May 3, 2024 • 32 mins
ICYMI: Hour Two of ‘Later, with Mo’Kelly’ Presents – Thoughts on whether or not you should buy a hybrid car and the difference between types & how to leave an effective online review, negative or positive on ‘Tech Thursday’ with regular guest commentator; (author, podcast host, and technology pundit) Marsha Collier…PLUS – An in-depth conversation with Dr. Abbas Ardehali; Director, UCLA Heart, Lung, and Heart-Lung Transplant Programs, regarding “the advancements in organ donations, surgical techniques, and the cutting-edge medical advancements in machine perfusion, (a portable platform that keeps organs alive outside of the body until they can be transplanted)” - on KFI AM 640…Live everywhere on the iHeartRadio app
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:00):
You're listening to Later with Moe Kellyon demand from KFI AM six forty.
Let's talk a little bit about technologythis Thursday with our regular commentator Marsha Collier.
Marsha, I haven't seen you ina minute. How have you been,
my friend. I'm doing great.I'm just doing great, especially being
here with all of you, becauseso much has been going on, and
(00:23):
I just wanted to bring some newstories, some other stories into people's heads.
We have talked about EV's a numberof times. We've talked about some
of the pluses, some of theminuses, the lack of infrastructure, some
of the things which people haven't consideredin the purchase of EV's. I would
say, just adjacent to that isthe conversation or about hybrids, where hybrids
(00:49):
maybe have gotten lost in this discussion, but there's a place for hybrids in
this I've always wondered, well,with an EV, I don't necessarily have
to worry about the internal combustion enginemaintenance. I don't have to get the
oil change, I forget anything likethat. But with the hybrid, I
know that I don't have to worryabout range anxiety. What else should be
(01:12):
included in this discussion. Well,you know, the funny thing is they're
different kinds of hybrids. They don'ttell you that. You know, in
the commercials, it's a hybrid.Remember when you were a kid and you
had a bike, and maybe youhad a little thing that if you pedaled
real fast, it lit the lightsin the back of the bicycle. It
sure did, okay, So that'skind of the way one type of hybrid
(01:36):
car works, and that is whena gasoline engine goes it turns a generator
that creates electricity. Electricity feeds intoa battery pack and the car then can
use the electricity. Simple that's nota plug in hybrid. You can't get
a rebate for that. I rodein one of those when I was in
(02:00):
London because just the car was soamazingly quiet. London cabs are awfully loud.
So I asked the driver and hesays, yeah, it's great.
I never have to do anything becauseI get my gas. I can convert
to electricity anytime I want, andit makes it easier. And then I
(02:20):
learned that you get better gas orbetter mind right in the city than you
do on the freeways or the highwaysbecause the electric engines in all hybrids are
not strong enough to make maintain superfast speeds, so it's going to drain
(02:42):
the electricity a lot faster. Soyou've got that one kind of hybrid.
Then of course you have the otherkind where you plug it in and it
fills up a very small battery.I mean maybe fifty miles worth of battery.
It's almost like an eat emergency packto get you home if you should
be out of gas. Basically,well, no, they kind of intended
(03:06):
for because remember they're trying to geteverybody to live in a small area.
Oh okay, right, I meanyou've noticed that with the bicycling and the
ballers on the street. I drivefifty miles from work right and back right,
but they're they're not wanting you todo that. Well, they need
to find me a house closer tomy job. And I agree with you
(03:28):
one hundred percent. But so theycan't maintain high speeds, and you have
to consider that if you plug inhybrid, you're not always going to have
the opportunity, as we talk aboutevs, to plug it in somewhere,
so you're going to have to putin a plugger in your house. I
use the technical plugger, and you'regoing to have to put a plugger in
(03:51):
your house. Now I'm not anelectrician, but I'm seriously thinking that probably
that means you're going to have tohave somebody work on the panel in your
house. Right, that's the bigthing with the switches. You have two
forty's, you got one twenties,all kinds of things that you flip,
and you're going to have to havesomething installed. And I suspect that that
would be almost as expensive as ifyou had a full EVM. The return
(04:16):
on investment on these cars really isn'thappening, And interestingly enough, you can
get a little bit of money backif you use a plug in hybrid.
We know that the EV market bigpicture has pulled back the I'll say the
fervor over EV's has cooled off.Has this been I will say increase as
(04:44):
far as hybrids have. Hybrids gainedwhere evs have lost. Yes, hybrids
have taken over in sales. Sothat's a definite thing because there are people
who care about the environment and ifyou're not dependent on a twenty one thousand
dollars battery, that's going to fallapart, crap out. I'll say it.
(05:05):
That's what I started to say,crap out and what how many?
How many years are they saying?Is it ten years or fewer? Ten
years or fewer? I don't know. All my cars have lasted longer than
ten years, so that doesn't workfor me. Well, I've read an
article in the Wall Street Journal justa couple of days ago that said people
are now planning on keeping their carstill the wheels fall off. And I'm
(05:29):
doing it. My daughter's doing it. She has an old Lexus and she's
just driving it and loving it.And my cars are older because they're adding
so much to the new cars.This is a little bit off of hybrids.
But my husband told me something aboutsome guy whose car was electrically upgraded.
The infotation info that's the one wasupgraded in his car, and it
(05:56):
told him all these new features thathe'd have. Yes, if your car
gets stolen, it can be shutdown at any point, mm hmm,
yeah, and who shuts it down? Not being conspiracy theorist, but we've
all we've talked about not owning thethings that we buy anymore, and the
(06:17):
vehicle market is slowly creeping into that, and we're not noticing it. Oh,
I'm noticing it. We have toget a subscription for this or a
subscription for that, for the poweredseats or you know, the on screen
system. That's nonsense. That's nonsense. You go, you buy a vehicle,
(06:39):
you want power seats, You buypower seats. They are your power
seats to put your butt in.That's it. Simple, same thing with
any option on your car. Yeah, I know sometimes if you get the
deluxe sports package as that weird thingthat you don't ever use. But hybrid
vehicles at least give you an optionon drum and I don't know, frankly.
(07:02):
I remember for the last twenty years, we've been kicking around gas powered
mileage between thirty and fifty miles agallon. I mean, okay, granted
fifty we're in there's little highways.Yeah, on the highway, that's what
these cars get. I mean,it's no big improvement on that. So
(07:23):
what we're doing for the environment iswe're cutting out whatever mileage and if you
are driving back and forth in asmall within a small area within fifty miles,
then you can be using only theelectric part and you have that backup
of the gas tank. And that'sI think a great thing. So I
think that's the good kind. Andjust so people know, the most popular
(07:46):
hybrids in the US as of lastyear, Honda CRV Hybrid, Toyota brab
four, Honda Cord Hybrid. That'sa good looking one, is that one?
Oh? Yeah, the A CordHybrid, Yesta Siena Bord Maprick Hybrid,
and the ones that are plug in. No, these are different.
(08:09):
Jeep Wrangler for x E. Ilike the Jeep Wrangler the way it looks,
Jeep Grand Cherokee for x C,Toyota Rev four Prime, BMW X
five that's a nice one too,Yeah, and the Volvo x C ninety.
But I gotta tell you, ifyou look at the news and look
at the Chinese EV's and the Chinesehybrids, they're catching up, aren't they.
(08:33):
There's so much better looking than theylook like something we have at car
shows. Well, this is whereI do give Elon Musk credit. He
didn't go the Toyota Prius route.He gave us a car or cars,
which it didn't really matter whether itwas an EV or gas power. It
was a look. It was awhole new, whole new thing that nobody
(08:54):
had ever thought about. All thebig screen and all that. Yeah,
and also it was stylistically esthetically pleasing. It wasn't ugly to look at.
But those are EV's now. Iknow we live in this online world and
there are things that we like,things that we don't like. But every
single time we make a purchase online, there's usually asking us to fill out
(09:16):
this survey or give it? Doesit does? I'm done with the I'm
done with the transaction. Can Igo off? I've given you my money?
Isn't that enough? Isn't that enough? Doesn't that make you happy?
And I haven't complained to the FederalTrade Commissions over good right, But those
surveys, those online reviews, theydo have a place, or do they
not? They do of us talkabout that when we come back A good
(09:37):
idea. All right, it's Laterwith mo Kelly. I'm joining studio by
Marshall Collier KFIM six forty live everywhereon the iHeartRadio app. You're listening to
Later with Mo Kelly on demand fromkfi AM six forty. Don't forget tonight
we'll be giving away a family fourpack to the Renaissance Pleasure Fair in Erwindale,
So stick around for that right now. We're joined by Marshall Collier in
(10:00):
studio Marcia Online surveys reviews. Iknow they have a place, but I'm
not sure where that place is.I know you didn't know this, but
I wrote the Ultimate Online Customer ServiceGuide in twenty eleven. It was the
first book about online customer service,how to handle it, how to do
it. I consulted with FedEx anda bunch of other big companies on how
(10:24):
to set up their online presence.So this is an important thing to me,
very important thing. The main thingI can tell you is if it's
a horror that you've experienced in reallife, like in a restaurant or in
a store or something, go directlyto the manager. Talk to the manager
(10:48):
factually telling what happened. Don't callanybody names. And if you go to
the manager and you plead the caseproperly, hopefully they should take care.
This is before you even think ofdoing anything on Yelp or leaving an online
review exactly because, believe it ornot, you know you're not anonymous on
(11:09):
Yelp. I don't need to beanonymous, but I know me and I
know that if I engage the manager, it's a breeding ground for escalation,
and I'd like to be able tosay what I feel I need to say,
not be interrupted, and tell thewhole story to in a way in
which I don't feel like they're tryingto blow me off. Well, let
(11:30):
me tell you something that really goodfor you. And I'm about to be
using this myself, and I've usedit in the past. There's a website
called Elliott e l l IoT tmaybedot org and it has the email addresses
of the heads of customer service ofevery major oh yes, corporation and the
CEOs. So I have used thatincredibly success emails, not contact forms,
(11:58):
no emails, you get their personalemail address. I love it because you
know when they've seen it, itgoes somewhere. Yes, So let me
just give you a tip, andthese tips also go. If you're putting
an online review, always be factual. Don't eat emotional. I was going
to say, don't use a lotof emotion because once you throw emotion in
(12:22):
that or if you put the emotionin, reread it and then strike it
all out, because once you getcarried away, nobody has time to read
your nonsense. They really they're busypeople. If you can factually show them
where they made the mistake. Don'twrite one when you're drunk or I yes,
(12:45):
that's usually a bad, bad idea. Guilty, guilty. Did you
get a gift basket afterwards? No, but I felt better. I use
a lot of colorful language. Idid well. I'm queen of the gift
basket, and I definitely do that. But put the details of what happened.
(13:05):
You can use the name of aperson, but again, don't denegrate
that person. That person may behaving a really, really crappy day,
and you've had your crappy days andit could be just that crappy day.
You don't want to put somebody outin the street. You just want your
apology, your credit, your coupon. I don't need an apology. I
(13:31):
just need it to be made right, exactly, exactly, make it right
for me. So be sure thatyou tell somebody in person, if that's
possible. If it's a big company, use Elliott dot org. You just
type in the name of the bigbusiness. I can't wait. I'm about
ready to use this. I loveit. And you will send an email
(13:56):
to the CEO and the head ofcustomer blah blah whatever it is for that
company, and you can give namesand be factual. But just so you
know, you can get sued forposting stuff that is not true on the
internet. Without going into long details, there's an anti slap law that says
(14:20):
if you're a business and somebody postsagainst you and says things that were untrue,
they have to pay for your lawyers. That's a law. So be
careful when you accuse somebody. Someoneslander someone, snyder spoken, libel someone.
(14:41):
Yeah, I don't you know,now that I think about it,
with all that's going on in theworld right now, maybe I can.
It's common practice. It is true, it is, but you know,
just be honest, don't swear,and be the best gentleman or gentle lady
that you can on your email.That is a lost art. Just etiquette,
(15:05):
good graces, just treating one anotherwith a degree of respect. We
can disagreeable, we don't have tobe disagreeable exactly. And there needs to
be an online etiquette school to teachpeople how to do emails these days.
Oh my goodness, we'll save thatfor next week. Marshall Collier, it's
great to see you. It's greatto have you back, and let it
not be too long before we doit again. Let's do it again because
(15:26):
I'm writing a new book on androidsmartphones that's driving me crazy. All right,
can't wait for it. When wecome back, it's our iHeart Wellness
segment. I'll be joined by doctorabas ARDA. Harley, who is a
cardiothoracic surgeon at UCLA. That isnext. You're listening to Later with Moe
Kelly on demand from KFI AM sixforty with Mo Kelly KFIM six forty.
(15:54):
It's Later with Moe Kelly, andthis is iHeart Wellness. Doctor obos Ar
Holly is a Professor of Surgery andMedicine in the Division of Cardiac Surgery at
the David Geffen School of Medicine atUCLA and holds the William E. Connor
Endowed Chair in Cardiothoracic Transplantation at UCLA. Doctor Arta Holly also serves as the
(16:15):
Director of the UCLA Heart Lung andHeart Lung Transplant Programs, which is the
largest heart and lung transplant program inthe United States. He is a pioneer
within the field of heart and lungtransplantation. And here is my conversation with
him. This is the fortieth anniversaryof heart transplantation at UCLA. Tell me
(16:45):
about heart transplantation in nineteen eighty fourversus twenty twenty four. Well, when
we started doing heart transplantation, thefield was very different. We did not
know as much as what we dono now, and the expectation for patient's
survival after heart transplantation was not whatit is today. At that time,
(17:06):
it was expected that about one outof every three patients may not survive to
actually leave the hospital. Right now, it's expected that ninety eight percent of
the patients survive the operation and leavethe hospital with a working heart. Is
there something specific as a technological advance, as a procedural advances, surgeon's getting
(17:26):
better? Is it all of thator is it something else? It's all
of the above. Many things haveimproved. We know now that how to
manage the patient's better. The medicationsare better. We also know how to
manage the donor organs are better.So all around, everything about heart transplantation
has improved, and we're only atthe beginning. I expect this to continue
(17:48):
to improve over the years to come. Viability of an organ outside the body,
this is something which has improved overthe years I've been reading up on
it, but you obviously know thisbetter than me. How has that particular
portion of the science changed and improved? Organ transplantation requires a coordinated team so
that we actually as soon as wetake the donor organs out, we go
(18:12):
as fast as we can to putit into the recipient to do the transplant
surgery, because donor organs have alimited viability outside of the human body,
and donor organs human organs were nevermeant to be on ice. But it's
not one size fits all. Aheart is not necessarily as viable outside the
(18:32):
body as maybe a kidney, orare they all the same? How would
you describe that? That's correct?No, The upper limit of the number
of hours that a human heart canlive outside of a human body without any
profusion or on ice is about fourto six hours. For liver, it's
about eight hours. For human lungs, it probably is about the same,
and for kidneys maybe a little bitlonger, maybe up to twenty four hours.
(18:56):
And if it goes beyond that,the organ may not be viable function.
And that is the reason that wehave a limited time to take the
organ and then proceed with the transplantationas fast as possible in the middle of
the night, on weekends and holidays. There is no limitation. We have
all the resources available so that wecan do the operation as fast as possible.
(19:18):
In a contemporary sense, I wasgoing through COVID just like everyone else.
We were in this unknown space intime and history. But it was
during COVID that I actually learned thatlung transplantation was a thing. As they
say, how long has lung transplantationbeen a tool in a cardiothoracic surgeon's toolbox.
(19:40):
Well, the first lung transplantation wasperformed in nineteen fifty seven. The
first successful one was performed in aboutnineteen eighty six or so, so it's
been only about thirty years or sowhen human lung transplantation has been part of
the normal armamentarium in the field ofmedicine. Nonetheless, there has been significant
(20:00):
strides in the quality of the donororgans in terms of the outcome of patients
who undergo lung transplantation in this countryand beyond. It's not just having a
viable organ, it's about matching donorsand recipients. Whereas there might be more
viable organs available for a kidney transplant, for example. Probably they're fewer for
(20:22):
hearts, isn't that correct? That'scorrect? How do you go about expanding
that? Last year there were sixteenthousand consented donors in the United States,
of which only about twenty to thirtypercent of them were good heart donors.
Of those sixteen thousand donors, thevast majority were kidney donors. About eight
(20:42):
thousand were liver donors. So thehearts and lungs are the organs that are
of the nature that they are notas suitable for transplantation because of the limitation,
because of the damage that occurs duringbrain dem We have a smaller number
of potential suitable donors for heart andlung transplantation, as these organs are very
(21:07):
sensitive to injury and we have totake all the precautions necessary to make sure
that these organs in the best possibleshape so that they can be transplanted.
I have a friend who is aheart transplant recipient of a friend. Multiple
friends work here as a matter offact, who have had kidney transplants.
I know that there is an upperlimit as far as the life of that
organ, even though it's transplanted dueto imminosuppressant drugs and so forth. What
(21:32):
is it with heart? How longis that heart after the transplant is a
viable Usually in a successful transplantation,we have come a long way over the
past thirty years. Thirty years ago, the expected life expectancy of a heart
transplantation was in the order of aboutsix or seven years. Now we're talking
about the median life expectancy of overthirteen to fourteen years. So it has
(21:55):
doubled in a matter of an overperiod of about twenty to thirty years,
and we will continue to improve theoutcome after heart transplantation in the years to
come. I always wonder about externalstimuli. Are we as people, as
Americans world citizens, are we doingbetter by our hearts by diet and exercise,
(22:15):
or are you seeing more potential candidatesbecause we are not taking care of
our hearts in the way that weshould. As a general rule, everyone
who stopped smoking, everyone who exercises, everyone who engages in a good,
normal diet will do better for theirhearts. And I think that there is
a national awareness of some of thosepractices. So I'm optimistic that over the
(22:37):
course of the next decades we willsee some improvement in those, but there
are other conditions that come about.For example, you mentioned the issue of
COVID in the past few years.COVID was something that was unexpected, yet
a lot of patients acquired COVID andthrough no fault of their own, and
they had developed end stage lung conditionand needed lung transplanting. So those conditions
(23:00):
that can come about and create endstage heart and lung disease may occur and
need organ transplantation. Since we keepmentioning COVID, I think it's important in
this conversation to see what more dowe know about COVID now in terms of
the long term implications on the heartand the lungs. What do we know
(23:21):
now that we didn't know maybe ayear ago about COVID and its impact on
our organs. There is better understandingof the long COVID syndrome, which means
that patients who had previously acquired COVID, a percentage of them we develop in
this condition which has long lasting impacton lungs and the heart. However,
the vast majority of the patients whohave acquired COVID will recover from this,
(23:45):
just like any other viral infection.And so we are optimistic that with better
understanding of the long COVID syndrome anddevelopment of better therapies, we can control
even sad conditioning. I'll have morewith cardiothoracic surgeon doctor abos Arda Holly,
(24:07):
Professor of Surgery and Medicine at theDavid Geffen School of Medicine at UCLA,
in just a moment as part ofour iHeart Wellness series. It's Later with
Mo Kelly KFI AM six forty liveeverywhere on the iHeartRadio app. You're listening
to Later with Mo Kelly on demandfrom KFI AM six forty KFI AM six
(24:33):
forty. It's Later with Mo Kelly, and this is iHeart Wellness. If
you just tuning in. I've beenspeaking with doctor Abbas rda Holly, Professor
of Surgery and Medicine in the Divisionof Cardiac Surgery at the David Geffen School
of Medicine at UCLA and serves asthe director of the UCLA Heart Lung and
Heart Lung Transplant Programs, the largestheart and lung transplant program in the How
(25:08):
are we doing around the world?And I mentioned that because you're from Tehran,
Iran, you have a more worldlysense of this than I would.
How is the world doing as itrelates to cardiothoracic health. I think that
in general, one of the caveatsis that everyone is becoming more aware of
it. At the same time,obesity is becoming a worldwide pandemic, so
(25:30):
there are opposing factors that's impacting wellnessin terms of heart and lung function.
But overall, I'm very optimistic thatwith greater awareness, with greater information being
distributed amongst the patient, amongst thepopulation, that the wellness is going to
preside and pervade. I would loveto get to know more about you as
(25:53):
a person, beyond you as aphysician. What is a good day?
What is a bad day? Becauseit seems like the odds are always against
you in what you do, oryou would measure success in small increments,
not necessarily long term. Am Iright? Pretty much? I think that
a good day for me is aday that I have had a successful surgery
and a patient who who is inneed of a saving procedure is doing well
(26:18):
in the ICU. When I gohome, I'm very happy about that.
It makes my day. A daythat's not good is when a patient that
I have operated on or who isa patient of mine may have suffered a
complication. So unfortunately, everything thathappens in my professional activity directly translates into
(26:38):
how I feel as a person.And I consider myself a typical physician whose
life is devoted to caring for others. And this is a common phenomena that
occurs throughout this country with thousands ofthe physicians. Doctor Arta Holly, I
open my conversation with you remarking howyou are a pioneer in this field.
(26:59):
You've told us about where we wereand kind of where we are right now,
but where we headed in a scientificsense and an understanding sense of these
issues. When it comes to thefield of organ transplantation, the two major
challenges for the field is the organdonors and our inability to get the organ
donors and make them better before transplantation. The second challenge for the field of
(27:23):
organ transplantation is long term durability ofthe human organs because of rejection and other
factors that comes into the equation whenit comes to the scarcity of the donor
organs. There is a new technology. There is an advance in the field
that is very promising by that,I mean we currently take the human organs,
(27:45):
stop the organs beat either heart orlung, or deliver and put it
on ice and then rush back anddo the transplant. However, there is
an idea that has tantalized the mindsof many physicians over the past many decades,
which is what if we could actuallytake those human donor organs and keep
the blood circulating through those organs suchthat as far as the donor organ is
(28:10):
concerned, it is still in ahuman body. It is not taken out,
so it continues to function. Thelung continues to breathe, the heart
continues to beat, the kidney continuesto produce urine. If we can develop
a technology that keeps these organs ina normal state, it gives us an
opportunity to number one, so thatwe can match the donor organs to the
(28:34):
recipients. A recipient whos in Floridacan get an organ from Hawaii because now
we do not have to rush.We have an organ that as far as
the organ is concerned, it's stillin a human body, no difference.
The second part of the real advantageof this technology is that it gives us
a platform to make changes in thatdonor organ. Just imagine, for example,
(28:59):
if there is a risk of rejection. Rejection it comes about because there
are proteins that are different between thedonor and the recipient. What if we
can somehow mask those proteins. Whatif we can develop a donor organ while
it's on a machine, while it'sblood circulating through it, so that it
doesn't express those proteins, so thatit's recognized by the recipient as part of
(29:22):
self. We take a diseased organout and put an identical new organ that
is recognized as part of you,so it can live in you happily thereafter
ten years away, fifteen years away, I think that there are some improvements
that we can see translatable to ourdaily practice within the next five to ten
(29:45):
years. I think we are ata threshold in terms of seeing some incremental,
some transformative changes in the field oforgan transplantation. That we would look
at this now and say that thatis science fiction. As we did thirty
years ago we said, how canyou actually take another human heart, put
it into another human being and expectit to work? That was science fiction
(30:10):
forty years ago, And look wherewe are. It's being practiced virtually every
day all across the world. BeforeI let you go, I just have
one personal question. I am fascinatedby what you do, how you do
it, but also the when youdo it. If you have a number
of patients that you're monitoring and someoneis up for a heart transplant, how
(30:30):
do you manage your life with respectto someone who may be on an operating
table in a twelve hour period.That always takes precedence, and I think
you need to speak to my wife. The real impact of that has been
the first breathing lung transplant in thiscountry was performed on my daughter's sweet sixteen
(30:52):
birthday. I missed that, however, I think that about a month later
at a meeting, that same patientcame up to my daughter and said,
guess what, I'm here because yourdad performed this. And he told me
that and I had no regrets.I mentioned to him that, you know,
I missed my daughter's sixteenth birthday,but she will never forget this.
(31:15):
She'll always remember this, and thepatient will always remember this. And I'm
so grateful to have the opportunity tohave done that, and I would do
it any day, and I thinkmy daughter understands it. Well, I
think that is a perfect place toend our conversation. I salute you,
doctor Arda Holly. I salute whatyou do and also the advancements that you're
helping bring to this field. I'mO'Kelly and this is iHeart Wellness. It's
(31:47):
later with Mo Kelly k IF.I am six forty. We're live everywhere
on the iHeartRadio app in different STUFFIESIand the KOST HD two Los Angeles,
live everywhere on the Young Art Radioappe
You're listening to Later with Moe Kellyon demand from KFI AM six forty.
Let's talk a little bit about technologythis Thursday with our regular commentator Marsha Collier.
Marsha, I haven't seen you ina minute. How have you been,
my friend. I'm doing great.I'm just doing great, especially being
here with all of you, becauseso much has been going on, and
(00:23):
I just wanted to bring some newstories, some other stories into people's heads.
We have talked about EV's a numberof times. We've talked about some
of the pluses, some of theminuses, the lack of infrastructure, some
of the things which people haven't consideredin the purchase of EV's. I would
say, just adjacent to that isthe conversation or about hybrids, where hybrids
(00:49):
maybe have gotten lost in this discussion, but there's a place for hybrids in
this I've always wondered, well,with an EV, I don't necessarily have
to worry about the internal combustion enginemaintenance. I don't have to get the
oil change, I forget anything likethat. But with the hybrid, I
know that I don't have to worryabout range anxiety. What else should be
(01:12):
included in this discussion. Well,you know, the funny thing is they're
different kinds of hybrids. They don'ttell you that. You know, in
the commercials, it's a hybrid.Remember when you were a kid and you
had a bike, and maybe youhad a little thing that if you pedaled
real fast, it lit the lightsin the back of the bicycle. It
sure did, okay, So that'skind of the way one type of hybrid
(01:36):
car works, and that is whena gasoline engine goes it turns a generator
that creates electricity. Electricity feeds intoa battery pack and the car then can
use the electricity. Simple that's nota plug in hybrid. You can't get
a rebate for that. I rodein one of those when I was in
(02:00):
London because just the car was soamazingly quiet. London cabs are awfully loud.
So I asked the driver and hesays, yeah, it's great.
I never have to do anything becauseI get my gas. I can convert
to electricity anytime I want, andit makes it easier. And then I
(02:20):
learned that you get better gas orbetter mind right in the city than you
do on the freeways or the highwaysbecause the electric engines in all hybrids are
not strong enough to make maintain superfast speeds, so it's going to drain
(02:42):
the electricity a lot faster. Soyou've got that one kind of hybrid.
Then of course you have the otherkind where you plug it in and it
fills up a very small battery.I mean maybe fifty miles worth of battery.
It's almost like an eat emergency packto get you home if you should
be out of gas. Basically,well, no, they kind of intended
(03:06):
for because remember they're trying to geteverybody to live in a small area.
Oh okay, right, I meanyou've noticed that with the bicycling and the
ballers on the street. I drivefifty miles from work right and back right,
but they're they're not wanting you todo that. Well, they need
to find me a house closer tomy job. And I agree with you
(03:28):
one hundred percent. But so theycan't maintain high speeds, and you have
to consider that if you plug inhybrid, you're not always going to have
the opportunity, as we talk aboutevs, to plug it in somewhere,
so you're going to have to putin a plugger in your house. I
use the technical plugger, and you'regoing to have to put a plugger in
(03:51):
your house. Now I'm not anelectrician, but I'm seriously thinking that probably
that means you're going to have tohave somebody work on the panel in your
house. Right, that's the bigthing with the switches. You have two
forty's, you got one twenties,all kinds of things that you flip,
and you're going to have to havesomething installed. And I suspect that that
would be almost as expensive as ifyou had a full EVM. The return
(04:16):
on investment on these cars really isn'thappening, And interestingly enough, you can
get a little bit of money backif you use a plug in hybrid.
We know that the EV market bigpicture has pulled back the I'll say the
fervor over EV's has cooled off.Has this been I will say increase as
(04:44):
far as hybrids have. Hybrids gainedwhere evs have lost. Yes, hybrids
have taken over in sales. Sothat's a definite thing because there are people
who care about the environment and ifyou're not dependent on a twenty one thousand
dollars battery, that's going to fallapart, crap out. I'll say it.
(05:05):
That's what I started to say,crap out and what how many?
How many years are they saying?Is it ten years or fewer? Ten
years or fewer? I don't know. All my cars have lasted longer than
ten years, so that doesn't workfor me. Well, I've read an
article in the Wall Street Journal justa couple of days ago that said people
are now planning on keeping their carstill the wheels fall off. And I'm
(05:29):
doing it. My daughter's doing it. She has an old Lexus and she's
just driving it and loving it.And my cars are older because they're adding
so much to the new cars.This is a little bit off of hybrids.
But my husband told me something aboutsome guy whose car was electrically upgraded.
The infotation info that's the one wasupgraded in his car, and it
(05:56):
told him all these new features thathe'd have. Yes, if your car
gets stolen, it can be shutdown at any point, mm hmm,
yeah, and who shuts it down? Not being conspiracy theorist, but we've
all we've talked about not owning thethings that we buy anymore, and the
(06:17):
vehicle market is slowly creeping into that, and we're not noticing it. Oh,
I'm noticing it. We have toget a subscription for this or a
subscription for that, for the poweredseats or you know, the on screen
system. That's nonsense. That's nonsense. You go, you buy a vehicle,
(06:39):
you want power seats, You buypower seats. They are your power
seats to put your butt in.That's it. Simple, same thing with
any option on your car. Yeah, I know sometimes if you get the
deluxe sports package as that weird thingthat you don't ever use. But hybrid
vehicles at least give you an optionon drum and I don't know, frankly.
(07:02):
I remember for the last twenty years, we've been kicking around gas powered
mileage between thirty and fifty miles agallon. I mean, okay, granted
fifty we're in there's little highways.Yeah, on the highway, that's what
these cars get. I mean,it's no big improvement on that. So
(07:23):
what we're doing for the environment iswe're cutting out whatever mileage and if you
are driving back and forth in asmall within a small area within fifty miles,
then you can be using only theelectric part and you have that backup
of the gas tank. And that'sI think a great thing. So I
think that's the good kind. Andjust so people know, the most popular
(07:46):
hybrids in the US as of lastyear, Honda CRV Hybrid, Toyota brab
four, Honda Cord Hybrid. That'sa good looking one, is that one?
Oh? Yeah, the A CordHybrid, Yesta Siena Bord Maprick Hybrid,
and the ones that are plug in. No, these are different.
(08:09):
Jeep Wrangler for x E. Ilike the Jeep Wrangler the way it looks,
Jeep Grand Cherokee for x C,Toyota Rev four Prime, BMW X
five that's a nice one too,Yeah, and the Volvo x C ninety.
But I gotta tell you, ifyou look at the news and look
at the Chinese EV's and the Chinesehybrids, they're catching up, aren't they.
(08:33):
There's so much better looking than theylook like something we have at car
shows. Well, this is whereI do give Elon Musk credit. He
didn't go the Toyota Prius route.He gave us a car or cars,
which it didn't really matter whether itwas an EV or gas power. It
was a look. It was awhole new, whole new thing that nobody
(08:54):
had ever thought about. All thebig screen and all that. Yeah,
and also it was stylistically esthetically pleasing. It wasn't ugly to look at.
But those are EV's now. Iknow we live in this online world and
there are things that we like,things that we don't like. But every
single time we make a purchase online, there's usually asking us to fill out
(09:16):
this survey or give it? Doesit does? I'm done with the I'm
done with the transaction. Can Igo off? I've given you my money?
Isn't that enough? Isn't that enough? Doesn't that make you happy?
And I haven't complained to the FederalTrade Commissions over good right, But those
surveys, those online reviews, theydo have a place, or do they
not? They do of us talkabout that when we come back A good
(09:37):
idea. All right, it's Laterwith mo Kelly. I'm joining studio by
Marshall Collier KFIM six forty live everywhereon the iHeartRadio app. You're listening to
Later with Mo Kelly on demand fromkfi AM six forty. Don't forget tonight
we'll be giving away a family fourpack to the Renaissance Pleasure Fair in Erwindale,
So stick around for that right now. We're joined by Marshall Collier in
(10:00):
studio Marcia Online surveys reviews. Iknow they have a place, but I'm
not sure where that place is.I know you didn't know this, but
I wrote the Ultimate Online Customer ServiceGuide in twenty eleven. It was the
first book about online customer service,how to handle it, how to do
it. I consulted with FedEx anda bunch of other big companies on how
(10:24):
to set up their online presence.So this is an important thing to me,
very important thing. The main thingI can tell you is if it's
a horror that you've experienced in reallife, like in a restaurant or in
a store or something, go directlyto the manager. Talk to the manager
(10:48):
factually telling what happened. Don't callanybody names. And if you go to
the manager and you plead the caseproperly, hopefully they should take care.
This is before you even think ofdoing anything on Yelp or leaving an online
review exactly because, believe it ornot, you know you're not anonymous on
(11:09):
Yelp. I don't need to beanonymous, but I know me and I
know that if I engage the manager, it's a breeding ground for escalation,
and I'd like to be able tosay what I feel I need to say,
not be interrupted, and tell thewhole story to in a way in
which I don't feel like they're tryingto blow me off. Well, let
(11:30):
me tell you something that really goodfor you. And I'm about to be
using this myself, and I've usedit in the past. There's a website
called Elliott e l l IoT tmaybedot org and it has the email addresses
of the heads of customer service ofevery major oh yes, corporation and the
CEOs. So I have used thatincredibly success emails, not contact forms,
(11:58):
no emails, you get their personalemail address. I love it because you
know when they've seen it, itgoes somewhere. Yes, So let me
just give you a tip, andthese tips also go. If you're putting
an online review, always be factual. Don't eat emotional. I was going
to say, don't use a lotof emotion because once you throw emotion in
(12:22):
that or if you put the emotionin, reread it and then strike it
all out, because once you getcarried away, nobody has time to read
your nonsense. They really they're busypeople. If you can factually show them
where they made the mistake. Don'twrite one when you're drunk or I yes,
(12:45):
that's usually a bad, bad idea. Guilty, guilty. Did you
get a gift basket afterwards? No, but I felt better. I use
a lot of colorful language. Idid well. I'm queen of the gift
basket, and I definitely do that. But put the details of what happened.
(13:05):
You can use the name of aperson, but again, don't denegrate
that person. That person may behaving a really, really crappy day,
and you've had your crappy days andit could be just that crappy day.
You don't want to put somebody outin the street. You just want your
apology, your credit, your coupon. I don't need an apology. I
(13:31):
just need it to be made right, exactly, exactly, make it right
for me. So be sure thatyou tell somebody in person, if that's
possible. If it's a big company, use Elliott dot org. You just
type in the name of the bigbusiness. I can't wait. I'm about
ready to use this. I loveit. And you will send an email
(13:56):
to the CEO and the head ofcustomer blah blah whatever it is for that
company, and you can give namesand be factual. But just so you
know, you can get sued forposting stuff that is not true on the
internet. Without going into long details, there's an anti slap law that says
(14:20):
if you're a business and somebody postsagainst you and says things that were untrue,
they have to pay for your lawyers. That's a law. So be
careful when you accuse somebody. Someoneslander someone, snyder spoken, libel someone.
(14:41):
Yeah, I don't you know,now that I think about it,
with all that's going on in theworld right now, maybe I can.
It's common practice. It is true, it is, but you know,
just be honest, don't swear,and be the best gentleman or gentle lady
that you can on your email.That is a lost art. Just etiquette,
(15:05):
good graces, just treating one anotherwith a degree of respect. We
can disagreeable, we don't have tobe disagreeable exactly. And there needs to
be an online etiquette school to teachpeople how to do emails these days.
Oh my goodness, we'll save thatfor next week. Marshall Collier, it's
great to see you. It's greatto have you back, and let it
not be too long before we doit again. Let's do it again because
(15:26):
I'm writing a new book on androidsmartphones that's driving me crazy. All right,
can't wait for it. When wecome back, it's our iHeart Wellness
segment. I'll be joined by doctorabas ARDA. Harley, who is a
cardiothoracic surgeon at UCLA. That isnext. You're listening to Later with Moe
Kelly on demand from KFI AM sixforty with Mo Kelly KFIM six forty.
(15:54):
It's Later with Moe Kelly, andthis is iHeart Wellness. Doctor obos Ar
Holly is a Professor of Surgery andMedicine in the Division of Cardiac Surgery at
the David Geffen School of Medicine atUCLA and holds the William E. Connor
Endowed Chair in Cardiothoracic Transplantation at UCLA. Doctor Arta Holly also serves as the
(16:15):
Director of the UCLA Heart Lung andHeart Lung Transplant Programs, which is the
largest heart and lung transplant program inthe United States. He is a pioneer
within the field of heart and lungtransplantation. And here is my conversation with
him. This is the fortieth anniversaryof heart transplantation at UCLA. Tell me
(16:45):
about heart transplantation in nineteen eighty fourversus twenty twenty four. Well, when
we started doing heart transplantation, thefield was very different. We did not
know as much as what we dono now, and the expectation for patient's
survival after heart transplantation was not whatit is today. At that time,
(17:06):
it was expected that about one outof every three patients may not survive to
actually leave the hospital. Right now, it's expected that ninety eight percent of
the patients survive the operation and leavethe hospital with a working heart. Is
there something specific as a technological advance, as a procedural advances, surgeon's getting
(17:26):
better? Is it all of thator is it something else? It's all
of the above. Many things haveimproved. We know now that how to
manage the patient's better. The medicationsare better. We also know how to
manage the donor organs are better.So all around, everything about heart transplantation
has improved, and we're only atthe beginning. I expect this to continue
(17:48):
to improve over the years to come. Viability of an organ outside the body,
this is something which has improved overthe years I've been reading up on
it, but you obviously know thisbetter than me. How has that particular
portion of the science changed and improved? Organ transplantation requires a coordinated team so
that we actually as soon as wetake the donor organs out, we go
(18:12):
as fast as we can to putit into the recipient to do the transplant
surgery, because donor organs have alimited viability outside of the human body,
and donor organs human organs were nevermeant to be on ice. But it's
not one size fits all. Aheart is not necessarily as viable outside the
(18:32):
body as maybe a kidney, orare they all the same? How would
you describe that? That's correct?No, The upper limit of the number
of hours that a human heart canlive outside of a human body without any
profusion or on ice is about fourto six hours. For liver, it's
about eight hours. For human lungs, it probably is about the same,
and for kidneys maybe a little bitlonger, maybe up to twenty four hours.
(18:56):
And if it goes beyond that,the organ may not be viable function.
And that is the reason that wehave a limited time to take the
organ and then proceed with the transplantationas fast as possible in the middle of
the night, on weekends and holidays. There is no limitation. We have
all the resources available so that wecan do the operation as fast as possible.
(19:18):
In a contemporary sense, I wasgoing through COVID just like everyone else.
We were in this unknown space intime and history. But it was
during COVID that I actually learned thatlung transplantation was a thing. As they
say, how long has lung transplantationbeen a tool in a cardiothoracic surgeon's toolbox.
(19:40):
Well, the first lung transplantation wasperformed in nineteen fifty seven. The
first successful one was performed in aboutnineteen eighty six or so, so it's
been only about thirty years or sowhen human lung transplantation has been part of
the normal armamentarium in the field ofmedicine. Nonetheless, there has been significant
(20:00):
strides in the quality of the donororgans in terms of the outcome of patients
who undergo lung transplantation in this countryand beyond. It's not just having a
viable organ, it's about matching donorsand recipients. Whereas there might be more
viable organs available for a kidney transplant, for example. Probably they're fewer for
(20:22):
hearts, isn't that correct? That'scorrect? How do you go about expanding
that? Last year there were sixteenthousand consented donors in the United States,
of which only about twenty to thirtypercent of them were good heart donors.
Of those sixteen thousand donors, thevast majority were kidney donors. About eight
(20:42):
thousand were liver donors. So thehearts and lungs are the organs that are
of the nature that they are notas suitable for transplantation because of the limitation,
because of the damage that occurs duringbrain dem We have a smaller number
of potential suitable donors for heart andlung transplantation, as these organs are very
(21:07):
sensitive to injury and we have totake all the precautions necessary to make sure
that these organs in the best possibleshape so that they can be transplanted.
I have a friend who is aheart transplant recipient of a friend. Multiple
friends work here as a matter offact, who have had kidney transplants.
I know that there is an upperlimit as far as the life of that
organ, even though it's transplanted dueto imminosuppressant drugs and so forth. What
(21:32):
is it with heart? How longis that heart after the transplant is a
viable Usually in a successful transplantation,we have come a long way over the
past thirty years. Thirty years ago, the expected life expectancy of a heart
transplantation was in the order of aboutsix or seven years. Now we're talking
about the median life expectancy of overthirteen to fourteen years. So it has
(21:55):
doubled in a matter of an overperiod of about twenty to thirty years,
and we will continue to improve theoutcome after heart transplantation in the years to
come. I always wonder about externalstimuli. Are we as people, as
Americans world citizens, are we doingbetter by our hearts by diet and exercise,
(22:15):
or are you seeing more potential candidatesbecause we are not taking care of
our hearts in the way that weshould. As a general rule, everyone
who stopped smoking, everyone who exercises, everyone who engages in a good,
normal diet will do better for theirhearts. And I think that there is
a national awareness of some of thosepractices. So I'm optimistic that over the
(22:37):
course of the next decades we willsee some improvement in those, but there
are other conditions that come about.For example, you mentioned the issue of
COVID in the past few years.COVID was something that was unexpected, yet
a lot of patients acquired COVID andthrough no fault of their own, and
they had developed end stage lung conditionand needed lung transplanting. So those conditions
(23:00):
that can come about and create endstage heart and lung disease may occur and
need organ transplantation. Since we keepmentioning COVID, I think it's important in
this conversation to see what more dowe know about COVID now in terms of
the long term implications on the heartand the lungs. What do we know
(23:21):
now that we didn't know maybe ayear ago about COVID and its impact on
our organs. There is better understandingof the long COVID syndrome, which means
that patients who had previously acquired COVID, a percentage of them we develop in
this condition which has long lasting impacton lungs and the heart. However,
the vast majority of the patients whohave acquired COVID will recover from this,
(23:45):
just like any other viral infection.And so we are optimistic that with better
understanding of the long COVID syndrome anddevelopment of better therapies, we can control
even sad conditioning. I'll have morewith cardiothoracic surgeon doctor abos Arda Holly,
(24:07):
Professor of Surgery and Medicine at theDavid Geffen School of Medicine at UCLA,
in just a moment as part ofour iHeart Wellness series. It's Later with
Mo Kelly KFI AM six forty liveeverywhere on the iHeartRadio app. You're listening
to Later with Mo Kelly on demandfrom KFI AM six forty KFI AM six
(24:33):
forty. It's Later with Mo Kelly, and this is iHeart Wellness. If
you just tuning in. I've beenspeaking with doctor Abbas rda Holly, Professor
of Surgery and Medicine in the Divisionof Cardiac Surgery at the David Geffen School
of Medicine at UCLA and serves asthe director of the UCLA Heart Lung and
Heart Lung Transplant Programs, the largestheart and lung transplant program in the How
(25:08):
are we doing around the world?And I mentioned that because you're from Tehran,
Iran, you have a more worldlysense of this than I would.
How is the world doing as itrelates to cardiothoracic health. I think that
in general, one of the caveatsis that everyone is becoming more aware of
it. At the same time,obesity is becoming a worldwide pandemic, so
(25:30):
there are opposing factors that's impacting wellnessin terms of heart and lung function.
But overall, I'm very optimistic thatwith greater awareness, with greater information being
distributed amongst the patient, amongst thepopulation, that the wellness is going to
preside and pervade. I would loveto get to know more about you as
(25:53):
a person, beyond you as aphysician. What is a good day?
What is a bad day? Becauseit seems like the odds are always against
you in what you do, oryou would measure success in small increments,
not necessarily long term. Am Iright? Pretty much? I think that
a good day for me is aday that I have had a successful surgery
and a patient who who is inneed of a saving procedure is doing well
(26:18):
in the ICU. When I gohome, I'm very happy about that.
It makes my day. A daythat's not good is when a patient that
I have operated on or who isa patient of mine may have suffered a
complication. So unfortunately, everything thathappens in my professional activity directly translates into
(26:38):
how I feel as a person.And I consider myself a typical physician whose
life is devoted to caring for others. And this is a common phenomena that
occurs throughout this country with thousands ofthe physicians. Doctor Arta Holly, I
open my conversation with you remarking howyou are a pioneer in this field.
(26:59):
You've told us about where we wereand kind of where we are right now,
but where we headed in a scientificsense and an understanding sense of these
issues. When it comes to thefield of organ transplantation, the two major
challenges for the field is the organdonors and our inability to get the organ
donors and make them better before transplantation. The second challenge for the field of
(27:23):
organ transplantation is long term durability ofthe human organs because of rejection and other
factors that comes into the equation whenit comes to the scarcity of the donor
organs. There is a new technology. There is an advance in the field
that is very promising by that,I mean we currently take the human organs,
(27:45):
stop the organs beat either heart orlung, or deliver and put it
on ice and then rush back anddo the transplant. However, there is
an idea that has tantalized the mindsof many physicians over the past many decades,
which is what if we could actuallytake those human donor organs and keep
the blood circulating through those organs suchthat as far as the donor organ is
(28:10):
concerned, it is still in ahuman body. It is not taken out,
so it continues to function. Thelung continues to breathe, the heart
continues to beat, the kidney continuesto produce urine. If we can develop
a technology that keeps these organs ina normal state, it gives us an
opportunity to number one, so thatwe can match the donor organs to the
(28:34):
recipients. A recipient whos in Floridacan get an organ from Hawaii because now
we do not have to rush.We have an organ that as far as
the organ is concerned, it's stillin a human body, no difference.
The second part of the real advantageof this technology is that it gives us
a platform to make changes in thatdonor organ. Just imagine, for example,
(28:59):
if there is a risk of rejection. Rejection it comes about because there
are proteins that are different between thedonor and the recipient. What if we
can somehow mask those proteins. Whatif we can develop a donor organ while
it's on a machine, while it'sblood circulating through it, so that it
doesn't express those proteins, so thatit's recognized by the recipient as part of
(29:22):
self. We take a diseased organout and put an identical new organ that
is recognized as part of you,so it can live in you happily thereafter
ten years away, fifteen years away, I think that there are some improvements
that we can see translatable to ourdaily practice within the next five to ten
(29:45):
years. I think we are ata threshold in terms of seeing some incremental,
some transformative changes in the field oforgan transplantation. That we would look
at this now and say that thatis science fiction. As we did thirty
years ago we said, how canyou actually take another human heart, put
it into another human being and expectit to work? That was science fiction
(30:10):
forty years ago, And look wherewe are. It's being practiced virtually every
day all across the world. BeforeI let you go, I just have
one personal question. I am fascinatedby what you do, how you do
it, but also the when youdo it. If you have a number
of patients that you're monitoring and someoneis up for a heart transplant, how
(30:30):
do you manage your life with respectto someone who may be on an operating
table in a twelve hour period.That always takes precedence, and I think
you need to speak to my wife. The real impact of that has been
the first breathing lung transplant in thiscountry was performed on my daughter's sweet sixteen
(30:52):
birthday. I missed that, however, I think that about a month later
at a meeting, that same patientcame up to my daughter and said,
guess what, I'm here because yourdad performed this. And he told me
that and I had no regrets.I mentioned to him that, you know,
I missed my daughter's sixteenth birthday,but she will never forget this.
(31:15):
She'll always remember this, and thepatient will always remember this. And I'm
so grateful to have the opportunity tohave done that, and I would do
it any day, and I thinkmy daughter understands it. Well, I
think that is a perfect place toend our conversation. I salute you,
doctor Arda Holly. I salute whatyou do and also the advancements that you're
helping bring to this field. I'mO'Kelly and this is iHeart Wellness. It's
(31:47):
later with Mo Kelly k IF.I am six forty. We're live everywhere
on the iHeartRadio app in different STUFFIESIand the KOST HD two Los Angeles,
live everywhere on the Young Art Radioappe
Later, with Mo'Kelly News
Popular Podcasts
Stuff You Should Know
If you've ever wanted to know about champagne, satanism, the Stonewall Uprising, chaos theory, LSD, El Nino, true crime and Rosa Parks, then look no further. Josh and Chuck have you covered.
Dateline NBC
Current and classic episodes, featuring compelling true-crime mysteries, powerful documentaries and in-depth investigations. Follow now to get the latest episodes of Dateline NBC completely free, or subscribe to Dateline Premium for ad-free listening and exclusive bonus content: DatelinePremium.com
24/7 News: The Latest
The latest news in 4 minutes updated every hour, every day.