December 11, 2024 • 19 mins
Franklin Fire UPDATE. 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 drinking coffee daily showing benefits for aging, Anthem Blue Cross’ proposed policy limit to anesthesia, and a potential link between ultra-processed food and cancer.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:01):
You're listening to Bill Handle on demand from kf I
am six forty.
Speaker 2 (00:07):
However you're gaining your news if it's like this or
through socials, just bring it.
Speaker 1 (00:10):
Down or bring this down?
Speaker 2 (00:12):
Okay, Michelle, Who's are I was asking? Here's a little
inside stuff. I was asking, you know, outside of the
people in Malibu, in that area, the rest of the
listening audience. I mean, you know, if you don't live
in Malibu, you don't live in those that area, you know, I.
Speaker 1 (00:29):
Why what are you getting out of this? Not a
whole lot?
Speaker 2 (00:32):
And so these things go on forever and ever. I
can understand road closures. I was just talking to Neil.
I can understand road closures, but I only do not
living in Malibu. Here's what I like to know. How
many acres is it growing? Is it not growing? Structures?
Speaker 1 (00:48):
I love that.
Speaker 2 (00:49):
How many structures I have to I don't care about structures.
I told you I always think of structures as an
outhouse or one of those sheds that you put your
lawnmower in. That's a structure. How many houses have been burnt?
We have no idea how many houses. I like the
idea of finding out how many firefighters are out there.
Speaker 1 (01:10):
What I have a very hard time with is, first
of all.
Speaker 2 (01:13):
Using the word incident. It's not an incident, it's a fire.
Do you understand that it is a fire. When's the
last time you called nine to one one and you
saw a fire? Ooh, there's an incident down the street.
The house is in the middle of an incident. Every
other word, you know what.
Speaker 3 (01:35):
I got arrested once for yelling incident in a movie theater.
Speaker 1 (01:39):
Yeah, theater. I love that.
Speaker 2 (01:41):
And then the congratulating each other on this.
Speaker 1 (01:46):
I want to thank our partners for doing this.
Speaker 2 (01:48):
I want to tell you, hey, that's your job, guys,
you know, and you do a great job, and it's
up to me to congratulate you. It's up to the
residents to congratulate you. It's not up to you to
congratuate yourself.
Speaker 1 (02:02):
It drives me. I just go nuts. You know.
Speaker 2 (02:04):
Steve Gregory, what he does is he trains pios all
over the country, that's public information officers like the fire chief.
That started with reading from a script and badly, I
might add, stilted. I would like to tell you, you know, hey,
(02:28):
I'm as interested in anybody. Just tell me quickly how
big is the fire? How much has it grown? I
mean that should be two minutes. And the rest of
it drives me completely nuts. By the way, somewhere in
the middle, there was some actual news, Amy, you were
listening to this. Where are other than the congratulations and
we love you and we want to thank our residents
and let's all jump up and down and kumbaya were terrific,
(02:50):
hard news.
Speaker 1 (02:51):
How many acres? Almost more firefighters? Fifteen fifteen hundred acres.
Speaker 2 (02:57):
No, almost four thousand acres more than fifteen hundred firefighters.
Speaker 1 (03:01):
Great, and the increase is x percent from yesterday. It's
about double the number of firefighters from early ye Okay.
See that's real news. That's real news. The rest of it.
Speaker 2 (03:11):
If you want to know the closure, go to the website,
the incident report. Don't put in the word fire because
there really isn't a fire.
Speaker 1 (03:20):
It's an incident. Oh god, I'm in a good mood today,
aren't I. Yeah, you're waking up? Yeah yeah.
Speaker 2 (03:29):
And then well I'll come back and tell you the
worst of it, the absolute worst of it. I want
to go back for a moment, because you know, I
may have been a little too harsh on.
Speaker 1 (03:42):
The press conference with the fire.
Speaker 2 (03:45):
Chief of La and Sheriff Luna and then everybody else
that's up there.
Speaker 1 (03:51):
But I don't and I don't want.
Speaker 2 (03:53):
To diminish the horror of having a place burned down.
And one of the things Lindsay's cousin is an interior
designer and lives in the middle.
Speaker 1 (04:06):
Of that area. She lost her home.
Speaker 2 (04:09):
She and her husband lost her home in the last fire,
and I had to rebuild. And it's having seen people
go through that, it's tough to see I mean losing everything,
I mean losing.
Speaker 1 (04:21):
All of your memories, photos.
Speaker 2 (04:25):
I mean they're able to drag some things out, but
sometimes these fires go so quickly that you don't even
have time for that. We've heard stories after story to
the fires moving at fifty miles an hour, and we
now have those happen in southern California.
Speaker 1 (04:40):
So yesterday.
Speaker 2 (04:43):
We were trying to get hold of her husband or
family members. There was no cell phone, there was no internet,
there was no power, so it was rough.
Speaker 1 (04:55):
And the worst of it.
Speaker 2 (04:56):
Is, and this really this was really tough for us,
is that she's an interior designer and she happened to
have all of our knobs and the doorknobs and the hinges.
Speaker 1 (05:10):
She ordered them for the house.
Speaker 2 (05:13):
And all I was doing was saying, are do you
think our doorknobs are gonna be?
Speaker 1 (05:17):
Okay?
Speaker 2 (05:18):
That is so important, the thought of redoing, reordering these
knobs that took weeks to get the humanity all right,
by the way, the doorknobs situation, it's absolutely real waiting
(05:39):
for doorknobs to come in because my doorknobs in the
house were just horrible.
Speaker 1 (05:43):
Okay, that's it. Do I want to do?
Speaker 2 (05:46):
And you know what, I'll do this topic tomorrow because
I already went on and we have two great topics
to do, so Neil, we got to yeah, I know,
pitch something. We got a minute and a half. Would
you like to sell something?
Speaker 3 (06:01):
You know what I will tell you is that on
the Fork Report this Saturday, I will be giving away
not one, but.
Speaker 1 (06:08):
I believe two.
Speaker 3 (06:11):
Year's worth of Don Francisco coffee and some gift baskets
for the holidays.
Speaker 1 (06:18):
That's huge, Okay. And all you have to do're good.
Speaker 3 (06:21):
Friends with the show, and they're wonderful people, and I
love their product. I drink their Cafe La Jave every
single day. And they'll they are kind enough to provide
me with that to give to the listeners.
Speaker 1 (06:34):
That's kind of neat. Yeah, that is neat. By the way,
you be your free coffee.
Speaker 2 (06:38):
All you have to do is record a promo and
tell us how good we are here on KFI, and
you too get free stuff.
Speaker 1 (06:45):
Well, it's for the listeners, it's not for me. I
pay for my own coffee. Coffee.
Speaker 4 (06:49):
Actually, I know that surprises you. Yeah, I know, why would.
Speaker 1 (06:55):
You do that?
Speaker 3 (06:56):
Apoplectic because for my own stuff?
Speaker 2 (07:00):
You know, I'm waiting for a home builder commercial, so
I get a free house.
Speaker 1 (07:06):
How long?
Speaker 3 (07:07):
What's the over under Amy and Kono for handle coming
on and doing spots for.
Speaker 1 (07:15):
The elevator company. It's going to happen.
Speaker 2 (07:18):
Absolutely, as a matter of fact, it may very well happen.
But here, well, but hold on, it's going to be
after the fact. There actually have been companies that I
have gotten their product. When I pitch a product, I
mean I actually believe in it, Otherwise I'm not going
to tell you about it. And I have gotten it
after the fact because I liked it so much.
Speaker 1 (07:40):
That's this elevator. Okay, so do you get reimbursed? No?
Speaker 2 (07:44):
No, what happens is the salespeople go out and say, hey,
Handle bought your stuff, and you know, don't you want
to advertise with us.
Speaker 1 (07:53):
That happens.
Speaker 2 (07:54):
So the answer to your question is, I've already paid
for my damn elevator. I didn't get a break, so,
oh stuff it.
Speaker 1 (08:01):
I did bake them. I baked them for a free elevator.
Speaker 4 (08:04):
They said, no, I'm surprised you didn't do a divorce attorney.
Speaker 1 (08:11):
Oh all right, guys, are we say, why don't you plug?
Ask handle Anything?
Speaker 2 (08:17):
Oh that's a great idea. Before we get there, we're
doing Oh, thank you for that. Well, that's weird show today.
All right, we're doing Ask Candle Anything. Do this on Friday,
And and and Neil choose which questions that you're asking me.
And here's how it works. You go to the iHeart app.
During the course of this show, you turn on the KFI.
(08:38):
Just go to KFI the upper right hand corner microphone,
press on the mic. You have fifteen seconds to ask
a question of me, virtually any question.
Speaker 1 (08:48):
We're having a great time doing this. I don't know
what the questions are.
Speaker 2 (08:51):
Neil and Ann choose the questions and you're hearing them
for the first time as I am, and then I
answered the question. Some are hugely embarrassing, specially the first
couple of weeks, and some are just fun. So it's Friday.
We do this the last two segments of the show
eight thirty, so it's ask handle anything. iHeart app KFI
(09:13):
during the show, then upper right hand corner of the
microphone click fifteen seconds to ask the question. I don't
care about your political views. I don't give a rats ass.
It's about asking me, and I'll tell you right now. Okay,
what do you call it short briefs or what do
they call those boxer briefs that I wear? So you
(09:37):
don't have people ask Yeah, you're not. You don't have
to ask that. Okay, the other bit of news nine
and a half inches. But then I wake up, so
that is the rest of it. Never mind, I'm getting
out of here. Let's get right into a gym. Who
has been with us for.
Speaker 1 (09:55):
Twenty five years.
Speaker 2 (09:57):
Jim is chief medical Officers for Dignity Saint Mary Medical
Center in Long Beach and a board certified er doc.
All right now, I love this drinking coffee, and over
the years you and I've had this conversation. Either drinking
coffee kills you, or it doesn't kill you, or you
live fifteen years longer, or you.
Speaker 1 (10:22):
Just have better health, you.
Speaker 2 (10:25):
Walk better, you have a stronger erection, or it decreases
your erection. All right, Jim, here's another one. Yeah, yes,
why don't we share this one?
Speaker 5 (10:38):
Well, I mean, so again, I think most of the
studies we've done on coffee show a benefit. Right, there's
definitely it seems to be a health benefit to drinking coffee.
And this study shows that when you look at quality
adjusted life years, that you get two more high quality
years of life among coffee drinkers than you do among
(10:59):
non coffee drinkers. You know, again, this is kind of
an association study, so it doesn't really tell us like
what aspects of the coffee, because if it did, you know,
some pharmaceutical company would try and turn this into a pill.
But right now, it just looks like this mix of
hundreds of antioxidants and chemicals and brew that go into
(11:20):
coffee do something to improve the quality of life, reduce
your risk of heart attack and stroke and all of
those good things. Increases your mood, increases your mental sharpness
because of the caffeine, and you know, to be fair,
Tea has similar benefits, and a lot of it is
shown a lot of the studies on Tea's show almost
the exact same thing.
Speaker 2 (11:41):
Hey, we've been talking about these studies over the years
that if you do this, you'll get two more years.
Speaker 1 (11:49):
If you do this, you'll get another eighteen months of
quality light.
Speaker 2 (11:54):
If you follow this regimen, you will be able to
get this kind of benefit. Putting all that together over
the years following your advice, we'd be living to four
hundred and twelve, wouldn't.
Speaker 5 (12:05):
We Exactly, you know, exactly, if you just listen to
the show and follow this advice, you will have high
quality life for you know, many years.
Speaker 1 (12:13):
Yes, exactly. By the way, do you how much of
this do you actually pay attention to? Jim?
Speaker 2 (12:18):
I know, you're you're physically fit, you do a lot
of exercise, you're reasonably careful about what you eat.
Speaker 1 (12:24):
You read all of this stuff. How much of it
do you actually pay attention to personally?
Speaker 5 (12:30):
Yeah? No, I mean, like everybody else, I have my
dietary indiscretions, but you know those are calculated and for
the most part, I eat healthy and I mean, you know,
that when they bring out a basket of bread, I'm
going to eat the whole thing. Yeah, same thing with
a basket of chips at a Mexican restaurant. But that's
(12:52):
I know that going in and that is not normal behavior.
You know, for me, that's just a fun time. So
you know, the rest of the time, I'm eating relatively healthy.
I don't eat processed foods. That's I think that's a
big deal. I was raised by a mom that didn't
believe in processed foods many many years ago because she
came over from Italy and that that you know, those
(13:14):
were anything in a package was from the devil. But
other than that, yeah, I just this stuff all falls
in line with a lot of my you know, long
held beliefs.
Speaker 2 (13:26):
Do you know in all of the years that we
have had lunch or dinner together, I mean all of
the years, I have never once seen you eat healthy.
Speaker 1 (13:38):
Seriously, there's a not a joke. Never once.
Speaker 5 (13:42):
Well, just because you're looking at the bread consumption and
the chips, but I mean when you look at the
food in the restaurant, yes, I mean most restaurants. You know,
we've seen Restaurant Confidential or you know those those shows
that show you how they make it tasty. They do
it similar to the way a lot of processed foods do,
and they probably put more butter and more salt than
(14:02):
you would put in it at home. But still these
are in most places we go. Those are simple ingredients.
I mean, you're eating a steak, You're not eating a
processed piece of meat. You're eating vegetables, you know, that
type of thing. So overall, it is healthier than what
we're talking about when people when their diet is dominated
by ultraprocessed foods.
Speaker 2 (14:22):
Doctor Jim Keeney, chief Medical Officers for Dignity Saint Mary
Medical Center and Long Beach Board certified Er. Doctor Jim,
I'm sure that you were involved were certainly paid attention
to the story.
Speaker 1 (14:35):
A few days ago, Anthem.
Speaker 2 (14:36):
Blue Cross new policy to limit anesthesia based on the
amount of time someone is under the knife. If it
goes beyond a certain time, they're saying no, thank you. Now,
I understand they were pretty good about sending everybody who's
going to go under anesthesia a stick to bite onto.
(14:56):
So they've been very gracious about that, and of course
they hold back on that. I mean, I think it
says a bigger picture of what insurance covers and how
actually insurance companies say we know more about your patient.
Speaker 1 (15:09):
Than you do.
Speaker 5 (15:11):
Yeah, I mean that is this was a simple battle
between you know, anesthesia and the insurance company basically, and
it's the insurance company trying to limit anesthesia income by saying, hey,
here's accepted standards. You know, on one hand, from the
insurance company perspective, they're trying to control cost, right, So
that's how they've they've posed all of these issues. Although
(15:35):
you know, their their incomes don't seem to drop at all.
They and they have these big beautiful buildings in Texas
and and do great. But you know they're trying to
control costs, so they try and limit this. This is
a bad idea, right because I mean, what how can
the patient or the antithesiologists control how long a surgeon
(15:56):
takes to do a surgery. There are times when it's delayed.
I mean, if if there are times, and I wouldn't
doubt that there are, you're going to be able to
find examples where maybe antithesiologists are exaggerating the time in
some way and they're trying to control that cost. But
this obviously is not the way.
Speaker 2 (16:12):
To do it.
Speaker 1 (16:13):
Yeah, correct me if I'm wrong.
Speaker 2 (16:15):
But anytime you've got a major surgery where tons of
money is being spent, someone on the insurance company side,
usually a doctor looks at the notes and at least
overseas or make sure that it's within some kind of parameters.
I'm sure that happens and has always happened, but as
(16:36):
a general rule, this just seems insane.
Speaker 1 (16:40):
Yeah.
Speaker 5 (16:40):
No, I mean, I'd love to think that there's actually
a doctor looking over every single one and you know,
thinking about the medical necessity and how good it is
for the patient. But I don't believe that's true. I
think that for anything, they probably have parameters where things
fall out of their normal payment structure and then they say,
(17:01):
wait a second, we better take a look at this.
But not every single surgery is approved by a doctor
on the other end. And in fact, I'd say that's
probably extremely rare.
Speaker 2 (17:11):
When the insurance company says no to a surgery or
will not cover it if it's supposed to be covered.
Speaker 1 (17:16):
Is that correct?
Speaker 5 (17:18):
Yeah, I mean even when they say when they deny
it and say no, it's not covered, I think it's
pretty rare that they're having a doctor.
Speaker 1 (17:25):
Review everything denial all right, So a.
Speaker 5 (17:28):
Lot of those are coming out based on other reviews,
and then if somebody complains or there's an issue about it,
or if it is a particularly high risk or a
high dollar case, then maybe a doctor looks at it.
Speaker 1 (17:39):
All I see, are you talking an algorithm?
Speaker 2 (17:41):
For example, out of X number of appendicitis is appendicida,
all of a sudden, one is running four hours and
someone looks at it and goes, it shouldn't run that long. Well,
these are the complications, this is what I found, this
is what happened, and then they end up having.
Speaker 1 (17:57):
To cover it.
Speaker 5 (17:58):
Yeah, I mean, and I think AI too will have
a big impact on this, because if the insurance company
can predict, for example, that you're going to do better
if you get this treatment, then they may be a
lot happier about paying for it. The problem is the
flip side, right, If you have some advanced cancer and
we're giving you an option, and you'd like to take
(18:20):
that option for treatment, but the AI tells us that
there's no way that's going to improve the quality of
your life. A lot of people would want to know that,
but there's some people that would still want to try, right,
because no one person is a statistic and you never know.
So there's people that really want that hope, they want
to try, and what happens if AI denies that kind
of care. So it's going to be interesting in the
(18:41):
next couple of years because this is going to ramp
up rapidly.
Speaker 2 (18:44):
And to your point, they walk that back so quickly
because the optics were so horrible on this, but it
doesn't change the big picture.
Speaker 1 (18:53):
Jim, we'll talk again next week. Every Wednesday.
Speaker 2 (18:57):
You have a good win and thanks for joining us
as always.
Speaker 1 (19:00):
All right, we're done, guys. That's it.
Speaker 2 (19:01):
Another day, another dollar and a half or eighty four
cents because this is iHeart starts again tomorrow morning at
five am. Wake up call with Amy, I come aboard
with Neil at six o'clock and we broadcast right up
until now. And a big thank you to and KNO
and I have to say that because it's written down
(19:23):
this is KFI AM sixty. You've been listening to the
Bill Handle Show, 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 kf I
am six forty.
Speaker 2 (00:07):
However you're gaining your news if it's like this or
through socials, just bring it.
Speaker 1 (00:10):
Down or bring this down?
Speaker 2 (00:12):
Okay, Michelle, Who's are I was asking? Here's a little
inside stuff. I was asking, you know, outside of the
people in Malibu, in that area, the rest of the
listening audience. I mean, you know, if you don't live
in Malibu, you don't live in those that area, you know, I.
Speaker 1 (00:29):
Why what are you getting out of this? Not a
whole lot?
Speaker 2 (00:32):
And so these things go on forever and ever. I
can understand road closures. I was just talking to Neil.
I can understand road closures, but I only do not
living in Malibu. Here's what I like to know. How
many acres is it growing? Is it not growing? Structures?
Speaker 1 (00:48):
I love that.
Speaker 2 (00:49):
How many structures I have to I don't care about structures.
I told you I always think of structures as an
outhouse or one of those sheds that you put your
lawnmower in. That's a structure. How many houses have been burnt?
We have no idea how many houses. I like the
idea of finding out how many firefighters are out there.
Speaker 1 (01:10):
What I have a very hard time with is, first
of all.
Speaker 2 (01:13):
Using the word incident. It's not an incident, it's a fire.
Do you understand that it is a fire. When's the
last time you called nine to one one and you
saw a fire? Ooh, there's an incident down the street.
The house is in the middle of an incident. Every
other word, you know what.
Speaker 3 (01:35):
I got arrested once for yelling incident in a movie theater.
Speaker 1 (01:39):
Yeah, theater. I love that.
Speaker 2 (01:41):
And then the congratulating each other on this.
Speaker 1 (01:46):
I want to thank our partners for doing this.
Speaker 2 (01:48):
I want to tell you, hey, that's your job, guys,
you know, and you do a great job, and it's
up to me to congratulate you. It's up to the
residents to congratulate you. It's not up to you to
congratuate yourself.
Speaker 1 (02:02):
It drives me. I just go nuts. You know.
Speaker 2 (02:04):
Steve Gregory, what he does is he trains pios all
over the country, that's public information officers like the fire chief.
That started with reading from a script and badly, I
might add, stilted. I would like to tell you, you know, hey,
(02:28):
I'm as interested in anybody. Just tell me quickly how
big is the fire? How much has it grown? I
mean that should be two minutes. And the rest of
it drives me completely nuts. By the way, somewhere in
the middle, there was some actual news, Amy, you were
listening to this. Where are other than the congratulations and
we love you and we want to thank our residents
and let's all jump up and down and kumbaya were terrific,
(02:50):
hard news.
Speaker 1 (02:51):
How many acres? Almost more firefighters? Fifteen fifteen hundred acres.
Speaker 2 (02:57):
No, almost four thousand acres more than fifteen hundred firefighters.
Speaker 1 (03:01):
Great, and the increase is x percent from yesterday. It's
about double the number of firefighters from early ye Okay.
See that's real news. That's real news. The rest of it.
Speaker 2 (03:11):
If you want to know the closure, go to the website,
the incident report. Don't put in the word fire because
there really isn't a fire.
Speaker 1 (03:20):
It's an incident. Oh god, I'm in a good mood today,
aren't I. Yeah, you're waking up? Yeah yeah.
Speaker 2 (03:29):
And then well I'll come back and tell you the
worst of it, the absolute worst of it. I want
to go back for a moment, because you know, I
may have been a little too harsh on.
Speaker 1 (03:42):
The press conference with the fire.
Speaker 2 (03:45):
Chief of La and Sheriff Luna and then everybody else
that's up there.
Speaker 1 (03:51):
But I don't and I don't want.
Speaker 2 (03:53):
To diminish the horror of having a place burned down.
And one of the things Lindsay's cousin is an interior
designer and lives in the middle.
Speaker 1 (04:06):
Of that area. She lost her home.
Speaker 2 (04:09):
She and her husband lost her home in the last fire,
and I had to rebuild. And it's having seen people
go through that, it's tough to see I mean losing everything,
I mean losing.
Speaker 1 (04:21):
All of your memories, photos.
Speaker 2 (04:25):
I mean they're able to drag some things out, but
sometimes these fires go so quickly that you don't even
have time for that. We've heard stories after story to
the fires moving at fifty miles an hour, and we
now have those happen in southern California.
Speaker 1 (04:40):
So yesterday.
Speaker 2 (04:43):
We were trying to get hold of her husband or
family members. There was no cell phone, there was no internet,
there was no power, so it was rough.
Speaker 1 (04:55):
And the worst of it.
Speaker 2 (04:56):
Is, and this really this was really tough for us,
is that she's an interior designer and she happened to
have all of our knobs and the doorknobs and the hinges.
Speaker 1 (05:10):
She ordered them for the house.
Speaker 2 (05:13):
And all I was doing was saying, are do you
think our doorknobs are gonna be?
Speaker 1 (05:17):
Okay?
Speaker 2 (05:18):
That is so important, the thought of redoing, reordering these
knobs that took weeks to get the humanity all right,
by the way, the doorknobs situation, it's absolutely real waiting
(05:39):
for doorknobs to come in because my doorknobs in the
house were just horrible.
Speaker 1 (05:43):
Okay, that's it. Do I want to do?
Speaker 2 (05:46):
And you know what, I'll do this topic tomorrow because
I already went on and we have two great topics
to do, so Neil, we got to yeah, I know,
pitch something. We got a minute and a half. Would
you like to sell something?
Speaker 3 (06:01):
You know what I will tell you is that on
the Fork Report this Saturday, I will be giving away
not one, but.
Speaker 1 (06:08):
I believe two.
Speaker 3 (06:11):
Year's worth of Don Francisco coffee and some gift baskets
for the holidays.
Speaker 1 (06:18):
That's huge, Okay. And all you have to do're good.
Speaker 3 (06:21):
Friends with the show, and they're wonderful people, and I
love their product. I drink their Cafe La Jave every
single day. And they'll they are kind enough to provide
me with that to give to the listeners.
Speaker 1 (06:34):
That's kind of neat. Yeah, that is neat. By the way,
you be your free coffee.
Speaker 2 (06:38):
All you have to do is record a promo and
tell us how good we are here on KFI, and
you too get free stuff.
Speaker 1 (06:45):
Well, it's for the listeners, it's not for me. I
pay for my own coffee. Coffee.
Speaker 4 (06:49):
Actually, I know that surprises you. Yeah, I know, why would.
Speaker 1 (06:55):
You do that?
Speaker 3 (06:56):
Apoplectic because for my own stuff?
Speaker 2 (07:00):
You know, I'm waiting for a home builder commercial, so
I get a free house.
Speaker 1 (07:06):
How long?
Speaker 3 (07:07):
What's the over under Amy and Kono for handle coming
on and doing spots for.
Speaker 1 (07:15):
The elevator company. It's going to happen.
Speaker 2 (07:18):
Absolutely, as a matter of fact, it may very well happen.
But here, well, but hold on, it's going to be
after the fact. There actually have been companies that I
have gotten their product. When I pitch a product, I
mean I actually believe in it, Otherwise I'm not going
to tell you about it. And I have gotten it
after the fact because I liked it so much.
Speaker 1 (07:40):
That's this elevator. Okay, so do you get reimbursed? No?
Speaker 2 (07:44):
No, what happens is the salespeople go out and say, hey,
Handle bought your stuff, and you know, don't you want
to advertise with us.
Speaker 1 (07:53):
That happens.
Speaker 2 (07:54):
So the answer to your question is, I've already paid
for my damn elevator. I didn't get a break, so,
oh stuff it.
Speaker 1 (08:01):
I did bake them. I baked them for a free elevator.
Speaker 4 (08:04):
They said, no, I'm surprised you didn't do a divorce attorney.
Speaker 1 (08:11):
Oh all right, guys, are we say, why don't you plug?
Ask handle Anything?
Speaker 2 (08:17):
Oh that's a great idea. Before we get there, we're
doing Oh, thank you for that. Well, that's weird show today.
All right, we're doing Ask Candle Anything. Do this on Friday,
And and and Neil choose which questions that you're asking me.
And here's how it works. You go to the iHeart app.
During the course of this show, you turn on the KFI.
(08:38):
Just go to KFI the upper right hand corner microphone,
press on the mic. You have fifteen seconds to ask
a question of me, virtually any question.
Speaker 1 (08:48):
We're having a great time doing this. I don't know
what the questions are.
Speaker 2 (08:51):
Neil and Ann choose the questions and you're hearing them
for the first time as I am, and then I
answered the question. Some are hugely embarrassing, specially the first
couple of weeks, and some are just fun. So it's Friday.
We do this the last two segments of the show
eight thirty, so it's ask handle anything. iHeart app KFI
(09:13):
during the show, then upper right hand corner of the
microphone click fifteen seconds to ask the question. I don't
care about your political views. I don't give a rats ass.
It's about asking me, and I'll tell you right now. Okay,
what do you call it short briefs or what do
they call those boxer briefs that I wear? So you
(09:37):
don't have people ask Yeah, you're not. You don't have
to ask that. Okay, the other bit of news nine
and a half inches. But then I wake up, so
that is the rest of it. Never mind, I'm getting
out of here. Let's get right into a gym. Who
has been with us for.
Speaker 1 (09:55):
Twenty five years.
Speaker 2 (09:57):
Jim is chief medical Officers for Dignity Saint Mary Medical
Center in Long Beach and a board certified er doc.
All right now, I love this drinking coffee, and over
the years you and I've had this conversation. Either drinking
coffee kills you, or it doesn't kill you, or you
live fifteen years longer, or you.
Speaker 1 (10:22):
Just have better health, you.
Speaker 2 (10:25):
Walk better, you have a stronger erection, or it decreases
your erection. All right, Jim, here's another one. Yeah, yes,
why don't we share this one?
Speaker 5 (10:38):
Well, I mean, so again, I think most of the
studies we've done on coffee show a benefit. Right, there's
definitely it seems to be a health benefit to drinking coffee.
And this study shows that when you look at quality
adjusted life years, that you get two more high quality
years of life among coffee drinkers than you do among
(10:59):
non coffee drinkers. You know, again, this is kind of
an association study, so it doesn't really tell us like
what aspects of the coffee, because if it did, you know,
some pharmaceutical company would try and turn this into a pill.
But right now, it just looks like this mix of
hundreds of antioxidants and chemicals and brew that go into
(11:20):
coffee do something to improve the quality of life, reduce
your risk of heart attack and stroke and all of
those good things. Increases your mood, increases your mental sharpness
because of the caffeine, and you know, to be fair,
Tea has similar benefits, and a lot of it is
shown a lot of the studies on Tea's show almost
the exact same thing.
Speaker 2 (11:41):
Hey, we've been talking about these studies over the years
that if you do this, you'll get two more years.
Speaker 1 (11:49):
If you do this, you'll get another eighteen months of
quality light.
Speaker 2 (11:54):
If you follow this regimen, you will be able to
get this kind of benefit. Putting all that together over
the years following your advice, we'd be living to four
hundred and twelve, wouldn't.
Speaker 5 (12:05):
We Exactly, you know, exactly, if you just listen to
the show and follow this advice, you will have high
quality life for you know, many years.
Speaker 1 (12:13):
Yes, exactly. By the way, do you how much of
this do you actually pay attention to? Jim?
Speaker 2 (12:18):
I know, you're you're physically fit, you do a lot
of exercise, you're reasonably careful about what you eat.
Speaker 1 (12:24):
You read all of this stuff. How much of it
do you actually pay attention to personally?
Speaker 5 (12:30):
Yeah? No, I mean, like everybody else, I have my
dietary indiscretions, but you know those are calculated and for
the most part, I eat healthy and I mean, you know,
that when they bring out a basket of bread, I'm
going to eat the whole thing. Yeah, same thing with
a basket of chips at a Mexican restaurant. But that's
(12:52):
I know that going in and that is not normal behavior.
You know, for me, that's just a fun time. So
you know, the rest of the time, I'm eating relatively healthy.
I don't eat processed foods. That's I think that's a
big deal. I was raised by a mom that didn't
believe in processed foods many many years ago because she
came over from Italy and that that you know, those
(13:14):
were anything in a package was from the devil. But
other than that, yeah, I just this stuff all falls
in line with a lot of my you know, long
held beliefs.
Speaker 2 (13:26):
Do you know in all of the years that we
have had lunch or dinner together, I mean all of
the years, I have never once seen you eat healthy.
Speaker 1 (13:38):
Seriously, there's a not a joke. Never once.
Speaker 5 (13:42):
Well, just because you're looking at the bread consumption and
the chips, but I mean when you look at the
food in the restaurant, yes, I mean most restaurants. You know,
we've seen Restaurant Confidential or you know those those shows
that show you how they make it tasty. They do
it similar to the way a lot of processed foods do,
and they probably put more butter and more salt than
(14:02):
you would put in it at home. But still these
are in most places we go. Those are simple ingredients.
I mean, you're eating a steak, You're not eating a
processed piece of meat. You're eating vegetables, you know, that
type of thing. So overall, it is healthier than what
we're talking about when people when their diet is dominated
by ultraprocessed foods.
Speaker 2 (14:22):
Doctor Jim Keeney, chief Medical Officers for Dignity Saint Mary
Medical Center and Long Beach Board certified Er. Doctor Jim,
I'm sure that you were involved were certainly paid attention
to the story.
Speaker 1 (14:35):
A few days ago, Anthem.
Speaker 2 (14:36):
Blue Cross new policy to limit anesthesia based on the
amount of time someone is under the knife. If it
goes beyond a certain time, they're saying no, thank you. Now,
I understand they were pretty good about sending everybody who's
going to go under anesthesia a stick to bite onto.
(14:56):
So they've been very gracious about that, and of course
they hold back on that. I mean, I think it
says a bigger picture of what insurance covers and how
actually insurance companies say we know more about your patient.
Speaker 1 (15:09):
Than you do.
Speaker 5 (15:11):
Yeah, I mean that is this was a simple battle
between you know, anesthesia and the insurance company basically, and
it's the insurance company trying to limit anesthesia income by saying, hey,
here's accepted standards. You know, on one hand, from the
insurance company perspective, they're trying to control cost, right, So
that's how they've they've posed all of these issues. Although
(15:35):
you know, their their incomes don't seem to drop at all.
They and they have these big beautiful buildings in Texas
and and do great. But you know they're trying to
control costs, so they try and limit this. This is
a bad idea, right because I mean, what how can
the patient or the antithesiologists control how long a surgeon
(15:56):
takes to do a surgery. There are times when it's delayed.
I mean, if if there are times, and I wouldn't
doubt that there are, you're going to be able to
find examples where maybe antithesiologists are exaggerating the time in
some way and they're trying to control that cost. But
this obviously is not the way.
Speaker 2 (16:12):
To do it.
Speaker 1 (16:13):
Yeah, correct me if I'm wrong.
Speaker 2 (16:15):
But anytime you've got a major surgery where tons of
money is being spent, someone on the insurance company side,
usually a doctor looks at the notes and at least
overseas or make sure that it's within some kind of parameters.
I'm sure that happens and has always happened, but as
(16:36):
a general rule, this just seems insane.
Speaker 1 (16:40):
Yeah.
Speaker 5 (16:40):
No, I mean, I'd love to think that there's actually
a doctor looking over every single one and you know,
thinking about the medical necessity and how good it is
for the patient. But I don't believe that's true. I
think that for anything, they probably have parameters where things
fall out of their normal payment structure and then they say,
(17:01):
wait a second, we better take a look at this.
But not every single surgery is approved by a doctor
on the other end. And in fact, I'd say that's
probably extremely rare.
Speaker 2 (17:11):
When the insurance company says no to a surgery or
will not cover it if it's supposed to be covered.
Speaker 1 (17:16):
Is that correct?
Speaker 5 (17:18):
Yeah, I mean even when they say when they deny
it and say no, it's not covered, I think it's
pretty rare that they're having a doctor.
Speaker 1 (17:25):
Review everything denial all right, So a.
Speaker 5 (17:28):
Lot of those are coming out based on other reviews,
and then if somebody complains or there's an issue about it,
or if it is a particularly high risk or a
high dollar case, then maybe a doctor looks at it.
Speaker 1 (17:39):
All I see, are you talking an algorithm?
Speaker 2 (17:41):
For example, out of X number of appendicitis is appendicida,
all of a sudden, one is running four hours and
someone looks at it and goes, it shouldn't run that long. Well,
these are the complications, this is what I found, this
is what happened, and then they end up having.
Speaker 1 (17:57):
To cover it.
Speaker 5 (17:58):
Yeah, I mean, and I think AI too will have
a big impact on this, because if the insurance company
can predict, for example, that you're going to do better
if you get this treatment, then they may be a
lot happier about paying for it. The problem is the
flip side, right, If you have some advanced cancer and
we're giving you an option, and you'd like to take
(18:20):
that option for treatment, but the AI tells us that
there's no way that's going to improve the quality of
your life. A lot of people would want to know that,
but there's some people that would still want to try, right,
because no one person is a statistic and you never know.
So there's people that really want that hope, they want
to try, and what happens if AI denies that kind
of care. So it's going to be interesting in the
(18:41):
next couple of years because this is going to ramp
up rapidly.
Speaker 2 (18:44):
And to your point, they walk that back so quickly
because the optics were so horrible on this, but it
doesn't change the big picture.
Speaker 1 (18:53):
Jim, we'll talk again next week. Every Wednesday.
Speaker 2 (18:57):
You have a good win and thanks for joining us
as always.
Speaker 1 (19:00):
All right, we're done, guys. That's it.
Speaker 2 (19:01):
Another day, another dollar and a half or eighty four
cents because this is iHeart starts again tomorrow morning at
five am. Wake up call with Amy, I come aboard
with Neil at six o'clock and we broadcast right up
until now. And a big thank you to and KNO
and I have to say that because it's written down
(19:23):
this is KFI AM sixty. You've been listening to the
Bill Handle Show, Catch My Show Monday through Friday six
am to nine am, and anytime on demand on the
iHeartRadio app.
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