Episode Transcript
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Speaker 1 (00:00):
Jim Keeney, chief medical officer for Dignity Saint Mary Medical
Center in Long Beach. Jim, good morning. I want to
get right into it daylight savings and how it affects people.
It doesn't affect me, and we're talking about affecting your body,
but I know people that are wiped out with the
change between daylight savings and standard time, which we're right
on top of. When does it I think, when do
(00:22):
we go back standard time? By the way, I think
in the next few days night? Yeah, Saturday night. So
we're right, yeah, we're right around the corner gym. So
how does it affect people? I'm assuming there are studies
out there that deal with this.
Speaker 2 (00:35):
Oh yeah, I mean census that this is just bad
for all of us, right that every time you switch
the calendar or switch the clock, you get people with
that get brain fog. You know, their their motor skills
aren't as good. Car accidents go up, your stress level
goes up, heart attacks go up. So it's all bad basically,
but you know it's worth it because in the summer
(00:58):
that means that the sun and then go down till
nine o'clock, so you can go to work and still
get home in time to surf. So that's all the
heart attack. Yeah, yeah, that makes all the heart attacks
worth that.
Speaker 1 (01:08):
Now, didn't this wasn't this originally put into place for
farmers so harvest time they could increase the time they
could spend harvesting.
Speaker 2 (01:18):
Yeah, absolutely, so you know that's what they say. But
you know, and there's probably still some benefits. But if
you just stick to the earlier time, the standard time
where you're getting sunlight into your eyes earlier in the morning,
that's better for your circadian rhythms. You know, you have
in your brain, you have the annealed plan that kind
(01:39):
of moderates your week sleep cycles and affecting your hormones
like melatonin and cortisol and then and light in your
eyes basically is a big factor in that. So that's
the problem is all of a sudden, light's coming in
a different time, it's getting darker earlier, and it messes
people up.
Speaker 1 (01:59):
Yeah. No, make an argument for keeping daylight savings time
for farmers because those automated computer driven AI harvesting machines
where no human being is anywhere near them, desperately need
the time change, don't they.
Speaker 2 (02:15):
True. Yeah, you know, there's a lot of places that
don't do daylight Saving time and that they seem to
be just fine. But no, I agree, it's definitely problematic
and lots of studies show it. There's no doubt that
it caused positions.
Speaker 1 (02:30):
Hey, real quick question, and you may not know that.
It's not a medical question. Is switching from standard to
daylight savings time and then back again? Is that unique
to the United States? Do they do it in the
rest of the world.
Speaker 2 (02:42):
No, I think they do do it in other countries.
I just couldn't, okay, but even in the US, we
don't do it across every state.
Speaker 1 (02:51):
Yeah, yeah, Well, how is it that one hour, by
the way, screws people up so much? You know, for example,
Lindsay is gone for a week, week and a half,
I mean, totally screwed up. Doesn't affect me at all.
I couldn't care less. But why is it that some
people are affected to that extent it's only one hour?
Speaker 2 (03:11):
Yeah, I mean because you're messing with your sleep wake cycle,
and that it just causes a lot of issues throughout
your whole body. I mean that cycle affects hormones through
your whole body. It effects you know that your brain's
ability to recover for the day. It affects so many
(03:31):
different things on so many levels that it really is
an issue. And the people who are sleep deprived, to
start with, they're the people that are impacted the most.
So teenagers across the board, about fifty percent of teenagers
are sleep deprived. About thirty percent of adult population is
sleep deprived, and those are the people that are going
to get impacted the most. And you can tell, by
(03:52):
the way, if you're sleep deprived, if you easily fall
asleep in the middle of the day, I mean you're
sleep deprived.
Speaker 1 (03:58):
Yeah. In mind, I have a screwed up sleep cycle,
as probably everybody on the Morning show, because we wake
up so damn early and then we don't have a
normal day. By the way, just to let you know,
last night I had because I'm sleep deprived, and I
remember this dream. I had the weirdest dream I've ever had.
And you were in it, Jim, You were in it,
(04:19):
and you know what, you could get arrested for what
you did. Do you know that they have to be
at least eighteen? You know that, don't you? Okay, boy, Yeah,
let's move on to this study that finds men need
twice as much exercise as women. And I have never
(04:39):
seen a study that in fact justifies a sex change
from a male to female twice as much exercise. I mean, physiologically,
is it that much difference.
Speaker 2 (04:55):
Apparently it is. I mean, is not the only study
that has shown this. So it's built on data that
shows that, you know, men need more to reduce their
cardiovascular risk. But you know, in this case, yeah, it
was a good study. I mean, they had two groups.
One was people with no cornerority disease and they looked
(05:15):
at them to see if they developed it, and the
second group where people with cornerority disease and they saw
they looked for how often they died. So in each situation,
it's still required twice as much work for the men
as the women, you know. And what they did was
they had accelerometers on them, you know, like the wearables,
(05:36):
so it's hard to tell intensity from that. So maybe
the guys just weren't working out as hard as the
women were for that period of time, or there's something
different about the sexes about how they process it. These
women were mostly in menopausal age, so there could be
hormonal differences. That's kind of the obvious place to go.
It's just hard to say, but definitely body of evidence
(05:59):
is mounting that men need a lot more exercise than
women to reduce their cardiovascular risk.
Speaker 1 (06:03):
Yeah. Now, we spend a fair amount of time talking
about risk of death and diseases, et cetera, and I
always ask about the studies and because we always talk science,
because both you and I look at science and go
we have to have real studies here as opposed to
this anecdotal crap where people come up with and the
(06:23):
conspiracy theories go crazy with it. In terms of the
minimum amount of exercise that is generally accepted for a
fairly healthy lifestyle, fighting against stroke and heart attack, that
sort of thing, where is that intern and what kind
of exercise? How much time? How often?
Speaker 2 (06:44):
Yeah, so basically just movement, you know, any movement you
can get and moving for at least you know, two
hundred minutes a week is kind of the recommendation of
this study. It showed women need about one hundred and
fifty minutes, men need about two hundred and fifty minutes.
So somewhere in that range per week of movement and
exercise and any activity is going to you know, get
(07:05):
you this, so you know, and the positive way to
look at the study is to say that, look, both
men and women reduce their cardiovascular risk by exercising, and
that's been proven again, so it really does work.
Speaker 1 (07:18):
If someone follows all of the recommendations, eating properly and
obviously not smoking or drinking, and exercising and exercising your brain.
And I mean put all of that together, you're going
to live to two hundred and ninety six, aren't you.
Speaker 2 (07:36):
Yeah, there's probably a high end limit. You're going to
live longer. But the more important thing than living longer,
I think, you know, having seen lots of people in
the hospital with poor quality of life, is it improves
your quality of life. So the years you do have
are that much better. You can enjoy them that much more.
You're not suffering from pain or exhaustion or you know,
(07:57):
mental fatigue, or you know, it reduces stress, anxiety, depression,
so many benefits from exercising that that whether you don't
live a year longer, it's going to improve your quality.
Speaker 1 (08:10):
I had a doctor, my interness, who I had for
probably twenty years, who ended up disappearing. By the way,
no one knows where he went. I called one day
for an appointment and we don't know he's gone, which
I thought was kind of interesting. But he was very
big into quality of life. I mean seriously big to
the point where he goes, you know, you have quality
of life, Yeah, I'll kill you. Yeah, and that's not
(08:31):
a problem. I'll be more than happy to now Was
he serious? Who the hell knows, because doctors, especially when
you're you know, suffering end of life pain, that sort
of thing, it's not that difficult to sort of, you know,
move the procedure along, is it.
Speaker 2 (08:52):
I mean, I don't think any of us are trying
to move, you know, expedite death, but we're trying to
make death comfortable. And I think that you know, when
you talk to pay lead of care experts because this
is their area, or people in that manage hospice patients,
the goal there is comfort. And if you know, I've
(09:12):
seen or people are afraid to use certain medications because
they think it's going to hasten somebody's death, and it doesn't.
It Actually, once once you relieve somebody's pain who's having
difficulty breathing, those pain medicines you know, theoretically suppressed their breathing,
but I've watched them breathe easier because all of a
sudden the pain is gone. So I mean, we're not
(09:33):
very good at it. But this is a whole different topic.
Speaker 1 (09:35):
Yeah, no, it is. It is, and it's something I
want to explore in terms of the hypocritical oath that
doctors take, and that is do no harm. I want
to talk about that next week and how far does
that go because I know of doctors who have told
me I don't know whether it's true or not they've
ever done it, but I know of doctors that would
(09:59):
hasten death because his life was so crappy and it
was just a lot of people ask for death. I mean,
a lot of people say, put me out of my misery.
I don't want to deal with this. And the concept
of a doctor being part of that formula, and we'll
talk about that, and I know it's not you and
it's not most doctors, but I know you have feelings
(10:23):
about that and some maybe you've done some thinking about that.
We'll pick that up next week, because you plenty of
time to worm your way out of whatever you're thinking
that could get you in trouble. Jim, we'll talk again
next week. As always Medical News doctor Jim Keeney, all right,
take care, Chief Medical Officer for Dignity Saint Mary, Medical Senator,
Long Beach Notice. I always end up with a death topic.
(10:45):
I am constantly just I'm so engaged in death. I
just like death, the whole topic of death and dead
people and all of that.