1 00:00:00,160 --> 00:00:03,279 Speaker 1: Jim Keeney, chief medical officer for Dignity Saint Mary Medical 2 00:00:03,320 --> 00:00:06,560 Speaker 1: Center in Long Beach. Jim, good morning. I want to 3 00:00:06,600 --> 00:00:10,600 Speaker 1: get right into it daylight savings and how it affects people. 4 00:00:10,640 --> 00:00:13,480 Speaker 1: It doesn't affect me, and we're talking about affecting your body, 5 00:00:14,120 --> 00:00:16,520 Speaker 1: but I know people that are wiped out with the 6 00:00:16,640 --> 00:00:19,760 Speaker 1: change between daylight savings and standard time, which we're right 7 00:00:19,800 --> 00:00:22,720 Speaker 1: on top of. When does it I think, when do 8 00:00:22,800 --> 00:00:24,960 Speaker 1: we go back standard time? By the way, I think 9 00:00:25,000 --> 00:00:28,000 Speaker 1: in the next few days. Sunday night, Yeah, Saturday night. 10 00:00:28,120 --> 00:00:30,080 Speaker 1: So we're right, yeah, we're right around the corner, gym. 11 00:00:30,440 --> 00:00:32,920 Speaker 1: So how does it affect people? I'm assuming there are 12 00:00:32,960 --> 00:00:34,400 Speaker 1: studies out there that deal with this. 13 00:00:35,440 --> 00:00:38,960 Speaker 2: Oh yeah, I mean census that this is just bad 14 00:00:39,040 --> 00:00:41,000 Speaker 2: for all of us, right that every time you switch 15 00:00:41,120 --> 00:00:44,120 Speaker 2: the calendar or switch the clock, you get people with 16 00:00:44,640 --> 00:00:47,600 Speaker 2: that get brain fog. You know, their their motor skills 17 00:00:47,640 --> 00:00:50,880 Speaker 2: aren't as good. Car accidents go up, your stress level 18 00:00:50,920 --> 00:00:54,800 Speaker 2: goes up, heart attacks go up. So it's all bad basically, 19 00:00:54,960 --> 00:00:58,800 Speaker 2: but you know it's worth it because in the summer 20 00:00:58,880 --> 00:01:00,680 Speaker 2: that means that the sun and then go down till 21 00:01:00,760 --> 00:01:02,640 Speaker 2: nine o'clock, so you can go to work and still 22 00:01:02,640 --> 00:01:07,520 Speaker 2: get home in time to surf. So that's the heart attacks. Yeah, yeah, 23 00:01:07,560 --> 00:01:08,920 Speaker 2: that makes all the heart attacks worth. 24 00:01:08,720 --> 00:01:11,280 Speaker 1: It, now, didn't this Wasn't this originally put into place 25 00:01:11,319 --> 00:01:16,280 Speaker 1: for farmers so harvest time they could increase the time 26 00:01:16,319 --> 00:01:17,520 Speaker 1: they could spend harvesting. 27 00:01:18,920 --> 00:01:22,560 Speaker 2: Yeah. Absolutely, so you know that's what they say. But 28 00:01:23,080 --> 00:01:26,840 Speaker 2: you know, and there's probably still some benefits. But if 29 00:01:26,880 --> 00:01:29,800 Speaker 2: you just stick to the earlier time, the standard time 30 00:01:30,200 --> 00:01:33,200 Speaker 2: where you're getting sunlight into your eyes earlier in the morning, 31 00:01:33,440 --> 00:01:35,840 Speaker 2: that's better for your circadian rhythms. You know, you have 32 00:01:36,240 --> 00:01:39,720 Speaker 2: in your brain, you have the anal plan that kind 33 00:01:39,760 --> 00:01:43,839 Speaker 2: of moderates your weak sleep cycles and affecting your hormones 34 00:01:43,880 --> 00:01:48,920 Speaker 2: like melatonin and cortisol and then and light in your 35 00:01:48,960 --> 00:01:53,240 Speaker 2: eyes basically is a big factor in that. So that's 36 00:01:53,240 --> 00:01:55,320 Speaker 2: the problem is all of a sudden, light's coming in 37 00:01:55,360 --> 00:01:58,400 Speaker 2: a different time, it's getting darker earlier, and it messes 38 00:01:58,440 --> 00:01:58,880 Speaker 2: people up. 39 00:01:59,320 --> 00:02:03,000 Speaker 1: Yeah. No, make an argument for keeping daylight savings time 40 00:02:03,320 --> 00:02:09,560 Speaker 1: for farmers because those automated computer driven AI harvesting machines 41 00:02:09,840 --> 00:02:13,359 Speaker 1: where no human being is anywhere near them, desperately need 42 00:02:13,480 --> 00:02:14,720 Speaker 1: the time change, don't they. 43 00:02:15,800 --> 00:02:18,760 Speaker 2: True. Yeah, you know, there's a lot of places that 44 00:02:18,800 --> 00:02:21,360 Speaker 2: don't do daylight Saving time and that they seem to 45 00:02:21,360 --> 00:02:26,320 Speaker 2: be just fine. But no, I agree, it's definitely problematic 46 00:02:26,400 --> 00:02:29,480 Speaker 2: and lots of studies show it. There's no doubt that 47 00:02:29,560 --> 00:02:30,480 Speaker 2: it CAUs positions. 48 00:02:30,880 --> 00:02:32,600 Speaker 1: Hey, real quick question, and you may not know that. 49 00:02:32,600 --> 00:02:35,919 Speaker 1: It's not a medical question. Is switching from standard to 50 00:02:36,000 --> 00:02:39,239 Speaker 1: daylight savings time and then back again? Is that unique 51 00:02:39,280 --> 00:02:40,720 Speaker 1: to the United States? Do they do it in the 52 00:02:40,720 --> 00:02:41,360 Speaker 1: rest of the world. 53 00:02:42,720 --> 00:02:45,120 Speaker 2: No, I think they do do it in other countries. 54 00:02:45,240 --> 00:02:49,400 Speaker 2: I just couldn't, okay, but even in the US, we 55 00:02:49,440 --> 00:02:50,880 Speaker 2: don't do it across every state. 56 00:02:51,760 --> 00:02:54,160 Speaker 1: Yeah, yeah, Well, how is it that one hour, by 57 00:02:54,200 --> 00:02:58,040 Speaker 1: the way, screws people up so much? You know, for example, 58 00:02:58,520 --> 00:03:01,880 Speaker 1: Lindsay is gone for a week, week and a half, 59 00:03:02,000 --> 00:03:04,359 Speaker 1: I mean, totally screwed up. Doesn't affect me at all. 60 00:03:04,360 --> 00:03:07,040 Speaker 1: I couldn't care less. But why is it that some 61 00:03:07,120 --> 00:03:10,040 Speaker 1: people are affected to that extent it's only one hour? 62 00:03:11,480 --> 00:03:15,480 Speaker 2: Yeah, I mean because you're messing with your sleep wake cycle, 63 00:03:15,720 --> 00:03:20,200 Speaker 2: and that it just causes a lot of issues throughout 64 00:03:20,240 --> 00:03:24,639 Speaker 2: your whole body. I mean that cycle effects hormones through 65 00:03:24,639 --> 00:03:27,880 Speaker 2: your whole body. It effects you know that your brain's 66 00:03:27,919 --> 00:03:31,840 Speaker 2: ability to recover for the day. It affects so many 67 00:03:31,840 --> 00:03:35,200 Speaker 2: different things on so many levels that it really is 68 00:03:35,600 --> 00:03:38,720 Speaker 2: an issue. And the people who are sleep deprived, to 69 00:03:38,840 --> 00:03:41,720 Speaker 2: start with, they're the people that are impacted the most. 70 00:03:42,040 --> 00:03:44,560 Speaker 2: So teenagers across the board, about fifty percent of teenagers 71 00:03:44,560 --> 00:03:48,200 Speaker 2: are sleep deprived. About thirty percent of adult population is 72 00:03:48,240 --> 00:03:50,360 Speaker 2: sleep deprived, and those are the people that are going 73 00:03:50,400 --> 00:03:52,520 Speaker 2: to get impacted the most. And you can tell, by 74 00:03:52,520 --> 00:03:54,800 Speaker 2: the way, if you're sleep deprived, If you easily fall 75 00:03:54,840 --> 00:03:56,960 Speaker 2: asleep in the middle of the day, that means you're 76 00:03:57,000 --> 00:03:57,680 Speaker 2: sleep deprived. 77 00:03:58,080 --> 00:04:00,960 Speaker 1: Yeah, in mind, I have a screwed up sleep cycle, 78 00:04:01,080 --> 00:04:03,720 Speaker 1: as probably everybody on the Morning show, because we wake 79 00:04:03,800 --> 00:04:06,920 Speaker 1: up so damn early and then we don't have a 80 00:04:06,960 --> 00:04:08,560 Speaker 1: normal day. By the way, just to let you know, 81 00:04:09,160 --> 00:04:12,560 Speaker 1: last night I had because I'm sleep deprived, and I 82 00:04:12,600 --> 00:04:15,920 Speaker 1: remember this dream. I had the weirdest dream I've ever had. 83 00:04:15,960 --> 00:04:18,880 Speaker 1: And you were in it, Jim, You were in it, 84 00:04:18,960 --> 00:04:21,680 Speaker 1: and you know what, you could get arrested for what 85 00:04:21,720 --> 00:04:24,800 Speaker 1: you did. Do you know that they have to be 86 00:04:24,839 --> 00:04:30,040 Speaker 1: at least eighteen. You know that, don't you? Okay, boy, Yeah, 87 00:04:30,160 --> 00:04:35,640 Speaker 1: let's move on to this study that finds men need 88 00:04:35,680 --> 00:04:39,239 Speaker 1: twice as much exercise as women, and I have never 89 00:04:39,440 --> 00:04:44,240 Speaker 1: seen a study that in fact justifies a sex change 90 00:04:44,760 --> 00:04:52,599 Speaker 1: from male to female twice as much exercise. I mean, physiologically, 91 00:04:52,680 --> 00:04:54,040 Speaker 1: is it that much difference. 92 00:04:55,640 --> 00:04:58,080 Speaker 2: Apparently it is. I mean, is not the only study 93 00:04:58,120 --> 00:05:01,159 Speaker 2: that has shown this. So it's built on data that 94 00:05:01,360 --> 00:05:04,000 Speaker 2: shows that, you know, men need more to reduce their 95 00:05:04,000 --> 00:05:08,800 Speaker 2: cardiovascular risk. But you know, in this case, yeah, it 96 00:05:08,839 --> 00:05:11,200 Speaker 2: was a good study. I mean, they had two groups. 97 00:05:11,279 --> 00:05:15,920 Speaker 2: One was people with no cornerority disease and they looked 98 00:05:15,920 --> 00:05:18,040 Speaker 2: at them to see if they developed it. And the 99 00:05:18,560 --> 00:05:21,760 Speaker 2: second group where people with cornerority disease and they saw 100 00:05:21,880 --> 00:05:26,680 Speaker 2: they looked for how often they died. So in each situation, 101 00:05:26,839 --> 00:05:29,880 Speaker 2: it's still required twice as much work for the men 102 00:05:29,920 --> 00:05:32,600 Speaker 2: as the women, you know. And what they did was 103 00:05:32,640 --> 00:05:35,880 Speaker 2: they had accelerometers on them, you know, like the wearables, 104 00:05:36,120 --> 00:05:39,640 Speaker 2: so it's hard to tell intensity from that. So maybe 105 00:05:39,680 --> 00:05:41,279 Speaker 2: the guys just weren't working out as hard as the 106 00:05:41,279 --> 00:05:44,240 Speaker 2: women were for that period of time, or there's something 107 00:05:44,320 --> 00:05:47,200 Speaker 2: different about the sexes about how they process it. These 108 00:05:48,080 --> 00:05:52,520 Speaker 2: women were mostly in menopausal age, so there could be 109 00:05:52,640 --> 00:05:55,120 Speaker 2: hormonal differences. That's kind of the obvious place to go. 110 00:05:55,960 --> 00:05:58,920 Speaker 2: It's just hard to say, but definitely body of evidence 111 00:05:59,000 --> 00:06:01,200 Speaker 2: is mounting that men need a lot more exercise than 112 00:06:01,200 --> 00:06:03,040 Speaker 2: women to reduce their cardiovascular risk. 113 00:06:03,520 --> 00:06:06,120 Speaker 1: Yeah. Now, we spend a fair amount of time talking 114 00:06:06,160 --> 00:06:12,120 Speaker 1: about risk of death and diseases, et cetera, and I 115 00:06:12,160 --> 00:06:14,920 Speaker 1: always ask about the studies and because we always talk science, 116 00:06:15,800 --> 00:06:18,400 Speaker 1: because both you and I look at science and go 117 00:06:18,480 --> 00:06:20,800 Speaker 1: we have to have real studies here as opposed to 118 00:06:20,880 --> 00:06:23,760 Speaker 1: this anecdotal crap where people come up with and the 119 00:06:23,800 --> 00:06:27,000 Speaker 1: conspiracy theories go crazy with it. In terms of the 120 00:06:27,080 --> 00:06:32,920 Speaker 1: minimum amount of exercise that is generally accepted for a 121 00:06:33,040 --> 00:06:37,359 Speaker 1: fairly healthy lifestyle, fighting against stroke and heart attack, that 122 00:06:37,440 --> 00:06:40,719 Speaker 1: sort of thing, where is that inn and what kind 123 00:06:40,760 --> 00:06:43,000 Speaker 1: of exercise? How much time? How often? 124 00:06:44,920 --> 00:06:48,080 Speaker 2: Yeah, so basically just movement, you know, any movement you 125 00:06:48,120 --> 00:06:50,960 Speaker 2: can get and moving for at least you know, two 126 00:06:51,040 --> 00:06:53,359 Speaker 2: hundred minutes a week is kind of the recommendation of 127 00:06:53,400 --> 00:06:55,800 Speaker 2: this study. It showed women need about one hundred and 128 00:06:55,839 --> 00:06:58,320 Speaker 2: fifty minutes, men need about two hundred and fifty minutes. 129 00:06:58,400 --> 00:07:03,640 Speaker 2: So somewhere in that range per week of movement and 130 00:07:03,720 --> 00:07:05,920 Speaker 2: exercise and any activity is going to you know, get 131 00:07:05,920 --> 00:07:08,200 Speaker 2: you this, so you know, and the positive way to 132 00:07:08,200 --> 00:07:10,520 Speaker 2: look at the study is to say that, look, both 133 00:07:10,680 --> 00:07:14,800 Speaker 2: men and women reduce their cardiovascular risk by exercising, and 134 00:07:14,840 --> 00:07:18,080 Speaker 2: that's been proven again, so it really does work. 135 00:07:18,920 --> 00:07:23,840 Speaker 1: If someone follows all of the recommendations, eating properly and 136 00:07:24,840 --> 00:07:30,120 Speaker 1: obviously not smoking or drinking, and exercising and exercising your brain. 137 00:07:30,400 --> 00:07:32,880 Speaker 1: And I mean put all of that together, you're going 138 00:07:32,920 --> 00:07:34,800 Speaker 1: to live to two hundred and ninety six, aren't you. 139 00:07:36,800 --> 00:07:38,720 Speaker 2: Yeah, there's probably a high end limit. You're going to 140 00:07:38,800 --> 00:07:41,640 Speaker 2: live longer. But the more important thing than living longer, 141 00:07:41,880 --> 00:07:43,920 Speaker 2: I think, you know, having seen lots of people in 142 00:07:43,920 --> 00:07:47,840 Speaker 2: the hospital with poor quality of life, is it improves 143 00:07:47,840 --> 00:07:50,520 Speaker 2: your quality of life. So the years you do have 144 00:07:50,840 --> 00:07:53,280 Speaker 2: are that much better. You can enjoy them that much more. 145 00:07:53,280 --> 00:07:57,160 Speaker 2: You're not suffering from pain or exhaustion or you know, 146 00:07:57,320 --> 00:08:02,160 Speaker 2: mental fatigue, or you know, it reduces stress, anxiety, depression, 147 00:08:03,080 --> 00:08:06,679 Speaker 2: so many benefits from exercising that that whether you don't 148 00:08:06,760 --> 00:08:09,280 Speaker 2: live a year longer, it's going to improve your quality. 149 00:08:10,240 --> 00:08:12,880 Speaker 1: I had a doctor, my interness, who I had for 150 00:08:12,920 --> 00:08:16,160 Speaker 1: probably twenty years, who ended up disappearing. By the way, 151 00:08:16,240 --> 00:08:17,880 Speaker 1: no one knows where he went. I called one day 152 00:08:17,880 --> 00:08:20,760 Speaker 1: for an appointment, we don't know he's gone, which I 153 00:08:20,800 --> 00:08:23,880 Speaker 1: thought was kind of interesting. But he was very big 154 00:08:23,960 --> 00:08:27,600 Speaker 1: into quality of life. I mean seriously big to the 155 00:08:27,640 --> 00:08:30,080 Speaker 1: point where he goes, you know you have quality of life, Yeah, 156 00:08:30,080 --> 00:08:32,319 Speaker 1: I'll kill you. Yeah, and that's not a problem. I'll 157 00:08:32,360 --> 00:08:35,400 Speaker 1: be more than happy to now Was he serious? Who 158 00:08:35,440 --> 00:08:41,280 Speaker 1: the hell knows, Because doctors, especially when you're you know, 159 00:08:41,440 --> 00:08:44,800 Speaker 1: suffering end of life pain, that sort of thing, it's 160 00:08:44,840 --> 00:08:48,000 Speaker 1: not that difficult to sort of, you know, move the 161 00:08:48,880 --> 00:08:50,160 Speaker 1: procedure along, is it. 162 00:08:52,400 --> 00:08:54,240 Speaker 2: I mean, I don't think any of us are trying 163 00:08:54,240 --> 00:08:57,680 Speaker 2: to move, you know, expedite death, but we're trying to 164 00:08:57,720 --> 00:09:00,600 Speaker 2: make death comfortable. And I think that you know, when 165 00:09:00,600 --> 00:09:03,199 Speaker 2: you talk to pay lead of care experts because this 166 00:09:03,360 --> 00:09:08,600 Speaker 2: is their area, or people that manage hospice patients, the 167 00:09:08,679 --> 00:09:12,720 Speaker 2: goal there is comfort. And if you know, I've seen 168 00:09:13,040 --> 00:09:16,240 Speaker 2: or people are afraid to use certain medications because they 169 00:09:16,240 --> 00:09:18,560 Speaker 2: think it's going to hasten somebody's death, and it doesn't. 170 00:09:18,600 --> 00:09:22,920 Speaker 2: It Actually, once you relieve somebody's pain who's having difficulty breathing, 171 00:09:23,320 --> 00:09:26,840 Speaker 2: those pain medicines, you know, theoretically suppressed their breathing. But 172 00:09:27,120 --> 00:09:29,800 Speaker 2: I've watched them breathe easier because all of a sudden 173 00:09:29,840 --> 00:09:33,360 Speaker 2: the pain is gone. So I mean, we're not very 174 00:09:33,360 --> 00:09:35,439 Speaker 2: good at it. But this is a whole different topic. 175 00:09:35,800 --> 00:09:37,560 Speaker 1: Yeah, no, it is. It is, and it's something I 176 00:09:37,600 --> 00:09:42,880 Speaker 1: want to explore in terms of the hypocritical oath that 177 00:09:42,960 --> 00:09:47,280 Speaker 1: doctors take, and that is do no harm. I want 178 00:09:47,320 --> 00:09:50,200 Speaker 1: to talk about that next week and how far does 179 00:09:50,280 --> 00:09:53,640 Speaker 1: that go because I know of doctors who have told 180 00:09:53,679 --> 00:09:55,200 Speaker 1: me I don't know whether it's true or not they've 181 00:09:55,240 --> 00:09:58,200 Speaker 1: ever done it, but I know of doctors that would 182 00:09:59,000 --> 00:10:01,560 Speaker 1: hasten death because his life was so crappy and it 183 00:10:01,600 --> 00:10:04,160 Speaker 1: was just a lot of people ask for death. I mean, 184 00:10:04,200 --> 00:10:06,160 Speaker 1: a lot of people say, put me out of my misery. 185 00:10:07,040 --> 00:10:09,880 Speaker 1: I don't want to deal with this. And the concept 186 00:10:10,000 --> 00:10:14,720 Speaker 1: of a doctor being part of that formula, and we'll 187 00:10:14,720 --> 00:10:16,880 Speaker 1: talk about that, and I know it's not you and 188 00:10:16,960 --> 00:10:23,439 Speaker 1: it's not most doctors, but I know you have feelings 189 00:10:23,440 --> 00:10:26,760 Speaker 1: about that and some maybe you've done some thinking about that. 190 00:10:26,800 --> 00:10:28,760 Speaker 1: We'll pick that up next week because you plenty of 191 00:10:28,800 --> 00:10:30,640 Speaker 1: time to worm your way out of whatever you're thinking 192 00:10:30,679 --> 00:10:34,280 Speaker 1: that could get you in trouble. Jim, We'll talk again 193 00:10:34,520 --> 00:10:38,560 Speaker 1: next week. As always, Medical News doctor Jim Keaty, all right, 194 00:10:38,600 --> 00:10:41,680 Speaker 1: take care, Chief Medical Officer for Dignity Saint Mary Medical Senator, 195 00:10:41,760 --> 00:10:44,120 Speaker 1: Long Beach. Notice. I always end up with a death topic. 196 00:10:45,679 --> 00:10:52,000 Speaker 1: I am constantly just I'm so engaged in death. I 197 00:10:52,120 --> 00:10:55,760 Speaker 1: just like death, the whole topic of death and dead 198 00:10:55,800 --> 00:10:56,800 Speaker 1: people and all of that.