October 29, 2025 • 22 mins
(October 28, 2025)
Dozens of states sue Trump administration over SNAP funding during government shutdown. Report asks why LAPD mental health specialists defer to armed officers. Dr. Jim Keany, Chief Medical Officer at Dignity Health St. Mary Medical Center in Long Beach, joins The Bill Handel Show for 'Medical News'! Dr. Keany talks with Bill about how daylight savings affects your body, men needing twice as much exercise as women, and Kim Kardashian saying she got a brain aneurysm from stress and whether that can really happen.
Dozens of states sue Trump administration over SNAP funding during government shutdown. Report asks why LAPD mental health specialists defer to armed officers. Dr. Jim Keany, Chief Medical Officer at Dignity Health St. Mary Medical Center in Long Beach, joins The Bill Handel Show for 'Medical News'! Dr. Keany talks with Bill about how daylight savings affects your body, men needing twice as much exercise as women, and Kim Kardashian saying she got a brain aneurysm from stress and whether that can really happen.
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Episode Transcript
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Speaker 1 (00:00):
You're list Saints.
Speaker 2 (00:01):
I am six forty the bill handles show on demand
on the iHeartRadio f.
Speaker 1 (00:07):
Let's go up by us, Good please tale you did
do it out TAMPI am six forty bill handle here.
Speaker 2 (00:16):
It is a Wednesday morning, October twenty nine.
Speaker 1 (00:19):
A lot going on.
Speaker 2 (00:21):
The Toronto Blue Jays and the Dodgers are tied two
to two.
Speaker 1 (00:27):
Next game is I think it is tonight? Okay?
Speaker 2 (00:32):
And also the well the hurricane Melissa has done as
much damage as was expected one hundred and seventy five
miles per hour sustained wins. I was watching ABC News
last night and the David Murr, the host, was interviewing
(00:53):
Ginger Z, who was the chief weather correspondent, chief Climate correspondent.
She said, there have been exactly two hurricanes of this
magnitude on record that they've ever been able to record.
It's extraordinary. Oh, actually they're saying one hundred and eighty
five miles in certain places now.
Speaker 1 (01:14):
A lawsuits of brewing.
Speaker 2 (01:16):
Two dozen states, mainly blue states, have sued the Trump
administration over the refusal to fund food stamps during the shutdown.
Forty two million low income recipients are looking at hunger
and financial hardship within days because come on the first,
which is a couple of days from now, no food
(01:37):
stamps they normally would get. And what the states are
asking for a federal judge to force Washington to maintain
their benefits. Under the SNAP program, one in eight people
in the US received food stamps about one hundred and
eighty seven dollars a month, cost the Feds eight billion
dollars every month. Now, lawmakers must regularly approve money for
(01:58):
the program. And here is the issue. If there ain't
no money, there ain't no money.
Speaker 1 (02:05):
I get that.
Speaker 2 (02:06):
However, the SNAP program has a sizeable reserve to cover
emergencies or shortfalls. There is money in the system, and
the administration is saying no, not going to do it
because part of that political fight is going on between
Republicans and Democrats, and one of the arguments that the
(02:29):
Republicans are using, we don't have any money.
Speaker 1 (02:31):
People are going to starve.
Speaker 2 (02:33):
So therefore the Democrats should cave on that continuing resolution
allowing the government to move forward under the terms that
are existing right now, and then we'll negotiate the decrease
in the programs that the Feds are just saying no.
Speaker 1 (02:49):
To they're cutting them like crazy. We know that.
Speaker 2 (02:52):
And so even some Republicans are telling the Trump administration
to use this money into November. And by the way,
by November, mid November, it's expected that the government will
come back because we can't keep on going forever, you know,
we can't be shut down forever. So there's enough money
(03:14):
there hopefully to keep the government to keep the program
alive until the money can be reinstated and the government
goes back to work. This is crazy, though, and this
is a reversal of what happened originally. The money was
going to be used those reserves. And here's the part
(03:35):
that I have a hard time understanding, and that is
these are for the most part, Blue states that are
pushing for a judge to order the SNAP program to
keep on paying recipients while there's money there. And I
can't imagine that a judge would not say that it
(03:56):
is going. That's going immediately to the appeals court, going
immediately to the Supreme Court, which is probably gonna say.
The president has unlimited powers and can do exactly that.
Even though there's money there, he has the authority to
say no, because this is federal money.
Speaker 1 (04:12):
That's what I expect to happen.
Speaker 2 (04:14):
But the part that I find the most interesting is
the political side of this.
Speaker 1 (04:20):
The states that are most affected.
Speaker 2 (04:23):
By not having food stamps, the poorest states where more
people need those food stamps, and let's say California or Massachusetts,
those are red.
Speaker 1 (04:36):
States, and they support the president.
Speaker 2 (04:39):
They support the president not giving or at least support
the policies.
Speaker 1 (04:44):
I don't think they support this one. But these are
red states.
Speaker 2 (04:49):
These Republican legislators who back up the president are in
red states. Their people are going to not have enough
to eat, and it doesn't matter, it doesn't matter. They
have not joined the lawsuit.
Speaker 1 (05:06):
There. I guess politically.
Speaker 2 (05:09):
It's either convenient or it's philosophically believe that the president
has the power should have the power, which is more
important than paying for food stamps where there is money
to pay for food stamps. It's truly gone crazy. Okay, okay,
(05:30):
the LAPD now it's been years since the LAPD used
the licensed clinicians to respond to mental health crisis. When
someone calls in and says, crazy person is there, or
I think there's a mental health issue, or I believe
there is an issue where someone is claiming that that it's.
Speaker 1 (05:56):
Not a issue where there is a just a.
Speaker 2 (06:00):
Bad guy pulling a gun, pulling a knife, there is
a mental health component to that. So now what where Well,
it turns out that years ago the LAPD said, yeah,
we're gonna put mental health practitioners there on the street
with the cops. And a report just came out and
it said that the use of licensed clinicians in specialized
(06:24):
units that respond to mental health crisis really don't make
the call at all. They're trained to de escalate, they're
trained to deal with it, and in the end they
have to defer to armed police, and the arm police
end up in many cases shooting them, not the mental
health practitioners, although I'm sure a lot of cops would
want to do that. They end up shooting the suspect,
(06:47):
even if we find out later the guy or usually
it's a man, has a true psychotic episode and a
true mental health issue. And so the report came out
that these people are effectively not paid attention to for
the most part police officers. While they're trained a little
(07:09):
bit in de escalation, more and more, but still very
little relative to obviously a mental health practitioner. The police
have touted the success of the system wide mental health
Assessment Response time and of course the acronym SMART, and
the critics are saying the program which pairs the specialist
(07:29):
license specialists with cops and unmarked cars is failing.
Speaker 1 (07:34):
It just isn't working out.
Speaker 2 (07:36):
And what ends up happening police shootings mentally ill people
occur where they shouldn't occur. Now here's the LAPED policy
still requiring arm patrol officers to clear a scene of
any potential threats beforehand. And traditionally and today, the police
units always take charge. Even on calls where there's no
(07:58):
weapon involved, for example, a person threatening suicide, the mental
health specialists have to defer to the police. And the
report says they had any good That ain't a good thing.
And one of the authors of the study says, well,
(08:21):
smart is pretty much a misnomer in this case. How
is it the word ending up with so many fatalities
when we have mental health people involved.
Speaker 1 (08:28):
Well, let me.
Speaker 2 (08:29):
Ask you a question. How can the cops not be
deferred to? Who makes the call? Who makes that call?
The mental health specialist who is trained to defer, that's
their first response.
Speaker 1 (08:44):
Let's defer.
Speaker 2 (08:45):
Let's defer, And then what happens if someone get shot
or killed because they guess wrong, And do the cops
sit there and they come in with a gun or
a taser or whatever, and the mental health special list says,
don't don't shoot.
Speaker 1 (09:02):
I'll take over from here.
Speaker 2 (09:05):
And so there is the choice, do you defer to
the mental health specialists who's dealing with this, who is
trained in this, who is trained in de escalation, or
do you defer to the police who make the call,
who basically, in many cases shoot first and ask questions later,
particularly if there's a weapon involved, if particularly if someone
(09:30):
is at risk or they are at risk, because what's
the first thing that someone who is a mental health
expert does.
Speaker 1 (09:38):
Let's try to de escalate. Put down the knife, put
down the gun.
Speaker 2 (09:43):
You really don't have to do this, and someone's brains
get splattered on the wall of the liquor store. And
so the argument is which way do you go on
this one? And as far as I'm concerned, I think
you have to defer the police. I don't think you
have any choice. And all you can do is train
(10:05):
the police more and more in de escalation and dealing
with mental health, which is why I think that the
first preference in hiring a police officer should be a
degree in psychology.
Speaker 1 (10:19):
I think that would help.
Speaker 2 (10:19):
I'm just throwing this out as opposed to a cop
who came out of the seal program in the in
the services when they were seals. Man, they're good cops,
aren't they Are they trained in de escalation?
Speaker 1 (10:35):
They are not. So it's a tough problem. It's a
tough question who do you defer to?
Speaker 2 (10:43):
And the study actually doesn't make any kind of real judgment.
Speaker 1 (10:47):
It just says it's not working right now, What do
you do? Okay?
Speaker 2 (10:55):
Jim Keeney, chief medical officer for Dignity Saint Mary Medical
Center in Long Beach, Jim, good morning. 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.
Speaker 1 (11:16):
When is it?
Speaker 2 (11:17):
I think, when do we go back to standard time?
By the way, I think in the next few days.
Sunday 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 1 (11:30):
Oh yeah, I.
Speaker 3 (11:31):
Mean consensus 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
(11:51):
it's worth it because in the summer, that means that
the sun doesn't go down till nine o'clock, so you
can go to work and still get home in time
to serve. So that's all the heart attacks. Yeah, yeah,
that makes all the heart attacks worth it.
Speaker 2 (12:04):
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 3 (12:14):
Yeah. Absolutely, Okay, 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 anal plan
(12:34):
that kind of moderates your weak 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 2 (12:54):
Yeah. No, I let me 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 3 (13:10):
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 causositiones.
Speaker 2 (13:26):
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?
Speaker 1 (13:33):
Is that unique to the United States? Do they do
it in the rest of the world.
Speaker 3 (13:37):
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 (13:46):
Yeah.
Speaker 2 (13:47):
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 or less. But why is it that some people
are affected to that extent it's only one hour?
Speaker 3 (14:06):
Yeah, I think 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 effects hormones through
your whole body. It effects you know, that your brain's
ability to recover for the day. It affects so many
(14:26):
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
(14:47):
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 2 (14:53):
Yeah, in mind, I have a screwed up sleep cycle,
I as probably everybody on the Morning show because we
wake up so damn early.
Speaker 1 (15:00):
And then we don't have a normal day.
Speaker 2 (15:02):
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, and you
know what, you could get arrested for what you did.
Do you know that they have to be at least eighteen?
Speaker 1 (15:20):
You know that, don't you? Okay, boy? Yeah, let's move
on to this study.
Speaker 2 (15:28):
That finds men need twice as much exercise as women.
And I have never seen a study that in fact
justifies a sex change from a male to female twice
as much exercise.
Speaker 1 (15:45):
I mean, physiologically, is it that much difference.
Speaker 3 (15:50):
Apparently it is. I mean, this is not the only
study that has shown this. So it's building 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
(16:11):
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,
(16:31):
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
(16:54):
is mounting that men need a lot more exercise than
women to reduce their cardiovascular risk.
Speaker 1 (16:58):
Yeah.
Speaker 2 (16:58):
Now we spend up here 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 conspiracy
(17:19):
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 inn and what kind of exercise?
Speaker 1 (17:36):
How much time? How often?
Speaker 3 (17:40):
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 get you this,
(18:01):
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 2 (18:14):
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 3 (18:31):
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,
(18:52):
mental fatigue, or you know, it reduces stress, anxiety, depression.
So many benefits from exercise that whether you don't live
a year longer, it's going to improve your quality.
Speaker 2 (19:05):
I had a doctor, my interness, who I had for
probably twenty years.
Speaker 1 (19:09):
Who ended up disappearing. By the way, No one knows
where he went.
Speaker 2 (19:12):
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 a problem. I'll be more than happy
to now. Was he serious? Who the hell knows? Because doctors,
(19:33):
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 3 (19:47):
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
(20:07):
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 on once you relieve somebody's pain who's having
difficulty breathing. Those pain medicins, 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
(20:28):
very good at it. But this is a whole different topic.
Speaker 1 (20:30):
Yeah, no, it is.
Speaker 2 (20:31):
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 hasten death because life
(20:55):
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 you have feelings about that
(21:19):
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 Key, all right,
take care, Chief Medical Officer for Dignity Saint Mary, Medical
Senator Long Beach.
Speaker 1 (21:37):
Notice.
Speaker 2 (21:37):
I always end up with a death topic. 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. All right, KF I am six. You've been
listening to the Bill Handle Show. Catch my Show Monday
(21:58):
through Friday, six am to nine am, and anytime on
demand on the iHeartRadio app.
You're list Saints.
Speaker 2 (00:01):
I am six forty the bill handles show on demand
on the iHeartRadio f.
Speaker 1 (00:07):
Let's go up by us, Good please tale you did
do it out TAMPI am six forty bill handle here.
Speaker 2 (00:16):
It is a Wednesday morning, October twenty nine.
Speaker 1 (00:19):
A lot going on.
Speaker 2 (00:21):
The Toronto Blue Jays and the Dodgers are tied two
to two.
Speaker 1 (00:27):
Next game is I think it is tonight? Okay?
Speaker 2 (00:32):
And also the well the hurricane Melissa has done as
much damage as was expected one hundred and seventy five
miles per hour sustained wins. I was watching ABC News
last night and the David Murr, the host, was interviewing
(00:53):
Ginger Z, who was the chief weather correspondent, chief Climate correspondent.
She said, there have been exactly two hurricanes of this
magnitude on record that they've ever been able to record.
It's extraordinary. Oh, actually they're saying one hundred and eighty
five miles in certain places now.
Speaker 1 (01:14):
A lawsuits of brewing.
Speaker 2 (01:16):
Two dozen states, mainly blue states, have sued the Trump
administration over the refusal to fund food stamps during the shutdown.
Forty two million low income recipients are looking at hunger
and financial hardship within days because come on the first,
which is a couple of days from now, no food
(01:37):
stamps they normally would get. And what the states are
asking for a federal judge to force Washington to maintain
their benefits. Under the SNAP program, one in eight people
in the US received food stamps about one hundred and
eighty seven dollars a month, cost the Feds eight billion
dollars every month. Now, lawmakers must regularly approve money for
(01:58):
the program. And here is the issue. If there ain't
no money, there ain't no money.
Speaker 1 (02:05):
I get that.
Speaker 2 (02:06):
However, the SNAP program has a sizeable reserve to cover
emergencies or shortfalls. There is money in the system, and
the administration is saying no, not going to do it
because part of that political fight is going on between
Republicans and Democrats, and one of the arguments that the
(02:29):
Republicans are using, we don't have any money.
Speaker 1 (02:31):
People are going to starve.
Speaker 2 (02:33):
So therefore the Democrats should cave on that continuing resolution
allowing the government to move forward under the terms that
are existing right now, and then we'll negotiate the decrease
in the programs that the Feds are just saying no.
Speaker 1 (02:49):
To they're cutting them like crazy. We know that.
Speaker 2 (02:52):
And so even some Republicans are telling the Trump administration
to use this money into November. And by the way,
by November, mid November, it's expected that the government will
come back because we can't keep on going forever, you know,
we can't be shut down forever. So there's enough money
(03:14):
there hopefully to keep the government to keep the program
alive until the money can be reinstated and the government
goes back to work. This is crazy, though, and this
is a reversal of what happened originally. The money was
going to be used those reserves. And here's the part
(03:35):
that I have a hard time understanding, and that is
these are for the most part, Blue states that are
pushing for a judge to order the SNAP program to
keep on paying recipients while there's money there. And I
can't imagine that a judge would not say that it
(03:56):
is going. That's going immediately to the appeals court, going
immediately to the Supreme Court, which is probably gonna say.
The president has unlimited powers and can do exactly that.
Even though there's money there, he has the authority to
say no, because this is federal money.
Speaker 1 (04:12):
That's what I expect to happen.
Speaker 2 (04:14):
But the part that I find the most interesting is
the political side of this.
Speaker 1 (04:20):
The states that are most affected.
Speaker 2 (04:23):
By not having food stamps, the poorest states where more
people need those food stamps, and let's say California or Massachusetts,
those are red.
Speaker 1 (04:36):
States, and they support the president.
Speaker 2 (04:39):
They support the president not giving or at least support
the policies.
Speaker 1 (04:44):
I don't think they support this one. But these are
red states.
Speaker 2 (04:49):
These Republican legislators who back up the president are in
red states. Their people are going to not have enough
to eat, and it doesn't matter, it doesn't matter. They
have not joined the lawsuit.
Speaker 1 (05:06):
There. I guess politically.
Speaker 2 (05:09):
It's either convenient or it's philosophically believe that the president
has the power should have the power, which is more
important than paying for food stamps where there is money
to pay for food stamps. It's truly gone crazy. Okay, okay,
(05:30):
the LAPD now it's been years since the LAPD used
the licensed clinicians to respond to mental health crisis. When
someone calls in and says, crazy person is there, or
I think there's a mental health issue, or I believe
there is an issue where someone is claiming that that it's.
Speaker 1 (05:56):
Not a issue where there is a just a.
Speaker 2 (06:00):
Bad guy pulling a gun, pulling a knife, there is
a mental health component to that. So now what where Well,
it turns out that years ago the LAPD said, yeah,
we're gonna put mental health practitioners there on the street
with the cops. And a report just came out and
it said that the use of licensed clinicians in specialized
(06:24):
units that respond to mental health crisis really don't make
the call at all. They're trained to de escalate, they're
trained to deal with it, and in the end they
have to defer to armed police, and the arm police
end up in many cases shooting them, not the mental
health practitioners, although I'm sure a lot of cops would
want to do that. They end up shooting the suspect,
(06:47):
even if we find out later the guy or usually
it's a man, has a true psychotic episode and a
true mental health issue. And so the report came out
that these people are effectively not paid attention to for
the most part police officers. While they're trained a little
(07:09):
bit in de escalation, more and more, but still very
little relative to obviously a mental health practitioner. The police
have touted the success of the system wide mental health
Assessment Response time and of course the acronym SMART, and
the critics are saying the program which pairs the specialist
(07:29):
license specialists with cops and unmarked cars is failing.
Speaker 1 (07:34):
It just isn't working out.
Speaker 2 (07:36):
And what ends up happening police shootings mentally ill people
occur where they shouldn't occur. Now here's the LAPED policy
still requiring arm patrol officers to clear a scene of
any potential threats beforehand. And traditionally and today, the police
units always take charge. Even on calls where there's no
(07:58):
weapon involved, for example, a person threatening suicide, the mental
health specialists have to defer to the police. And the
report says they had any good That ain't a good thing.
And one of the authors of the study says, well,
(08:21):
smart is pretty much a misnomer in this case. How
is it the word ending up with so many fatalities
when we have mental health people involved.
Speaker 1 (08:28):
Well, let me.
Speaker 2 (08:29):
Ask you a question. How can the cops not be
deferred to? Who makes the call? Who makes that call?
The mental health specialist who is trained to defer, that's
their first response.
Speaker 1 (08:44):
Let's defer.
Speaker 2 (08:45):
Let's defer, And then what happens if someone get shot
or killed because they guess wrong, And do the cops
sit there and they come in with a gun or
a taser or whatever, and the mental health special list says,
don't don't shoot.
Speaker 1 (09:02):
I'll take over from here.
Speaker 2 (09:05):
And so there is the choice, do you defer to
the mental health specialists who's dealing with this, who is
trained in this, who is trained in de escalation, or
do you defer to the police who make the call,
who basically, in many cases shoot first and ask questions later,
particularly if there's a weapon involved, if particularly if someone
(09:30):
is at risk or they are at risk, because what's
the first thing that someone who is a mental health
expert does.
Speaker 1 (09:38):
Let's try to de escalate. Put down the knife, put
down the gun.
Speaker 2 (09:43):
You really don't have to do this, and someone's brains
get splattered on the wall of the liquor store. And
so the argument is which way do you go on
this one? And as far as I'm concerned, I think
you have to defer the police. I don't think you
have any choice. And all you can do is train
(10:05):
the police more and more in de escalation and dealing
with mental health, which is why I think that the
first preference in hiring a police officer should be a
degree in psychology.
Speaker 1 (10:19):
I think that would help.
Speaker 2 (10:19):
I'm just throwing this out as opposed to a cop
who came out of the seal program in the in
the services when they were seals. Man, they're good cops,
aren't they Are they trained in de escalation?
Speaker 1 (10:35):
They are not. So it's a tough problem. It's a
tough question who do you defer to?
Speaker 2 (10:43):
And the study actually doesn't make any kind of real judgment.
Speaker 1 (10:47):
It just says it's not working right now, What do
you do? Okay?
Speaker 2 (10:55):
Jim Keeney, chief medical officer for Dignity Saint Mary Medical
Center in Long Beach, Jim, good morning. 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.
Speaker 1 (11:16):
When is it?
Speaker 2 (11:17):
I think, when do we go back to standard time?
By the way, I think in the next few days.
Sunday 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 1 (11:30):
Oh yeah, I.
Speaker 3 (11:31):
Mean consensus 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
(11:51):
it's worth it because in the summer, that means that
the sun doesn't go down till nine o'clock, so you
can go to work and still get home in time
to serve. So that's all the heart attacks. Yeah, yeah,
that makes all the heart attacks worth it.
Speaker 2 (12:04):
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 3 (12:14):
Yeah. Absolutely, Okay, 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 anal plan
(12:34):
that kind of moderates your weak 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 2 (12:54):
Yeah. No, I let me 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 3 (13:10):
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 causositiones.
Speaker 2 (13:26):
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?
Speaker 1 (13:33):
Is that unique to the United States? Do they do
it in the rest of the world.
Speaker 3 (13:37):
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 (13:46):
Yeah.
Speaker 2 (13:47):
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 or less. But why is it that some people
are affected to that extent it's only one hour?
Speaker 3 (14:06):
Yeah, I think 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 effects hormones through
your whole body. It effects you know, that your brain's
ability to recover for the day. It affects so many
(14:26):
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
(14:47):
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 2 (14:53):
Yeah, in mind, I have a screwed up sleep cycle,
I as probably everybody on the Morning show because we
wake up so damn early.
Speaker 1 (15:00):
And then we don't have a normal day.
Speaker 2 (15:02):
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, and you
know what, you could get arrested for what you did.
Do you know that they have to be at least eighteen?
Speaker 1 (15:20):
You know that, don't you? Okay, boy? Yeah, let's move
on to this study.
Speaker 2 (15:28):
That finds men need twice as much exercise as women.
And I have never seen a study that in fact
justifies a sex change from a male to female twice
as much exercise.
Speaker 1 (15:45):
I mean, physiologically, is it that much difference.
Speaker 3 (15:50):
Apparently it is. I mean, this is not the only
study that has shown this. So it's building 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
(16:11):
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,
(16:31):
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
(16:54):
is mounting that men need a lot more exercise than
women to reduce their cardiovascular risk.
Speaker 1 (16:58):
Yeah.
Speaker 2 (16:58):
Now we spend up here 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 conspiracy
(17:19):
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 inn and what kind of exercise?
Speaker 1 (17:36):
How much time? How often?
Speaker 3 (17:40):
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 get you this,
(18:01):
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 2 (18:14):
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 3 (18:31):
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,
(18:52):
mental fatigue, or you know, it reduces stress, anxiety, depression.
So many benefits from exercise that whether you don't live
a year longer, it's going to improve your quality.
Speaker 2 (19:05):
I had a doctor, my interness, who I had for
probably twenty years.
Speaker 1 (19:09):
Who ended up disappearing. By the way, No one knows
where he went.
Speaker 2 (19:12):
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 a problem. I'll be more than happy
to now. Was he serious? Who the hell knows? Because doctors,
(19:33):
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 3 (19:47):
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
(20:07):
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 on once you relieve somebody's pain who's having
difficulty breathing. Those pain medicins, 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
(20:28):
very good at it. But this is a whole different topic.
Speaker 1 (20:30):
Yeah, no, it is.
Speaker 2 (20:31):
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 hasten death because life
(20:55):
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 you have feelings about that
(21:19):
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 Key, all right,
take care, Chief Medical Officer for Dignity Saint Mary, Medical
Senator Long Beach.
Speaker 1 (21:37):
Notice.
Speaker 2 (21:37):
I always end up with a death topic. 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. All right, KF I am six. You've been
listening to the Bill Handle Show. Catch my Show Monday
(21:58):
through Friday, six am to nine am, and anytime on
demand on the iHeartRadio app.
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