October 30, 2024 • 23 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 CDC lowering the age to get pneumonia vaccine, 30min workouts lowering risk of diabetes, and cases of walking pneumonia in kids is on the rise. America’s top archivist puts a rosy spin on U.S. history… pruning the thorny parts. There’s no such thing as a guaranteed supreme court vacancy.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
You're listening to Bill Handle on demand from KFI AM
six forty.
Speaker 2 (00:07):
And it is say, Wednesday morning, October thirtieth, Bill Handle
here in the morning crew.
Speaker 1 (00:14):
Some of the stories we're looking out, Well, actually we
didn't get the promo sheet.
Speaker 2 (00:20):
I was expecting it today because there is another game today.
It's a Game four of the World Series. And even
though I have I don't have it in front of me.
You know from memory it's either in New York or
Los Angeles and it starts at sometime or another and
I know the Yankees and the Dodgers are playing.
Speaker 1 (00:38):
So does that help?
Speaker 3 (00:40):
Do you want to know?
Speaker 1 (00:42):
Sure? Why not?
Speaker 2 (00:44):
Hey?
Speaker 3 (00:44):
Game five is tonight in New York. First pitch goes
out at five aweight, and you can listen to the
game live from the Galpin Motors Broadcast Booth on AM
five seventy LA Sports and NHD on the iHeartRadio app
Keyword AM five seventy LA Sports.
Speaker 1 (00:57):
Yeah, that's it, there you go.
Speaker 2 (01:00):
Thank you.
Speaker 1 (01:01):
Doctor Jim Keeney is with us as usual on a Wednesday.
Speaker 4 (01:04):
Jim, good morning, Good morning, mill Yeah.
Speaker 2 (01:08):
Do I just did a story on that CNN broke
about a guy three years ago with this guy TJ.
Speaker 1 (01:16):
Hoover went into a Kentucky hospital.
Speaker 2 (01:19):
He was brain dead and they were going to take
his organs out, and he wasn't.
Speaker 1 (01:24):
He was actually.
Speaker 2 (01:25):
Thrashing on the table and they from what this story,
they were sort of still going after it, and one
of the staffers are screaming, no, no, I mean, it's
such an insane story. And the article then says it
even though this one was crazy, they are so people
are so aggressive hospitals, the organ donations, organizations are so
(01:46):
aggressive about procuring organs that this does happen, and not
just once in a blue moon. I mean, is that
possible that people have their organs retrieve when they didn't
have to?
Speaker 4 (02:00):
Well, I mean, okay, so there's a lot wrapped up
in this story, right, Number one, we should never be
harvesting organs from people who are a lot well, right,
you know, so let's not mistake this here. But at
the same time, you know they're When you read the
story and you read between the lines, you can see
(02:20):
that the hospital clearly had concerns all along the way.
There was a cardiologist who when they did the heart
studies to look at the heart before they did the
organ said hey, this guy seems like he's pretty awake
when he went into the operating room to get his
organs removed. It wasn't just one person. It sounded like
pretty much everyone on site was like, this shouldn't be
(02:40):
happening right now. And it was the organ procurement people
off site who were saying things like, you know, you
should go ahead and proceed. But you know, in a hospital,
it's all we usually the people that are in front
of the patient. You know, for example, in the er,
if I call a consultant and I'm talking to them
over the phone, it reasually my judgment is going to
supersede even the specialist if they're gone and I don't
(03:04):
agree with it, you know, because they're not seeing the patient.
So we all know that when you're in front of
somebody and you're seeing them, it's a different story than
when you're talking on a phone.
Speaker 2 (03:13):
Let me ask this a lot of this, And because
I just went through this, as you know, one of
Lindsay's best friends had a seizure and ended up being
brain dead and they harvested her organs and she was
in her forties and left three kids. I mean, it's
a heartbreaking story.
Speaker 1 (03:29):
And then the entire issue was brain dead. That was it.
That was the whole thing from beginning to end. Was
it flat lined? Let me ask you, do they.
Speaker 2 (03:39):
Even attempt organ donation if it isn't flatlined?
Speaker 1 (03:44):
And when you do a scan, isn't a flat line flat?
Speaker 4 (03:50):
Well? Okay, So again that's the other issue. So the
second issue in this complex case is brain the concept
of brain death. And there's a lot of different ways
they go around determining if somebody is quote brain dead.
But you know, it's not as hard a line as
you would think. Sometimes it's it's fairly obvious. The patient
has literally no blood flow to their brain, they've got
(04:12):
no electrical impulses, and yet their heart is still beating.
You know. Those are those are pretty clear. If anyone's
been given any drugs along the way that could mimic it,
you know, such as paralytics or really heavy sedatives, we
really got to wait until those come out of the system.
So in this case, when I heard that he had
a procedure where he was thrashing around the day before
(04:34):
and they had to sedate him, it makes me wonder
with some of those drugs still in the system, you know,
But so clearly, you know, brain death is something that
you call in a specialist, usually a neurologist, and they
evaluate the patient and determine brain death. Sometimes it's it's obvious,
other times maybe less obvious. But again this is this
(04:54):
should never happen.
Speaker 2 (04:55):
In my case that I experienced as I was watching
this happening, this was the scan was almost immediate saying
there's some real problems, but we have to wait because
they're swelling. And then we had to wait again, and
then another tests were done, and then another specialist was
brought in and it was several days before they determined this.
(05:17):
I'm never it was fanaticism in terms of making absolutely sure.
And then the organs went ahead and were donated. Is
that what normally does happen? And is that should they
go to that extent?
Speaker 4 (05:32):
Yeah? I mean, I think people believe that there is
just like something we hook up like an EEG, and
the EEG will confirm brain death. But the problem is
again that there are reversible causes that will flatten out
your EEG, such as heavy sedation. So it's this combination.
You know, we look at people their brain stem reflexes,
(05:52):
so that's your pupils your cornea reflex, your gag reflex.
You know, whether your eyes when you turn your head.
Normally people with a normal brain stem, their eyes stay
in the same place, right, We call that doll's eyes,
And so you know that we were looking for those
type of reflexes. And then one of them we do
is you put cold water in their ear and that'll
(06:13):
usually force that's a reflex that will force your eye
towards the cold water. And so when that's not there,
it's another clue. So we're putting all these clues together.
In a lot of the cases, it's not just EEG's flat,
you know, and in their brain dead.
Speaker 2 (06:30):
Fair enough, moving on, the CDC just lowered the age
to get the vaccine against pneumonia, and let's talk about
what it is now and why that is so important
if it is.
Speaker 4 (06:44):
Yeah, pneumonia is a bacterial infection of the lungs usually
and it can cause fluid in your lungs, cause you
to be short of breath, and it can hospitalize you.
So people that are at higher risk, you know, people
over sixty five, really young kids, people with heart disease,
liver disease, lung disease, diabetes, weaken immune system. They're all
(07:05):
at a higher risk to get pneumonia and to have
severe complications from it. So initially this vaccine was developed
and given to those high risk people. We realize the benefits,
they started giving it to kids, you know, starting you know,
at age two and then are sorry, I think that
doses start actually at two months, and then you know,
(07:28):
they now they're lowering it to age fifty. So it
makes sense because that's what they do for when a
new vaccine comes out, you give it to the highest
risk people first, and you make sure that there's a
benefit there. You look at what you know, the risk
benefit trade off, and as you see that this thing
really works, they may lower the recommendations. Another key reason
(07:48):
probably of you know, I can't get inside their minds,
but we know that pneumonia disproportionately affects underserved communities, people
of color, and by lowering the age range, this may
not sound intuitive, it actually increases utilization among that population.
So we're more likely to get equality health equality by
(08:11):
lowering the age range.
Speaker 2 (08:12):
Now going to the disenfranchise or the minority communities more,
I think more specifically, is it simply a question of
just the medical careism is good and it's not specific
to this or there is there a specificity as to
this group of people are particularly liable to get pneumonia.
Speaker 4 (08:34):
Well, I mean, yeah, it could be either. We just
know that there's an increased rate of pneumonia and worse
outcomes in those people. It is very likely that it's
a lack of access because you know, in urban settings
you have less access to healthcare. People tend to go later,
they're concerned about costs, they're concerned about missing work, all
those type of things, and so you end up with
(08:56):
a disparity in the care and by promoting it, you're
actually promoting awareness and then that increases the number of
people getting it. It actually does kind of create a herd
immunity as well, where you've got less people in the
community getting pneumonia and it reduces the exposure for everyone.
Speaker 2 (09:13):
All Right, walking pneumonia, now, this is not an uncontrollable
urge to walk around the block for several times that
you can't control.
Speaker 1 (09:21):
There's more to wit I'm assuming, yeah.
Speaker 4 (09:23):
I mean walking pneumonia's a layman's term because you know,
it means that you're not taken down and in bed
with your pneumonia. So typically we call those type of pneumonias.
You can have walking pneumonia with new macacal pneumonia. That's
kind of rare. You can have other types of what
(09:44):
we call atypical pneumonias, and that's things like micoplasm that
causes pneumonia, or whipping cough pertussis, which you can get
vaccinated against as well, or RSV, and those are all
the kind of atypical causes of pneumonia that you can
walk around with. You have a coffee, see your kids
and they just seem to be sick for like three
weeks straight of constant coughing. It could be one of those.
Speaker 2 (10:05):
Huh pneumonia pneumonia in the sense of are there various
kinds or it all boils down to here, are here
the way it's caused. But once you get a pneumonia's
kind of pneumonia or what is it?
Speaker 1 (10:17):
Separate?
Speaker 4 (10:18):
No, the word pneumonia means in Latin means fluid in
your lungs especially. You know, that's the end result of
all these different types of infections is you're getting fluid
inside the airspace, so you can't exchange oxygen. But you
know the reasons it's important to see the difference is
because the number one bacteria for pneumonia is penicillins or
(10:40):
a marxicillin, But for these atypical pneumonias, that won't work.
You need to use something like erythromyacin or azythromyasin to
kill both mycoplasm and to kill whipping cough. RSV is
a virus, so you can't treat it at all. And
the fact that we now have tasks that allow us
to distinguish between these because at first they all kind
(11:00):
of look the same. They just look like a flu
like illness. But now with testing we're able to distinguish
and determine who needs a maxicillin as the best treatment
for pneumonia, who needs xypromax as the best treatment for microplasm,
and who doesn't need antibiotics because they have RSV.
Speaker 2 (11:15):
I'm assuming that pneumonia is very easy to discern a
rattling in your lungs, because of course we don't go
in for a physical or any exam. First thing they do,
or the first thing you do, is you take the
step of scope and put it on your back to
listen to lungs, and you can hear when someone has pneumonia.
Speaker 1 (11:32):
Do I have that right?
Speaker 4 (11:34):
Yeah, you do for the most part. But these are
called atypical pneumonia for a reason. They're more diffuse. They
don't usually with a new macacical pneumonia. I'll listen to
your lungs and in one area it's super wet. It
just sounds like somebody's sucking air through a sponge, you know,
And then you listen to other areas and they sound normal.
With microplasm pneumonia, it's more of a weird, coarse sound
(11:59):
in all areas of your lung It's not not that nice, wet,
gurgly sound that of regular pneumonia, And so it's atypical
and you may not hear any of that with rsv SO,
and the chest X rays can look very different or
be very subtle of michael plasma pneumonia. You may not
even have significant chest X ray findings. So it's tough.
It's not as easy as it sounds to make the tight.
Speaker 2 (12:21):
So if I sound like which I do every single day,
I get behind the microphone and it sounds like a
squishy air going through a sponge, because that's simply how
I broadcast does that mean I have a problem.
Speaker 4 (12:35):
Possibly possibly, Jim.
Speaker 1 (12:39):
We'll talk again as always, Jim Kennie, thank you. We'll
talk next.
Speaker 2 (12:43):
Week here, all right, America's top archive is that's the
person who runs the National Archives and Records Administration and
the title is US Archivist. It's a woman by the
name of Colleen Shogun Chogan, and she is involved with
and this has been going on for years and the planning.
(13:03):
There is a museum on the National Mall and it's
the Archive Museum, which not only holds I don't know
millions tens of millions of documents.
Speaker 1 (13:14):
But also displays them.
Speaker 2 (13:17):
You go to the Archives building and there is the Constitution,
the original Constitution, the original Declaration of Independence. That's kind
of neat stuff. And so they're redoing the museum under
her watch. And there are all kinds of questions. And
now this is a Wall Street Journal article, and they
(13:38):
did the investigation and they published this, and this is
so outrageous. I'm thinking, come on, really, this can't be possible.
And they came back with we have confirmed this. We
have corroborated this not only from emails and written sources,
but about a dozen people involved in these decisions and
(14:01):
what are these decisions. Well, they happen to be about
planned exhibits and educational displays that are going to open
next year that might argue anger Republican lawmakers, and the
Republican lawmakers share control of the agency's budget and concern
about the Trump administration and what's going to happen, although
(14:23):
that's speculation at this point. Now, let me tell you
what we're talking about. She's ordered the removal of prominent
references to the government's displacement of indigenous tribes, the Indians,
what they did to those, the incarceration of the Japanese
Americans during World War II. Those have been taken out
(14:46):
because they're just way too controversial. She was tapped for
the job, and I think this is where the political
issue comes in. She was tapped for that job days
before the federal agent search Donald Trump's marro A Lago
resort in twenty twenty two, and it was the Archives
(15:08):
that reported that he had taken home classified records. It
all started at the Archives, and because of the mar
al Lago politics, as we all know, Republicans accused the agency,
the Archives of abusing its authority and targeting the president,
weaponizing the Archives, if you will. And she had just
(15:31):
been selected by the administration, the Biden administration, to be
the archivists. So as you can imagine, at the hearing
confirmation hearing, GOP lawmakers grilled her about her partisan leanings.
(15:54):
And she has seen since over seen a host of
changes to exhibits planned.
Speaker 1 (16:00):
This is a forty million dollar makeover of the Museum
of the.
Speaker 2 (16:02):
National Archives, for example, and this is the Wall Street
Journal senior aids to her order that a proposed image
of Martin Luther King be cut from a planned Step
into History photo booth in the Discovery Center. You know
where they give that holographic thing and you step right
next to it and you snap your picture and there
you are with Martin Luther King, or there you are
(16:23):
on a moonshot or there you are. I just came back.
Matter of fact, I should put those on the Instagram.
There I am in the Game of Thrones set. And
so we did that. So it's easy to do. But
Martin Luther King, if you wanted to take photos with him, no, nope,
this and I'm going come on, this can't be possible.
(16:47):
And you're alongside historic figures. Also, removal of a Labor
Union pioneer do lor suerta mini spotted wolf. Kind of
strange name until you realize she's a Native American, first
woman to join the Marine Corps. That was removed from
the photo booth. And this is one. When I looked
(17:08):
at it, I go, no, this cannot be possible. And
yet according to the Wall Street Journal, it is. Instead
of Martin Luther King, you can take a picture next
to him. You can take a picture next to former
President Richard Nixon greeting Elvis Presley in the Oval Office,
(17:30):
or Ronald Reagan greeting Cal Ripkin Junior, one of the
great baseball players of all time. Now, I don't care
if you are or not a Martin Luther King fan,
which I virtually everybody I know is. But okay, which
even if you want a photo of Cal Ripkin junior,
(17:53):
President Reagan and you in the Oval Office, do you
think that Martin Luther King wouldn't be a little bit
more important than that? All right, now we finish up
this topic about the politics of the National Archives.
Speaker 1 (18:09):
You would go, come on.
Speaker 2 (18:10):
What politics are involved running the National Archives? The National
Archives is where we keep our national records. Created in
nineteen thirty four by Congress, thirteen and a half billion
pages of paper records, thirty three billion electronic records, tens
of millions of photos and maps and other items. And
(18:35):
if you go to the Archives building and inside the rotunda,
Declaration of the Independence, the original, the Constitution, the original,
I mean, pretty impressive stuff. There's also something called the
Discovery Center which was planned years ago and it is
one of those museum interactive museums, one of which is
(18:56):
you get to take a picture with historical figures. Now
they put you I think a green screen or whatever
they do. And the US Archive is our name is
Colleen Shogun decided that the picture of Martin Luther King
should not be included. Wait a minute, hold on, now,
(19:19):
there was a suggestion done by the aides that two
other photos, either Elvis Presley meeting President Nixon in the
overvill office or Ronald Reagan meeting Carl Ripkin Jr. The
picture in the Oval Office, both pretty good. But Martin
Luther King. And why is that? Because people might not
recognize Martin Luther King. That was the reason that was given. Well,
(19:40):
how about just a big sign that says Martin Luther
King and then an explanation of how reasonably important he
is in American history. Here are the politics of it,
because if you think about it, someone has to decide
what exhibits go on and go up. For example, originally
(20:01):
was planned to be the documents of US treaties with
Native Americans at the US broke every single one.
Speaker 1 (20:08):
Nope, we don't want that. Too controversial.
Speaker 2 (20:11):
Okay, how about pictures photos documents involving the interment of
Japanese Americans during World War Two? Nope, too controversial. And
why would she cave to this? Well, Colleen Shogun was
appointed by the Biden administration and had to go in
(20:33):
front of the Senate for confirmation hearings and was accused
of having liberal leanings and even though she in fact
was confirmed. Well, let me give you.
Speaker 1 (20:48):
A quote.
Speaker 2 (20:50):
You're an extreme partisan and your record shows that, Josh Holly,
Senator of Republican Acord, Missouri.
Speaker 1 (20:58):
And she was warned from the hearing.
Speaker 2 (21:01):
At the hearing that they would be watching closely for
signs she was pulling the Independent.
Speaker 1 (21:07):
Agency to the left, and she wanted the job. And
guess what we now have.
Speaker 2 (21:15):
I mean, this stuff is insanity of what's being left
out and what's being put in, and frankly, it's scrubbed clean.
And it's not Republican versus Democrat in the normal sense
of politics. It's those people who want to scrub the
negative parts of American history.
Speaker 4 (21:37):
Right.
Speaker 2 (21:38):
We don't want to show how the United States have
screwed Native Americans or put Japanese Americans into internment camps,
or the treaties what we broke. We don't want any
of that. We just want this filtered. America is great,
and it just happens to be Republicans. I mean, I'm
sure there are plenty of Democrats that think the same way,
(21:59):
but particular in this case, it was the Republicans during
the hearing and she cave boided, she cave.
Speaker 1 (22:05):
I mean, it is insane.
Speaker 2 (22:06):
It is so crazy that the Wall Street Journal, in fact,
had to put up there in the article that they
came out. This was an investigation they did that. They
have emails, they have internal documents, they have witness statements
from at least twelve people that were involved in those meetings.
(22:29):
And that's the.
Speaker 1 (22:29):
Shame of it.
Speaker 2 (22:30):
It really and it's a shame, it really is. Hey,
you know, we have a problem in this country. We
have a history, like many other countries have, that is negative,
that is miserable. We engaged in slavery in this country.
We treated the Native Americans.
Speaker 1 (22:45):
Well like garbage.
Speaker 2 (22:47):
If you'll listen to a comedian at a rally, you know,
we have a history that is problematic.
Speaker 1 (22:53):
Let's we have to recognize it.
Speaker 2 (22:55):
We do, and there are a group of people out
there that want to sanitize that. I mean, we are
the greatest country in the world, which in many ways
we are, but you know, there's a reality here, and
so the politics of the National Archives. If you ever
happen to be in Washington, go to that building, by
the way. It's incredible.
Speaker 1 (23:12):
And I can't wait to go to the Discovery Center.
Some meat museums in Washington. All right, guys, we're done. Ah,
we come back.
Speaker 2 (23:18):
Again tomorrow and we start this all over again on
a Thursday. The Dodgers are playing the Yankee somewhere today
and it's game five.
Speaker 1 (23:28):
I said game four, but it's game five. All right, guys,
we're done.
Speaker 2 (23:31):
Tomorrow morning, wake up call, and that's with Amy Neil
and I come aboard from six to nine.
Speaker 1 (23:36):
And of course KNO and Ann are round two.
Speaker 2 (23:39):
KFI am six forty live everywhere on the iHeartRadio app.
Speaker 1 (23:43):
You've been listening to the Bill Handle Show.
Speaker 2 (23:45):
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 demand from KFI AM
six forty.
Speaker 2 (00:07):
And it is say, Wednesday morning, October thirtieth, Bill Handle
here in the morning crew.
Speaker 1 (00:14):
Some of the stories we're looking out, Well, actually we
didn't get the promo sheet.
Speaker 2 (00:20):
I was expecting it today because there is another game today.
It's a Game four of the World Series. And even
though I have I don't have it in front of me.
You know from memory it's either in New York or
Los Angeles and it starts at sometime or another and
I know the Yankees and the Dodgers are playing.
Speaker 1 (00:38):
So does that help?
Speaker 3 (00:40):
Do you want to know?
Speaker 1 (00:42):
Sure? Why not?
Speaker 2 (00:44):
Hey?
Speaker 3 (00:44):
Game five is tonight in New York. First pitch goes
out at five aweight, and you can listen to the
game live from the Galpin Motors Broadcast Booth on AM
five seventy LA Sports and NHD on the iHeartRadio app
Keyword AM five seventy LA Sports.
Speaker 1 (00:57):
Yeah, that's it, there you go.
Speaker 2 (01:00):
Thank you.
Speaker 1 (01:01):
Doctor Jim Keeney is with us as usual on a Wednesday.
Speaker 4 (01:04):
Jim, good morning, Good morning, mill Yeah.
Speaker 2 (01:08):
Do I just did a story on that CNN broke
about a guy three years ago with this guy TJ.
Speaker 1 (01:16):
Hoover went into a Kentucky hospital.
Speaker 2 (01:19):
He was brain dead and they were going to take
his organs out, and he wasn't.
Speaker 1 (01:24):
He was actually.
Speaker 2 (01:25):
Thrashing on the table and they from what this story,
they were sort of still going after it, and one
of the staffers are screaming, no, no, I mean, it's
such an insane story. And the article then says it
even though this one was crazy, they are so people
are so aggressive hospitals, the organ donations, organizations are so
(01:46):
aggressive about procuring organs that this does happen, and not
just once in a blue moon. I mean, is that
possible that people have their organs retrieve when they didn't
have to?
Speaker 4 (02:00):
Well, I mean, okay, so there's a lot wrapped up
in this story, right, Number one, we should never be
harvesting organs from people who are a lot well, right,
you know, so let's not mistake this here. But at
the same time, you know they're When you read the
story and you read between the lines, you can see
(02:20):
that the hospital clearly had concerns all along the way.
There was a cardiologist who when they did the heart
studies to look at the heart before they did the
organ said hey, this guy seems like he's pretty awake
when he went into the operating room to get his
organs removed. It wasn't just one person. It sounded like
pretty much everyone on site was like, this shouldn't be
(02:40):
happening right now. And it was the organ procurement people
off site who were saying things like, you know, you
should go ahead and proceed. But you know, in a hospital,
it's all we usually the people that are in front
of the patient. You know, for example, in the er,
if I call a consultant and I'm talking to them
over the phone, it reasually my judgment is going to
supersede even the specialist if they're gone and I don't
(03:04):
agree with it, you know, because they're not seeing the patient.
So we all know that when you're in front of
somebody and you're seeing them, it's a different story than
when you're talking on a phone.
Speaker 2 (03:13):
Let me ask this a lot of this, And because
I just went through this, as you know, one of
Lindsay's best friends had a seizure and ended up being
brain dead and they harvested her organs and she was
in her forties and left three kids. I mean, it's
a heartbreaking story.
Speaker 1 (03:29):
And then the entire issue was brain dead. That was it.
That was the whole thing from beginning to end. Was
it flat lined? Let me ask you, do they.
Speaker 2 (03:39):
Even attempt organ donation if it isn't flatlined?
Speaker 1 (03:44):
And when you do a scan, isn't a flat line flat?
Speaker 4 (03:50):
Well? Okay, So again that's the other issue. So the
second issue in this complex case is brain the concept
of brain death. And there's a lot of different ways
they go around determining if somebody is quote brain dead.
But you know, it's not as hard a line as
you would think. Sometimes it's it's fairly obvious. The patient
has literally no blood flow to their brain, they've got
(04:12):
no electrical impulses, and yet their heart is still beating.
You know. Those are those are pretty clear. If anyone's
been given any drugs along the way that could mimic it,
you know, such as paralytics or really heavy sedatives, we
really got to wait until those come out of the system.
So in this case, when I heard that he had
a procedure where he was thrashing around the day before
(04:34):
and they had to sedate him, it makes me wonder
with some of those drugs still in the system, you know,
But so clearly, you know, brain death is something that
you call in a specialist, usually a neurologist, and they
evaluate the patient and determine brain death. Sometimes it's it's obvious,
other times maybe less obvious. But again this is this
(04:54):
should never happen.
Speaker 2 (04:55):
In my case that I experienced as I was watching
this happening, this was the scan was almost immediate saying
there's some real problems, but we have to wait because
they're swelling. And then we had to wait again, and
then another tests were done, and then another specialist was
brought in and it was several days before they determined this.
(05:17):
I'm never it was fanaticism in terms of making absolutely sure.
And then the organs went ahead and were donated. Is
that what normally does happen? And is that should they
go to that extent?
Speaker 4 (05:32):
Yeah? I mean, I think people believe that there is
just like something we hook up like an EEG, and
the EEG will confirm brain death. But the problem is
again that there are reversible causes that will flatten out
your EEG, such as heavy sedation. So it's this combination.
You know, we look at people their brain stem reflexes,
(05:52):
so that's your pupils your cornea reflex, your gag reflex.
You know, whether your eyes when you turn your head.
Normally people with a normal brain stem, their eyes stay
in the same place, right, We call that doll's eyes,
And so you know that we were looking for those
type of reflexes. And then one of them we do
is you put cold water in their ear and that'll
(06:13):
usually force that's a reflex that will force your eye
towards the cold water. And so when that's not there,
it's another clue. So we're putting all these clues together.
In a lot of the cases, it's not just EEG's flat,
you know, and in their brain dead.
Speaker 2 (06:30):
Fair enough, moving on, the CDC just lowered the age
to get the vaccine against pneumonia, and let's talk about
what it is now and why that is so important
if it is.
Speaker 4 (06:44):
Yeah, pneumonia is a bacterial infection of the lungs usually
and it can cause fluid in your lungs, cause you
to be short of breath, and it can hospitalize you.
So people that are at higher risk, you know, people
over sixty five, really young kids, people with heart disease,
liver disease, lung disease, diabetes, weaken immune system. They're all
(07:05):
at a higher risk to get pneumonia and to have
severe complications from it. So initially this vaccine was developed
and given to those high risk people. We realize the benefits,
they started giving it to kids, you know, starting you know,
at age two and then are sorry, I think that
doses start actually at two months, and then you know,
(07:28):
they now they're lowering it to age fifty. So it
makes sense because that's what they do for when a
new vaccine comes out, you give it to the highest
risk people first, and you make sure that there's a
benefit there. You look at what you know, the risk
benefit trade off, and as you see that this thing
really works, they may lower the recommendations. Another key reason
(07:48):
probably of you know, I can't get inside their minds,
but we know that pneumonia disproportionately affects underserved communities, people
of color, and by lowering the age range, this may
not sound intuitive, it actually increases utilization among that population.
So we're more likely to get equality health equality by
(08:11):
lowering the age range.
Speaker 2 (08:12):
Now going to the disenfranchise or the minority communities more,
I think more specifically, is it simply a question of
just the medical careism is good and it's not specific
to this or there is there a specificity as to
this group of people are particularly liable to get pneumonia.
Speaker 4 (08:34):
Well, I mean, yeah, it could be either. We just
know that there's an increased rate of pneumonia and worse
outcomes in those people. It is very likely that it's
a lack of access because you know, in urban settings
you have less access to healthcare. People tend to go later,
they're concerned about costs, they're concerned about missing work, all
those type of things, and so you end up with
(08:56):
a disparity in the care and by promoting it, you're
actually promoting awareness and then that increases the number of
people getting it. It actually does kind of create a herd
immunity as well, where you've got less people in the
community getting pneumonia and it reduces the exposure for everyone.
Speaker 2 (09:13):
All Right, walking pneumonia, now, this is not an uncontrollable
urge to walk around the block for several times that
you can't control.
Speaker 1 (09:21):
There's more to wit I'm assuming, yeah.
Speaker 4 (09:23):
I mean walking pneumonia's a layman's term because you know,
it means that you're not taken down and in bed
with your pneumonia. So typically we call those type of pneumonias.
You can have walking pneumonia with new macacal pneumonia. That's
kind of rare. You can have other types of what
(09:44):
we call atypical pneumonias, and that's things like micoplasm that
causes pneumonia, or whipping cough pertussis, which you can get
vaccinated against as well, or RSV, and those are all
the kind of atypical causes of pneumonia that you can
walk around with. You have a coffee, see your kids
and they just seem to be sick for like three
weeks straight of constant coughing. It could be one of those.
Speaker 2 (10:05):
Huh pneumonia pneumonia in the sense of are there various
kinds or it all boils down to here, are here
the way it's caused. But once you get a pneumonia's
kind of pneumonia or what is it?
Speaker 1 (10:17):
Separate?
Speaker 4 (10:18):
No, the word pneumonia means in Latin means fluid in
your lungs especially. You know, that's the end result of
all these different types of infections is you're getting fluid
inside the airspace, so you can't exchange oxygen. But you
know the reasons it's important to see the difference is
because the number one bacteria for pneumonia is penicillins or
(10:40):
a marxicillin, But for these atypical pneumonias, that won't work.
You need to use something like erythromyacin or azythromyasin to
kill both mycoplasm and to kill whipping cough. RSV is
a virus, so you can't treat it at all. And
the fact that we now have tasks that allow us
to distinguish between these because at first they all kind
(11:00):
of look the same. They just look like a flu
like illness. But now with testing we're able to distinguish
and determine who needs a maxicillin as the best treatment
for pneumonia, who needs xypromax as the best treatment for microplasm,
and who doesn't need antibiotics because they have RSV.
Speaker 2 (11:15):
I'm assuming that pneumonia is very easy to discern a
rattling in your lungs, because of course we don't go
in for a physical or any exam. First thing they do,
or the first thing you do, is you take the
step of scope and put it on your back to
listen to lungs, and you can hear when someone has pneumonia.
Speaker 1 (11:32):
Do I have that right?
Speaker 4 (11:34):
Yeah, you do for the most part. But these are
called atypical pneumonia for a reason. They're more diffuse. They
don't usually with a new macacical pneumonia. I'll listen to
your lungs and in one area it's super wet. It
just sounds like somebody's sucking air through a sponge, you know,
And then you listen to other areas and they sound normal.
With microplasm pneumonia, it's more of a weird, coarse sound
(11:59):
in all areas of your lung It's not not that nice, wet,
gurgly sound that of regular pneumonia, And so it's atypical
and you may not hear any of that with rsv SO,
and the chest X rays can look very different or
be very subtle of michael plasma pneumonia. You may not
even have significant chest X ray findings. So it's tough.
It's not as easy as it sounds to make the tight.
Speaker 2 (12:21):
So if I sound like which I do every single day,
I get behind the microphone and it sounds like a
squishy air going through a sponge, because that's simply how
I broadcast does that mean I have a problem.
Speaker 4 (12:35):
Possibly possibly, Jim.
Speaker 1 (12:39):
We'll talk again as always, Jim Kennie, thank you. We'll
talk next.
Speaker 2 (12:43):
Week here, all right, America's top archive is that's the
person who runs the National Archives and Records Administration and
the title is US Archivist. It's a woman by the
name of Colleen Shogun Chogan, and she is involved with
and this has been going on for years and the planning.
(13:03):
There is a museum on the National Mall and it's
the Archive Museum, which not only holds I don't know
millions tens of millions of documents.
Speaker 1 (13:14):
But also displays them.
Speaker 2 (13:17):
You go to the Archives building and there is the Constitution,
the original Constitution, the original Declaration of Independence. That's kind
of neat stuff. And so they're redoing the museum under
her watch. And there are all kinds of questions. And
now this is a Wall Street Journal article, and they
(13:38):
did the investigation and they published this, and this is
so outrageous. I'm thinking, come on, really, this can't be possible.
And they came back with we have confirmed this. We
have corroborated this not only from emails and written sources,
but about a dozen people involved in these decisions and
(14:01):
what are these decisions. Well, they happen to be about
planned exhibits and educational displays that are going to open
next year that might argue anger Republican lawmakers, and the
Republican lawmakers share control of the agency's budget and concern
about the Trump administration and what's going to happen, although
(14:23):
that's speculation at this point. Now, let me tell you
what we're talking about. She's ordered the removal of prominent
references to the government's displacement of indigenous tribes, the Indians,
what they did to those, the incarceration of the Japanese
Americans during World War II. Those have been taken out
(14:46):
because they're just way too controversial. She was tapped for
the job, and I think this is where the political
issue comes in. She was tapped for that job days
before the federal agent search Donald Trump's marro A Lago
resort in twenty twenty two, and it was the Archives
(15:08):
that reported that he had taken home classified records. It
all started at the Archives, and because of the mar
al Lago politics, as we all know, Republicans accused the agency,
the Archives of abusing its authority and targeting the president,
weaponizing the Archives, if you will. And she had just
(15:31):
been selected by the administration, the Biden administration, to be
the archivists. So as you can imagine, at the hearing
confirmation hearing, GOP lawmakers grilled her about her partisan leanings.
(15:54):
And she has seen since over seen a host of
changes to exhibits planned.
Speaker 1 (16:00):
This is a forty million dollar makeover of the Museum
of the.
Speaker 2 (16:02):
National Archives, for example, and this is the Wall Street
Journal senior aids to her order that a proposed image
of Martin Luther King be cut from a planned Step
into History photo booth in the Discovery Center. You know
where they give that holographic thing and you step right
next to it and you snap your picture and there
you are with Martin Luther King, or there you are
(16:23):
on a moonshot or there you are. I just came back.
Matter of fact, I should put those on the Instagram.
There I am in the Game of Thrones set. And
so we did that. So it's easy to do. But
Martin Luther King, if you wanted to take photos with him, no, nope,
this and I'm going come on, this can't be possible.
(16:47):
And you're alongside historic figures. Also, removal of a Labor
Union pioneer do lor suerta mini spotted wolf. Kind of
strange name until you realize she's a Native American, first
woman to join the Marine Corps. That was removed from
the photo booth. And this is one. When I looked
(17:08):
at it, I go, no, this cannot be possible. And
yet according to the Wall Street Journal, it is. Instead
of Martin Luther King, you can take a picture next
to him. You can take a picture next to former
President Richard Nixon greeting Elvis Presley in the Oval Office,
(17:30):
or Ronald Reagan greeting Cal Ripkin Junior, one of the
great baseball players of all time. Now, I don't care
if you are or not a Martin Luther King fan,
which I virtually everybody I know is. But okay, which
even if you want a photo of Cal Ripkin junior,
(17:53):
President Reagan and you in the Oval Office, do you
think that Martin Luther King wouldn't be a little bit
more important than that? All right, now we finish up
this topic about the politics of the National Archives.
Speaker 1 (18:09):
You would go, come on.
Speaker 2 (18:10):
What politics are involved running the National Archives? The National
Archives is where we keep our national records. Created in
nineteen thirty four by Congress, thirteen and a half billion
pages of paper records, thirty three billion electronic records, tens
of millions of photos and maps and other items. And
(18:35):
if you go to the Archives building and inside the rotunda,
Declaration of the Independence, the original, the Constitution, the original,
I mean, pretty impressive stuff. There's also something called the
Discovery Center which was planned years ago and it is
one of those museum interactive museums, one of which is
(18:56):
you get to take a picture with historical figures. Now
they put you I think a green screen or whatever
they do. And the US Archive is our name is
Colleen Shogun decided that the picture of Martin Luther King
should not be included. Wait a minute, hold on, now,
(19:19):
there was a suggestion done by the aides that two
other photos, either Elvis Presley meeting President Nixon in the
overvill office or Ronald Reagan meeting Carl Ripkin Jr. The
picture in the Oval Office, both pretty good. But Martin
Luther King. And why is that? Because people might not
recognize Martin Luther King. That was the reason that was given. Well,
(19:40):
how about just a big sign that says Martin Luther
King and then an explanation of how reasonably important he
is in American history. Here are the politics of it,
because if you think about it, someone has to decide
what exhibits go on and go up. For example, originally
(20:01):
was planned to be the documents of US treaties with
Native Americans at the US broke every single one.
Speaker 1 (20:08):
Nope, we don't want that. Too controversial.
Speaker 2 (20:11):
Okay, how about pictures photos documents involving the interment of
Japanese Americans during World War Two? Nope, too controversial. And
why would she cave to this? Well, Colleen Shogun was
appointed by the Biden administration and had to go in
(20:33):
front of the Senate for confirmation hearings and was accused
of having liberal leanings and even though she in fact
was confirmed. Well, let me give you.
Speaker 1 (20:48):
A quote.
Speaker 2 (20:50):
You're an extreme partisan and your record shows that, Josh Holly,
Senator of Republican Acord, Missouri.
Speaker 1 (20:58):
And she was warned from the hearing.
Speaker 2 (21:01):
At the hearing that they would be watching closely for
signs she was pulling the Independent.
Speaker 1 (21:07):
Agency to the left, and she wanted the job. And
guess what we now have.
Speaker 2 (21:15):
I mean, this stuff is insanity of what's being left
out and what's being put in, and frankly, it's scrubbed clean.
And it's not Republican versus Democrat in the normal sense
of politics. It's those people who want to scrub the
negative parts of American history.
Speaker 4 (21:37):
Right.
Speaker 2 (21:38):
We don't want to show how the United States have
screwed Native Americans or put Japanese Americans into internment camps,
or the treaties what we broke. We don't want any
of that. We just want this filtered. America is great,
and it just happens to be Republicans. I mean, I'm
sure there are plenty of Democrats that think the same way,
(21:59):
but particular in this case, it was the Republicans during
the hearing and she cave boided, she cave.
Speaker 1 (22:05):
I mean, it is insane.
Speaker 2 (22:06):
It is so crazy that the Wall Street Journal, in fact,
had to put up there in the article that they
came out. This was an investigation they did that. They
have emails, they have internal documents, they have witness statements
from at least twelve people that were involved in those meetings.
(22:29):
And that's the.
Speaker 1 (22:29):
Shame of it.
Speaker 2 (22:30):
It really and it's a shame, it really is. Hey,
you know, we have a problem in this country. We
have a history, like many other countries have, that is negative,
that is miserable. We engaged in slavery in this country.
We treated the Native Americans.
Speaker 1 (22:45):
Well like garbage.
Speaker 2 (22:47):
If you'll listen to a comedian at a rally, you know,
we have a history that is problematic.
Speaker 1 (22:53):
Let's we have to recognize it.
Speaker 2 (22:55):
We do, and there are a group of people out
there that want to sanitize that. I mean, we are
the greatest country in the world, which in many ways
we are, but you know, there's a reality here, and
so the politics of the National Archives. If you ever
happen to be in Washington, go to that building, by
the way. It's incredible.
Speaker 1 (23:12):
And I can't wait to go to the Discovery Center.
Some meat museums in Washington. All right, guys, we're done. Ah,
we come back.
Speaker 2 (23:18):
Again tomorrow and we start this all over again on
a Thursday. The Dodgers are playing the Yankee somewhere today
and it's game five.
Speaker 1 (23:28):
I said game four, but it's game five. All right, guys,
we're done.
Speaker 2 (23:31):
Tomorrow morning, wake up call, and that's with Amy Neil
and I come aboard from six to nine.
Speaker 1 (23:36):
And of course KNO and Ann are round two.
Speaker 2 (23:39):
KFI am six forty live everywhere on the iHeartRadio app.
Speaker 1 (23:43):
You've been listening to the Bill Handle Show.
Speaker 2 (23:45):
Catch My Show Monday through Friday, six am to nine am,
and anytime on demand on the iHeartRadio app.
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