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November 27, 2024 25 mins
‘Ask Handel Anything.’ 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 Thanksgiving feeling different for people on weight loss drugs, CA Whooping cough cases rise to the highest in years, and ER doctors explain how to stay out of the emergency room on Thanksgiving.
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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 KFI AM
six forty.

Speaker 2 (00:06):
Five AM six forty Bill Handle here the day before
Thanksgiving Wednesday, November twenty seven, tomorrow a very special broadcast
for two reasons.

Speaker 1 (00:15):
One, I'm not here, I'm sleeping in.

Speaker 2 (00:18):
The other reason is Neil fills in for me or
does his show every Thanksgiving taking.

Speaker 1 (00:25):
Phone calls and cooking tips.

Speaker 2 (00:27):
For Thanksgiving, and it's always a show that is big
time anticipated. Okay, now, a couple of weeks ago, over
last week, we tried.

Speaker 1 (00:37):
Something that I wanted to do for a very long time.

Speaker 2 (00:40):
And that's just a segment or two on ask Handle Anything,
and you leave or people left a recording and asked
a question of me no more than fifteen seconds.

Speaker 1 (00:53):
And I would answer.

Speaker 2 (00:54):
I would answer anything except FCC violations, iHeart via relations,
their internal violations. And then that was it. Well, I
have now added I'm not going to answer questions that
I don't want to answer. I was completely humiliated on Friday.
So these are the phone calls, these are the questions,

(01:17):
and and Neil have chosen them.

Speaker 1 (01:18):
I have not heard them before. And this is sort
of a lot like Handle on the Law, except it's not.
These are not legal questions.

Speaker 2 (01:26):
This is ask handle anything, So cono, let's just start
rolling on those.

Speaker 3 (01:30):
Hey, Bill, Michael here, I grew up in Torrance, Rodondo
Beach loved it then in the seventies and eighties and nineties. Anyway,
does the citizenry of Los Angeles not get a say
in what if they want to be a sanctuary city?
Anybody ask to find people of Los Angeles if they
even want that.

Speaker 1 (01:50):
Oh yeah, okay, the city when I shut up already,
I got it?

Speaker 2 (01:53):
Okay, yes or no, the citizens of Los Angeles don't.
It's the city council that wakes up in the morning
and says.

Speaker 1 (02:02):
How can we be woke? And in reality we already
are a sanctuary city. That was just a statement, ooh
look who we are?

Speaker 2 (02:11):
Waste of time. So the answer is no, the citizens
do I haven't, he say?

Speaker 1 (02:15):
Okay, cold No, Bill?

Speaker 4 (02:21):
Do you think you could take a position within the
cabinet or as a personal advisor to President.

Speaker 1 (02:27):
Trump and make it work? Thank you sir? Sure? All right?
Next question?

Speaker 4 (02:35):
Hey Bill, om right here, great show.

Speaker 1 (02:37):
Hey, I got a question for you.

Speaker 5 (02:38):
You ever shut the hell up?

Speaker 1 (02:40):
Okay?

Speaker 5 (02:40):
Bye?

Speaker 6 (02:42):
No, Next question, Bill, do you think President Biden will
pardon his son Hunter Biden before he leaves office.

Speaker 1 (02:55):
No, next question, Good morning, Bill? Are we right? Hold
on it? Are we running out of questions? And well
I didn't expect you to spend five seconds per call. Yeah.

Speaker 2 (03:07):
Well these are all completely moronic questions.

Speaker 1 (03:10):
So that's what you wanted.

Speaker 2 (03:11):
Well, I wanted moronic questions where I could go more
than No.

Speaker 1 (03:16):
I mean there, you know your says, elaborate on why
you feel it's no.

Speaker 2 (03:21):
Okay, let me make them okay, let me let me
make the answers longer.

Speaker 1 (03:26):
No, exactly.

Speaker 7 (03:28):
No, next question, Good morning, gil heate. I have a
serious question here, so please don't make a mockery of it.
But when you're finished going number two, do you lean
up and go from behind or do you dive down
between your legs?

Speaker 1 (03:46):
So women don't have an option with this, But which
way do.

Speaker 7 (03:49):
You wipe from the front or from the back?

Speaker 1 (03:52):
That's my question.

Speaker 5 (03:53):
Thanks for being there.

Speaker 1 (03:54):
Take care. I have to be honest with you. Neither one.
What it's a lot of work. We do that in
the shower too. It's it's a lot of work, you know,
was it? My wife said? Bill?

Speaker 2 (04:12):
You are one of the laziest people I've ever met
in my life. And if you could, you would hire
someone to do that for you?

Speaker 1 (04:19):
Of course I would.

Speaker 2 (04:21):
It's it's disgusting, it's a horrible job.

Speaker 1 (04:25):
And so.

Speaker 2 (04:28):
This really is ask handle anything the mountain. Oh, that's
very strong, very strong, and you know what, I sort
of alternate just to keep it interesting. Next question, to
have a drug problem? How did you overcome it? Oh?

Speaker 1 (04:48):
That's actually one other quick thing.

Speaker 5 (04:50):
You always mentioned how much you like the Beatles.

Speaker 3 (04:53):
How come that isn't ever played as bumper music?

Speaker 2 (04:56):
Okay, both are good questions, by the way, and I'm
an answer the first one very seriously.

Speaker 1 (05:02):
I'll tell you how I overcame my drug problem.

Speaker 2 (05:05):
First of all, how I started my drug problem is
that I had just finished law school and I was
studying for the bar and running my business full time.

Speaker 1 (05:16):
And that is a bitch. So I couldn't take uppers because.

Speaker 2 (05:20):
Can you imagine me taking uppers and get even more
I'm strung. So I ended up using cocaine, became a
coke addict for the next four years until nineteen eighty three,
where I entered rehab and it was I'll never forget
the night I went into rehab. I was by myself,
and I had my cocaine, and in order to cut

(05:41):
sort of the feeling of cocaine, I would drink a
bottle of Jack Daniels and take valume and do my cocaine.

Speaker 1 (05:47):
I mean, I was a mess.

Speaker 2 (05:49):
And when I realized, and I would snort the cocaine
off a coffee table, you know, put it down, cut
it with a with a razorable aid, and then snort
it through a straw. And when I realized, I was
snorting the floor around the coffee table, hoping for the
little tiny dregs that may have fallen over.

Speaker 1 (06:10):
I knew I was in trouble. And that morning I
went into drug rehab.

Speaker 2 (06:15):
And the reason and that's legitimate, Okay, So I answered
that question seriously.

Speaker 1 (06:20):
The other question is I love the Beatles so much.

Speaker 2 (06:26):
Why don't we play the Beatles as bumper music? That's right, Cono,
Why don't we play the Beatles as bumper music?

Speaker 1 (06:35):
Well we have. We've done helter skelter for killers, tax.

Speaker 3 (06:39):
Man for taxes, okay, and anyone needs help, we've played help.

Speaker 1 (06:43):
I want to say some other ones that I don't
know Beatles songs, all right, well, okay, so there's your answer.

Speaker 2 (06:47):
The point is is I don't pay attention to the
bumper music because I'm so busy putting together my opening
and that's where my.

Speaker 1 (06:55):
Head is at.

Speaker 2 (06:57):
So okay, those are hey, Okay, did I answer that legitimately?

Speaker 1 (07:02):
I did?

Speaker 5 (07:04):
Hey, Bill, I know you always talk about how fat
you were.

Speaker 1 (07:07):
How did do all that blow and.

Speaker 4 (07:08):
Still get that fat? That's perplexing to me.

Speaker 2 (07:11):
Yeah, I have to tell you, I am the only
human being I have ever met that did cocaine and
lots of it over four years and gained sixty pounds.

Speaker 1 (07:27):
I mean, you just it's extraordinary. You're right. I was
perplexed too. Now.

Speaker 2 (07:33):
The other thing that happens with cocaine, for those of
you that know, is it destroys any chance of in
erection if you do enough cocaine. Now, in my case,
it didn't matter before, after, during, it.

Speaker 1 (07:47):
Was all the same.

Speaker 2 (07:49):
So yeah, gaining weight while I was snorting cocaine, I
mean it just extraordinary, also perplexed.

Speaker 1 (07:57):
Good question. I'm looking to buy some property in Italy.
What are some of the pitfalls I should know about?
Legal ramifications, taxes, et cetera, and so forth? What do
I look like an Italian maven.

Speaker 2 (08:14):
Now I have looked at buying property in Italy. It's
not easy for non citizens because, as you know, after
I retire, I'm going to move to or spend a
great deal of time in Italy.

Speaker 1 (08:25):
And here's what I'm doing. My dad was born in Poland.
He came to Yugosl.

Speaker 2 (08:32):
He went to Yugoslavia as basically as a toddler, so
he considered himself Yugoslav and became a Yugoslavian citizen, which
Yugoslavia disappeared after World War Two. And based on my
dad's birth place in Poland, I am asking for Polish citizenship,
which I should get right at the beginning of next year.

(08:55):
And because of Polish citizenship, Poland is a member of
the EU, the European Union, so I can do anything
that a citizen of any country can be or can
do as a member of the European as the European Union.

Speaker 1 (09:11):
So let me suggest something. Become a pollock. That seems
to help quite a bit. Next question, Hey Bill Love,
what you and your team do? My son is considering law,
and one area he's thinking.

Speaker 5 (09:29):
Of is lost or corporate law.

Speaker 4 (09:32):
I'm wondering what your thoughts are on crypto as a
law focus.

Speaker 2 (09:37):
Thank you, huh, crypto as a law focus.

Speaker 1 (09:45):
I don't quite understand that.

Speaker 2 (09:46):
I understand corporate law, and then when you go down
and get a cup of coffee at down on the corner,
you pay for it with crypto, So I don't quite
get it. I will tell you what I tell people
is don't I wouldn't go to law school now insanely expensive.
The jobs are very difficult to get unless you're going
to an Ivy League school, and in California we have

(10:08):
basically one.

Speaker 1 (10:09):
Stanford UCLA is pretty good too in SC.

Speaker 2 (10:12):
But sort of the top of the class of the
ivys Yale, Princeton, University of Chicago, then of course Harvard.
Then it's difficult. So I am going to suggest I
wouldn't go. I wouldn't suggest it. And on top of that,
I have no idea how crypto connects with that, no idea.

Speaker 1 (10:33):
I hope that helped question for handle Bill? What is
wrong with you? Plenty? Really? How much time do we
have cono? Do we have a half hour? Forty five minutes?
It's a good question, isn't it okay? Next question? Bill?

(10:54):
Since when did you start liking dogs? Is this another
new chapter in your life? Well, I've always liked dogs.

Speaker 2 (11:03):
I have two of them. But the question is what
do you mean by liking dogs?

Speaker 5 (11:13):
I like dogs.

Speaker 2 (11:15):
Matter of fact, I walk my dogs every morning, well
until I run out of dog? Okay, is there anything left?

Speaker 1 (11:24):
That was it? All right? That was good?

Speaker 2 (11:27):
And so next week we'll do some more. Ask handle anything.
Quick reminder that tomorrow it's Amy and Neil. Neil does
Thanksgiving and then on Tuesday Giving. Tuesday, we are going.

Speaker 1 (11:39):
To be everybody.

Speaker 2 (11:40):
We're going to be at the Anaheim White House broadcasting
and it will be from five am till ten pm.
And we are helping Bruno feed Well feed twenty five
thousand meals every week.

Speaker 1 (11:54):
I mean, it's extraordinary.

Speaker 2 (11:56):
And we started with two hundred to night when we
first came up, or two hundred a day.

Speaker 1 (12:00):
So we're a big part.

Speaker 2 (12:02):
And you can donate three different ways. You can notice
any Smart and Final store, donate any amount. At checkout
any Wendy's restaurant in southern California, donate five.

Speaker 1 (12:10):
Dollars or more.

Speaker 2 (12:11):
You get a coupon for a lot more than five
dollars at Wendy's and at the White House at the
restaurant itself, we we're on all day long and donate
on site, and would you please bring your pasta and
sauce donations. And we have a video I don't know
if it's up of me at the Smart and Final

(12:31):
where Neil was broadcasting, and I filled up a shopping
cart with pasta and sauce, spending hundreds of dollars to
help the kids. And as soon as I went through
the checkpoint the check stand and put my card down
and he ran it.

Speaker 1 (12:51):
I immediately called the manager and told him put it.

Speaker 2 (12:54):
All back on the shelves and credit my card and
it worked out fine, So I look good and it
didn't cost me very much as in nothing.

Speaker 1 (13:03):
Okay, we are done with ask handle anything. Pretty good.
I liked it.

Speaker 2 (13:09):
We're gonna do it again next week, right ann next Friday. Yeah,
it's kind of fun, it really is. So it's time
for a couple of segments of doctor Jim Keeney and
medical News, brought to you by Kick Medicine of USC.
Together we are limitless, which means we are we have
no limits. God, damn, I'm really good, aren't I Jim

(13:36):
Jim who is the chief Medical Officers for Dignity, Chief
Medical Officer for Dignity Saint Mary Medical Center in Long Beach,
and of course a board certified and forever an er doc.

Speaker 1 (13:47):
Jim.

Speaker 2 (13:48):
Okay, but of questions to ask, first of all, since
it's Thanksgiving tomorrow and you have done more than your
share of thanks Giving days being in the hospital, how
do people stay out of the er on Thanksgiving?

Speaker 4 (14:12):
Well, I can tell you how they get into the
ear and thinks, okay, that's fair to try and avoid
those big, those big things.

Speaker 5 (14:17):
But yeah, it's you know.

Speaker 4 (14:20):
Just common sense a lot of times, and that kind
of goes out the window, you know when you have
family and you're having a good time and there's alcohol
and there's food. So I mean, i'd say a lot
of it has to do with, you know, we're not
used to the preparation and everything to begin with. So
we're going to start seeing people for injuries related to
what they're trying.

Speaker 5 (14:41):
To fix up their house a little bit.

Speaker 4 (14:42):
Or they usually have a housekeeper that comes once a week,
but they're not coming before Thanksgiving, so they're pulling a
vacuum cleaner off the top shelf in the closet and
knocks them on the head. You know, think weird things
like that. That's what we start seeing. Then you start
seeing the cooking injuries like the burns and the cut
and everything else.

Speaker 5 (15:01):
So that's next.

Speaker 4 (15:03):
So if you can avoid those, that would be great.
Then we start seeing the over eating injuries. So people
with gallstones, for example, we will see a ton of
gallstones and gall bladder problems. And you know, then people
who have eaten food that has been left out too
long or you know, just wasn't properly cooked, and then

(15:25):
we'll see the.

Speaker 5 (15:26):
Food poisoning and that type of stuff.

Speaker 4 (15:29):
And then we start getting into the people with heart conditions.
They'll eat because the amount of salt in gravy would
just choke a horse, right, so they will overdo the salt.
People who have underlying heart condition and go into congestive
heart failure because salt is kind of like a sponge.
It holds water in your body and you will fill

(15:51):
your fluids, your lungs up with fluids, and then they
come in with what we call congestive heart failure. And
then finally all the people who are drinking so much
that they get holiday heart and holiday heart is when
it is atrial fibrillation. We see it increasingly in people
who have who drink alcohol, and they'll drink a bunch

(16:12):
of alcohol and literally we will you know, normally I'll
convert somebody's heart out of this atrial fibrillation once a week.
During the holidays, it might be one to three times
a day that we're shocking somebody's heart to get them
out of this rhythm.

Speaker 2 (16:26):
You know, a lot of it I didn't realize in
terms of the injuries pre food injuries. So how crowded
is it in the er Thanksgiving Eve or in the afternoon,
because you've done your share of those days.

Speaker 4 (16:41):
Yeah, it's insane. It's already started, and so the ers
are overcrowded already. It's just so out of control and
so you know, people will will expect to wait quite
a while. And you know, and everybody that works in
the er that's they don't come to work that day
to make people.

Speaker 5 (17:00):
Miserable and keeps them waiting in the er.

Speaker 4 (17:02):
They're really are hard. They have a mission and they
want to take care of people and they're trying to
get people through that system as efficiently as possible. But Yeah,
people will still wait for hours and then somehow take
it out on all the nurses and the texts that
are sitting out front trying.

Speaker 5 (17:17):
To help them.

Speaker 4 (17:18):
I get that because they're in pain and they're feeling miserable,
but you know, try try and be nice to the
people out front while you're sitting there waiting.

Speaker 2 (17:26):
Yeah. And my issue is not bringing down vacuum cleaners
because I won't vacuum or I deal with cleaning the place.
But my thing is eating or leaving out food for
several hours. The ham is out there, the turkey has
already been sliced out there, and I'll hit it three
hours later after it's been literally stays on the table

(17:48):
or all or the kitchen counter. And that happens to
me every year, and so far, so lucky, i'ven't been sick.

Speaker 1 (17:55):
How dangerous is that?

Speaker 4 (17:57):
Yeah, that's the thing is, you know, that's one of
those activities kind of get away with every now and then.

Speaker 5 (18:02):
Right, It's like you know, driving on the freeway too
fast and making an illegal lane change.

Speaker 4 (18:06):
You'll get away with that a lot of the time,
but then it's disaster once you know, you spin out
and hit somebody and same thing with this is, you know,
you're you're praying Russian Roulette with your food, and when
you do eat that intaminated food that now has bacteria
growing in it.

Speaker 5 (18:22):
Now, there's two.

Speaker 4 (18:23):
Ways, right, you have the either the toxin has the
bacteria has emitted the toxin into the food.

Speaker 5 (18:28):
You're eating the.

Speaker 4 (18:29):
Toxin, you'll get sick within a half hour of eating
that food. But if you're eating just the bacteria, that
may then start growing and percolating in your stomach, and
anywhere from twenty four to seventy two hours later, you
will start, you know, puking your guts up and having
it all come out the other end as well.

Speaker 1 (18:45):
Boy, is that sound appetizing for Thanks to giving? You know,
thank you. You know.

Speaker 4 (18:51):
That's the one thing I didn't cover is the people
because of the stress on their heart of overeating.

Speaker 5 (18:56):
There will be.

Speaker 4 (18:56):
People that literally have a full blown heart attack, a
full blown cardiac arrest. And so you know, when you
work in an arc, the you know, because now were
they usually will vomit. And and so now the you know,
the turkey and mashed potatoes and everything else, it's we

(19:17):
get to see it on the other end, and.

Speaker 1 (19:18):
Lovely that's lovely, all right.

Speaker 2 (19:20):
Doctor Jim Keeney, chief medical officer for Dignity Saint Mary Medical.

Speaker 1 (19:25):
Center in Long Beach, and an er doctor.

Speaker 2 (19:27):
And I don't know why I have to introduce you
every single time, Jim, because you've been with us for
what twenty five twenty seven years or something. Crazy people
don't know it, but you started being interviewed by me
while you were in med school, right almost almost, yeah,

(19:47):
not quite but pretty close, all right. You keep up
with a lot of what's going on medicine. I know
you read a lot.

Speaker 1 (19:58):
You you know, you just keep up.

Speaker 2 (20:02):
And so here is a question that I want to
ask you a statement. Dementia may arrive a decade earlier
for minu at risk of heart disease. Now again, you know,
we are getting information constantly every day where this happens.

Speaker 1 (20:18):
Then that happens.

Speaker 2 (20:20):
And I know these come from massive studies that are
put together, study after study, studying of study that study studies.

Speaker 1 (20:27):
But you know you take this seriously, something like this.

Speaker 4 (20:32):
Well, again, all of these studies and information is just
to try and nudge you a certain way. And when
you have study after study after study that shows certain things,
you want to pay attention to that. So for example,
in this study we're talking about this, thirty four thousand
individuals that they looked at are ascular risk factors and dementia.

(20:53):
And so it's a pretty good study. You know, it's
still association and what, like we've said before, association does
not equal cause the sun comes up, the rooster crows,
you know, did the rooster make the sun come up?
You know, and so that it doesn't it doesn't necessarily
line up. But at the same time, when things are
strongly associated, you start to have some concern. So we

(21:15):
know lots of studies, lots of different ways that visceral
fat the fat that's around your organ, so it gives
you that air shape. It puts you at a higher
risk for heart disease. It turns out it also puts
you at higher risk for dementia. And we know that
men have a higher risk for heart disease and dementia
earlier in life because of you know, for women, estrogen

(21:36):
is protective. They actually have some protection against coronary artery disease,
vascular disease because of the estrogen. Men, testosterone makes you
have a higher LDL or AD cholesterol and then that
will cause inflammation in your arteries and add to arterial disease.
So women lose that effect later in life and then
they catch up really quickly. But it's just something to

(21:58):
be aware of that, Okay, So maybe women in middle
aged don't have to worry as much about correcting some
of these risk factors.

Speaker 5 (22:05):
They still should, right, because you're going to have to
do it eventually. Men need to.

Speaker 4 (22:09):
Start earlier in correcting these risk factors to avoid heart
attacks and dementia.

Speaker 5 (22:15):
Hey, it makes sense.

Speaker 2 (22:17):
Is there an increase in, for example, heart disease and
dementia or is it just science is able to come
up with diagnosis way early and especially in terms of
anticipatory information.

Speaker 4 (22:34):
Yeah, we're I mean we're making improvement in those areas
of heart disease. I don't know about dementia. I think
we're just diagnosing it that better. People are living longer,
so they have more of an opportunity to develop dementia.
But we are improving heart disease through addressing risk factors
like high blood pressure, diabetes, high cholesterol, you know, smoking

(22:55):
cessation programs, and you know smoking is much less common
than it was in the fifties sixties, So we're making progress, and.

Speaker 2 (23:04):
Are we getting healthier or are we getting or are
we going the other way?

Speaker 5 (23:09):
Yeah?

Speaker 4 (23:09):
No, we're eating much less healthy. A lot of that
has to do with the foods that are available right now,
that these ultra processed foods are readily available, people eat
those regularly and actually consider them food. You know, we
used to consider them snacks or something that, you know,
a treat of some kind, where now people will actually

(23:30):
consider this part of their normal diet and food.

Speaker 1 (23:33):
Hey, let me ask you.

Speaker 2 (23:34):
When we talk about ultra processed food and how dangerous
they are is there an exception for black for as
ham medium sliced?

Speaker 5 (23:45):
You wish, right?

Speaker 4 (23:46):
And again you know it's funny, right, because that's processed food, right.

Speaker 5 (23:50):
That's exactly what processed food is.

Speaker 4 (23:51):
You put a natural occurring substance through a bunch of
processes to make it taste better, have more flavor. It
used to be you know, you'd salt to make it
last longer, but now you know, we're doing that as
part of a process to you know, we smoke it,
we salt it, we add all kinds of herbs and
everything else, and it tastes good. And so the smoking

(24:11):
and the salting do add problems for your health. In
the old days, when it was hard to get enough
salt in your diet, it was no big deal, right.
It actually might have been helpful for you to get
a little extra salt. Nowadays, there's so much salt in
your diet that it's dangerous.

Speaker 1 (24:26):
Jim, thank you. We'll talk again next Wednesday.

Speaker 2 (24:29):
You're not working tomorrow, are you no?

Speaker 5 (24:33):
I could?

Speaker 1 (24:33):
Good?

Speaker 2 (24:34):
Good?

Speaker 1 (24:36):
All right, Jim, take care. We'll talk to you next week.
Have a good one. Happy Thanksgiving you too, And that's it.

Speaker 2 (24:42):
We're done guys. Tomorrow Thanksgiving Neil will be here filling
in for me, but it'll do Thanksgiving tips. It starts
again at five am wake up call and it just
goes on.

Speaker 1 (24:54):
I am not here.

Speaker 2 (24:55):
Friday Wayne is filling in, and then starting Monday, we're
back to normal, as if nothing is ever happened. And
then Tuesday is well, that's not true, Tuesday is pastapon.
We're all going to be broadcasting at the Anaheim White House,
and you'll hear a lot more about that over the
next few days. This is KFI AM six forty live
everywhere on the iHeartRadio app. You've been listening to the

(25:15):
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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Intentionally Disturbing

Intentionally Disturbing

Join me on this podcast as I navigate the murky waters of human behavior, current events, and personal anecdotes through in-depth interviews with incredible people—all served with a generous helping of sarcasm and satire. After years as a forensic and clinical psychologist, I offer a unique interview style and a low tolerance for bullshit, quickly steering conversations toward depth and darkness. I honor the seriousness while also appreciating wit. I’m your guide through the twisted labyrinth of the human psyche, armed with dark humor and biting wit.

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