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Speaker 1: Jim Keeney, chief medical officer for Dignity Saint Mary Medical

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Speaker 1: Center in Long Beach. Good morning, Jim, good morning. Okay.

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Speaker 1: Now you come up with these topics.

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Speaker 2: Right sometimes you know, and I has a collaboration excellent, Okay,

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Speaker 2: and usually through at the window and ask me these

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Speaker 2: questions that are totally appreciated to a week. Yeah.

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Speaker 1: No, but this one, this one, no, this one I

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Speaker 1: absolutely have to do because this may be the most

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Speaker 1: moronic question that I have ever seen or heard in

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Speaker 1: all of the years we've been doing this. Okay, uh,

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Speaker 1: and here we are. I'm reading this for batim, ladies

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Speaker 1: and gentlemen. And Jim, by the way, you graduated medical

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Speaker 1: school and what number we're how high were you in

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Speaker 1: your class?

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Speaker 2: Higher than I actually thought by the end, but they

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Speaker 2: didn't actually rank us one to whatever?

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Speaker 1: Ok yeah, pachase, Yeah, yeah. Jim is one of the

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Speaker 1: smartest guys I know. So with that being said, what

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Speaker 1: would happen to your body if you live on the moon?

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Speaker 1: How about other than exploding? There's more to it.

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Speaker 2: Than that gym, There is more to it than that, right,

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Speaker 2: It's actually a challel. It's a physiologic challenge to figure

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Speaker 2: out how to live on the Moon. You know, yes,

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Speaker 2: obviously if we didn't have a space suit on, you

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Speaker 2: wouldn't last very long. But you know, everybody says, hey,

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Speaker 2: just a spacesuit of little a tank of oxygen and

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Speaker 2: you can just walk around on the Moon and you'll

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Speaker 2: be fine. That's not the case. So living on the Moon,

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Speaker 2: you are exposed to farm more radiation on Earth. And

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Speaker 2: even then, like the International Space Station is close enough

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Speaker 2: that it actually is protected by the Earth, and we

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Speaker 2: have a magnetic shield that shields the Earth, and so

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Speaker 2: they're not exposed to anywhere near as much radiation. In fact,

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Speaker 2: you know, these astronauts are staying that they're reporting retinal

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Speaker 2: flashes and that's caused by radioactive particles hit their retina

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Speaker 2: and then stimulate it as if it's been hit by light.

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Speaker 2: And so they're just seeingandom flashes in their vision. So

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Speaker 2: you can imagine there's there's far more radiation. You just

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Speaker 2: can't put on sunscreen, find you need significant radiation protection.

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Speaker 2: Number one, it's a sixth of the Earth or number two,

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Speaker 2: six of the Earth's gravity, so you're going to lose that.

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Speaker 2: Gravitational force is what gives our muscles the stimulus to

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Speaker 2: you know, grow and stay strong. And so astronauts, we know,

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Speaker 2: lose muscle mass. You've seen them, like pulling them out

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Speaker 2: of the capsule after they've been at space for you know,

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Speaker 2: a week, and they're two weak to stand on their

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Speaker 2: own legs typically especially initially, and that's just after five

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Speaker 2: days in space. They can't even bear their own weight.

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Speaker 2: The same thing happens to their bones where their bones,

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Speaker 2: Your bones have crystals of It's I think it's super interesting.

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Speaker 2: You know, from a physics standpoint, you crystals of calcium

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Speaker 2: in your bones. When you squeeze a crystal, it creates

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Speaker 2: an electromagnetic electrical force across the crystal. It's called the

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Speaker 2: pisio electric effect, and then that stimulates more crystal growth.

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Speaker 2: So the pressure on your bone is what keeps your

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Speaker 2: bones dense and keeps them growing.

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Speaker 1: You know. That's first of all, it is a fun

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Speaker 1: topic and there's a lot to it because we are

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Speaker 1: looking at long term flights, certainly to Mars, which is

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Speaker 1: going to happen whether you agree with it or not.

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Speaker 1: And you're talking about a six month trip there or

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Speaker 1: a seven month trip there and then back again. And

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Speaker 1: to your point, the spacesuits certainly can take care of

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Speaker 1: the heat and the cold, which is several hundred degrees

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Speaker 1: in different spinning on whether you're in the sun or not.

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Speaker 1: And when you look at, for example, the space station,

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Speaker 1: these guys exercise an hour and a half a day.

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Speaker 1: They're on that treadmill that they're latched onto where there's

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Speaker 1: the bungee cord kind of thing hold them down. But

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Speaker 1: with all of that, which something can be done, how

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Speaker 1: do you get away? Exactly? It's the radiation that I understand.

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Speaker 1: It's almost possible to deal with unless you have extraord

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Speaker 1: unless you're encased in lead, you're you know, superman.

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Speaker 2: Yeah, I mean, the radiation will be a problem that

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Speaker 2: puts them at risk, and they will be at an

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Speaker 2: increased risk for things like brain cancer, DNA damage, IMMINO suppression,

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Speaker 2: and then the lack of gravity all day long. Your

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Speaker 2: heart's not used to that. Your heart's used to pumping

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Speaker 2: blood where it's working a little harder to get it

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Speaker 2: from the legs, to have it returned from the legs,

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Speaker 2: and it's working a little harder to pump it up

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Speaker 2: to the head. Well, all of a sudden that evens out.

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Speaker 1: All right, So this is not a dumb question. I

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Speaker 1: thought it was real. I was going to make fun

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Speaker 1: of you, but that's it's legitimate. There's no question, especially

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Speaker 1: with the guys up in space, and especially in capsules

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Speaker 1: in which you can't exercise. For example, the capsule that

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Speaker 1: those four astronists are on because there's not enough room,

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Speaker 1: so they'll be up there. I think, what for is

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Speaker 1: it ten days? Are going to be up there for

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Speaker 1: ten days, so there it will be a demonstrable showing

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Speaker 1: of some muscle loss, is what you're saying.

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Speaker 2: Right, Yeah, and that's just the early stages. That's not

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Speaker 2: what we haven't gotten into the immune changes, like I said,

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Speaker 2: the cardiovascular changes. I mean for long term space. It's

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Speaker 2: a big physiologic challenge.

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Speaker 1: Okay, when we come back, that actually worked. Let's do

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Speaker 1: this topic. Poverty isolation, low education reduce lifespan or you

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Speaker 1: can work at iHeart and the same thing happens to you,

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Speaker 1: all right. Jim Keeney, chief medical officer for Dignity Saint

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Speaker 1: Mary Medical Center in Long Beach, who is here every

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Speaker 1: Wednesday with us, a statement that I uttered just for

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Speaker 1: the break and poverty, isolation, low education reduce lifespan, all right,

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Speaker 1: that's sort of a given. I mean, we all know

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Speaker 1: that this is science that is proving this, and let's

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Speaker 1: talk about this.

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Speaker 2: Okay. So yeah, we've talked about that, and there are

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Speaker 2: studies that show that people with you know, so we

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Speaker 2: call it social determinants of health, well, if they have

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Speaker 2: lower social determinants of health, they have lower health and

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Speaker 2: have suffered from more disease. The study was kind of

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Speaker 2: interesting because it looked at it in a different way.

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Speaker 2: What they did was they looked at known social and

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Speaker 2: economic you know, kind of areas that are lower than others,

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Speaker 2: and they measured people for a blood marker that that's

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Speaker 2: around when your cells are dividing and when they're not dividing,

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Speaker 2: or when they just kind of are we call sinesse

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Speaker 2: they're kind of falling asleep. That's the stage before the

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Speaker 2: cell dies. That increases. So this marker was higher in

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Speaker 2: individuals that were in these low socio economic areas. And

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Speaker 2: the interesting thing about that is they were able to

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Speaker 2: then pair people you know, smoking, drinking, drug use, you know,

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Speaker 2: your diet, exercise, and see if that was that what

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Speaker 2: made the difference, and it wasn't. It was literally your

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Speaker 2: zip code, I mean not literally. This study uses a

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Speaker 2: childhood opportunity in text which is much more specific than

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Speaker 2: zip codes. But basically, where you live gets under your

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Speaker 2: skin and causes biological, real biological issues. So association study

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Speaker 2: not like a randomized, long term, randomized control trial, but

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Speaker 2: it does show an association between where you live and

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Speaker 2: these problems.

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Speaker 1: Well, it's logical. Poverty, you're not going to get the

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Speaker 1: same nutrition and you're not going to get the same

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Speaker 1: medical care. Low education, well I'm assuming it kicks into

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Speaker 1: that it influences that your income. Now, let me give

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Speaker 1: you a hypothetical hypothetical about isolation, and let's say there's

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Speaker 1: a guy out there who doesn't live in poverty, has

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Speaker 1: a reasonable education, but has no friends and his family

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Speaker 1: hates him. How would that be on that scale?

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Speaker 2: Yeah, and that's that isolation is part of it, you know.

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Speaker 2: And even in Okay, so you know, with camping and

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Speaker 2: some of the work I've done overseas for disasters, we

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Speaker 2: talk about, you know, survival, and in survival you talk

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Speaker 2: about you can live three minutes without air, three days

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Speaker 2: without food or three days without water, three weeks without food,

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Speaker 2: and three months without love. And that speaks to like

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Speaker 2: back in the Vietnam War, when people, after a few

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Speaker 2: months in the jungle alone even watching other prisoners get

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Speaker 2: tortured in the prisoner camps, they were so distraught by

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Speaker 2: being alone they walked into the prisoner camps. So absolutely,

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Speaker 2: isolation is a significant cause of stress on your body

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Speaker 2: and emotionally. And that's part of this too, is that

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Speaker 2: we really believe that, you know, living with insecure howth

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Speaker 2: and insecure income, which results in insecure food and everything else,

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Speaker 2: and insecure opportunities, all that stress is also affecting this.

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Speaker 1: Okay, Jim, as always, thank you very much. I know

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Speaker 1: your birthday is coming.

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Speaker 2: Up, right, absolutely, all right, there you go.

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Speaker 1: I've always wanted to do that, celebrate celebrating birthdays. Boy,

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Speaker 1: what an accomplishment getting born, right, you really want to Yeah,

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Speaker 1: you want to celebrate that one. All right, Jim, we'll

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Speaker 1: talk again, my friend. All right, we're done. That's good,

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Speaker 1: all right. Finished,