1 00:00:00,280 --> 00:00:03,200 Speaker 1: It is time for doctor Jim Keeney. Jim is with 2 00:00:03,279 --> 00:00:04,640 Speaker 1: us every Wednesday. 3 00:00:04,720 --> 00:00:06,880 Speaker 2: Jim, good morning, Good morning Bill. 4 00:00:07,320 --> 00:00:11,559 Speaker 1: Okay, oh, this is a topic, and that is phone 5 00:00:11,680 --> 00:00:17,880 Speaker 1: use on the toilet causes hemorrhoids. Now, no shock. I 6 00:00:18,000 --> 00:00:21,439 Speaker 1: usually do, and I have for many years sat on 7 00:00:21,480 --> 00:00:25,840 Speaker 1: the toilet reading, which is what guys do. And I've 8 00:00:25,880 --> 00:00:28,600 Speaker 1: had a little problem, even to the point where, frankly, 9 00:00:28,760 --> 00:00:31,000 Speaker 1: I've had two hemorrhoids of my entire life that actually 10 00:00:31,040 --> 00:00:34,880 Speaker 1: have names, Pepe and roy Mundo, and they come back 11 00:00:35,080 --> 00:00:38,960 Speaker 1: occasionally and say hello. That is completely disgusting, And we 12 00:00:39,000 --> 00:00:41,440 Speaker 1: don't have to go into that, but let's talk about 13 00:00:42,120 --> 00:00:45,520 Speaker 1: the It doesn't seem like that's a surprise at all. 14 00:00:46,440 --> 00:00:51,000 Speaker 1: So where's the story here or is this new information 15 00:00:51,040 --> 00:00:53,800 Speaker 1: that we've gotten to the extent of how dangerous this is. 16 00:00:54,680 --> 00:00:56,680 Speaker 2: Yeah, it's just a reminder. I mean, you're right that 17 00:00:56,800 --> 00:01:01,200 Speaker 2: hemorrhoids are super common. In the study itself, they looked 18 00:01:01,200 --> 00:01:04,360 Speaker 2: at how many people had hemorrhoid and about half the 19 00:01:04,360 --> 00:01:08,600 Speaker 2: people did have forty three percent had hemorrhoids, and it 20 00:01:08,720 --> 00:01:11,720 Speaker 2: goes up by forty six percent when you use when 21 00:01:11,760 --> 00:01:13,920 Speaker 2: you sit on the toilet for you know, five minutes 22 00:01:14,000 --> 00:01:17,000 Speaker 2: or longer. And so these people, a lot of the 23 00:01:17,040 --> 00:01:19,679 Speaker 2: people are when they ask what their habits are, you're right, 24 00:01:19,760 --> 00:01:23,160 Speaker 2: reading the news fifty four percent, social media forty four percent. 25 00:01:23,240 --> 00:01:25,160 Speaker 2: This is what they were doing on their phone. So 26 00:01:25,560 --> 00:01:27,360 Speaker 2: it's just one of those I knew, you know, I 27 00:01:27,400 --> 00:01:30,080 Speaker 2: know you like anything to do with a toilet humor, 28 00:01:30,120 --> 00:01:32,800 Speaker 2: so I thought, you love this, And it's just a 29 00:01:32,840 --> 00:01:36,120 Speaker 2: reminder that I phones don't cause hemorrhoids. Sitting on a 30 00:01:36,120 --> 00:01:40,039 Speaker 2: toilet for too long until your legs go dumb cause hemorrhoids. 31 00:01:40,040 --> 00:01:42,479 Speaker 2: And you probably shouldn't use the toilet as a chair. 32 00:01:42,600 --> 00:01:45,840 Speaker 2: You could, you know, read somewhere else, Okay. 33 00:01:45,959 --> 00:01:49,120 Speaker 1: And then I was told, now, I just had my colonoscopy, 34 00:01:49,200 --> 00:01:50,960 Speaker 1: and and I didn't even know that you could do this, 35 00:01:51,120 --> 00:01:56,200 Speaker 1: but interior hemorrhoids, which are kind of interesting. And I 36 00:01:56,240 --> 00:01:58,920 Speaker 1: was just told, you eat a lot of a fiber. 37 00:01:59,480 --> 00:02:00,360 Speaker 1: How common is that? 38 00:02:02,040 --> 00:02:04,160 Speaker 2: Yeah, I mean those are the more problematic ones. So 39 00:02:04,240 --> 00:02:06,480 Speaker 2: the ones you see on the outside that kind of 40 00:02:06,480 --> 00:02:09,560 Speaker 2: make like a little tag that hangs out, is that 41 00:02:09,680 --> 00:02:14,280 Speaker 2: those are external hemorrhoids. There's a line inside your rectum 42 00:02:14,360 --> 00:02:18,480 Speaker 2: that that divides the internal from the external, and so 43 00:02:18,560 --> 00:02:21,079 Speaker 2: the hemorrhoids that are up above that usually are fatter, 44 00:02:21,440 --> 00:02:24,640 Speaker 2: you know, they're they're bigger, they can cause more problems, 45 00:02:24,680 --> 00:02:27,880 Speaker 2: they're much more difficult to deal with. So you know, 46 00:02:28,000 --> 00:02:29,239 Speaker 2: that's that's why we look at those. 47 00:02:29,720 --> 00:02:31,920 Speaker 1: Okay, fair enough enough of that. We couldn't get enough 48 00:02:32,000 --> 00:02:36,799 Speaker 1: humor out of that. We tried, We tried, let's take it. Yeah, 49 00:02:36,800 --> 00:02:38,600 Speaker 1: I know, we tried. Thank you for bringing that to 50 00:02:38,639 --> 00:02:41,480 Speaker 1: the forefront, because you know, I do enjoy toilet whom 51 00:02:41,520 --> 00:02:43,680 Speaker 1: your humor. You know, I'm six years old. You know that, 52 00:02:43,720 --> 00:02:47,679 Speaker 1: don't you When it comes to this sort of stuff, absolutely, 53 00:02:48,280 --> 00:02:50,680 Speaker 1: I know nothing changes. But by the way, when Jim 54 00:02:50,720 --> 00:02:53,960 Speaker 1: and I have a meal together, we talk about this stuff, 55 00:02:54,600 --> 00:02:58,320 Speaker 1: and it is even he gets disgusted when I talk 56 00:02:58,360 --> 00:03:02,800 Speaker 1: about hemorrhoids at lunch. Doctor Jim McKinney, as we finish 57 00:03:02,880 --> 00:03:07,120 Speaker 1: the show, listen to that Alzheimer's story because this is 58 00:03:07,120 --> 00:03:11,160 Speaker 1: absolutely fascinating. And the blood tests predicting Alzheimer's and women 59 00:03:11,440 --> 00:03:15,480 Speaker 1: years years in advance. I mean, that is a big concept. 60 00:03:15,840 --> 00:03:16,800 Speaker 1: So what's going on with that? 61 00:03:16,880 --> 00:03:20,440 Speaker 2: Yeah? Yeah, So, I mean that's what's interesting about this 62 00:03:20,520 --> 00:03:23,320 Speaker 2: story is in decades and we were talking twenty five 63 00:03:23,440 --> 00:03:27,639 Speaker 2: years beforehand, this can predict some level of risk. So 64 00:03:27,960 --> 00:03:31,520 Speaker 2: it's about seventy five eighty percent accurate. It's not perfect, 65 00:03:31,600 --> 00:03:35,520 Speaker 2: but you see San Diego study. They took a couple 66 00:03:35,600 --> 00:03:40,800 Speaker 2: thousand women from the Women's Health Initiative Memory Study that 67 00:03:40,840 --> 00:03:43,280 Speaker 2: was conducted between nineteen ninety six and nineteen eighty nine. 68 00:03:43,640 --> 00:03:49,680 Speaker 2: They had measured this plasma tau measurement and then they 69 00:03:50,280 --> 00:03:53,080 Speaker 2: measured it later in twenty twenty four, and they looked 70 00:03:53,080 --> 00:03:55,480 Speaker 2: at the results and it looked like if they were 71 00:03:55,520 --> 00:03:59,680 Speaker 2: able to predict twenty five years in advance, whether some 72 00:03:59,720 --> 00:04:02,000 Speaker 2: of these women we're going to get we're going to 73 00:04:02,000 --> 00:04:05,360 Speaker 2: get Alzheimer's disease. This opens up a whole new world, 74 00:04:05,480 --> 00:04:08,800 Speaker 2: right because there's people that are worried about it, anxious 75 00:04:08,800 --> 00:04:11,480 Speaker 2: about it. There's not too much we can do right 76 00:04:11,480 --> 00:04:16,240 Speaker 2: now who prevention is mostly lifestyle and living a healthy lifestyle. 77 00:04:16,680 --> 00:04:20,400 Speaker 2: But if we can identify people earlier, there's definitely a 78 00:04:20,440 --> 00:04:23,559 Speaker 2: lot of opportunity there in those ensuing twenty five years 79 00:04:23,600 --> 00:04:25,960 Speaker 2: to figure out what we can do maybe to prevent 80 00:04:26,040 --> 00:04:26,960 Speaker 2: Alzheimer's disease. 81 00:04:27,520 --> 00:04:30,640 Speaker 1: Yeah, I noticed that the stories about women are men 82 00:04:30,720 --> 00:04:33,080 Speaker 1: not included to that and is there a difference between 83 00:04:33,160 --> 00:04:35,000 Speaker 1: women and men in terms of Alzheimer's. 84 00:04:36,360 --> 00:04:40,480 Speaker 2: Well, they are. They used a group that was in existence, 85 00:04:41,040 --> 00:04:44,280 Speaker 2: the Women's Health Initiative Memory Studies, So it was only 86 00:04:44,320 --> 00:04:46,839 Speaker 2: women included in this particular study. It's just how the 87 00:04:46,880 --> 00:04:51,039 Speaker 2: study was designed. They didn't do that because of the 88 00:04:51,120 --> 00:04:54,279 Speaker 2: fact that they felt women were somehow different. But I 89 00:04:54,320 --> 00:04:56,760 Speaker 2: think it is important to look at the sexes in 90 00:04:56,839 --> 00:05:00,800 Speaker 2: studies individually because there are differences between the sexes. 91 00:05:00,800 --> 00:05:04,320 Speaker 1: Obviously, are women more apt to get Alzheimer's. 92 00:05:05,279 --> 00:05:07,720 Speaker 2: That's a good question. I don't actually know the numbers on. 93 00:05:07,720 --> 00:05:13,320 Speaker 1: That, right, all right. We always only don't go there 94 00:05:13,320 --> 00:05:15,440 Speaker 1: because usually my questions are fairly moronic. 95 00:05:15,600 --> 00:05:17,680 Speaker 2: And yeah, a good one. 96 00:05:17,960 --> 00:05:20,320 Speaker 1: Yeah, and that might not bad, I got you. Oh, 97 00:05:20,760 --> 00:05:25,320 Speaker 1: let's call that one, all right. Not only measles, mumps 98 00:05:25,520 --> 00:05:29,599 Speaker 1: is on the rise. That's a lot of grapefruit sized 99 00:05:29,640 --> 00:05:34,080 Speaker 1: testicles running around out there. It is it direct see 100 00:05:34,240 --> 00:05:37,599 Speaker 1: there you go? Is it directly attributable to the lack 101 00:05:37,640 --> 00:05:38,480 Speaker 1: of vaccinations? 102 00:05:39,839 --> 00:05:41,680 Speaker 2: Yeah? So, I mean that's the important thing about this 103 00:05:41,839 --> 00:05:44,720 Speaker 2: is when when you see measles go up, this is 104 00:05:44,760 --> 00:05:48,680 Speaker 2: a public health crisis when you have that. Mumps has 105 00:05:48,760 --> 00:05:52,000 Speaker 2: always been around it never got fully eradicated. The vaccine 106 00:05:52,000 --> 00:05:55,359 Speaker 2: itself is only about eighty percent effective. And then people 107 00:05:55,480 --> 00:05:58,440 Speaker 2: before nineteen fifty seven, they just have presumed if you 108 00:05:58,440 --> 00:06:00,279 Speaker 2: were born before nineteen sty seven, a lot as we 109 00:06:00,360 --> 00:06:02,840 Speaker 2: just presume that you are immune. It was so common 110 00:06:03,240 --> 00:06:04,720 Speaker 2: that you would have been exposed to it in your 111 00:06:04,760 --> 00:06:07,840 Speaker 2: immune So people before born before nineteen fifty seven probably 112 00:06:07,880 --> 00:06:09,760 Speaker 2: should just get tested to look and see if they 113 00:06:09,760 --> 00:06:12,440 Speaker 2: have antibodies, because they can get a booster or a 114 00:06:12,480 --> 00:06:16,680 Speaker 2: shot if they if they don't have antibodies. So yeah, 115 00:06:16,760 --> 00:06:22,960 Speaker 2: it's basically it's important because it shows how we're doing 116 00:06:23,160 --> 00:06:26,560 Speaker 2: on vaccination and it's good surveillless to see like as 117 00:06:26,640 --> 00:06:29,200 Speaker 2: vaccination levels drop, some of these levels are going to 118 00:06:29,240 --> 00:06:32,200 Speaker 2: go up. Is this some type of disaster, No, it's not, 119 00:06:32,440 --> 00:06:35,560 Speaker 2: but it's indicative of what's going on with vaccinations. 120 00:06:35,880 --> 00:06:38,360 Speaker 1: Hi, Jim. Thanks. You know, we always run out of tom. 121 00:06:38,360 --> 00:06:40,400 Speaker 1: I should gain have you on for about two hours 122 00:06:40,720 --> 00:06:44,320 Speaker 1: when we do this because there's so many topics to cover. Jim, 123 00:06:44,600 --> 00:06:48,880 Speaker 1: take care, will catch you on next week and take care. 124 00:06:49,279 --> 00:06:50,320 Speaker 1: We are done. That's it,