. But here's the
difference with Echo. It doesn't workwith Amazon. With Alexa, it doesn't
work when they develop for example,Prime membership. Boy, it worked for
(03:15):
sure Amazon in and of itself.I mean it works beautifully. I mean
we pay how much do we payfor Prime? One hundred and something dollars
a year? What is it?Yeah? Whatever, and we use it
like crazy. That that is adownstream impact that works. The Kindle e
(03:38):
reader that works why because you buythe Kindle and then you buy ebooks on
the Kindle and that makes sense.So what Jase is doing is saying,
let's look at direct revenue or subscriptions. They're going to try with Alexa,
(03:58):
by the way, a paid subscriptionservice. You're going to see that roll
out in the next month or two. And even engineers within the division that
manufactures and is involved in the downstream impact or saying this ain't going to
work. So are you going topay money to find out what the weather's
like? Or ask for a recipeor give a timer that we use that
(04:26):
all the time. I use myAlexa for a timer. The other day.
I was a couple of days ago, I was cooking a steak and
I asked Alexa, Alexa, howlong does it take to grill a one
inch steak? Well, you wantto go seven minutes on each side or
six minutes on each side for mediumrare, and it's brilliant, tells you
(04:47):
at all? Now would I paymoney for that? No? I would
not, and no one else iswhat makes money? Well, how about
this ring cameras? You know whyring makes money because you buy a monthly
subscription for the monitoring. That's whyit makes money. So what Jase is
(05:08):
doing, he is saying, Iwant operating profit. I want profit from
these products day one. Don't giveme this down line profit center. And
at the same time, subscriptions.Do you know that a company that deals
with subscription is worth five times asmuch as a company that just sell products,
even if it's making the same amountof money because the model of subscription.
(05:33):
Is that's the holy grail? Allright? Tonight we're gonna hear President
Biden at five pm in the OvalOffice tell us why he is bailing out?
And I don't know what we're goingto hear. I know we're not
going to hear from him anything we'reregarding or relating to. I'm too old,
(05:57):
I have cognitive problems. I don'tknow that this is the old Oval
Office or not. What's the president? You're not going to hear any of
that. You're going to hear.It's political and I don't have a path.
But because of that, what's goingto happen tonight? There is there
is an issue that now we're payingmore attention to, and a study just
(06:20):
came out, and that is he'sgoing to retire. He's eighty one years
old, that he has done andhow does that make him feel? I
mean, eighty one, isn't ittime to bail out? Well, when
people choose to retire, it's generallya positive experience. Now real effect on
(06:41):
mental health. However, retiring froma high powered job, whether it's full
retirement or substantial reduction in work,that is a big problem for a lot
of Americans. Especially in Biden's demographic, highly educated man who have continued working
(07:02):
far past sixty five, which isthe usual retirement age, particularly college educated
and professional positions where your work ispart of your identity. It's not just
going to work and bailing out now. If you happen to work in a
physically demanding job, that's easy.I just want out. It's time to
(07:23):
leave there. I've never met apostal carrier that wants to keep on working
after being thirty years on the job. If you're digging ditches or you're in
construction, you don't want to stay. But if you have a job where
your identity is connected to the joblike mine, what do you do?
(07:44):
And I'm not retiring anytime soon,but I have to tell you I am
concerned. I don't want to beyou used to be, Bill Handle.
That is not something that I amlooking forward to. And I am not
alone. And what ends up happeningis especially when there was a forced retirement,
(08:07):
and in his case, this isa forced retirement. He is not
going to run again, and hewas looking forward to running and thought he
was going to win. But itdoesn't matter force retirements for drag. I
have a very very dear friend whowas very high up on in the corporate
(08:28):
world. New company comes in,companies sold, and of course new management
sweeps out the old management, andhe lost his job. Highly educated,
professional identity, and he went intoa depression and it took him months to
get out of it. Now,man, he loves retirement. It's the
(08:48):
best thing that ever happened for him. It should have happened when he was
in his twenties, but he andhis wife have taken retirement to a level
that I've never seen. But theinitial being stopping to work where the identity
is so much. Joseph Kauughlin,who the founder director of the MIT Lab,
(09:09):
says, when people are at thecenter of their universe through their job,
we don't have a storyline or placein our society that's attractive enough to
say maybe I've had enough. Noway. Bailing out or being forced to
bail out has all kinds of implicationsfor cognitive emotional health. That you think
(09:30):
Joe Biden has a problem cognitively,now, wait till next year. Now
a former president can do a lot. Look at Barack Obama, who has
kept as busy. I mean,he's got he and Michelle have a deal
with Netflix and they produce and booksand lectures, and I mean they're making
(09:52):
thirty million bucks a year. Avery fulfilling life. He was able to
pull that off. But he wasa relatively young man when he left the
White House, Gerald Ford. Whenhe left the White House and he lost
in the he lost the election.When he ran again and he was done,
(10:13):
he went to Palm Springs and playedgolf every day, and he stayed
out of the limelight, stayed outof the public. I don't know what
his cognitive abilities were like, buthe certainly didn't have the challenges of being
president and governing this country. Imean, playing golf just doesn't cut it.
Ronald Reagan did speeches for the mostpart. That's basically it is that
(10:37):
as fulfilling as running the country,absolutely not. So what happens with research
that when you ruminate, that's theway it's being written on the past.
That correlates directly with mental health outcomes, depression, and a sense that what
you're about is no longer relevant,which is why a lot of Americans want
(11:03):
to stay in their high power jobsinto their seventies and eighties. I mean,
I have met several lawyers who werepracticing in their eighties, even a
couple in their nineties. Now they'renot in court, but they're still practicing.
My next door neighbor when I beforethe Persian Palace, his dad was
(11:28):
the oldest judge in the country.He was still sitting on the bench in
his mid nineties. Now it wasn'tcases in front of him. He was
doing calendar and hearing motions, butstill mid nineties. Can you imagine,
and still practicing because that is hisworld or was. Doctors they it's a
(11:54):
profession that skews older. They don'twant to retire. That's one of the
doctors that was interviewed. An eightythree year old rheumatologist at LSU School of
Medicine says, I'm trying hard notto fill into that hole where I'm no
longer either relevant or as relevant.And he still sees patients at the hospital.
(12:18):
Now he's not doing surgery. Ican't think, well, he's a
rheumatologist, so they don't do surgeryanyway. And the loss of professional self
identity is particularly acute for men becausethey have weaker ties, they have self
definition, less self definition outside ofthe workplace. Women have it easier,
and not because there's fewer women.They just have a social they're able to
(12:41):
have social contracts, they're able todo more. For example, my friend
who was retired involuntarily. His wifealso retired after teaching for thirty five years,
plays golf, walks has These women'sgroup is going to a yoga retreat.
(13:05):
I don't know where, somewhere inPeru, up in the mountains where
they're gonna chew on coca leaves.I have no idea where she's going,
but that's what women do. Iwon't be doing that when I retire.
I'm gonna be If you think I'mmiserable now, huh, just wait?
But am I gonna keep on workingas long as I can? As I
(13:28):
said when I opened up this segment, I do. I'm not looking forward
to you used to be Bill Handleright, M No fun? Okay?
And our last half hour is withJim Kiney R. Go to medical.
(13:50):
Is it fair to say our medicaldirector here on the show, now,
our medical analyst here on the show, a medical consultant here on the show.
Does that work? Jim? Yeah, I mean it's about time I
got a title. Yeah, that'strue. As opposed to let's go to
Jim Kiney who actually went to amedical school and not in Mexico either.
Okay, a story that instantly cameup, and of course you knew I
(14:15):
would go there. And that isyour digestive system, my digestive system.
And the question is how often shouldyou poop? What is there? There
has to be some kind of agraduated scale there, It has to be
some guardrails. It's pretty wide.Actually, it's funny that you bring this
(14:37):
up because most people in play companydon't talk about this subject. It is
and actually something that people come tothe doctor for pretty frequently. They'll come
and say, I haven't had abat movement for a week. Other people
say I've had you know, fivedollar movements today. And there's a pretty
broad range of what's normal and healthy. You know, you can have three
(15:01):
ballo moments a day or three ballmoments a week and both can be completely
healthy. So it's hard to say, but constipations associated with certain disease conditions,
you know, especially like thyroid disease, diabetes, things like that,
and diarrhea likewise is associated with thingslike irritable bell or you know, gluten
intolerance, those types of things.Now, I know people, most people
(15:24):
don't talk about it. I don'tknow if you've ever been in a steamer
room with a bunch of old Jews. How did you go this morning?
Did you have a good one?That's the first first conversation that we have,
just to share that way. Yeah, yeah, it's all good.
And then I can get into allkinds of of course, I can have
(15:48):
a great time with that. Butlet's connect. I heard fiber is absolutely
critical to a decent bowel movement.How real is that? It's real,
Bill, It's very real. Yeah, and this I mean I think.
Okay, so I know you'd loveto have fun with this topic. But
(16:08):
the study that was recently published talkedabout how you know, transit time and
time it takes for your ballot forit to move all the way through is
associated with some disease conditions. Andyou know, a lot of people think
your whole intestine does digestion, butreally, once it gets to the large
intestine, the whole purpose of that, it's like ringing out a sponge,
(16:32):
right, You're just trying to extractall the water. So the digestion has
happened and the longer it sits inthe large intestine, the more water is
wrung out of it. So that'show you can tell. If it's been
there for a long time, itobviously gets more more formed, and if
not, it's more watery. Soand the study shows that when it's there
(16:56):
longer, you're the bacteria in yourgut actually switch from digesting fiber to digesting
protein. And once they make thatswitch, the problem is your intestines are
made of protein, and they canstart digesting the walls of your intestines and
causing what they call fermentation, andthe byproducts of that can cause problems with
your kidneys, with lung disease,all types of stuff. Let me ask,
(17:19):
what is the average time? Howlong does it take from the time
I eat something to the time itleaves my body? I gave them highly
highly variable, Right, it dependson people. Some people it can be
three four days and other people itcan be a few hours. Okay,
so there's no set time for that. And I'm assuming that the authors of
(17:41):
those studies, of course, hadto examine stool specimens. Who volunteers for
that, people with a lot ofcuriosity, But no they they what they
did? You know they did standardsdual sample collections, so the patient actually
does that, and there's then there'ssome lab tech and who takes that and
(18:03):
processes it. All right, fairenough, Okay, we've milt that far
as we can take it and stillbe on the air tomorrow. We're gonna
take a break and come back inthe breakfast hour. Yes, all right,
everybody. This lasteria outbreak tied toDeli meats, So jim am I
(18:26):
in trouble because I eat a lotof bores head ham medium sliced black forest
medium sliced ham that I get DoI have to stop doing that? And
please don't say yes, no,you don't have to top to it.
Oh thank god, Yeah, no, this is this is not a huge
(18:48):
widespread outbreak if they If it was, they probably have a better handle on
where it's coming from and pull theproducts. The problem with Deli sliced meat,
though, is that it's not justwhere the meat is produced, it's
where it's actually sliced. So thedeli itself could have a problem where there's
the bacteria on the machinery or elsewhereon the people's hands serving it, and
(19:12):
then that can transmit it. Soit's a serious thing because listeria. A
lot of times it's just intestinal infectionlike you know, diarrhea, fever,
flu like illness, but in smallpercentage of cases it can get really bad.
It goes systemic and then you havelisteriosis through your body. You can
(19:33):
have seizures, you can have braindamage from it, you can ultimately die
from it. So it's an impregnantwoman, it's especially bad because it can
cause miscarriages. So it's one ofthose illnesses serious good to know about.
But for the most part, alot of people eat deli meats, you
know, across the country, andit's only a small percentage, okay.
(19:55):
And there are a couple of things. If I remember, there was probably
a premier manufact actual of Mexican Mexicancheese to at least go, and they
had to shut down because they hadlisteria. I mean, just they've lost
their business. Also, And Ialways ask you this quite source, uh,
most it is the most common source. Okay, Now let's finish this
(20:18):
up, Jim. And that ispeople using drugs like ozempic and others for
weight loss rather than diabetes. Wedon't know enough about that. And it's
gone like crazy, hasn't it.Yeah, I mean, right now that's
they've released that there are more prescriptionsthat are being written for weight loss for
ozembic than for diabetes, and peopleare concerned about writing it for diabetes because
(20:42):
of the you know, the shortagesthat we're seeing due to the high popularity
with weight loss, so people area lot of doctors are moving off of
it and giving people other drugs becausethey're concerned about their patient's ability to get
it. And is though, arethese class of drugs the premiere drugs and
people are suffering more so than theyshould because of the shortage, you know,
(21:07):
I don't know what they're moving tothough, I mean, because they
are. You're right, they're avery effective drug for diabetes. They work
really well. They don't cause peopleto have low blood sugar, which a
lot you know when you're when you'reinsulin and other drugs that can happen.
And yeah, they're effective and whenyou're diabetic and you lose weight, it
(21:29):
actually improves your diabetes. So there'sa lot of positive things about being a
diabetic and being on a GLP drug. So, you know, I don't
know what they're moving to at thispoint, but it probably is impacting diabetic
patients due to the shortage. Yeah, I was pre diabetic. I mean
I've told you many times. Iwas over three hundred pounds and I had
(21:51):
medical issues around the way to havemedical issues, I didn't do well at
bars either. Trying to pick upwomen, I have to tell you at
three hundred pounds doesn't work well.But hey, it's much better. This
is why I have no problem pitchingbariatric surgery because to me, it is
the magic bullet. Are these manufacturers, I'm assuming the people that are manufacturing
(22:15):
ozembic and the other drugs. Imean, they're going twenty four to seven
with all of their factories all overthe world. Is this like a viagra
that it just exploded and became amulti billion dollar drug in two minutes.
Yeah. Yeah, it's definitely oneof those they you know, drug companies
know, if they can hit alifestyle drug that improves, you know,
(22:37):
your looks or your attractiveness or yoursexual function, then of course it's going
to go bananas and they're going tomake a lot of money off of it.
So I don't think they care toomuch who's who's receiving the drug as
long as they're able to sell it, but if it falls out of favor
as a diabetes drug, then theycould ultimately lose that business. Okay,
(22:57):
Jim. Thanks as always, we'lltalk again next Wednesday. Matter of fact,
I'm probably going to call you.See we can get together having lunch
this week. Okay, Jim,thank you. Now, before I leave
and we lock out, I justwant to remind you that I am taking
phone calls for Handle on the Lawoff the air, and we'll be using
(23:21):
it later on call eight seven sevenfive two zero eleven fifty. The calls
go very quickly, no breaks,no weather commercials, and I go through
them quickly because I have so muchpatience eight seven seven five two zero eleven
fifty. And you can start callingright now also tomorrow once again. Amy
King starts at five am wake upcall and then I'm here. Neil is
(23:45):
not until next week, so it'sme and Amy. I'll go till nine
o'clock and then as always cono andnever leave anyway. So yeah, I
know, he says, yep,exactly, all right, Catch in the
morning, Handle in the Morning crew. This is KFI AM six forty live
everywhere on the iHeartRadio app. You'vebeen listening to the Bill Handle Show.
(24:07):
Catch My Show Monday through Friday,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 Bill Handle here
KFI on a Wednesday tonight, JoeBiden speaks. I think it's what five
o'clock our time that we get tolisten to Biden explain why he's bailing out.
And I'm actually looking forward to thatto see how he's going to picture
(00:22):
that, how he's going to paintthat picture. Also, it was the
hottest day ever on Earth on Sunday. And guess what, We're in a
little bit of trouble right to saythe least. Okay now Alexa because I
don't want to really, you know, blow your ear charms out, do
I okay? Alexa is wildly successful. I mean Amazon comes out with it
(00:50):
and it's just sold like crazy,and it has lost money from minute one.
And there's a neat new CEO atAmon who is saying, you know
what, we're going to change thataround. It's Andy Jasse, who in
the last couple of years has beenthe CEO. Jess Bezos is basically building
(01:11):
his five hundred million dollar yacht andhe's having a rip roaring good time,
and so Jasse is looking at thisand saying, wait, a minute,
we're losing money on this. Howdo you lose money on a product that
you have millions of sales? Well, it's the way Amazon looked at the
sale. And Lee explain, whenyou buy a razor, a razor blade
(01:34):
from Jillette, for example, theysell it to you for virtually nothing.
It's the blades, it's the downcell. That's where they figure they're going
to make the money. Same thingwith the Alexa is they figured we were
going to make a lot more money, or they were going to make a
lot more money because we were goingto buy we were going to increase our
sales. Now it turns out wedon't use Alexa for that, you know,
(01:57):
we use Alexa for what's the weather? Right, give me some information,
what's the stock market today? Andso what Jase has said, what
we have is we have a multibillion dollar system that tells people the weather.
That's what we have. No one'sbuying anything, and that has been
their model is incorporating how much moneythey are going to make. And if
(02:23):
we lose money now it really doesn'tmatter. Well he says, it really
does matter because we can't do thatanymore. And Jasse is fixing all of
this. By the way, it'snot just Alexa, it's a lot of
other products too. So Jasse isrethinking. This was Bezos, a Bezos
era eurometric inside Amazon, and itputs a financial value to a product or
(02:50):
service based on how the customers willbuy using that service. Downstreaming, downstream
impact. And it has been usedacross Amazon business lines. But here's the
difference with Echo. It doesn't workwith Amazon. With Alexa, it doesn't
work when they develop for example,Prime membership. Boy, it worked for
(03:15):
sure Amazon in and of itself.I mean it works beautifully. I mean
we pay how much do we payfor Prime? One hundred and something dollars
a year? What is it?Yeah? Whatever, and we use it
like crazy. That that is adownstream impact that works. The Kindle e
(03:38):
reader that works why because you buythe Kindle and then you buy ebooks on
the Kindle and that makes sense.So what Jase is doing is saying,
let's look at direct revenue or subscriptions. They're going to try with Alexa,
(03:58):
by the way, a paid subscriptionservice. You're going to see that roll
out in the next month or two. And even engineers within the division that
manufactures and is involved in the downstream impact or saying this ain't going to
work. So are you going topay money to find out what the weather's
like? Or ask for a recipeor give a timer that we use that
(04:26):
all the time. I use myAlexa for a timer. The other day.
I was a couple of days ago, I was cooking a steak and
I asked Alexa, Alexa, howlong does it take to grill a one
inch steak? Well, you wantto go seven minutes on each side or
six minutes on each side for mediumrare, and it's brilliant, tells you
(04:47):
at all? Now would I paymoney for that? No? I would
not, and no one else iswhat makes money? Well, how about
this ring cameras? You know whyring makes money because you buy a monthly
subscription for the monitoring. That's whyit makes money. So what Jase is
(05:08):
doing, he is saying, Iwant operating profit. I want profit from
these products day one. Don't giveme this down line profit center. And
at the same time, subscriptions.Do you know that a company that deals
with subscription is worth five times asmuch as a company that just sell products,
even if it's making the same amountof money because the model of subscription.
(05:33):
Is that's the holy grail? Allright? Tonight we're gonna hear President
Biden at five pm in the OvalOffice tell us why he is bailing out?
And I don't know what we're goingto hear. I know we're not
going to hear from him anything we'reregarding or relating to. I'm too old,
(05:57):
I have cognitive problems. I don'tknow that this is the old Oval
Office or not. What's the president? You're not going to hear any of
that. You're going to hear.It's political and I don't have a path.
But because of that, what's goingto happen tonight? There is there
is an issue that now we're payingmore attention to, and a study just
(06:20):
came out, and that is he'sgoing to retire. He's eighty one years
old, that he has done andhow does that make him feel? I
mean, eighty one, isn't ittime to bail out? Well, when
people choose to retire, it's generallya positive experience. Now real effect on
(06:41):
mental health. However, retiring froma high powered job, whether it's full
retirement or substantial reduction in work,that is a big problem for a lot
of Americans. Especially in Biden's demographic, highly educated man who have continued working
(07:02):
far past sixty five, which isthe usual retirement age, particularly college educated
and professional positions where your work ispart of your identity. It's not just
going to work and bailing out now. If you happen to work in a
physically demanding job, that's easy.I just want out. It's time to
(07:23):
leave there. I've never met apostal carrier that wants to keep on working
after being thirty years on the job. If you're digging ditches or you're in
construction, you don't want to stay. But if you have a job where
your identity is connected to the joblike mine, what do you do?
(07:44):
And I'm not retiring anytime soon,but I have to tell you I am
concerned. I don't want to beyou used to be, Bill Handle.
That is not something that I amlooking forward to. And I am not
alone. And what ends up happeningis especially when there was a forced retirement,
(08:07):
and in his case, this isa forced retirement. He is not
going to run again, and hewas looking forward to running and thought he
was going to win. But itdoesn't matter force retirements for drag. I
have a very very dear friend whowas very high up on in the corporate
(08:28):
world. New company comes in,companies sold, and of course new management
sweeps out the old management, andhe lost his job. Highly educated,
professional identity, and he went intoa depression and it took him months to
get out of it. Now,man, he loves retirement. It's the
(08:48):
best thing that ever happened for him. It should have happened when he was
in his twenties, but he andhis wife have taken retirement to a level
that I've never seen. But theinitial being stopping to work where the identity
is so much. Joseph Kauughlin,who the founder director of the MIT Lab,
(09:09):
says, when people are at thecenter of their universe through their job,
we don't have a storyline or placein our society that's attractive enough to
say maybe I've had enough. Noway. Bailing out or being forced to
bail out has all kinds of implicationsfor cognitive emotional health. That you think
(09:30):
Joe Biden has a problem cognitively,now, wait till next year. Now
a former president can do a lot. Look at Barack Obama, who has
kept as busy. I mean,he's got he and Michelle have a deal
with Netflix and they produce and booksand lectures, and I mean they're making
(09:52):
thirty million bucks a year. Avery fulfilling life. He was able to
pull that off. But he wasa relatively young man when he left the
White House, Gerald Ford. Whenhe left the White House and he lost
in the he lost the election.When he ran again and he was done,
(10:13):
he went to Palm Springs and playedgolf every day, and he stayed
out of the limelight, stayed outof the public. I don't know what
his cognitive abilities were like, buthe certainly didn't have the challenges of being
president and governing this country. Imean, playing golf just doesn't cut it.
Ronald Reagan did speeches for the mostpart. That's basically it is that
(10:37):
as fulfilling as running the country,absolutely not. So what happens with research
that when you ruminate, that's theway it's being written on the past.
That correlates directly with mental health outcomes, depression, and a sense that what
you're about is no longer relevant,which is why a lot of Americans want
(11:03):
to stay in their high power jobsinto their seventies and eighties. I mean,
I have met several lawyers who werepracticing in their eighties, even a
couple in their nineties. Now they'renot in court, but they're still practicing.
My next door neighbor when I beforethe Persian Palace, his dad was
(11:28):
the oldest judge in the country.He was still sitting on the bench in
his mid nineties. Now it wasn'tcases in front of him. He was
doing calendar and hearing motions, butstill mid nineties. Can you imagine,
and still practicing because that is hisworld or was. Doctors they it's a
(11:54):
profession that skews older. They don'twant to retire. That's one of the
doctors that was interviewed. An eightythree year old rheumatologist at LSU School of
Medicine says, I'm trying hard notto fill into that hole where I'm no
longer either relevant or as relevant.And he still sees patients at the hospital.
(12:18):
Now he's not doing surgery. Ican't think, well, he's a
rheumatologist, so they don't do surgeryanyway. And the loss of professional self
identity is particularly acute for men becausethey have weaker ties, they have self
definition, less self definition outside ofthe workplace. Women have it easier,
and not because there's fewer women.They just have a social they're able to
(12:41):
have social contracts, they're able todo more. For example, my friend
who was retired involuntarily. His wifealso retired after teaching for thirty five years,
plays golf, walks has These women'sgroup is going to a yoga retreat.
(13:05):
I don't know where, somewhere inPeru, up in the mountains where
they're gonna chew on coca leaves.I have no idea where she's going,
but that's what women do. Iwon't be doing that when I retire.
I'm gonna be If you think I'mmiserable now, huh, just wait?
But am I gonna keep on workingas long as I can? As I
(13:28):
said when I opened up this segment, I do. I'm not looking forward
to you used to be Bill Handleright, M No fun? Okay?
And our last half hour is withJim Kiney R. Go to medical.
(13:50):
Is it fair to say our medicaldirector here on the show, now,
our medical analyst here on the show, a medical consultant here on the show.
Does that work? Jim? Yeah, I mean it's about time I
got a title. Yeah, that'strue. As opposed to let's go to
Jim Kiney who actually went to amedical school and not in Mexico either.
Okay, a story that instantly cameup, and of course you knew I
(14:15):
would go there. And that isyour digestive system, my digestive system.
And the question is how often shouldyou poop? What is there? There
has to be some kind of agraduated scale there, It has to be
some guardrails. It's pretty wide.Actually, it's funny that you bring this
(14:37):
up because most people in play companydon't talk about this subject. It is
and actually something that people come tothe doctor for pretty frequently. They'll come
and say, I haven't had abat movement for a week. Other people
say I've had you know, fivedollar movements today. And there's a pretty
broad range of what's normal and healthy. You know, you can have three
(15:01):
ballo moments a day or three ballmoments a week and both can be completely
healthy. So it's hard to say, but constipations associated with certain disease conditions,
you know, especially like thyroid disease, diabetes, things like that,
and diarrhea likewise is associated with thingslike irritable bell or you know, gluten
intolerance, those types of things.Now, I know people, most people
(15:24):
don't talk about it. I don'tknow if you've ever been in a steamer
room with a bunch of old Jews. How did you go this morning?
Did you have a good one?That's the first first conversation that we have,
just to share that way. Yeah, yeah, it's all good.
And then I can get into allkinds of of course, I can have
(15:48):
a great time with that. Butlet's connect. I heard fiber is absolutely
critical to a decent bowel movement.How real is that? It's real,
Bill, It's very real. Yeah, and this I mean I think.
Okay, so I know you'd loveto have fun with this topic. But
(16:08):
the study that was recently published talkedabout how you know, transit time and
time it takes for your ballot forit to move all the way through is
associated with some disease conditions. Andyou know, a lot of people think
your whole intestine does digestion, butreally, once it gets to the large
intestine, the whole purpose of that, it's like ringing out a sponge,
(16:32):
right, You're just trying to extractall the water. So the digestion has
happened and the longer it sits inthe large intestine, the more water is
wrung out of it. So that'show you can tell. If it's been
there for a long time, itobviously gets more more formed, and if
not, it's more watery. Soand the study shows that when it's there
(16:56):
longer, you're the bacteria in yourgut actually switch from digesting fiber to digesting
protein. And once they make thatswitch, the problem is your intestines are
made of protein, and they canstart digesting the walls of your intestines and
causing what they call fermentation, andthe byproducts of that can cause problems with
your kidneys, with lung disease,all types of stuff. Let me ask,
(17:19):
what is the average time? Howlong does it take from the time
I eat something to the time itleaves my body? I gave them highly
highly variable, Right, it dependson people. Some people it can be
three four days and other people itcan be a few hours. Okay,
so there's no set time for that. And I'm assuming that the authors of
(17:41):
those studies, of course, hadto examine stool specimens. Who volunteers for
that, people with a lot ofcuriosity, But no they they what they
did? You know they did standardsdual sample collections, so the patient actually
does that, and there's then there'ssome lab tech and who takes that and
(18:03):
processes it. All right, fairenough, Okay, we've milt that far
as we can take it and stillbe on the air tomorrow. We're gonna
take a break and come back inthe breakfast hour. Yes, all right,
everybody. This lasteria outbreak tied toDeli meats, So jim am I
(18:26):
in trouble because I eat a lotof bores head ham medium sliced black forest
medium sliced ham that I get DoI have to stop doing that? And
please don't say yes, no,you don't have to top to it.
Oh thank god, Yeah, no, this is this is not a huge
(18:48):
widespread outbreak if they If it was, they probably have a better handle on
where it's coming from and pull theproducts. The problem with Deli sliced meat,
though, is that it's not justwhere the meat is produced, it's
where it's actually sliced. So thedeli itself could have a problem where there's
the bacteria on the machinery or elsewhereon the people's hands serving it, and
(19:12):
then that can transmit it. Soit's a serious thing because listeria. A
lot of times it's just intestinal infectionlike you know, diarrhea, fever,
flu like illness, but in smallpercentage of cases it can get really bad.
It goes systemic and then you havelisteriosis through your body. You can
(19:33):
have seizures, you can have braindamage from it, you can ultimately die
from it. So it's an impregnantwoman, it's especially bad because it can
cause miscarriages. So it's one ofthose illnesses serious good to know about.
But for the most part, alot of people eat deli meats, you
know, across the country, andit's only a small percentage, okay.
(19:55):
And there are a couple of things. If I remember, there was probably
a premier manufact actual of Mexican Mexicancheese to at least go, and they
had to shut down because they hadlisteria. I mean, just they've lost
their business. Also, And Ialways ask you this quite source, uh,
most it is the most common source. Okay, Now let's finish this
(20:18):
up, Jim. And that ispeople using drugs like ozempic and others for
weight loss rather than diabetes. Wedon't know enough about that. And it's
gone like crazy, hasn't it.Yeah, I mean, right now that's
they've released that there are more prescriptionsthat are being written for weight loss for
ozembic than for diabetes, and peopleare concerned about writing it for diabetes because
(20:42):
of the you know, the shortagesthat we're seeing due to the high popularity
with weight loss, so people area lot of doctors are moving off of
it and giving people other drugs becausethey're concerned about their patient's ability to get
it. And is though, arethese class of drugs the premiere drugs and
people are suffering more so than theyshould because of the shortage, you know,
(21:07):
I don't know what they're moving tothough, I mean, because they
are. You're right, they're avery effective drug for diabetes. They work
really well. They don't cause peopleto have low blood sugar, which a
lot you know when you're when you'reinsulin and other drugs that can happen.
And yeah, they're effective and whenyou're diabetic and you lose weight, it
(21:29):
actually improves your diabetes. So there'sa lot of positive things about being a
diabetic and being on a GLP drug. So, you know, I don't
know what they're moving to at thispoint, but it probably is impacting diabetic
patients due to the shortage. Yeah, I was pre diabetic. I mean
I've told you many times. Iwas over three hundred pounds and I had
(21:51):
medical issues around the way to havemedical issues, I didn't do well at
bars either. Trying to pick upwomen, I have to tell you at
three hundred pounds doesn't work well.But hey, it's much better. This
is why I have no problem pitchingbariatric surgery because to me, it is
the magic bullet. Are these manufacturers, I'm assuming the people that are manufacturing
(22:15):
ozembic and the other drugs. Imean, they're going twenty four to seven
with all of their factories all overthe world. Is this like a viagra
that it just exploded and became amulti billion dollar drug in two minutes.
Yeah. Yeah, it's definitely oneof those they you know, drug companies
know, if they can hit alifestyle drug that improves, you know,
(22:37):
your looks or your attractiveness or yoursexual function, then of course it's going
to go bananas and they're going tomake a lot of money off of it.
So I don't think they care toomuch who's who's receiving the drug as
long as they're able to sell it, but if it falls out of favor
as a diabetes drug, then theycould ultimately lose that business. Okay,
(22:57):
Jim. Thanks as always, we'lltalk again next Wednesday. Matter of fact,
I'm probably going to call you.See we can get together having lunch
this week. Okay, Jim,thank you. Now, before I leave
and we lock out, I justwant to remind you that I am taking
phone calls for Handle on the Lawoff the air, and we'll be using
(23:21):
it later on call eight seven sevenfive two zero eleven fifty. The calls
go very quickly, no breaks,no weather commercials, and I go through
them quickly because I have so muchpatience eight seven seven five two zero eleven
fifty. And you can start callingright now also tomorrow once again. Amy
King starts at five am wake upcall and then I'm here. Neil is
(23:45):
not until next week, so it'sme and Amy. I'll go till nine
o'clock and then as always cono andnever leave anyway. So yeah, I
know, he says, yep,exactly, all right, Catch in the
morning, Handle in the Morning crew. This is KFI AM six forty live
everywhere on the iHeartRadio app. You'vebeen listening to the Bill Handle Show.
(24:07):
Catch My Show Monday through Friday,six am to nine am, and anytime
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