September 25, 2024 • 24 mins
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 Brett Favre diagnosed with Parkinsons, FDA approving first home DIY flu vaccine, and BMI alone can’t tell you if you are healthy. China urges the US to drop proposed ban on Chinese car components. The rise of the midlife coming-of-age party.
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Episode Transcript
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Speaker 1 (00:00):
You're listening to Bill Handle on demand from KFI AM
six forty.
Speaker 2 (00:07):
And this is at KFI Bill Handle here on Aday, Wednesday,
September twenty five.
Speaker 1 (00:13):
Some of the big stories we're looking.
Speaker 2 (00:15):
At and went Florida residents, Boy, you want to live
in Florida bracing for Helene, the fourth name storm and
it's going to be the biggest hurricane in a year
and we are only at number seven named hurricane or
staying storm for the year. And billions of dollars going
(00:38):
to Ukraine because the money dries up at the end
of the month, and so they want to get it.
Speaker 1 (00:45):
They want to kick in as much as possible.
Speaker 2 (00:47):
All right, Doctor Jim Keeney, who is the chief medical
officer for Dignity Saint Mary Medical Center in Long Beach,
Jim every Wednesday, Good morning, Jim, Good morning Bill Okay,
big news yesterday, and this of course is going to
kick off our conversation. Brett Favre And by the way,
(01:08):
for those of you amy.
Speaker 1 (01:10):
How is that spelled? It's pronounced? How is that spelled?
F A v R E favre fv okay.
Speaker 2 (01:21):
Brett Farb was diagnosed with Parkinson's. Now we all know
what Parkinson's is, we think, uh, and people I think
are rightfully frightened of this. So let's go through it,
because now it's become front burner stuff.
Speaker 3 (01:42):
I mean, Parkinson's disease is essentially a movement disorder, you know,
so you start with things like a little bit of
tremor in your hands. The classic is what we call
pill rolling because it's, you know, a movement between your
your index finger and your thumb. But it can affect
other things as well. But in this case it's you know,
(02:03):
it's highly associated with head trauma. We know that some
of the proteins that we check in the spinal column
and the brain for that indicate Parkinson's disease. Also we
see that with with head injury. So there's definitely a
strong association between the two.
Speaker 2 (02:20):
Hey, so someone comes in and they have tremors, At
what point do you diagnose Parkinson's as opposed to whatever
other disease can cause that?
Speaker 3 (02:31):
But symptos because I remember, it also has you get what
they call a mask like face, like your facial expressions
don't move as much. Your body is a little bit
more stiff, you you know, you just don't move move
as smoothly as you do. I mean, we really had
a great example for it on TV regularly with the President.
You know, we can watch how he moves, watch how
(02:54):
he turns, watch how he's face doesn't have a lot
of facial expressions. I mean, medical people look at that
and say, wow, that is classic Parkinson's.
Speaker 4 (03:03):
And I'm assuming there's no case that go ahead to
answer your question, I never got to your question, which
is in that case then we would usually refer somebody
to a neurologist at that point and then have them evaluate.
Speaker 3 (03:13):
Them for Parkinson's, and when we trial them on medications,
you know a lot of times it works pretty quickly
and they can see the effects.
Speaker 2 (03:20):
So there's no cure, but you can either stop or
deal with symptoms.
Speaker 1 (03:25):
Do I have that right correct?
Speaker 3 (03:27):
I mean there are there are some you know, cutting
edge things going on, but for the most part, you
can't cure it and just get rid of it forever.
Speaker 1 (03:35):
Can it become just chronic or does it keep on
heading south?
Speaker 3 (03:40):
Yeah, it's kind of a one way street. I mean,
once you have it again, you can't get rid of it,
so it becomes a chronic illness and it typically progresses
with age. And age is one of the risk factors
as well. You know, usually it is unusual if it
happens under fifty. So Brett Farre mentioned that he was
recently diagnosed and he's fifty four. Technically it wouldn't be
(04:01):
early on set Parkinson disease, but he is kind of
young to have that if he didn't have the history
of so many head injuries.
Speaker 2 (04:09):
Yeah, and he as he mentioned, I mean, he went
public with it, and he was at a congressional hearing
and talked about it. He mentioned that he has had
more concussions than he can even count. We've seen three
major ones on TV. But he said, you know, he
would just constantly see stars.
Speaker 1 (04:30):
He would just see That's what people did in the day.
Speaker 3 (04:34):
There are people called it getting your bell rung right
or getting dinged, and that is a concussion. That's what
people didn't recognize. Now, I hope that everybody recognizes that
that when you're a little foggy or you know, you
again get your bell wrung, but you're not knocked unconscious,
you're still not super confused, you're able to walk back
out on the field and shake it off. That's still
(04:55):
a concussion. And those accumulate to create all kinds of problems.
Speaker 2 (05:00):
Yeah, if we watch NFL games, which I do, Uh,
someone has any kind of not a head injury, but
bell rung where it looks like a good bang on
the head. They immediately go into the medical tent or
go into the locker room, and an independent neurologist looks
at that player and says, okay, you're okay to go
back on the field. But enough of those, I'm assuming
(05:24):
uh get to be pretty dangerous and at some point, well,
what's that quarterback name who is being pushed to retire
office third go round?
Speaker 1 (05:34):
I forgot his name. It's one of those Samoan names. Uh.
Speaker 2 (05:38):
Anyway, you know, at what point do they do you
say just stop it? And I know you're not a neurologist,
but you know where would you say you're done?
Speaker 3 (05:48):
Well, I mean, you know, we used to say three
concussions and you're out of your sport. You know, one
concussion and you're out for until you're completely clear. Uh,
you know, and that should be that should be happening
in kids worts as well. Two concussions and you're out
for the season. And we used to say three concussions
and you really need to consider another sport. But obviously
(06:08):
these guys are going way beyond three concussions. They're going unrecognized.
They you know that there's so much money involved with this,
they don't even want to know report when they when
they get a hand injury, or at least they didn't
used to, you know. I think more and more, with
all the post mortem reviews of these guys' brains showing
(06:28):
chronic traumatic encephalitis and all the problems emotional and physical
problems that that leads to, I think the guys are
being a lot more proactive in recognizing when they have
these kind of injuries.
Speaker 1 (06:40):
Yeah.
Speaker 2 (06:40):
I just reported that I think two thirds of retired
NFL players say that they believe they have CTE.
Speaker 1 (06:50):
And that's pretty scary stuff. Okay, I want to go.
Speaker 2 (06:54):
To this BBI business and BMI body mass index and
I'm and I just took a test one of the
things that happens to in gym's and the gym I
go to, there's this little machine that looks it's just
looks like it's weighing you, and it does amazing things
(07:15):
determining how much fat you have, how much water you
have in your body.
Speaker 1 (07:18):
I don't understand the technology.
Speaker 2 (07:20):
But bm I, and that is body mass index. I'm
a twenty seven point two, which is right in line
with so I'm reasonably healthy.
Speaker 1 (07:35):
Now.
Speaker 2 (07:36):
I am right in the middle of body fat mass
too BFM. I also have an X five my BMW,
which I like very much.
Speaker 1 (07:50):
My way, I'm sorry.
Speaker 2 (07:52):
My weight is about two hundred and that's pretty that's
pretty reasonable.
Speaker 1 (07:57):
But you know I have the gout.
Speaker 2 (07:59):
You and I have gone to lunch, and you know
I have a little bit of a gut. I mean
it hangs out. So how can you have a like
a gut the way I have? Now I'm not three
hundred pounds anymore. I'm two hundred pounds. I'm a hundred
pounds down. But if I am, my BMI is right
there in the middle. Does that mean I am healthy?
Speaker 1 (08:20):
Yeah?
Speaker 3 (08:21):
An important thing is we all hinge. So much of
how we perceive our health on our weight, and there's
so many different ways to assess that. Weight, for example,
doesn't take into account height. So the problem is that
you know, if you weigh two hundred, and you know
I weeigh one eighty.
Speaker 1 (08:41):
I don't.
Speaker 3 (08:41):
But if I did, you know I'm shorter than you,
and all of a sudden, I would be overweight at
one eighty, where at two hundred you're pretty darn close
to where you should be. So they developed things like BMI.
It was developed because it's accessible. Right, people mostly can
easily measure their height and their weight and that's all
that's used to calculate it. But you can see that
(09:02):
it doesn't tell you where the fat is distributed in
your body and what you're bringing that up. Gut fat is,
and we call visceral fat around the organs. That's the
more dangerous kind of fat as far as for your health,
because some people just have more subcutaneous fat. Subcutaneous is
the kind you can tinch in your skin that you
know also can be a problem, but it's less problematic
(09:24):
than when you've got that gut fat as far as
your health and as far as metabolic disorders and risk
for diabetes, risks for heart attacks, all those things. So
in another way, in England, what they do is they
do they look at your waste to your height ratio
and your waist should be less than half your height
and if it's if your wave is more than half
(09:45):
your height or your waist is more than half your height,
then we know that you've got a lot of gut fat,
and that's more of a problem.
Speaker 2 (09:52):
Now this machine tells me, it incorporates how tall I am,
and it you know I'm basically in good shape.
Speaker 1 (10:01):
Except that's one.
Speaker 3 (10:05):
Of the easier ones for like to be cool in
a gym. Or you can get these kind of scales
at home where you type in your weight and you
just type in your height and you stand on it
and it uses what's called impedance. Impedance is less studied,
but it's another easier way to measure body fat. You
can also do things like dunk somebody underwater and see
how how much they weigh in water because fat floats
(10:28):
more than muscle. That's a lot more studied, a lot
harder to do on your own. Obviously, the most accurate
would be something like an MRI of your body where
you can actually measure your organ fat. But that's ridiculous, right,
We're not gonna be able to do that on a
regular basis, So that we're trading off accessibility and the
ability for you to just understand at some level what
(10:50):
your weight means as far as your health and complexity,
where an MRI would be the most complex and the
most accurate.
Speaker 1 (10:56):
All Right, we only have a couple of minutes.
Speaker 2 (10:59):
The FDA just approved and at home do it yourself
flu vaccine.
Speaker 1 (11:05):
How big a deal is this?
Speaker 2 (11:07):
I mean, is this one of those earth shattering medical stories?
Speaker 4 (11:12):
You know?
Speaker 3 (11:12):
I think it's going to be interesting, right because how
much is the needle phobia a problem? And how proactive
are people going to be to actually go to a
pharmacy and get this thing and then use it themselves,
either for themselves or their kids. It's between it's approved
for between two and forty nine year olds, and so
(11:33):
I think that's going to be the primary thing. Either
it's going to be driven by convenience you don't have
to go to a doctor, or it's going to be
driven by needle phobia because it's a spray, you don't
have to inject it. If there's cost, I don't know
what the cost is going to be at. So if
there's cost associated with it, that may also hibert it.
Because right, there's so many places you can get free
(11:54):
flu vaccines.
Speaker 2 (11:55):
Right and you know, even when you pay for them
at Costco, it's twenty nine bucks.
Speaker 1 (12:00):
Even if you had to pay for it all.
Speaker 2 (12:02):
And I'm assuming because of the inject the injectible model
heroin addicts and diabetics do just find with that is
the rest of us that have a little bit of
a problem injecting ourselves.
Speaker 1 (12:13):
All right, this is good stuff, this really is. We
actually have finished up all of the Yeah, okay, we
got through it all. That's amazing. Yeah, we got through
it all, which we rarely do. So well handled.
Speaker 5 (12:26):
You want to ask doctor Keeney why you're getting vertigo
in the middle of the show.
Speaker 1 (12:32):
Oh yeah, I got.
Speaker 2 (12:32):
Vertigo in the middle of the show and I started
seeing double and the my copy started going weird. It
only lasted a couple of minutes. Does that mean I'm
going to die next week? And of course you're going
to say yes, Okay, well obviously.
Speaker 3 (12:47):
I can't treat you over the phone, but yes, you're
going to die, is the short answer.
Speaker 2 (12:50):
Okay, thank you. Should I be worried by the way
of having a vertigo?
Speaker 3 (12:54):
Yeah, I think I think that if if you have
dizziness that where you're having trouble walking, you need to
get scene. If it's something that comes and goes and
it's mostly with movement and when you turn your head
and it's a sensation of movement, then you can kind
of see how it goes. But if you're if you're
getting to the point where you're dizzy and you're having
trouble walking, one hundred percent, you need to go to
the emergency apartment.
Speaker 2 (13:15):
Okay, yeah, I mean, if I'm just but it disappears,
I mean, I know I'm getting personal here, but I
had it this morning. It lasted about thirty seconds or
a minute and then it went away.
Speaker 1 (13:25):
But things right, that.
Speaker 3 (13:26):
Sounds a little more like what we call benign positional vertigo,
and it's very common if the inner ear interer ear
has nothing to do with hearing, it has.
Speaker 2 (13:34):
To do with balance.
Speaker 1 (13:34):
Okay, and that can happen.
Speaker 3 (13:36):
But again, if it lasts, man is this could be
you know, this is one of the signs of a stroke.
Not a common sign, and typically it would not come
and go like that. It would last much longer and
you would have trouble actually walking.
Speaker 5 (13:49):
Yeah, that's I'd like this on the record. I called
Dibbs on his headphone, his chair and his microphone.
Speaker 1 (13:54):
Yeah yeah, guys, go ahead, And by the way, we
did we did the test.
Speaker 3 (13:59):
Yeah, YouTube test of Skew. Try that YouTube test of Skew.
Try that on him, and if he failed, then he's
got to go to the ear.
Speaker 2 (14:06):
And what Neil did do is say how many fingers
do I have up? And I saw fourteen, but he
only had one up. And you know, obviously the one
he had up was the one that you would expect him.
Speaker 1 (14:19):
To have up. Jim, thank you.
Speaker 2 (14:22):
I will call you probably from the hospital this afternoon.
Speaker 1 (14:26):
Yes, thank you. We'll talk again next week.
Speaker 2 (14:29):
Jim kindy, Okay, China is really pissed off, I mean
really pissed off. And here's what's going on the US
and this is Donald Trump is at the forefront of this,
and he's given a lot of credit for this, and
I happen to agree with him to an extent, and
(14:50):
that is nailing China with tariffs. Now, Trump has proposed
two hundred percent tariffs on Chinese vehicles and parts and
pieces coming in and two hundred.
Speaker 1 (15:04):
Percent is basically an embargo.
Speaker 2 (15:07):
But he has institute, or he did institute various tariffs
and China's going out of its mind because right now US,
the US is proposing, even under under Joe Biden, proposed
restrictions on Chinese auto software and hardware, and what's China
(15:28):
doing saying, Oh, no, no, that's against the free market system.
Speaker 1 (15:32):
How dare you do that?
Speaker 2 (15:33):
We will take all action to protect our national companies.
The Ministry of Commerce says that these protectionist practices have
no factual basis that we're doing anything wrong, and they
go against the principles of a market economy and fair competition.
Now keep in mind that the master of tariffs is China.
Speaker 1 (15:59):
The hipocrisy here is stunning.
Speaker 2 (16:02):
China not only tariffs the hell out of products coming
in from all over the world and limits them. It
also has well, they decimated the steel industry forty years
ago by dumping.
Speaker 1 (16:16):
Steel. Dumping means that the steel industry.
Speaker 2 (16:19):
In China was subsidized by the government of China to
undercut American steel in America.
Speaker 1 (16:29):
And we allowed that to happen.
Speaker 2 (16:32):
And then we woke up and said, come on, guys,
if we're going to have a free market system, we're
going to have a free market system, which, by the way,
China is going to win because their labor.
Speaker 1 (16:43):
Is a fraction of what our labor is.
Speaker 2 (16:50):
For example, they're EV's and they sell them in Asia
and other parts of the world.
Speaker 1 (16:55):
They don't sell them.
Speaker 2 (16:56):
Here you can buy a pretty good ev for twenty
two thousand.
Speaker 1 (17:01):
Dollars or eighteen thousand dollars.
Speaker 2 (17:03):
You can't do that in America, not with an American
made product, can't do it. And they don't have any
of the safety issues or overtime issues that we have here.
So on a pure economic a pure market economy, they.
Speaker 1 (17:20):
Would do well.
Speaker 2 (17:21):
But on top of that, they do beyond pure market
coming into the leaving the country. They want a fair market,
they want a fair playing field going out, coming into China.
It's a whole different animal. So you know what the
United States is doing. I mean we already tariff various
products coming in. I mean there are I think forty
(17:43):
two forty two thousand different tariffs. You know, for example,
a jewelry. A friend of mine was in a jewelry business.
Rings are tariffed at one price, jewels are tariffed at
another price. So quite often the jewelry industry separates the
two out and puts them together. Also, when is a
car produced in the US, when is it produced out
(18:06):
of the US. When are parts manufactured? There are millions
of tariffs out there. The point is China is in
an uproar because we are.
Speaker 1 (18:18):
That is the federal government is saying we're going to.
Speaker 2 (18:21):
Throw tariffs on and I'll tell you where they are
not happy, and that is President Trump becoming President Trump
one more time.
Speaker 1 (18:29):
He is going to tariff the hell out of China.
And he's going to say for two reasons.
Speaker 2 (18:35):
One believes that prices will go down in the United States.
Speaker 1 (18:39):
Wrong believes that products not.
Speaker 2 (18:43):
Being sold by the Chinese will increase the number of
employees here.
Speaker 1 (18:48):
Probably true. It's the prices where I think he's going
to be wrong.
Speaker 2 (18:53):
But I tell you know, China is not going to
have the same economic power that it did not with US,
and they're screaming about it.
Speaker 1 (19:04):
They're in a complete uproar about it.
Speaker 2 (19:07):
The Commerce Ministry says it is wrong to generalize national
security issues.
Speaker 1 (19:13):
That's the other thing.
Speaker 2 (19:14):
Is when you're talking about for example, byte Dance, which
owns TikTok, the US government said, either you sell it
or we're shutting it down.
Speaker 1 (19:24):
We're not going to have Chinese.
Speaker 2 (19:25):
Ownership because of national security issues. The same thing bringing
in hardware on computer systems. So there is a panoply
of issues here and they all come together with tariffing
Chinese products coming in this country. You're going to hear
a whole lot more about that, particularly during the presidential
(19:47):
coming up.
Speaker 1 (19:48):
That's going to be one of the big, big issues.
All right.
Speaker 2 (19:51):
I want to end the topic with something called a
sin quinineta as opposed to a sinc wineta.
Speaker 1 (19:59):
Fifteen year old.
Speaker 2 (20:00):
Hispanic girls have the sinquineta fifteen year old?
Speaker 1 (20:05):
What no, am I mispronouncing everything?
Speaker 5 (20:10):
When you got to when you've got to be corrected
by the halfy?
Speaker 1 (20:15):
Yeah, well, anyway, let's do this.
Speaker 2 (20:17):
Let's call them fifteen year old parties for Hispanics and
fifty year old parties for Hispanics. And here is why
these things are growing like crazy. There's an article in
the Atlantic in which the writer interviewed a bunch of
Hispanic women who were celebrating their fiftieth year on this
planet as opposed to their fifteenth year, in which you
(20:39):
have the whole world in front of you, and at fifty,
it is perceived that you don't you know when you
have parties, you know, it's always these joke cards.
Speaker 1 (20:49):
You're gonna die soon.
Speaker 2 (20:51):
You're old as you know, you're old as dirt, it
goes on and on. Well this undoes that and actually
makes sense because the average age at two hundred. You
died at fifty two, and you had all of the
events happened fairly early in life. You got married, you
(21:12):
had either the bar mitzvah or the bot mitzvah, you
had the sinquineta, you got married, you got married, had kids.
Speaker 1 (21:21):
I mean, it went on and on. Nothing after your twenties.
Speaker 2 (21:25):
Well what this is saying, what these women are doing saying,
there's plenty after your twenties, and we're going to celebrate
fifties and it is a thing, and it makes a
lot of sense because yeah, I mean, how many jokes
do you have. I remember starting to receive cards about
not being able to sustain an erection because I'm old
(21:48):
and Cuddy. By the way, those started with me when
I was thirty five years old, and I said, no,
this doesn't work.
Speaker 1 (21:55):
The point is that we are not getting old that quickly.
Speaker 2 (22:00):
And this in the world of Hispanic women particularly translates
into these Latina parties celebrating fifty years.
Speaker 1 (22:11):
Of being around, and it is growing like crazy. And
you know this. Oh, by the way, in nineteen hundred.
The global life.
Speaker 2 (22:18):
Expectancy was thirty two years, not fifty two years. And
so this is about midlife. This is about looking at
midlife separately.
Speaker 1 (22:28):
Well, we know, I mean growing up to me and Aneil.
Speaker 2 (22:31):
You know, obviously I'm a little older than you are.
Sixty five was conn sync. Yeah, sixty five was kind
of old retirement age. Sixty five sort of happened today.
When you're in your seventies, you're not old old to me,
and I think I'm not alone. Sort of happens when
you're in your eighties now, and then there's really old
(22:53):
when you're in your nineties. So life has changed completely.
And I love this idea. I love this idea, and
I hope it translates into a whole lot more with
the rest of us having parties. Now. I'm not I'm
not retiring anytime soon, and I'm no youngster. You know,
I've hit seventy seventy five, eighty eighty.
Speaker 1 (23:20):
Five, Okay, maybe not. Let me end it with that.
Speaker 2 (23:26):
Coming up tomorrow we start all over again with Amy
and wake up call, and then Neil and I jump aboard.
We're here from six to nine with Amy and then
of course joining us for being here all the time.
Is our producer extraordinaire, and then our technical director.
Speaker 1 (23:47):
I have no idea what that means.
Speaker 2 (23:49):
By the way, kno, what the hell is a technical
director on our show?
Speaker 1 (23:53):
On your toes, I keep you on time, I keep
all the music coming, I keep you keep it going show,
got it, got your tech? Ok all right, I'll buy
that that resonates with the podcast. Okay, I got it, Fine, Fine,
I got it.
Speaker 2 (24:07):
Shut up already, we're ending the show, all right, Seeing
tomorrow everybody. This is KFI AM six forty live everywhere
on the iHeartRadio app.
Speaker 1 (24:18):
You've been listening to the Bill Handle Show. Catch my
show Monday through Friday, six
Speaker 2 (24:22):
Am to nine am, and anytime on demand on the
iHeartRadio app.
You're listening to Bill Handle on demand from KFI AM
six forty.
Speaker 2 (00:07):
And this is at KFI Bill Handle here on Aday, Wednesday,
September twenty five.
Speaker 1 (00:13):
Some of the big stories we're looking.
Speaker 2 (00:15):
At and went Florida residents, Boy, you want to live
in Florida bracing for Helene, the fourth name storm and
it's going to be the biggest hurricane in a year
and we are only at number seven named hurricane or
staying storm for the year. And billions of dollars going
(00:38):
to Ukraine because the money dries up at the end
of the month, and so they want to get it.
Speaker 1 (00:45):
They want to kick in as much as possible.
Speaker 2 (00:47):
All right, Doctor Jim Keeney, who is the chief medical
officer for Dignity Saint Mary Medical Center in Long Beach,
Jim every Wednesday, Good morning, Jim, Good morning Bill Okay,
big news yesterday, and this of course is going to
kick off our conversation. Brett Favre And by the way,
(01:08):
for those of you amy.
Speaker 1 (01:10):
How is that spelled? It's pronounced? How is that spelled?
F A v R E favre fv okay.
Speaker 2 (01:21):
Brett Farb was diagnosed with Parkinson's. Now we all know
what Parkinson's is, we think, uh, and people I think
are rightfully frightened of this. So let's go through it,
because now it's become front burner stuff.
Speaker 3 (01:42):
I mean, Parkinson's disease is essentially a movement disorder, you know,
so you start with things like a little bit of
tremor in your hands. The classic is what we call
pill rolling because it's, you know, a movement between your
your index finger and your thumb. But it can affect
other things as well. But in this case it's you know,
(02:03):
it's highly associated with head trauma. We know that some
of the proteins that we check in the spinal column
and the brain for that indicate Parkinson's disease. Also we
see that with with head injury. So there's definitely a
strong association between the two.
Speaker 2 (02:20):
Hey, so someone comes in and they have tremors, At
what point do you diagnose Parkinson's as opposed to whatever
other disease can cause that?
Speaker 3 (02:31):
But symptos because I remember, it also has you get what
they call a mask like face, like your facial expressions
don't move as much. Your body is a little bit
more stiff, you you know, you just don't move move
as smoothly as you do. I mean, we really had
a great example for it on TV regularly with the President.
You know, we can watch how he moves, watch how
(02:54):
he turns, watch how he's face doesn't have a lot
of facial expressions. I mean, medical people look at that
and say, wow, that is classic Parkinson's.
Speaker 4 (03:03):
And I'm assuming there's no case that go ahead to
answer your question, I never got to your question, which
is in that case then we would usually refer somebody
to a neurologist at that point and then have them evaluate.
Speaker 3 (03:13):
Them for Parkinson's, and when we trial them on medications,
you know a lot of times it works pretty quickly
and they can see the effects.
Speaker 2 (03:20):
So there's no cure, but you can either stop or
deal with symptoms.
Speaker 1 (03:25):
Do I have that right correct?
Speaker 3 (03:27):
I mean there are there are some you know, cutting
edge things going on, but for the most part, you
can't cure it and just get rid of it forever.
Speaker 1 (03:35):
Can it become just chronic or does it keep on
heading south?
Speaker 3 (03:40):
Yeah, it's kind of a one way street. I mean,
once you have it again, you can't get rid of it,
so it becomes a chronic illness and it typically progresses
with age. And age is one of the risk factors
as well. You know, usually it is unusual if it
happens under fifty. So Brett Farre mentioned that he was
recently diagnosed and he's fifty four. Technically it wouldn't be
(04:01):
early on set Parkinson disease, but he is kind of
young to have that if he didn't have the history
of so many head injuries.
Speaker 2 (04:09):
Yeah, and he as he mentioned, I mean, he went
public with it, and he was at a congressional hearing
and talked about it. He mentioned that he has had
more concussions than he can even count. We've seen three
major ones on TV. But he said, you know, he
would just constantly see stars.
Speaker 1 (04:30):
He would just see That's what people did in the day.
Speaker 3 (04:34):
There are people called it getting your bell rung right
or getting dinged, and that is a concussion. That's what
people didn't recognize. Now, I hope that everybody recognizes that
that when you're a little foggy or you know, you
again get your bell wrung, but you're not knocked unconscious,
you're still not super confused, you're able to walk back
out on the field and shake it off. That's still
(04:55):
a concussion. And those accumulate to create all kinds of problems.
Speaker 2 (05:00):
Yeah, if we watch NFL games, which I do, Uh,
someone has any kind of not a head injury, but
bell rung where it looks like a good bang on
the head. They immediately go into the medical tent or
go into the locker room, and an independent neurologist looks
at that player and says, okay, you're okay to go
back on the field. But enough of those, I'm assuming
(05:24):
uh get to be pretty dangerous and at some point, well,
what's that quarterback name who is being pushed to retire
office third go round?
Speaker 1 (05:34):
I forgot his name. It's one of those Samoan names. Uh.
Speaker 2 (05:38):
Anyway, you know, at what point do they do you
say just stop it? And I know you're not a neurologist,
but you know where would you say you're done?
Speaker 3 (05:48):
Well, I mean, you know, we used to say three
concussions and you're out of your sport. You know, one
concussion and you're out for until you're completely clear. Uh,
you know, and that should be that should be happening
in kids worts as well. Two concussions and you're out
for the season. And we used to say three concussions
and you really need to consider another sport. But obviously
(06:08):
these guys are going way beyond three concussions. They're going unrecognized.
They you know that there's so much money involved with this,
they don't even want to know report when they when
they get a hand injury, or at least they didn't
used to, you know. I think more and more, with
all the post mortem reviews of these guys' brains showing
(06:28):
chronic traumatic encephalitis and all the problems emotional and physical
problems that that leads to, I think the guys are
being a lot more proactive in recognizing when they have
these kind of injuries.
Speaker 1 (06:40):
Yeah.
Speaker 2 (06:40):
I just reported that I think two thirds of retired
NFL players say that they believe they have CTE.
Speaker 1 (06:50):
And that's pretty scary stuff. Okay, I want to go.
Speaker 2 (06:54):
To this BBI business and BMI body mass index and
I'm and I just took a test one of the
things that happens to in gym's and the gym I
go to, there's this little machine that looks it's just
looks like it's weighing you, and it does amazing things
(07:15):
determining how much fat you have, how much water you
have in your body.
Speaker 1 (07:18):
I don't understand the technology.
Speaker 2 (07:20):
But bm I, and that is body mass index. I'm
a twenty seven point two, which is right in line
with so I'm reasonably healthy.
Speaker 1 (07:35):
Now.
Speaker 2 (07:36):
I am right in the middle of body fat mass
too BFM. I also have an X five my BMW,
which I like very much.
Speaker 1 (07:50):
My way, I'm sorry.
Speaker 2 (07:52):
My weight is about two hundred and that's pretty that's
pretty reasonable.
Speaker 1 (07:57):
But you know I have the gout.
Speaker 2 (07:59):
You and I have gone to lunch, and you know
I have a little bit of a gut. I mean
it hangs out. So how can you have a like
a gut the way I have? Now I'm not three
hundred pounds anymore. I'm two hundred pounds. I'm a hundred
pounds down. But if I am, my BMI is right
there in the middle. Does that mean I am healthy?
Speaker 1 (08:20):
Yeah?
Speaker 3 (08:21):
An important thing is we all hinge. So much of
how we perceive our health on our weight, and there's
so many different ways to assess that. Weight, for example,
doesn't take into account height. So the problem is that
you know, if you weigh two hundred, and you know
I weeigh one eighty.
Speaker 1 (08:41):
I don't.
Speaker 3 (08:41):
But if I did, you know I'm shorter than you,
and all of a sudden, I would be overweight at
one eighty, where at two hundred you're pretty darn close
to where you should be. So they developed things like BMI.
It was developed because it's accessible. Right, people mostly can
easily measure their height and their weight and that's all
that's used to calculate it. But you can see that
(09:02):
it doesn't tell you where the fat is distributed in
your body and what you're bringing that up. Gut fat is,
and we call visceral fat around the organs. That's the
more dangerous kind of fat as far as for your health,
because some people just have more subcutaneous fat. Subcutaneous is
the kind you can tinch in your skin that you
know also can be a problem, but it's less problematic
(09:24):
than when you've got that gut fat as far as
your health and as far as metabolic disorders and risk
for diabetes, risks for heart attacks, all those things. So
in another way, in England, what they do is they
do they look at your waste to your height ratio
and your waist should be less than half your height
and if it's if your wave is more than half
(09:45):
your height or your waist is more than half your height,
then we know that you've got a lot of gut fat,
and that's more of a problem.
Speaker 2 (09:52):
Now this machine tells me, it incorporates how tall I am,
and it you know I'm basically in good shape.
Speaker 1 (10:01):
Except that's one.
Speaker 3 (10:05):
Of the easier ones for like to be cool in
a gym. Or you can get these kind of scales
at home where you type in your weight and you
just type in your height and you stand on it
and it uses what's called impedance. Impedance is less studied,
but it's another easier way to measure body fat. You
can also do things like dunk somebody underwater and see
how how much they weigh in water because fat floats
(10:28):
more than muscle. That's a lot more studied, a lot
harder to do on your own. Obviously, the most accurate
would be something like an MRI of your body where
you can actually measure your organ fat. But that's ridiculous, right,
We're not gonna be able to do that on a
regular basis, So that we're trading off accessibility and the
ability for you to just understand at some level what
(10:50):
your weight means as far as your health and complexity,
where an MRI would be the most complex and the
most accurate.
Speaker 1 (10:56):
All Right, we only have a couple of minutes.
Speaker 2 (10:59):
The FDA just approved and at home do it yourself
flu vaccine.
Speaker 1 (11:05):
How big a deal is this?
Speaker 2 (11:07):
I mean, is this one of those earth shattering medical stories?
Speaker 4 (11:12):
You know?
Speaker 3 (11:12):
I think it's going to be interesting, right because how
much is the needle phobia a problem? And how proactive
are people going to be to actually go to a
pharmacy and get this thing and then use it themselves,
either for themselves or their kids. It's between it's approved
for between two and forty nine year olds, and so
(11:33):
I think that's going to be the primary thing. Either
it's going to be driven by convenience you don't have
to go to a doctor, or it's going to be
driven by needle phobia because it's a spray, you don't
have to inject it. If there's cost, I don't know
what the cost is going to be at. So if
there's cost associated with it, that may also hibert it.
Because right, there's so many places you can get free
(11:54):
flu vaccines.
Speaker 2 (11:55):
Right and you know, even when you pay for them
at Costco, it's twenty nine bucks.
Speaker 1 (12:00):
Even if you had to pay for it all.
Speaker 2 (12:02):
And I'm assuming because of the inject the injectible model
heroin addicts and diabetics do just find with that is
the rest of us that have a little bit of
a problem injecting ourselves.
Speaker 1 (12:13):
All right, this is good stuff, this really is. We
actually have finished up all of the Yeah, okay, we
got through it all. That's amazing. Yeah, we got through
it all, which we rarely do. So well handled.
Speaker 5 (12:26):
You want to ask doctor Keeney why you're getting vertigo
in the middle of the show.
Speaker 1 (12:32):
Oh yeah, I got.
Speaker 2 (12:32):
Vertigo in the middle of the show and I started
seeing double and the my copy started going weird. It
only lasted a couple of minutes. Does that mean I'm
going to die next week? And of course you're going
to say yes, Okay, well obviously.
Speaker 3 (12:47):
I can't treat you over the phone, but yes, you're
going to die, is the short answer.
Speaker 2 (12:50):
Okay, thank you. Should I be worried by the way
of having a vertigo?
Speaker 3 (12:54):
Yeah, I think I think that if if you have
dizziness that where you're having trouble walking, you need to
get scene. If it's something that comes and goes and
it's mostly with movement and when you turn your head
and it's a sensation of movement, then you can kind
of see how it goes. But if you're if you're
getting to the point where you're dizzy and you're having
trouble walking, one hundred percent, you need to go to
the emergency apartment.
Speaker 2 (13:15):
Okay, yeah, I mean, if I'm just but it disappears,
I mean, I know I'm getting personal here, but I
had it this morning. It lasted about thirty seconds or
a minute and then it went away.
Speaker 1 (13:25):
But things right, that.
Speaker 3 (13:26):
Sounds a little more like what we call benign positional vertigo,
and it's very common if the inner ear interer ear
has nothing to do with hearing, it has.
Speaker 2 (13:34):
To do with balance.
Speaker 1 (13:34):
Okay, and that can happen.
Speaker 3 (13:36):
But again, if it lasts, man is this could be
you know, this is one of the signs of a stroke.
Not a common sign, and typically it would not come
and go like that. It would last much longer and
you would have trouble actually walking.
Speaker 5 (13:49):
Yeah, that's I'd like this on the record. I called
Dibbs on his headphone, his chair and his microphone.
Speaker 1 (13:54):
Yeah yeah, guys, go ahead, And by the way, we
did we did the test.
Speaker 3 (13:59):
Yeah, YouTube test of Skew. Try that YouTube test of Skew.
Try that on him, and if he failed, then he's
got to go to the ear.
Speaker 2 (14:06):
And what Neil did do is say how many fingers
do I have up? And I saw fourteen, but he
only had one up. And you know, obviously the one
he had up was the one that you would expect him.
Speaker 1 (14:19):
To have up. Jim, thank you.
Speaker 2 (14:22):
I will call you probably from the hospital this afternoon.
Speaker 1 (14:26):
Yes, thank you. We'll talk again next week.
Speaker 2 (14:29):
Jim kindy, Okay, China is really pissed off, I mean
really pissed off. And here's what's going on the US
and this is Donald Trump is at the forefront of this,
and he's given a lot of credit for this, and
I happen to agree with him to an extent, and
(14:50):
that is nailing China with tariffs. Now, Trump has proposed
two hundred percent tariffs on Chinese vehicles and parts and
pieces coming in and two hundred.
Speaker 1 (15:04):
Percent is basically an embargo.
Speaker 2 (15:07):
But he has institute, or he did institute various tariffs
and China's going out of its mind because right now US,
the US is proposing, even under under Joe Biden, proposed
restrictions on Chinese auto software and hardware, and what's China
(15:28):
doing saying, Oh, no, no, that's against the free market system.
Speaker 1 (15:32):
How dare you do that?
Speaker 2 (15:33):
We will take all action to protect our national companies.
The Ministry of Commerce says that these protectionist practices have
no factual basis that we're doing anything wrong, and they
go against the principles of a market economy and fair competition.
Now keep in mind that the master of tariffs is China.
Speaker 1 (15:59):
The hipocrisy here is stunning.
Speaker 2 (16:02):
China not only tariffs the hell out of products coming
in from all over the world and limits them. It
also has well, they decimated the steel industry forty years
ago by dumping.
Speaker 1 (16:16):
Steel. Dumping means that the steel industry.
Speaker 2 (16:19):
In China was subsidized by the government of China to
undercut American steel in America.
Speaker 1 (16:29):
And we allowed that to happen.
Speaker 2 (16:32):
And then we woke up and said, come on, guys,
if we're going to have a free market system, we're
going to have a free market system, which, by the way,
China is going to win because their labor.
Speaker 1 (16:43):
Is a fraction of what our labor is.
Speaker 2 (16:50):
For example, they're EV's and they sell them in Asia
and other parts of the world.
Speaker 1 (16:55):
They don't sell them.
Speaker 2 (16:56):
Here you can buy a pretty good ev for twenty
two thousand.
Speaker 1 (17:01):
Dollars or eighteen thousand dollars.
Speaker 2 (17:03):
You can't do that in America, not with an American
made product, can't do it. And they don't have any
of the safety issues or overtime issues that we have here.
So on a pure economic a pure market economy, they.
Speaker 1 (17:20):
Would do well.
Speaker 2 (17:21):
But on top of that, they do beyond pure market
coming into the leaving the country. They want a fair market,
they want a fair playing field going out, coming into China.
It's a whole different animal. So you know what the
United States is doing. I mean we already tariff various
products coming in. I mean there are I think forty
(17:43):
two forty two thousand different tariffs. You know, for example,
a jewelry. A friend of mine was in a jewelry business.
Rings are tariffed at one price, jewels are tariffed at
another price. So quite often the jewelry industry separates the
two out and puts them together. Also, when is a
car produced in the US, when is it produced out
(18:06):
of the US. When are parts manufactured? There are millions
of tariffs out there. The point is China is in
an uproar because we are.
Speaker 1 (18:18):
That is the federal government is saying we're going to.
Speaker 2 (18:21):
Throw tariffs on and I'll tell you where they are
not happy, and that is President Trump becoming President Trump
one more time.
Speaker 1 (18:29):
He is going to tariff the hell out of China.
And he's going to say for two reasons.
Speaker 2 (18:35):
One believes that prices will go down in the United States.
Speaker 1 (18:39):
Wrong believes that products not.
Speaker 2 (18:43):
Being sold by the Chinese will increase the number of
employees here.
Speaker 1 (18:48):
Probably true. It's the prices where I think he's going
to be wrong.
Speaker 2 (18:53):
But I tell you know, China is not going to
have the same economic power that it did not with US,
and they're screaming about it.
Speaker 1 (19:04):
They're in a complete uproar about it.
Speaker 2 (19:07):
The Commerce Ministry says it is wrong to generalize national
security issues.
Speaker 1 (19:13):
That's the other thing.
Speaker 2 (19:14):
Is when you're talking about for example, byte Dance, which
owns TikTok, the US government said, either you sell it
or we're shutting it down.
Speaker 1 (19:24):
We're not going to have Chinese.
Speaker 2 (19:25):
Ownership because of national security issues. The same thing bringing
in hardware on computer systems. So there is a panoply
of issues here and they all come together with tariffing
Chinese products coming in this country. You're going to hear
a whole lot more about that, particularly during the presidential
(19:47):
coming up.
Speaker 1 (19:48):
That's going to be one of the big, big issues.
All right.
Speaker 2 (19:51):
I want to end the topic with something called a
sin quinineta as opposed to a sinc wineta.
Speaker 1 (19:59):
Fifteen year old.
Speaker 2 (20:00):
Hispanic girls have the sinquineta fifteen year old?
Speaker 1 (20:05):
What no, am I mispronouncing everything?
Speaker 5 (20:10):
When you got to when you've got to be corrected
by the halfy?
Speaker 1 (20:15):
Yeah, well, anyway, let's do this.
Speaker 2 (20:17):
Let's call them fifteen year old parties for Hispanics and
fifty year old parties for Hispanics. And here is why
these things are growing like crazy. There's an article in
the Atlantic in which the writer interviewed a bunch of
Hispanic women who were celebrating their fiftieth year on this
planet as opposed to their fifteenth year, in which you
(20:39):
have the whole world in front of you, and at fifty,
it is perceived that you don't you know when you
have parties, you know, it's always these joke cards.
Speaker 1 (20:49):
You're gonna die soon.
Speaker 2 (20:51):
You're old as you know, you're old as dirt, it
goes on and on. Well this undoes that and actually
makes sense because the average age at two hundred. You
died at fifty two, and you had all of the
events happened fairly early in life. You got married, you
(21:12):
had either the bar mitzvah or the bot mitzvah, you
had the sinquineta, you got married, you got married, had kids.
Speaker 1 (21:21):
I mean, it went on and on. Nothing after your twenties.
Speaker 2 (21:25):
Well what this is saying, what these women are doing saying,
there's plenty after your twenties, and we're going to celebrate
fifties and it is a thing, and it makes a
lot of sense because yeah, I mean, how many jokes
do you have. I remember starting to receive cards about
not being able to sustain an erection because I'm old
(21:48):
and Cuddy. By the way, those started with me when
I was thirty five years old, and I said, no,
this doesn't work.
Speaker 1 (21:55):
The point is that we are not getting old that quickly.
Speaker 2 (22:00):
And this in the world of Hispanic women particularly translates
into these Latina parties celebrating fifty years.
Speaker 1 (22:11):
Of being around, and it is growing like crazy. And
you know this. Oh, by the way, in nineteen hundred.
The global life.
Speaker 2 (22:18):
Expectancy was thirty two years, not fifty two years. And
so this is about midlife. This is about looking at
midlife separately.
Speaker 1 (22:28):
Well, we know, I mean growing up to me and Aneil.
Speaker 2 (22:31):
You know, obviously I'm a little older than you are.
Sixty five was conn sync. Yeah, sixty five was kind
of old retirement age. Sixty five sort of happened today.
When you're in your seventies, you're not old old to me,
and I think I'm not alone. Sort of happens when
you're in your eighties now, and then there's really old
(22:53):
when you're in your nineties. So life has changed completely.
And I love this idea. I love this idea, and
I hope it translates into a whole lot more with
the rest of us having parties. Now. I'm not I'm
not retiring anytime soon, and I'm no youngster. You know,
I've hit seventy seventy five, eighty eighty.
Speaker 1 (23:20):
Five, Okay, maybe not. Let me end it with that.
Speaker 2 (23:26):
Coming up tomorrow we start all over again with Amy
and wake up call, and then Neil and I jump aboard.
We're here from six to nine with Amy and then
of course joining us for being here all the time.
Is our producer extraordinaire, and then our technical director.
Speaker 1 (23:47):
I have no idea what that means.
Speaker 2 (23:49):
By the way, kno, what the hell is a technical
director on our show?
Speaker 1 (23:53):
On your toes, I keep you on time, I keep
all the music coming, I keep you keep it going show,
got it, got your tech? Ok all right, I'll buy
that that resonates with the podcast. Okay, I got it, Fine, Fine,
I got it.
Speaker 2 (24:07):
Shut up already, we're ending the show, all right, Seeing
tomorrow everybody. This is KFI AM six forty live everywhere
on the iHeartRadio app.
Speaker 1 (24:18):
You've been listening to the Bill Handle Show. Catch my
show Monday through Friday, six
Speaker 2 (24:22):
Am to nine am, and anytime on demand on the
iHeartRadio app.
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