1
00:00:00,240 --> 00:00:03,920
Speaker 1: That year to remove these folks from the gene pool.

2
00:00:04,360 --> 00:00:07,320
Speaker 1: All right, it is time for medical news. Doctor Jim Keeney,

3
00:00:07,400 --> 00:00:10,680
Speaker 1: chief medical officer for Dignity Saint Mary Medical Center in

4
00:00:11,039 --> 00:00:13,520
Speaker 1: Long Beach, Good morning.

5
00:00:13,280 --> 00:00:16,960
Speaker 2: Jim Martinville. Okay, there we go. Good for you.

6
00:00:17,720 --> 00:00:20,120
Speaker 1: Now, we had lunch a few days ago and we

7
00:00:20,200 --> 00:00:24,119
Speaker 1: talked about this. It came up in twenty twenty two

8
00:00:25,600 --> 00:00:31,600
Speaker 1: the name monkey pox for the monkey pox was changed.

9
00:00:32,240 --> 00:00:35,960
Speaker 1: It became m pox and I guess, I guess for

10
00:00:36,040 --> 00:00:42,200
Speaker 1: political correctness purposes. Well, it's a monkey pox again, what's

11
00:00:42,280 --> 00:00:42,640
Speaker 1: going on?

12
00:00:44,040 --> 00:00:46,040
Speaker 3: Yeah, it's just a weird one. That's why we heard

13
00:00:46,080 --> 00:00:48,920
Speaker 3: talking about it's just so weird. Nobody, nobody asked to

14
00:00:49,000 --> 00:00:52,000
Speaker 3: change the name back. There was no political pressure, there's

15
00:00:52,200 --> 00:00:56,040
Speaker 3: no researchers weren't saying this is incorrect. In fact, you know,

16
00:00:56,200 --> 00:01:00,120
Speaker 3: monkey pox is incorrect itself. It's monkeys have nothing to

17
00:01:00,160 --> 00:01:05,000
Speaker 3: do with this disease us. It's stress. The animal vector

18
00:01:05,120 --> 00:01:09,120
Speaker 3: is squirrels, so you know, And then what happened was,

19
00:01:09,200 --> 00:01:13,959
Speaker 3: you know, because there's this these rumors and and you know,

20
00:01:14,080 --> 00:01:17,640
Speaker 3: conspiracy theories that that the reason aids spread is because

21
00:01:17,680 --> 00:01:21,000
Speaker 3: of people having sex with monkeys. It just creates kind

22
00:01:21,040 --> 00:01:24,399
Speaker 3: of a big problem and a stigma that doesn't need

23
00:01:24,440 --> 00:01:26,800
Speaker 3: to be there, because number one that the AIDS thing

24
00:01:26,880 --> 00:01:31,040
Speaker 3: isn't true, and that now we have monkey pocks, which

25
00:01:31,080 --> 00:01:34,440
Speaker 3: adds on to it. You know, it's getting people were

26
00:01:34,440 --> 00:01:36,080
Speaker 3: being stigmatized by it, and that was one of the

27
00:01:36,120 --> 00:01:38,760
Speaker 3: reasons that the World Health Organization wanted to change the name.

28
00:01:39,040 --> 00:01:43,840
Speaker 3: But apparently, you know, anything that the World Health Organization

29
00:01:44,000 --> 00:01:47,080
Speaker 3: suggests at this point is going to be not taken

30
00:01:48,080 --> 00:01:49,160
Speaker 3: under consideration here.

31
00:01:49,520 --> 00:01:50,840
Speaker 2: I mean, it's just completely crazy.

32
00:01:50,880 --> 00:01:53,000
Speaker 1: And the myth we talked about that, the myth of

33
00:01:53,560 --> 00:01:57,840
Speaker 1: people in Africa having sex with the chimpanzees and somehow

34
00:01:57,880 --> 00:02:03,080
Speaker 1: AIDS was transmitted on to humans. Big question was how

35
00:02:03,080 --> 00:02:06,520
Speaker 1: do you hold the chimpanzee still long enough to have

36
00:02:06,640 --> 00:02:10,360
Speaker 1: sex with it. That's one of the big issues. The

37
00:02:10,400 --> 00:02:14,480
Speaker 1: other issue is the political correctness part. And my high

38
00:02:14,520 --> 00:02:16,360
Speaker 1: school I was I went to high school a Birmingham

39
00:02:16,440 --> 00:02:21,920
Speaker 1: high school in Vance and we were the Birmingham Braves.

40
00:02:23,280 --> 00:02:27,280
Speaker 2: No one complained about it, not a word was said.

41
00:02:28,040 --> 00:02:31,560
Speaker 1: Now, a few schools that had Indian names were hit

42
00:02:31,600 --> 00:02:34,840
Speaker 1: pretty badly in terms of the accusation of political correctness.

43
00:02:35,120 --> 00:02:42,120
Speaker 1: Nobody complained about the Birmingham Braves. Guess what they're now,

44
00:02:42,200 --> 00:02:47,320
Speaker 1: the Birmingham Tumors. No, that would that would be great,

45
00:02:48,440 --> 00:02:52,280
Speaker 1: But they're the Patriots. Now, Oh, give me a break,

46
00:02:52,520 --> 00:02:57,520
Speaker 1: all right, that's just ridiculous. Now let's get serious. One

47
00:02:57,720 --> 00:03:01,040
Speaker 1: in ten Americans are taking an tie depressant.

48
00:03:02,080 --> 00:03:03,960
Speaker 2: So are you ready for this?

49
00:03:04,200 --> 00:03:10,400
Speaker 1: In my family, I am, My kids are, my wife is,

50
00:03:11,360 --> 00:03:13,919
Speaker 1: our dog is taking prozac?

51
00:03:14,120 --> 00:03:15,359
Speaker 2: I am serious.

52
00:03:15,720 --> 00:03:21,840
Speaker 1: Little Izzy is taking prozac every single day. When you

53
00:03:21,880 --> 00:03:23,640
Speaker 1: get your dog to take it, boy, what does that

54
00:03:23,680 --> 00:03:26,000
Speaker 1: tell you about your family? One in ten Americans are

55
00:03:26,080 --> 00:03:27,520
Speaker 1: taking an antidepressant.

56
00:03:27,680 --> 00:03:29,960
Speaker 2: So what does that mean? Jim?

57
00:03:30,480 --> 00:03:33,079
Speaker 3: Oh, it means we've got mental health issues in the

58
00:03:33,200 --> 00:03:36,120
Speaker 3: United States, And I don't know. To me, it's I

59
00:03:36,120 --> 00:03:38,920
Speaker 3: guess it's not surprising because I treat patients in the

60
00:03:38,960 --> 00:03:42,160
Speaker 3: emergency department. I get to see their medication lists, and

61
00:03:42,360 --> 00:03:45,000
Speaker 3: it is extremely common. I would have guessed a little

62
00:03:45,040 --> 00:03:49,880
Speaker 3: bit higher actually than ten percent, but and probably it

63
00:03:49,960 --> 00:03:52,680
Speaker 3: should be higher if you know that there may be

64
00:03:52,720 --> 00:03:55,400
Speaker 3: more people that are under treated for mental illness and

65
00:03:55,440 --> 00:03:59,920
Speaker 3: depression that so not. I know that it comes with

66
00:04:00,040 --> 00:04:02,240
Speaker 3: surprised to most people, but I'm not super surprised by

67
00:04:02,240 --> 00:04:04,000
Speaker 3: that number, and I can't understand why a lot of

68
00:04:04,000 --> 00:04:07,040
Speaker 3: people would be surprised, But I mean what happened was,

69
00:04:07,080 --> 00:04:10,760
Speaker 3: you know, in the past, we would treat with drugs

70
00:04:10,760 --> 00:04:15,760
Speaker 3: that had significant and serious side effects like MAO inhibitors

71
00:04:16,600 --> 00:04:20,680
Speaker 3: and things like tricyclic antidepressant. Those are still good drugs

72
00:04:20,680 --> 00:04:22,919
Speaker 3: and there's there's a place for them to be used.

73
00:04:23,000 --> 00:04:26,080
Speaker 3: But at this point, all the newer drugs, the SSRI

74
00:04:26,120 --> 00:04:30,599
Speaker 3: I type drugs, those are so safe with you know,

75
00:04:30,680 --> 00:04:33,760
Speaker 3: minimal side effects. There is weight gain, you know, the

76
00:04:33,800 --> 00:04:36,000
Speaker 3: bother sns are you can have weight gain, you can

77
00:04:36,040 --> 00:04:41,200
Speaker 3: have some sexual dysfunction, there's ways to overcome those, and

78
00:04:41,600 --> 00:04:43,839
Speaker 3: but they're just safe. People don't die from them, but

79
00:04:43,880 --> 00:04:47,839
Speaker 3: they die from depression. So it's a pretty easy, you know,

80
00:04:48,120 --> 00:04:49,640
Speaker 3: risk benefit analysis.

81
00:04:50,000 --> 00:04:51,680
Speaker 1: And used to be well you could just go to

82
00:04:51,680 --> 00:04:54,479
Speaker 1: your doctor and say I'm depressed and the doctor would

83
00:04:54,560 --> 00:04:57,760
Speaker 1: just boom right there issue or give you a prescription.

84
00:04:58,600 --> 00:05:01,880
Speaker 1: So that's pretty easy to at.

85
00:05:01,720 --> 00:05:03,760
Speaker 2: Least I found it. Kaiser is a little bit more careful.

86
00:05:03,760 --> 00:05:06,760
Speaker 1: I'm a member of Kaiser's everybody knows and now they

87
00:05:06,800 --> 00:05:08,919
Speaker 1: switch at my internis can't do it. It takes a

88
00:05:08,920 --> 00:05:13,320
Speaker 1: psychiatrist to actually issue those drugs or to write prescriptions

89
00:05:13,320 --> 00:05:15,600
Speaker 1: for those drugs. And I go in every six or

90
00:05:15,600 --> 00:05:18,880
Speaker 1: every year for fifteen minutes just to you know, everything, Okay,

91
00:05:18,920 --> 00:05:22,400
Speaker 1: everything's flying? Anything change? No, nothing has changed. Do you

92
00:05:23,000 --> 00:05:24,840
Speaker 1: have any problems now? I still want to run over

93
00:05:24,839 --> 00:05:26,120
Speaker 1: a kittens? Really?

94
00:05:26,800 --> 00:05:28,080
Speaker 2: No, of course not.

95
00:05:30,640 --> 00:05:30,839
Speaker 1: Yeah.

96
00:05:30,960 --> 00:05:35,479
Speaker 3: People do mistake simple, you know, sadness or grieving process

97
00:05:35,720 --> 00:05:39,120
Speaker 3: for depression. It's not depression. That's just a normal human experience.

98
00:05:40,360 --> 00:05:44,480
Speaker 3: But depression is something altogether different, and it does take

99
00:05:44,520 --> 00:05:46,719
Speaker 3: somebody to, you know, have a serious conversation with you

100
00:05:46,760 --> 00:05:49,760
Speaker 3: to decide is this real depression? Are you just going through,

101
00:05:49,960 --> 00:05:51,040
Speaker 3: you know, a difficult time?

102
00:05:51,320 --> 00:05:52,720
Speaker 2: And how does an interness know?

103
00:05:53,320 --> 00:05:55,800
Speaker 1: Doesn't it take a mental health professional to really be

104
00:05:55,800 --> 00:05:57,360
Speaker 1: able to determine which one is which?

105
00:05:58,200 --> 00:05:58,440
Speaker 2: No?

106
00:05:58,600 --> 00:06:00,560
Speaker 3: I mean, you could just sit and talk to somebody,

107
00:06:00,560 --> 00:06:03,000
Speaker 3: But the problem is, right, most internets have fifteen minutes

108
00:06:03,040 --> 00:06:04,800
Speaker 3: with you. How are we going to get into your

109
00:06:04,839 --> 00:06:08,320
Speaker 3: life story and really understand the difference in fifteen minutes

110
00:06:08,360 --> 00:06:11,039
Speaker 3: where when Kayser sends you to a psychiatrist, they block

111
00:06:11,080 --> 00:06:13,520
Speaker 3: out a much longer period of time for that. They

112
00:06:13,600 --> 00:06:16,640
Speaker 3: keep their internets cranking at you know, one appointment every

113
00:06:16,760 --> 00:06:19,760
Speaker 3: ten to fifteen minutes, while they, you know, their specialists

114
00:06:19,800 --> 00:06:21,440
Speaker 3: can get a little more time with you. So it

115
00:06:21,520 --> 00:06:22,280
Speaker 3: kind of makes sense.

116
00:06:22,760 --> 00:06:26,680
Speaker 1: Okay, before we get to the flesh eating parasite story, Jim,

117
00:06:26,720 --> 00:06:31,160
Speaker 1: which is always a delight, and brought this up. And

118
00:06:31,560 --> 00:06:34,640
Speaker 1: this is something that is affects a lot of us.

119
00:06:35,160 --> 00:06:41,440
Speaker 1: Sugary drinks raise common liver disease, and diet drinks raise

120
00:06:41,600 --> 00:06:45,240
Speaker 1: common liver disease by sixty percent. So because of my

121
00:06:45,360 --> 00:06:48,000
Speaker 1: diet coke issue, I'm assuming my liver now looks like

122
00:06:48,040 --> 00:06:50,200
Speaker 1: a Jackson Pollock painting it.

123
00:06:52,800 --> 00:06:54,880
Speaker 3: Yeah, I really didn't think you would do this story

124
00:06:54,920 --> 00:06:57,440
Speaker 3: based on that alone. That you know, you don't want

125
00:06:57,480 --> 00:06:58,880
Speaker 3: me disparaging your diet coke.

126
00:06:59,240 --> 00:07:01,880
Speaker 1: Oh, sure you go, you do well? No, actually you don't.

127
00:07:02,320 --> 00:07:04,679
Speaker 1: I have a lifetime of this from everybody else.

128
00:07:04,960 --> 00:07:09,280
Speaker 2: But you don't need much of this, do you well.

129
00:07:09,320 --> 00:07:11,760
Speaker 3: I mean, that's the problem is that our bodies were

130
00:07:11,800 --> 00:07:14,480
Speaker 3: never made to take in all these chemicals, right, and

131
00:07:14,600 --> 00:07:20,240
Speaker 3: especially highly refined sugar and highly processed foods, ultra processed foods.

132
00:07:20,600 --> 00:07:23,280
Speaker 3: And we're seeing this in people's livers. The liver is

133
00:07:23,320 --> 00:07:26,040
Speaker 3: where all of this has to pass. Through and it's

134
00:07:26,080 --> 00:07:28,880
Speaker 3: called first pass. A lot of your blood flows straight

135
00:07:28,920 --> 00:07:31,320
Speaker 3: from your stomach through your liver, and that's to try

136
00:07:31,400 --> 00:07:34,480
Speaker 3: and clean out any toxins right away. And so your

137
00:07:34,480 --> 00:07:36,920
Speaker 3: liver takes a beating when you don't eat well. And

138
00:07:36,960 --> 00:07:41,000
Speaker 3: so if you add that to metabolic disorders like diabetes

139
00:07:41,120 --> 00:07:45,000
Speaker 3: or even high blood pressure, high cholesterol, you add that

140
00:07:45,080 --> 00:07:47,960
Speaker 3: on top. What you're getting is fatty liver, and that

141
00:07:48,560 --> 00:07:51,520
Speaker 3: makes your liver dysfunctional. It doesn't work correctly, and it

142
00:07:51,560 --> 00:07:55,080
Speaker 3: can cause scarring over time and eventually can cause liver failure.

143
00:07:55,640 --> 00:07:59,120
Speaker 3: So we're talking like thirty percent of the population has

144
00:07:59,200 --> 00:08:01,720
Speaker 3: these fatty liver changes when you look at it, and

145
00:08:01,800 --> 00:08:04,440
Speaker 3: about five percent or one out of twenty actually have

146
00:08:04,640 --> 00:08:09,080
Speaker 3: this severe form of it called MASH, which is metabolic

147
00:08:09,160 --> 00:08:15,280
Speaker 3: associated dietosis hepatitis. And so it's just that's fancy for

148
00:08:15,320 --> 00:08:18,360
Speaker 3: fatty liver. So let me.

149
00:08:18,360 --> 00:08:21,360
Speaker 1: Ask this in terms of knowing if your liver is fatty.

150
00:08:21,440 --> 00:08:24,480
Speaker 1: Is that just done through a simple blood test where

151
00:08:24,720 --> 00:08:25,840
Speaker 1: you look at liver function.

152
00:08:27,080 --> 00:08:29,040
Speaker 3: If it shows up in the liver function, it's probably

153
00:08:29,040 --> 00:08:31,520
Speaker 3: a bit too late. There's a way to do an

154
00:08:31,640 --> 00:08:35,760
Speaker 3: ultrasound that measures elasticity in the liver. That's a new test.

155
00:08:35,800 --> 00:08:38,400
Speaker 3: It's not a lot of places don't have it. It's

156
00:08:38,480 --> 00:08:41,840
Speaker 3: not done regularly. But if you're at risk, if you

157
00:08:41,880 --> 00:08:45,880
Speaker 3: have those risk factors, those metabolic conditions, it's probably reasonable

158
00:08:45,960 --> 00:08:49,680
Speaker 3: to look into getting this specialized ultrasound that looks for

159
00:08:49,760 --> 00:08:52,280
Speaker 3: fatty liver disease. And that's what it does. It looks

160
00:08:52,280 --> 00:08:55,160
Speaker 3: for the elasticity of the liver, and that's what determines

161
00:08:55,200 --> 00:08:57,000
Speaker 3: how far along you are in this process.

162
00:08:57,559 --> 00:09:00,280
Speaker 1: How can you tell elasticity without pushing it, without pulling

163
00:09:00,280 --> 00:09:00,959
Speaker 1: it apart.

164
00:09:01,400 --> 00:09:04,760
Speaker 3: Well, a lubber band, they are pushing it. Yeah. Yeah,

165
00:09:04,840 --> 00:09:06,760
Speaker 3: the sound waves bounce off of it and they're pushing

166
00:09:06,760 --> 00:09:09,080
Speaker 3: and pulling and they can tell. But it's not a

167
00:09:09,120 --> 00:09:10,840
Speaker 3: normal ultra sell machine. It's specialized.

168
00:09:11,120 --> 00:09:12,640
Speaker 2: Got it all right, real quickly.

169
00:09:12,720 --> 00:09:15,240
Speaker 1: We have to get into the flesh eating parasite warning

170
00:09:15,480 --> 00:09:19,640
Speaker 1: California health officials how much flesh is being eaten?

171
00:09:21,240 --> 00:09:23,840
Speaker 3: Yeah, so, I mean right now, it's just in Mexico,

172
00:09:24,400 --> 00:09:26,640
Speaker 3: but it's coming north, right, So it started at the

173
00:09:26,679 --> 00:09:29,320
Speaker 3: southern border of Mexico and it's been working its way north.

174
00:09:29,360 --> 00:09:32,240
Speaker 3: There's been about a little over seven hundred cases in Mexico.

175
00:09:32,720 --> 00:09:35,320
Speaker 3: But people who travel to Mexico now are at risk,

176
00:09:35,520 --> 00:09:39,640
Speaker 3: and then when you come back home, there's a risk

177
00:09:39,679 --> 00:09:42,520
Speaker 3: that you could spread this. So these are these burrowing

178
00:09:42,600 --> 00:09:45,559
Speaker 3: worms that we'll get into if you have an open wound, especially,

179
00:09:46,400 --> 00:09:48,480
Speaker 3: they can bite and bite and get in there and

180
00:09:48,480 --> 00:09:50,840
Speaker 3: then they burrow into your skin. It's kind of cool.

181
00:09:50,880 --> 00:09:52,840
Speaker 3: And then you know, and then all of a sudden,

182
00:09:52,920 --> 00:09:55,880
Speaker 3: it looks like an abscess, but what comes out are flies.

183
00:09:58,080 --> 00:10:01,040
Speaker 1: Now I'm assuming the Trump administry is able to stop

184
00:10:01,040 --> 00:10:04,800
Speaker 1: them at the border. And because it's uh, that sounds

185
00:10:04,800 --> 00:10:07,319
Speaker 1: absolutely disgusting if I look at if I'm looking at

186
00:10:07,360 --> 00:10:11,679
Speaker 1: an abscess and outcomes flies or a worm or something

187
00:10:11,760 --> 00:10:13,240
Speaker 1: that is very distressing.

188
00:10:14,400 --> 00:10:17,960
Speaker 3: Yeah. Yeah, it's cool in a in a way that

189
00:10:18,000 --> 00:10:19,440
Speaker 3: you don't want to be involved with.

190
00:10:19,840 --> 00:10:22,840
Speaker 1: Hey, when you when you pull a worm, like a

191
00:10:22,880 --> 00:10:26,120
Speaker 1: tapeworm or whatever out of a human being, Uh, do

192
00:10:26,160 --> 00:10:28,680
Speaker 1: you you know, you go to the doctor's lounge and

193
00:10:28,720 --> 00:10:30,000
Speaker 1: hang out, and do you go to the other docks?

194
00:10:30,000 --> 00:10:33,160
Speaker 2: Hey, let me show you what I pulled out today. Yeah.

195
00:10:33,200 --> 00:10:36,280
Speaker 3: Absolutely, we take pictures. We yeah, we do.

196
00:10:36,760 --> 00:10:38,520
Speaker 2: That's fantastic and that's real.

197
00:10:38,400 --> 00:10:42,120
Speaker 3: Right, Okay, I mean most of the titations bring it

198
00:10:42,160 --> 00:10:44,960
Speaker 3: in either they fish it out of a toilet or

199
00:10:45,160 --> 00:10:47,880
Speaker 3: you know, somewhere, and then they bring it in in

200
00:10:47,960 --> 00:10:50,520
Speaker 3: a little plastic bag and then we get it in

201
00:10:50,559 --> 00:10:52,240
Speaker 3: a bucket, clean it up so we can take some

202
00:10:52,280 --> 00:10:53,040
Speaker 3: good pictures.

203
00:10:53,520 --> 00:10:54,480
Speaker 2: That's fantastic.

204
00:10:54,960 --> 00:10:56,960
Speaker 1: Now, I told you about a friend of mine who

205
00:10:57,000 --> 00:10:59,559
Speaker 1: was an er doctor. I went to high school with her.

206
00:10:59,840 --> 00:11:03,280
Speaker 1: And there we are. They had their display, the little

207
00:11:03,320 --> 00:11:06,880
Speaker 1: museum of things they pulled out of people's rear ends

208
00:11:07,800 --> 00:11:12,920
Speaker 1: usually guys. But okay, we're done, Jim. We'll talk again

209
00:11:13,400 --> 00:11:14,880
Speaker 1: next week, and I'll probably see you over the next

210
00:11:14,880 --> 00:11:16,400
Speaker 1: few days, all right,