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Speaker 1: All right, Medical News with doctor Jim Keeney, Jim, chief

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Speaker 1: medical officer for Dignity Saint Mary Medical Center in Long Beach,

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Speaker 1: just back from the Olympics in Milan, Cortino. So Jim,

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Speaker 1: of course, how was it good time had by all?

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Speaker 2: Yeah, No, it was great, that's really fun. It was nice.

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Speaker 2: You know, the weather was good almost the whole time

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Speaker 2: we were there, only had like one day of rain,

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Speaker 2: beautiful blue skies when we were up in the in

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Speaker 2: the Alps. So it was great, nice trip.

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Speaker 1: Did you notice any well the health issues different how

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Speaker 1: how health is treated differently.

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Speaker 3: Maybe in Italy than you were, than they are in

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Speaker 3: the United States.

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Speaker 1: You know, for example, I know they have a really

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Speaker 1: big issue with pimples because they tend to slide off people.

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Speaker 1: That is horribly racist, by the way, never mind, let's

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Speaker 1: go in a different direction now, because of I have

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Speaker 1: had two heart surgeries, Jim, and of course you're aware

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Speaker 1: of this particular topic really interests me. And that's AI stethoscope.

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Speaker 1: Now that's kind of interesting. An AI tethoscope, stethoscope highly

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Speaker 1: accurate in detecting valvular heart disease.

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Speaker 3: Now that's v A L as opposed to vu L.

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Speaker 1: So Jim explain that how that works is there is

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Speaker 1: it a device itself on the stethoscope.

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Speaker 2: Yeah, So basically what you're doing is getting a audio

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Speaker 2: track of the actual heart sounds using a device similar

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Speaker 2: to a steleoscope, feeds that into an AI that's able

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Speaker 2: to interpret it. So as physicians, you know, we learn

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Speaker 2: about this, We learn about hearing the wishing sound. You know,

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Speaker 2: there's there's kind of two big types of valvular heart disease.

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Speaker 2: One is where it gets genoutic and meaning it gets

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Speaker 2: tight and small and you can hear the blood rushing

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Speaker 2: through the valve because it's been tight. The other one

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Speaker 2: is incompetent valves where they just are floppy and all

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Speaker 2: the sudden you hear the blood escaping past the valve

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Speaker 2: when it shouldn't be. And that's an art to learn

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Speaker 2: how to do that. I'll tell you it degrades over

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Speaker 2: time because you in medical school you may have a

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Speaker 2: lot of exposure to patients that have value lar heart disease,

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Speaker 2: and over time you're listening, you're listening and then and

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Speaker 2: then doctors just rushed through the physical exam. I know

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Speaker 2: in the er we often rush through the physical exam,

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Speaker 2: and you don't take that time to hear it, to

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Speaker 2: ask the patient to do different maneuvers where they strain

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Speaker 2: or bear down that might amplify those sounds. So these

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Speaker 2: are frequently missed on physical exam using a stethoscope. Okay,

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Speaker 2: so I can pick up the AI can pick up

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Speaker 2: not just those little wish sounds they pick up. It

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Speaker 2: picks up every intonation that gives it the clue and

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Speaker 2: has learned better than the human ear to detect it.

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Speaker 1: All right, So this is not diagnosis, This is just

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Speaker 1: measuring and then you take the information.

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Speaker 3: Do I have that right?

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Speaker 2: Yeah? I mean the gold standard diagnosis is an ultrasound,

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Speaker 2: which is still sound waves, but it's an ultrasound machine

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Speaker 2: that we can see the you know. It turns it

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Speaker 2: into a visual cue that we can actually see the

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Speaker 2: blood either jetting through because it's smaller stenotic, or escaping

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Speaker 2: backwards because the valve is incoonfident. So that's the gold standard.

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Speaker 2: But how do you get to that. You have to

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Speaker 2: have a doctor who says, hey, I think you might

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Speaker 2: have valgular heart disease. We should send you for an ultrasound.

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Speaker 2: Right in your case, I think it was a pre

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Speaker 2: wasn't it a pre op evaluation? They said, go get

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Speaker 2: an echo cardiogram and they discovered it kind of incidentally.

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Speaker 3: Oh absolutely, well.

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Speaker 1: Actually it was my physician who has been my doctor

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Speaker 1: for twenty five years and so he knew me pretty well.

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Speaker 1: And I was born with a heart murmur. I've always

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Speaker 1: had one. And one day he is going for a

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Speaker 1: physical and he puts on the stethoscope on my back

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Speaker 1: and he said, Bill, it's no longer a mur. It

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Speaker 1: is now allowed conversation. You're going to see a cardiologist.

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Speaker 1: And I went and yep. She did an angigram actually,

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Speaker 1: and to see what was going on or to for

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Speaker 1: some kind of blockage it.

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Speaker 3: It was just the aortic valve. That's it. And they

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Speaker 3: replaced it, and so I was actually, oh, yeah.

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Speaker 2: But discovering it then is so is critical because what

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Speaker 2: happens is this extra strain on your heart can actually

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Speaker 2: cause damage to the heart muscle itself. So early diagnosis

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Speaker 2: and getting it fixed in a timely manner, you know,

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Speaker 2: it's not an emergency. You don't have to be rushed

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Speaker 2: to surgery that day, typically unless it's like sometimes the

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Speaker 2: valve will go completely incompetent because of a heart attack

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Speaker 2: and it just falls apart essentially. But usually this is

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Speaker 2: something you can schedule and if you get it done

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Speaker 2: before it actually causes this silent damage to the heart

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Speaker 2: where you start actually getting symptoms, that's that's the best

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Speaker 2: time to intervene.

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Speaker 3: Uh yeah.

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Speaker 1: In my case, after my valve replacement, my heart was

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Speaker 1: the healthiest it's ever been ever since birth because there

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Speaker 1: was no murmur anymore, and it was it was kind

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Speaker 1: of neat. And then I had another one because Kaiser

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Speaker 1: almost killed me. But that's besides the point.

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Speaker 3: Okay.

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Speaker 1: Doctor Jim Keiney is with this every Wednesday at eight thirty.

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Speaker 1: Jim is a chief medical officer for Dignity Saint Mary

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Speaker 1: Medical Center in Long Beach.

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Speaker 3: Jim, I want to go in another.

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Speaker 1: Direction, So I'm sorry, but pitching one direction and going

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Speaker 1: in another. But the neuro virus at the Winter Olympics,

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Speaker 1: now I did I would not have connected the two.

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Speaker 3: Explain this, would you please?

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Speaker 2: Sure?

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Speaker 1: So?

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Speaker 2: I mean people have heard of neurovirus usually related cruise ships.

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Speaker 2: So there's that nasty virus that goes around, very contagious,

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Speaker 2: easy to get. You need to need a very small

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Speaker 2: viral load to be exposed to to get sick from it.

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Speaker 2: It's the one that causes vomiting, diarrhea, stomach cramps. You

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Speaker 2: feel miserable for about forty eight to seventy two hours. Right.

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Speaker 2: The problem with neurovirus is that then once you get back,

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Speaker 2: you're still shedding the virus for up to a week afterwards.

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Speaker 2: So people that feel better are now out and about

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Speaker 2: and they're spreading it and giving it to people. It

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Speaker 2: doesn't it isn't killed by the alcohol, you know, stuff

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Speaker 2: that we use to wash our hands or to clean

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Speaker 2: our hands. You need to really use soap and water

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Speaker 2: to get rid of it. Leach is the most effective

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Speaker 2: way to get rid of it off surfaces, and then

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Speaker 2: like the things that you can't bleach scheme, cleaning is

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Speaker 2: the only way to kill it. So it did start

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Speaker 2: going around the Olympic village with women's hockey team, and

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Speaker 2: they identified it rapidly, very quickly isolated them and they

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Speaker 2: delayed their games so that they could recover from it.

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Speaker 2: And it has so far it doesn't seem to have spread.

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Speaker 2: But an Olympic village with you know, thousands of participants

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Speaker 2: all living in close quarters is the ideal set up

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Speaker 2: just like a cruise ship.

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Speaker 3: Yeah.

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Speaker 1: Now, I'm assuming that there's a huge difference between the

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Speaker 1: enurovirus spreading at the Olympics because these are extraordinarily healthy

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Speaker 1: young people who I'm assuming their immune system is at

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Speaker 1: the top of their game, versus older people that do

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Speaker 1: the cruises, because older people do cruises.

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Speaker 2: Yeah, I mean, yeah, so no, it's so you're I

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Speaker 2: think your likelihood of getting it might be just about

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Speaker 2: equal or close to equal, because again, this is the

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Speaker 2: highly contagious virus. But the difference is how it impacts you.

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Speaker 2: I mean, an Olympic athlete can recover in a few days.

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Speaker 2: Now will they that's the question. Will they be recovered

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Speaker 2: all the way back to Olympic athlete status in a

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Speaker 2: couple of days. Being dehydrated or you know, low nutritional status,

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Speaker 2: They're going to have to recover a bit, but they

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Speaker 2: recover much better than the cruises. And boy, you know that,

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Speaker 2: I learn about older people or people just in horrible

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Speaker 2: shape in general choosing cruises as their vacation method was

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Speaker 2: during you know, COVID when we took care of the

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Speaker 2: cruise ship people, and man, I've never seen so many

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Speaker 2: people in need of medical care. Oh yeah, I.

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Speaker 1: Mean we were we were talking during that time, and

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Speaker 1: you were part.

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Speaker 3: Of taking bodies off of the ship.

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Speaker 1: I mean it was crazy, uh that Yeah, But I

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Speaker 1: was on a ship, so you know, thank goodness, I

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Speaker 1: was fine.

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Speaker 2: Yeah. Even the people we were quarantining that didn't have

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Speaker 2: COVID were like hanging by a thread. You know, it

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Speaker 2: was it was crazy.

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Speaker 3: Yeah.

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Speaker 1: One of the things that I remember you saying was

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Speaker 1: that once someone is on a ventilator during COVID times,

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Speaker 1: they were gone, just gone, And that that really struck

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Speaker 1: me big time.

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Speaker 3: Okay, all right, we're done.

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Speaker 1: We're done. I'm glad real quickly. How many events did

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Speaker 1: you go to at the Olympics.

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Speaker 2: I wuch about four?

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Speaker 3: All right, yeah, well you and I will talk.

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Speaker 1: We have to get together and we were going to

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Speaker 1: do a topic about fasting and how you fast personally.

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Speaker 1: You don't fast when we eat lunch, Jim Man, you're

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Speaker 1: very impressive when you eat lunch with me. All Right,

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Speaker 1: we'll talk again, Jim, Thank you, welcome back.

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Speaker 2: Thanks