1 00:00:00,160 --> 00:00:03,760 Speaker 1: Time for doctor Jim Keeney, chief medical officer for Dignity 2 00:00:03,800 --> 00:00:07,880 Speaker 1: Saint Mary Medical Center in Long Beach, and Jim, good morning. 3 00:00:09,280 --> 00:00:11,880 Speaker 1: Oh he just dropped out. Okay, we'll call back, but 4 00:00:11,960 --> 00:00:14,320 Speaker 1: I want to give a little backstory before he joins us. 5 00:00:14,800 --> 00:00:18,360 Speaker 1: It was very important for me to have my daughters 6 00:00:18,480 --> 00:00:21,240 Speaker 1: not get tattoos. Matter of fact, that was part of 7 00:00:21,239 --> 00:00:25,919 Speaker 1: my trust, my trust that literally said you will not 8 00:00:26,040 --> 00:00:30,120 Speaker 1: get tattoos. If you get a tattoo, you are disinherited. 9 00:00:31,160 --> 00:00:35,680 Speaker 1: And so they didn't get tattoos almost. No, they didn't 10 00:00:36,360 --> 00:00:39,599 Speaker 1: until a couple of years ago where Barbera said, can 11 00:00:39,640 --> 00:00:44,879 Speaker 1: I get one little tiny tattoo? I said, okay, the 12 00:00:45,120 --> 00:00:51,800 Speaker 1: damn broke open. Now she is tatted up all over 13 00:00:51,840 --> 00:00:55,680 Speaker 1: the place. Now I feel differently because Lindsey when I 14 00:00:55,760 --> 00:00:59,840 Speaker 1: met her and even now is pretty tatted up. Neil 15 00:01:00,240 --> 00:01:05,320 Speaker 1: is fairly tatted Okay, So, Jim, I don't know if 16 00:01:05,319 --> 00:01:08,280 Speaker 1: you've heard about everybody I know, while everybody Neil and 17 00:01:08,360 --> 00:01:12,480 Speaker 1: my daughter Barbara pretty tatted up. But there is a 18 00:01:12,520 --> 00:01:17,399 Speaker 1: story out there about tattoo ink and that is not 19 00:01:17,520 --> 00:01:19,200 Speaker 1: good news. What's going on? 20 00:01:19,680 --> 00:01:24,800 Speaker 2: Yeah, the tattoo inc Moves, it doesn't stay put. And 21 00:01:25,640 --> 00:01:28,400 Speaker 2: I'm actually surprised to how common mice. You know, how 22 00:01:29,000 --> 00:01:33,640 Speaker 2: consistent mice lymphatic systems are two ours. Because we knew this. 23 00:01:33,760 --> 00:01:36,440 Speaker 2: I mean, when you dissect bodies in medical school, if 24 00:01:36,440 --> 00:01:38,880 Speaker 2: they had tattoos, a lot of times you'll find tattoo 25 00:01:39,040 --> 00:01:43,920 Speaker 2: ink in the actual lymph node. So you know, we 26 00:01:44,000 --> 00:01:47,840 Speaker 2: knew this about humans, and so they did this in mice. 27 00:01:47,920 --> 00:01:50,720 Speaker 2: It turns out that the ink also moves in mice. 28 00:01:51,680 --> 00:01:53,920 Speaker 2: And so what they looked at in this study was 29 00:01:53,920 --> 00:01:58,160 Speaker 2: what impact does it have on immune response, especially to vaccinations. 30 00:01:58,680 --> 00:02:00,880 Speaker 2: So the headline was that it read use the vaccinations. 31 00:02:00,880 --> 00:02:04,960 Speaker 2: That's actually wrong for the study. It does not. It 32 00:02:05,040 --> 00:02:09,880 Speaker 2: reduces the response to some vaccines and increases the response 33 00:02:09,919 --> 00:02:14,040 Speaker 2: to others. So you know what happens is they inject 34 00:02:14,560 --> 00:02:18,320 Speaker 2: They used covid vaccine and they also used flu vaccine 35 00:02:18,639 --> 00:02:21,320 Speaker 2: in the cod In the flu vaccine, we're injecting the 36 00:02:21,400 --> 00:02:24,680 Speaker 2: actual you know, the virus itself. So if your immune 37 00:02:24,680 --> 00:02:28,880 Speaker 2: systems all ramped up from tattoo ink, then it actually 38 00:02:28,919 --> 00:02:33,240 Speaker 2: responds better and improves the response. In the covid vaccine, 39 00:02:33,240 --> 00:02:36,440 Speaker 2: we're injecting RNA that makes a spike protein of the 40 00:02:36,520 --> 00:02:39,000 Speaker 2: virus that you're trying to prevent, and then your body 41 00:02:39,040 --> 00:02:41,520 Speaker 2: of a response to that, and in that case it 42 00:02:41,600 --> 00:02:45,800 Speaker 2: reduced the efficacy of the of the vaccine itself. But 43 00:02:45,880 --> 00:02:48,840 Speaker 2: I mean, in this study they mentioned it. And in 44 00:02:49,520 --> 00:02:53,400 Speaker 2: the past we've also known that that tattoos increased your 45 00:02:53,480 --> 00:02:58,200 Speaker 2: risk of lymphoma. You know, we don't know why exactly, 46 00:02:58,240 --> 00:02:59,600 Speaker 2: but they seem to be associated with that. 47 00:03:00,200 --> 00:03:02,920 Speaker 1: Confused, either vaccines are good for you or they're bad. 48 00:03:03,000 --> 00:03:05,239 Speaker 1: I mean, tattoos are either good for you or they're 49 00:03:05,280 --> 00:03:07,519 Speaker 1: bad for you. And is it both simultaneously. 50 00:03:08,080 --> 00:03:11,200 Speaker 2: Well, I mean, so yeah, I wouldn't recommend getting a 51 00:03:11,240 --> 00:03:14,360 Speaker 2: tattoo just so that your blue vaccine has a better 52 00:03:14,400 --> 00:03:19,400 Speaker 2: response rate. Now, but it is a mixed study here, 53 00:03:19,440 --> 00:03:22,560 Speaker 2: I mean, it doesn't show that it's you know that 54 00:03:22,639 --> 00:03:26,520 Speaker 2: it across the board reduces the response to vaccines. It 55 00:03:26,600 --> 00:03:30,000 Speaker 2: just reduces the response to COVID vaccine. So of course 56 00:03:30,040 --> 00:03:32,440 Speaker 2: you should try to avoid trying to get a vaccination, 57 00:03:32,880 --> 00:03:35,920 Speaker 2: especially soon after you've had a tattoo. You want to, 58 00:03:36,520 --> 00:03:38,320 Speaker 2: you know, you'd want to try and get your vaccine 59 00:03:38,360 --> 00:03:42,280 Speaker 2: first if you're going to get a COVID vaccine. Otherwise, yeah, 60 00:03:42,280 --> 00:03:44,840 Speaker 2: there's you know, the tattoos in general, you know, and 61 00:03:44,880 --> 00:03:47,040 Speaker 2: it brings up a lot of these issues about the lymphoma, 62 00:03:47,080 --> 00:03:51,520 Speaker 2: about the skin cancer, about the risk of tattooing. I mean, 63 00:03:51,720 --> 00:03:55,360 Speaker 2: it's not regulated, it's well, it is as a cosmetic 64 00:03:56,200 --> 00:03:58,440 Speaker 2: just like what we measure how we put things on 65 00:03:58,480 --> 00:04:00,640 Speaker 2: your skin. If you don't have a skin action to 66 00:04:00,760 --> 00:04:03,920 Speaker 2: it when it's put on your skin. The FDA approves 67 00:04:03,960 --> 00:04:08,880 Speaker 2: these materials, so they don't actually approve anything for injection into. 68 00:04:09,400 --> 00:04:12,800 Speaker 1: All Right, two questions. Do you do you have any tattoos? 69 00:04:13,960 --> 00:04:14,800 Speaker 2: No, I don't have any. 70 00:04:15,080 --> 00:04:19,000 Speaker 1: Okay, would you be concerned about getting a tattoo? 71 00:04:22,440 --> 00:04:25,080 Speaker 2: I guess you know. You weigh the risk increased versus 72 00:04:25,080 --> 00:04:28,080 Speaker 2: the benefit, and I probably would never get a massive tattoo, 73 00:04:28,320 --> 00:04:31,040 Speaker 2: but I here the tattoo, the higher the risk. Right, 74 00:04:31,160 --> 00:04:34,239 Speaker 2: So I wanted to put somebody's initials on my body 75 00:04:34,320 --> 00:04:36,800 Speaker 2: or something like that, I can't imagine that either. But 76 00:04:37,240 --> 00:04:39,400 Speaker 2: if I did, I probably would still do it a 77 00:04:39,440 --> 00:04:43,080 Speaker 2: tiny little tattoo, but anything big I'd be more concerned about. 78 00:04:43,560 --> 00:04:47,039 Speaker 1: Yeah, I'm considering a tattoo on my arm, and it 79 00:04:47,120 --> 00:04:50,600 Speaker 1: would say this is not a tattoo. That would just 80 00:04:50,640 --> 00:04:56,960 Speaker 1: be Neil Neil is so tattooed that I'm not overly tattooed, 81 00:04:56,960 --> 00:04:59,800 Speaker 1: but yes, I do have some. I have seen Neil naked. 82 00:05:00,080 --> 00:05:05,680 Speaker 1: Let me tell you tattoos are well, then you're gonna 83 00:05:05,720 --> 00:05:08,800 Speaker 1: go into that with Neil's and my daughters at the 84 00:05:08,839 --> 00:05:11,680 Speaker 1: tattoos hands. Yeah. Well, you know you thought, here's the 85 00:05:11,720 --> 00:05:13,880 Speaker 1: problem is you ran out of space because you were putting. 86 00:05:14,120 --> 00:05:17,919 Speaker 1: I come from Tuscaloosa, Alabama, across you know where, and 87 00:05:18,000 --> 00:05:23,960 Speaker 1: it just didn't work. Okay, we're gonna come back, Jim. 88 00:05:24,240 --> 00:05:29,360 Speaker 1: Topic number two. Men with beer bellies can face pretty 89 00:05:29,400 --> 00:05:32,799 Speaker 1: serious heart damage. I don't want to mention any names Neil, 90 00:05:33,440 --> 00:05:38,080 Speaker 1: but even if they aren't overweight, and Neil is both 91 00:05:38,400 --> 00:05:41,560 Speaker 1: no question about it and doesn't drink beer, which is 92 00:05:41,600 --> 00:05:46,479 Speaker 1: fascinating much not much. Yeah, So, first of all, Jim, 93 00:05:46,520 --> 00:05:48,680 Speaker 1: I want to talk about how big is a beer 94 00:05:48,760 --> 00:05:51,400 Speaker 1: belly before it gets dangerous. I know it's kind of 95 00:05:51,920 --> 00:05:53,800 Speaker 1: you know, you can't be specific, but are we talking 96 00:05:53,800 --> 00:05:57,239 Speaker 1: about those big beer bellies or even a little one. 97 00:05:57,440 --> 00:06:01,160 Speaker 2: Yeah, we're talking about forty and t waste. You know, 98 00:06:01,279 --> 00:06:05,159 Speaker 2: that's that's kind of the cutoff where people start getting 99 00:06:05,160 --> 00:06:09,520 Speaker 2: into the risk zone. That's just a general overall big 100 00:06:09,800 --> 00:06:12,800 Speaker 2: not very specific. This study though, is looking at the 101 00:06:12,839 --> 00:06:16,880 Speaker 2: waste to hip ratio. Right, So you know, if you 102 00:06:16,920 --> 00:06:19,760 Speaker 2: measure your hips at the absolute widest part and then 103 00:06:19,800 --> 00:06:23,080 Speaker 2: you measure your gut, the gut should be about ninety 104 00:06:23,120 --> 00:06:26,200 Speaker 2: percent of the hip size, right, so about ten percent 105 00:06:26,320 --> 00:06:28,120 Speaker 2: less than your hips. For a lot of people that 106 00:06:28,240 --> 00:06:32,880 Speaker 2: gut hangs over right, and the gut is bigger than hips. 107 00:06:32,920 --> 00:06:36,919 Speaker 2: That's a problem and that that results in serious heart issues. 108 00:06:37,000 --> 00:06:41,719 Speaker 2: So and this is we missed this with BMI and weight. Remember, 109 00:06:41,800 --> 00:06:43,640 Speaker 2: weight is kind of the crudest you can just get 110 00:06:43,680 --> 00:06:46,640 Speaker 2: on a scale and get your weight. BMI is a calculation. 111 00:06:46,720 --> 00:06:48,680 Speaker 2: It's a little more accurate as to whether you have 112 00:06:48,800 --> 00:06:51,559 Speaker 2: too much weight on your body. But where the weight 113 00:06:51,720 --> 00:06:55,000 Speaker 2: is really matters. And having it around your organs, you know, 114 00:06:55,200 --> 00:06:59,800 Speaker 2: centrally located inside your gut, around your organs that's metabolically active, 115 00:07:00,640 --> 00:07:05,240 Speaker 2: that is, it produces inflammatory cyto kinds they call them, 116 00:07:05,279 --> 00:07:07,919 Speaker 2: inflammatory things that come out into your body and and 117 00:07:08,000 --> 00:07:10,720 Speaker 2: put stress on your body and your heart and then 118 00:07:10,960 --> 00:07:14,080 Speaker 2: just the pumping through there. For some reason, it puts 119 00:07:14,160 --> 00:07:16,760 Speaker 2: a strain on the heart. And you can get what 120 00:07:16,880 --> 00:07:20,080 Speaker 2: happens is the heart gets the muscle gets thickened, the 121 00:07:20,200 --> 00:07:25,680 Speaker 2: chambers get smaller, and we call that cardiomyopathy or hypertrophic cardiomiopathy. 122 00:07:25,720 --> 00:07:28,600 Speaker 2: It's usually associated with high blood pressure. But what we're 123 00:07:28,640 --> 00:07:31,120 Speaker 2: saying here is, look, when you have a patient with 124 00:07:31,560 --> 00:07:34,720 Speaker 2: the big gut to waste ratio, you need to look 125 00:07:34,800 --> 00:07:37,679 Speaker 2: into maybe that's the problem and they need to start 126 00:07:37,680 --> 00:07:39,640 Speaker 2: losing some of that that gut fat. 127 00:07:40,520 --> 00:07:45,920 Speaker 1: Yeah. Is that also known is Gunlop's disease. That's when 128 00:07:45,920 --> 00:07:48,440 Speaker 1: you're that's when your stomach gun lop over your belt. 129 00:07:51,920 --> 00:07:54,920 Speaker 2: Yeah, yeah, so it's I mean, and this is the 130 00:07:54,960 --> 00:07:56,840 Speaker 2: thing is when we get an ultrasound of the heart, 131 00:07:57,440 --> 00:07:59,960 Speaker 2: you know, you can we look at ejection fraction, at 132 00:08:00,120 --> 00:08:03,880 Speaker 2: how good your heart's functioning. That's it squeezes out blood, 133 00:08:03,920 --> 00:08:05,880 Speaker 2: and we look at how much of the blood it 134 00:08:05,920 --> 00:08:09,560 Speaker 2: ejects out of the heart. And this actually shows preserved 135 00:08:09,560 --> 00:08:13,880 Speaker 2: ejection fractionres it's cardiomyopathy with preserved ejection fracture hypertrophic. 136 00:08:14,920 --> 00:08:18,520 Speaker 1: Anyway, when when you see those guys with big beer bellies, 137 00:08:19,040 --> 00:08:21,360 Speaker 1: as you noticed it is it, I mean, are you 138 00:08:21,400 --> 00:08:24,960 Speaker 1: looking as someone that is in real trouble relative to 139 00:08:25,000 --> 00:08:25,800 Speaker 1: the heart disease? 140 00:08:26,920 --> 00:08:29,840 Speaker 2: Yes, yeah, this is a it's a real problem and 141 00:08:30,240 --> 00:08:33,320 Speaker 2: they probably are going to suffer from heart failure if 142 00:08:33,320 --> 00:08:37,319 Speaker 2: they live long enough. And uh, and so it's something 143 00:08:37,320 --> 00:08:38,439 Speaker 2: that needs to be corrected. 144 00:08:39,080 --> 00:08:39,320 Speaker 1: Uh. 145 00:08:39,360 --> 00:08:41,360 Speaker 2: And there are a lot of people that have low 146 00:08:41,480 --> 00:08:43,760 Speaker 2: level of heart failure that aren't even aware of it. 147 00:08:43,760 --> 00:08:46,640 Speaker 2: They just think that they have decreased exercise tolerance. So 148 00:08:47,000 --> 00:08:50,760 Speaker 2: if you're getting winded easily when you're when you're exercising 149 00:08:50,840 --> 00:08:52,360 Speaker 2: or working out, or you go up one flight of 150 00:08:52,400 --> 00:08:54,880 Speaker 2: stairs and you're winded, you probably should see your doctor 151 00:08:54,920 --> 00:08:56,959 Speaker 2: and look into what you can do to fix that. 152 00:08:56,960 --> 00:08:57,720 Speaker 2: That's not normal. 153 00:08:58,080 --> 00:09:00,280 Speaker 1: All right, Jim, we'll talking in next week as we 154 00:09:00,360 --> 00:09:04,160 Speaker 1: always do. Uh, take care and uh all right, take care.