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October 23, 2024 26 mins
Amy King re-cap: Speaking with expedition 72 flight engineer Nick Hague aboard the international space station this morning. Guest Dr. Jim Keany – Chief Medical Officer for Dignity St Mary Center in Long Beach talks E.coli/ listeria/ sleep apnea/ and Nationwide iv fluid shortage.
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Episode Transcript

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Speaker 1 (00:00):
You're listening to KFI AM six forty the bill handles
show on demand on the iHeartRadio f.

Speaker 2 (00:10):
Houston.

Speaker 3 (00:11):
I am ready for the event.

Speaker 2 (00:13):
Excellent KFI radio. This is Mission Control, Houston. Please call
station for a voice check station.

Speaker 4 (00:19):
This is Amy King with kfi's wake up call. How
do you hear me?

Speaker 2 (00:23):
Amy?

Speaker 5 (00:23):
This is Nick and I can hear you loud and clear.

Speaker 1 (00:26):
All right, KFI, welcome aboard and what you have just heard,
and we're going to go diving into that a little
deeper right now this morning at five point thirty, Amy
King speaking to Nick, a Colonel Nick aboard the International
Space Station.

Speaker 2 (00:43):
Now, before you get into it, Amy, I want to
point out what a big deal this is.

Speaker 1 (00:48):
You have seen people interviewed in space, right, but you've
always seen the interviews on national news outlets. It does
not happen on local news outlets. It just doesn't happen.

Speaker 2 (01:03):
And Amy was able to pull it off.

Speaker 1 (01:07):
And so we're going to do She's going to play
We're going to play a couple of snippets from the
interview she did this morning, and then two questions which
Amy of course did not ask, which inevitably I would
have asked and that would have been the last time,
of course, I would ever be allowed to talk to
an astronaut.

Speaker 2 (01:27):
And so Amy, I'm going to just throw it to
you with your interview.

Speaker 6 (01:32):
Okay, Well, we're just going to play some excerpts of
it and also let you know that you can listen
to the whole interview on the KFI website at kfiam
six forty dot com slash space. You can listen to
today's interview that was live on the International Space Station,
plus the others that we've done over the last six
months with Colonel Hag who's been so generous in sharing

(01:56):
his time as he prepared to go to the International
Space station'll be putting out the Zoom call on our
social media soon. They're putting some finishing touches on that.
But it was fun for me because I got to
actually see Colonel Haig up in space, and we want
you to share that with you as well. He launched
to the International Space Station on September twenty eighth, and

(02:18):
so he's been there for less than a month, and
his launch was actually delayed because of what happened with
Sonny Williams and Butch Wilmore. They were the astronauts who
went up on the Boeing star Liner and then they
couldn't come back on the star Liner. So they are
basically going to spend eight or nine months on the

(02:38):
space station. And they had to reconfigure Colonel Haig's mission
to accommodate and be able to bring them home in February.
So with Colonel Hagg and Alex who's the cosmonaut who's
with him, and Sonny and Butch and others, it's getting
a little crowded up on the space station. So I
asked Colonel Haig how many people are there on board currently?

Speaker 5 (02:59):
Right now, we have eleven people on the space station,
and today is kind of an exciting day. Crew eight
is preparing to undock, so four of our crewmates are
getting ready to hop into their capsule and return to
Earth and splash down on Friday, and so there's a
buzz of anticipation and excitement. I'm happy for them to

(03:19):
be able to get back to their to their families.
It's also it's also an exciting time because it's turning
over another chapter, another crew handover. You know, they're passing
the baton to us, if you will, and that baton
passing has been happening continuously for two and a half decades,
and their floats Matt screaming by getting ready to go

(03:42):
up into his dragon and continue packing and getting ready
to leave.

Speaker 6 (03:46):
So that was and you'll be able to see it
on the zoom call because during this whole conversation with
Colonel Hag there were astronauts buzzing by, and as he
said that, that was part of the Crew eight, which
is planning to come home. In fact, our interview that
we've been talking about and promoting for the last week
was in jeopardy yesterday because because they were weather dependent

(04:09):
on when the Crew eight was going to be able
to return, so they didn't know if they were going
to have to adjust sleep schedules which would adjust when
they would be available to talk and everything. But it
all worked out, so we're thrilled about that.

Speaker 1 (04:19):
Yeah, the signal was amazing. Oh my god, that's for starters. Also,
eleven people. Is that a lot of people? Is that
a crowded iss.

Speaker 6 (04:29):
So when I've talked to Colonel Hag before, they usually
I think it's like five six seven that are normally
up there, So there are more people up there, but
they can accommodate for it, and they said. He said
that the size of the space station itself, if you
go end to end, is the size of a football field.
But if you look just at the pressurized places, the

(04:51):
living spaces, it's the volume of a about a four
or five store room house.

Speaker 2 (04:58):
Oh, so it's big.

Speaker 4 (04:59):
It's relatively large.

Speaker 6 (05:01):
And then he said that you use everything like you
don't think of a four bedroom house like we think
of it in a linear way, because they're using all
the space all the way up to the ceilings. They
can use every surface because there's no gravity and they
have access to all of it.

Speaker 1 (05:14):
All Right, we have two minutes before the break. What
can you do with that in terms of your interview?

Speaker 2 (05:20):
Okay?

Speaker 6 (05:20):
I asked him about how things run on the International
Space Station, knowing that they have to get resupplies. They
have missions going up to resupply them all the time,
and I wanted to know how do you get your
air and water? Is it shipped up there or do
they just have it up there now and recycle it.

Speaker 5 (05:37):
It's a fairly closed loop system, meaning we have to
recycle everything. And currently if we focus on water, the
station is operating about ninety eight percent of the ability
to recycle the water that we use. And so even
right now, there's air conditioners that are scrubbing this air,
and as we perspire moisture, they're condensing that, putting it

(05:59):
back into a system that purifies it so we can
drink it. And so we're able to recover ninety eight
percent of the water that we consume, which is important
because water is really dense, it's really heavy, and things
that are heavy or expensive to launch. It'll be even
more important when we start having a sustained presence on
the Moon to be able to recycle without having to

(06:19):
resupply and use our resources that are in place already.

Speaker 4 (06:23):
So you kind of have an endless supply Now that
it's there.

Speaker 5 (06:28):
It's pretty endless, but we still rely on cargo vehicles
every month or two to bring up some supplies to
resupply us. One of the things that we are working
on but we haven't figured out yet, is how do
we grow all the food that we need so that
we don't have to resupply with food. Currently, we resupply
all of our food from the ground, and so we

(06:50):
rely on those transport vehicles to bring us up food
every couple months to make sure we've got enough to eat.

Speaker 6 (06:56):
And he said that, as you mentioned, they're working on
that because and that's some of the experiments that they're doing,
because they're always doing tons of experiments, and that's one
of them, is trying to learn figure out how they
can grow stuff in space.

Speaker 2 (07:09):
Do they filter their p or is that gone? And
that's a legitimate question. I have a few that aren't.

Speaker 4 (07:15):
I don't know. I didn't ask him that because see.

Speaker 1 (07:19):
Amy, you have to ask me questions that you're going
to ask the colonel next time.

Speaker 6 (07:25):
Well again, as you mentioned, you probably wouldn't be able
to interview him again, and I'm hoping that i'd get
to chain.

Speaker 2 (07:32):
Okay, we're going to come back and we're going to
do more.

Speaker 1 (07:35):
We'll finish it up and then at the bottom of
the hour, Jim Keeney is going to join us with
Medical News.

Speaker 2 (07:41):
And back we go. Amy.

Speaker 1 (07:42):
This morning at five point thirty an interview with a
Colonel Nick Haig, and it was in a normally an
interview because she was here at KFI. He was on
the International Space Station circling the Earth and for a
locals to have an interview in a conversation with an

(08:03):
astronaut up there is no small thing. And Amy and
Colonel Haig have actually sort of become friendly, which is
kind of neat. You've developed somewhat of a relationship with him.

Speaker 6 (08:15):
Well, we got the opportunity months ago to talk to
him because he's a Space Force guardian and he's the
first guardian to go up to the International Space Station.

Speaker 4 (08:27):
You used to be Air Force.

Speaker 6 (08:28):
He switched over to Space Force and now there's like
five thousand Space Force or maybe it's ten thousand, but
he's the first to go to the International Space Station,
and they wanted to kind of get out the word
about what Space Force does, and so that's how we
kind of hooked up initially. And then after talking to
him and he's so great to talk to and has
just has so much information, we're like, can we do

(08:50):
this again, Like, as you're training to do your mission,
we want to hear about what it's like to train
to go up to the International Space Station. So that's
how that all started, and now like six months later,
he's up there on the International Space Station.

Speaker 1 (09:04):
So let's pay a little bits and pieces of this
interview this morning, which, by the way, I will explain
how you can hear the whole thing or see the
whole thing even all.

Speaker 6 (09:12):
Right, Amy, Okay, So you know they have to eat
up there, and you think of space food, and I
always think of like tang and MRIs, which are the
meals ready to eat in the military. And I thought,
oh God, that's got to be gross. So I asked
Colonel Haig, how's the food.

Speaker 5 (09:26):
Yeah, the food is great up here. There's plenty of it,
and there's a variety of flavors. You know, this morning
I was able to have some coffee with cream and sugar.
I had some citrus fruit salad, some strawberries, oatmeal with
blueberries in it, and a vegetable kish That's what I
had this morning. It's delicious, no complaints.

Speaker 6 (09:49):
Sounds better than what I had for breakfast. Also, in
some of our other interviews, we've talked about space walks.

Speaker 4 (09:55):
I mean, like, how amazing would that be?

Speaker 6 (09:57):
And he's talked about it because this is actually a
second time up to the International Space Station and so
he's described those experiences to us before, and he's going
to be up there for six months. He hasn't gotten
to do a spacewalk on this mission. Yet, so I
asked him, does everybody get to do a spacewalk or
do you.

Speaker 4 (10:14):
Have to kind of rock paper scissors to see who
gets to go.

Speaker 5 (10:17):
Yeah, it's more like rock paper scissors. Unfortunately, there's not
enough spacewalk.

Speaker 2 (10:22):
I wish.

Speaker 5 (10:23):
I wish everybody could go out and experience a spacewalk.
Sometimes there's an expedition where there's no work that needs
to be done on the outside. Spacewalks are a dangerous activity,
a risky activity that we take, and so we only
go out when we have to. And so the things
that compel us to go out there are to fix
things that are broken, to kind of maintain our laboratory.

(10:47):
The other things we go out to do are put
science in place, or to repair science experiments or increase
the capabilities of the station. So we don't go out
all the time, but when we do, we sure try
to enjoy it.

Speaker 6 (11:01):
And he gets to experience a lot as he's whizzing
around the Earth at more than seventeen thousand miles an hour.
So I asked Colonel Haig what his favorite thing was
about being in space.

Speaker 5 (11:13):
There's a lot of things that you that you really enjoy,
so it's tough for me to say this is my
favorite thing. Going over and watching the earth glide by
is unbelievable. In ten minutes, we can go all the
way from Washington State, all the way down to the
tip of the you know, the Florida Peninsula and Key

(11:33):
West and see the entire US glide by. And you
can look down with your naked eye and you can
see the city, city, roads and buildings, and it feels
so close, even though you know you're two hundred and
fifty miles away. That's it's just it's awe inspiring to
have that perspective. But you know, when you come back inside,
it's it's fun to be able to do tricks and

(11:56):
flips and be upside down and which he's doing right now,
continue to talk, and so that never gets old. We
have our own little competition of you know, who can
do as many flips without wrecking into something or transit
the lab in the most dynamic way. But I think
the singular most favorite thing I like doing up here

(12:19):
is doing things with other humans. You know, that shared
experience of whether we're competing and doing zero G gymnastics
or whether we're both looking out the window that shared
experience makes it even more special.

Speaker 2 (12:34):
You know, Amy, I assume, and we're going to end
it with that.

Speaker 1 (12:39):
You're going to have another interview with him, because he's
being very gracious and you have the relationship, and so
I'm going to ask you if you would note this
down two or three things that you have to ask.

Speaker 2 (12:50):
Of course, bathroom issues okay.

Speaker 4 (12:52):
Not asking him about bathroom issues.

Speaker 2 (12:54):
Okay, bathroom issues number one and number two.

Speaker 1 (12:57):
Sex issues either with someone else or with himself, and
any one of those three it has to be a mess.
And you he's got to tell us what happens and
how they deal with it.

Speaker 2 (13:12):
What do you think?

Speaker 6 (13:14):
Again, I am hoping to talk to Colonel Hag again,
so I'm not gonna ask question.

Speaker 2 (13:21):
Yeah, Amy, come on, you could have done so much,
all right?

Speaker 1 (13:23):
If people want to see this, okay, how do they
replay this?

Speaker 2 (13:27):
How do they enjoy what you have done?

Speaker 4 (13:31):
Well, you're going to be able to see it right now.

Speaker 6 (13:34):
You can hear it the whole interview on the wake
Up Call page at KFIAM six forty dot com, slash space,
and again we're going to get the get it up
on YouTube and then you'll be able to see the video,
and it's really fun seeing Nick as he is, you know,
doing those flips that he was just talking about on

(13:55):
the space station and the other astronauts go whizzing by
him as we're having our conversation, and it's really cool.
We had seventeen minutes to talk with Colonel Hagg today
and before we let him go, I asked him to
share his final thoughts.

Speaker 3 (14:07):
Yeah.

Speaker 5 (14:08):
Amy, I just want to say thank you for you know,
talking with me over the past six to I think
almost eight months now and helping me share this experience.
The space flight and the human exploration of space is
so important. It's so life changing, and I anybody that
has the dream of getting involved with it, I urged

(14:31):
them to just chase that passion. There is room for
everyone as we explore deeper into space.

Speaker 1 (14:38):
That's cool, And it sounded like he was in studio,
didn't it. It was amazing most to two hundred and
fifty miles above the Earth and flying around yep.

Speaker 6 (14:47):
And we were connected through Johnson's Space Center in Houston.

Speaker 4 (14:50):
Up to that to this PlayStation.

Speaker 1 (14:52):
It's time for some medical news with doctor Jim Kiney,
chief medical Officer for Dignity Saint Mary Medical Center in Lafe,
Long Beach and board certified er doctor extraordinary.

Speaker 2 (15:05):
Jim, good morning, Good morning, Bill go all.

Speaker 1 (15:07):
We have talked for a while. I've been gone and
so it's kind of nice to have you back. And
the great news that came out is you can go
to McDonald's and have an eMac. Used to be a
big mac, now it's an eMac.

Speaker 2 (15:20):
Because of E. Coli.

Speaker 1 (15:22):
And this is, I guess not fun. Let's talk about
it because you know, here's the news. One person dead
not good news. And I think about nineteen people injured.
Why is that now exploding in the news with the
number of people that are affected so small.

Speaker 7 (15:43):
Well, I mean it is surprising that the number is
so small because the stuff is mass produced, and you know,
it can really affect the large quantities of beef for
other food sources. So when they do discover it, they
want to let people know. From what I haven't heard
so far is that E. Coal I one five seven.

(16:05):
You know, that's the strain that causes kidney failure and
more severe damage and can be extremely life threatening. So
you know, they just want to let people know and
recall any of the meat that may have been affected.

Speaker 3 (16:19):
But you're right.

Speaker 7 (16:20):
I mean, we have one of the safest food handling
systems in the world.

Speaker 3 (16:24):
So I mean that's just part of the process.

Speaker 1 (16:28):
Now someone has ecoal i and again we've talked about
this over and over again, the same symptoms you fever,
achy in this case, a lot of diarrhea, gastro intestinal issues,
and you've got dozens of different diagnoses. How quickly can
you cure them, deal with it or is there a

(16:49):
point where they have really hit critical mass?

Speaker 7 (16:53):
Yeah, so it's the key, and I don't want to
get too gross, but the key here is typically fever.
You know, because a lot of people have vomiting and
they'll have some diarrhea and those are often viruses. They
could be related to something that was in the food,
or allergies, other things, inflammatory colitis, all these types of things.
But when you have a fever, and especially if you

(17:14):
have blood in the diarrhea, that's when that's what we
call dysentery, when you have blood. And so that's when
usually we want to get treatment going and we'll send
these offer a stool culture to see what grows, because
the problem is if you treat that E. Coli one
five seven that I just mentioned. With antibiotics, you're actually
more likely to induce kidney failure. So that one we

(17:39):
will be more supportive with and try and avoid contact
with other people so you don't spread it. That when
we start people on antibiotics, it shortens the course of
the disease and it reduces the spread. More importantly, it's
not that it's an absolute necessity to start people on
antiotics when they get an E.

Speaker 3 (17:56):
Coli infection.

Speaker 1 (17:57):
What you're saying, if I got it right, that getting
them in on biotics can actually cause the kidney to fail.

Speaker 2 (18:06):
And therefore, what do you do? Is it a choice
of one or the other.

Speaker 7 (18:10):
Yeah, So that's why we want to get the stool
culture first, because we want to know what we're treating exactly,
and if it depends if the person has other underlying conditions,
you may decide to take the risk of trying to
improve their condition with antibiotics. Otherwise you may withhold it
to see how they do on their own clearing the infection.

Speaker 5 (18:30):
Yeah.

Speaker 1 (18:31):
How contagious is this because if you're only talking to
relatively few people, is it you have to be in
contact with that food source.

Speaker 7 (18:39):
Yeah, you either have to be in contact with the
food source or with somebody who's been stricten ill with
the E.

Speaker 3 (18:44):
Coli.

Speaker 7 (18:45):
Because it is true that a lot of people don't
do a great job of handwashing, and again it's pretty gross,
but it's called fecal oral contamination. So someone uses the restroom,
doesn't wash their hands, and then they're either involved in
food prep or or touch something that you touch, and
then it can get into your system.

Speaker 1 (19:04):
So would you advise people who have gastro intentional problems
to just take a look in the toilet to see
what's going on. Yeah, especially especially before breakfast, especially if
you're eating oatmeal.

Speaker 3 (19:22):
Exactly.

Speaker 7 (19:22):
You know, Yeah, you need to take a look, see
what's going on. And if you see blood or you're
having ever, that's the time you need to see a doctor.

Speaker 1 (19:30):
Yeah, I mean all kidding aside, my intern is for
years and years said Bill, you got to look. I
mean that is part of diagnosing, to find out if
you've got any issues.

Speaker 7 (19:41):
Yeah, but if you're if you're a male over fifty,
you're pretty much, you know, judging the entire quality of
your day based on what.

Speaker 3 (19:48):
It looks like. So you don't have to tell those
that group of people to.

Speaker 1 (19:52):
Look, Yeah, what is the quality of the day after
you've looked at inside the toilet. I don't know that
that is a different medical issue. It's probably like logical
issue and that's not what you do. And we've got
just talking to Jim about the e coali the well.
I guess this reread of e coal I for it's

(20:12):
been a while since we've had that. And this is
doctor Jim Keeney, who is a chief medical officer for
Dignity Saint Mary Medical Center in Long Beach and an
er doc. All right, Jim, let's talk about this nationwide
ivy fluid shortage.

Speaker 2 (20:27):
And a lot we're better off now.

Speaker 1 (20:30):
But how important is this stuff to the general medical world?

Speaker 3 (20:36):
So, I mean for.

Speaker 7 (20:37):
Certain people, I mean this is critically important. So it's
you know, ivy fluids. Sometimes when you can't either you
can't eat because you're gonna have surgery, or because you
have other conditions going on, because you need dialysis, because
you're in septic shock or other serious critical condition, these
fluids can be life saving. On the other hand, I mean,

(20:58):
this is probably one of the most over you used
resources in medicine. You know, you come to the hospital
what's the first thing they do. They put in an
iv It's gone to the point where almost patients are
disappointed if they don't have an IVY put in their
arm when they get here. I know that's not true
for everybody. Some people say why is this thing here?
But a lot of people will look at you like,
why don't I even you haven't even given me an
IVY yet you've done nothing for me, So you know,

(21:22):
heavily overused. We know that oral rehydration works better actually
than IV rehydration when it's possible. But for those people
that are critically ill, I mean, we need.

Speaker 3 (21:33):
To use these fluids.

Speaker 5 (21:34):
Now.

Speaker 1 (21:34):
I was talking about those the bags of saline right
that you hang on those little hooks and then they
go ahead and.

Speaker 3 (21:40):
Go into your arm exactly.

Speaker 7 (21:42):
But it's used to carry meds into your system, so
certain medication bags. It's used to perform dialysis, it's used
during surgery.

Speaker 3 (21:50):
Like I said, so wide use and critical.

Speaker 7 (21:53):
But the Baxter's plant in North Carolina, which was hit
by Hurricane Heleen, they produce six sixty percent of the
IVY fluids for the entire United States. So again we
keep getting revealed all of these production bottlenecks where one
company gets wiped out and we're in big trouble.

Speaker 3 (22:13):
So that's what's happening. They're trying to get back up
to speed.

Speaker 7 (22:16):
I know that, you know, there's people that understand this
is life saving stuff. So people that work at this
factory are trying to get their personal lives back together
and get back to work at the factory. Meanwhile, the
factory has to be inspected cleaned because it was impacted
by the hurricane. So they're not expecting to be back
to normal production for some time. For they said probably

(22:39):
through twenty twenty four. They will not be at normal production.

Speaker 1 (22:43):
I understand that they're bringing in the fluid from outside
the country.

Speaker 7 (22:49):
Yeah, that's one strategy is to try and get more
from outside the country. But again, when you've lost almost
sixty percent of the fluid production in the United States,
that's that's a big ask. So we're you know, of course,
we're putting in strategies to reduce the unnecessary use of
IVY fluids and to you know, there's all kinds of

(23:11):
strategies that we can employ that kind of not necessarily
use all the fluid that we used to use and
really have no harm to patients. But again, it is
a widely overused therapy. It's just people think it has
no big expense and no big downside, so they give
people fluids. But there is expense and there is downside.

(23:32):
So this might be a good learning lesson where we
can kind of tighten up when and how we use
IVY fluids.

Speaker 1 (23:38):
Yeah, same thing with antibiotics to you know, we've talked
about that that you just throw antibiotics at someone because
the patient insists on it, and it's kind of crazy.
Where the immunity issue that we're losing immunity. I mean,
we've talked about that over and over. Takeaway here if
you see the nurse filling up an IVY bag from the.

Speaker 2 (23:57):
Tap, that's problematic.

Speaker 7 (23:59):
Right, Yeah, that would be a problem.

Speaker 1 (24:03):
See that's how it goes. All right, Jim, thank you.
We will talk again next Wednesday and we'll come up
with some other stuff to talk about.

Speaker 2 (24:12):
Have a good one. Welcome back, all right, Thank you
very much, doctor Jim Keeney. Who's you know?

Speaker 1 (24:16):
Jim has been with us for over twenty years, and
you know a lot of people who been with us
for that long. God, we're all getting old and falling apart,
aren't we Amy? By the way, never mind, I'm not
going to go there falling apart, but okay, fair enough.
I want to remind everybody two things that, first of all,

(24:39):
the World Series starts on Friday, five oh eight is
the first pitch, and we're the our sister station klac
AM five seventy sports is covering it.

Speaker 2 (24:50):
Were they or they are the.

Speaker 1 (24:52):
Official Dodger broadcasts on radio also the iHeartRadio app, and
the keyword is AM five seventy No, it's five seventy
AM Sports, so you get to listen to the Dodgers game. Also,
we're going to bring you more news about the interview
that Amy did with Colonel Nick Haig aboard the Space

(25:14):
station Great Stuff, and we'll talk about how you.

Speaker 2 (25:17):
Can listen to that on demand.

Speaker 1 (25:19):
It was at eight o'clock this morning, and on top
of that, we're putting it up on Facebook and.

Speaker 2 (25:25):
Other ways because you want to see this.

Speaker 1 (25:27):
Also because he's flying around and doing his thing in
zero gravity, so a lot going on. Tomorrow we start
this all over again, saying goodbye to Elmer, who has
been filling in for Kono. And by the way, Elmer,
you have done an absolute mediocre job and it's greatly appreciated.

Speaker 2 (25:47):
So I'm sure.

Speaker 1 (25:48):
I'm sure we'll see you again at some point. We're
gonna find out if Neil comes back with us tomorrow.
He's a little under the weather, and hey, I'm here
and I might as well, because this is what Amy does.
She thanks everybody, So here we go. Thank you Amy
for being with us, well, thank you Elmer for being

(26:10):
with us, and thank you so much for being with us.

Speaker 2 (26:15):
And Neil, thank you for not being here.

Speaker 1 (26:18):
And we'll see you tomorrow, maybe five am. Wake up call,
and then we come aboard right here kf I am
six forty live everywhere on the iHeartRadio app.

Speaker 2 (26:30):
You've been listening to the Bill Handle Show.

Speaker 1 (26:32):
Catch my Show Monday through Friday, six am to nine am,
and anytime on demand on the iHeartRadio app.

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