Latest / The Bill Handel Show / Hillside Homeless Encampments | ‘Medical News’ with Dr. Jim Keany

Transcript

Hillside Homeless Encampments | ‘Medical News’ with Dr. Jim Keany · The Bill Handel Show

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Speaker 1: You're listening to Bill Handle on demand from KFI AM
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Speaker 1: six forty.
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Speaker 2: A homeless night. It's just come home less than a
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Speaker 2: bight to the It's not a homeless night, it's just
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Speaker 2: come homeless, Bright Am six forty.
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Speaker 3: Bill Handle here, good morning, on a Wednesday morning, February eighteenth.
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Speaker 3: Today at noon, it is the second day of our
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Speaker 3: new program here on KFI Monks and Merrill Chris Merrill
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Speaker 3: and Michael Monks from twelve to three. A new lineup
0:34
Speaker 3: in terms of not only Monks and Merrill, but also
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Speaker 3: the times we stay put, we don't move, but Gary
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Speaker 3: and Shannon go from nine to noon, Monks and Merrill.
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Speaker 2: Go from twelve to three.
0:46
Speaker 3: John Cobil comes board, he's now three to six, and
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Speaker 3: you've got Tim Conway who is from six to ten
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Speaker 3: o'clock back to his original evening time. Now quick, I
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Speaker 3: want to share with you a basic tenant of law
1:00
Speaker 3: law which a lot of people don't realize. Suing a
1:04
Speaker 3: government is something that the government has to allow you
1:09
Speaker 3: to sue, for example, the federal government. It is sovereign
1:15
Speaker 3: and you cannot sue the sovereign without the sovereign saying
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Speaker 3: it's okay to sue me. And the way it works
1:23
Speaker 3: in the United States, for example, is unless the government
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Speaker 3: gives us the right the ability to sue, the answer
1:31
Speaker 3: is no.
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Speaker 2: Here's an example, and this is the way it usually
1:34
Speaker 2: breaks down.
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Speaker 3: When it's a governmental process that goes on unless there
1:39
Speaker 3: is a change judicially or there is a change legislatively,
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Speaker 3: a governmental process you can't sue. In other words, a
1:47
Speaker 3: government enforcing the law, you can't sue them. However, if
1:52
Speaker 3: they're not doing a governmental process, then you can sue
1:57
Speaker 3: them if it's non proprietary to the government. Well explain,
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Speaker 3: because I know that was a little bit wonky and
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Speaker 3: it made no sense to me either. Suing the US
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Speaker 3: government for enforcing laws you generally can't do. Suing the
2:11
Speaker 3: government because someone slips and falls in a parking lot
2:15
Speaker 3: next to a federal building, you can sue because that's
2:19
Speaker 3: not a federal it's not a federal endeavor. It's a
2:24
Speaker 3: parking lot that they happen to be running. That's not
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Speaker 3: a national issue. So the government allows itself to be sued.
2:33
Speaker 3: That's the way it works. I don't know if that
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Speaker 3: made any sense. I know it made sense to me.
2:36
Speaker 3: I just didn't do a brilliant job of explaining that.
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Speaker 3: In any case, let's go to the City Council of
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Speaker 3: Los Angeles. The city council wants to remove homeless encampments
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Speaker 3: from hillside areas at severe risk of fire, even without
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Speaker 3: the property owners permission.
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Speaker 2: So let me get through this.
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Speaker 3: On city streets under when you talk about freeway encampments
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Speaker 3: under bridges, city has every right in the world to
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Speaker 3: throw people out. Private property is a different animal. Without
3:10
Speaker 3: the permission of the owner of the property, the city
3:13
Speaker 3: really can't go in there. And so what it's doing
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Speaker 3: is now giving itself the right to do it.
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Speaker 2: Otherwise it wouldn't have to.
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Speaker 3: So the city Council is saying, we're going to pass
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Speaker 3: an amendment to the charter, to the Municipal Code that
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Speaker 3: gives us the ability to ignore property owners rights to
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Speaker 3: go in and clean out encampments on property on private property.
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Speaker 3: And why is that Well, because where do you think
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Speaker 3: so many of the fires come from. Where do you
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Speaker 3: think the explosion of fires they come from encampments. Because
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Speaker 3: a number of homeless people has exploded, the number of
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Speaker 3: encampments have exploded, and they all live right next door
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Speaker 3: to Neil, which is fine for me, so they don't
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Speaker 3: live next door to me, and I have no problem
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Speaker 3: with that. Cal Fire has added two point eight million
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Speaker 3: Californians to the fire has THEIRD zones. Rubbish fire related
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Speaker 3: to homeless encampments have skyrocketed, and I mean skyrocketed. Between
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Speaker 3: twenty eighteen and twenty twenty four, thirty three percent of
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Speaker 3: all the fires, more than forty percent of rubbish fires
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Speaker 3: involved homeless and the.
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Speaker 2: Council person Rodriguez, who.
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Speaker 3: Introduced this measure, said the city is often left flat
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Speaker 3: footed when encampments pop up on hillsides because the property
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Speaker 3: owners don't help.
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Speaker 2: They don't care. I mean if it is a piece
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Speaker 2: of vacant land, who cares?
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Speaker 3: So it is often difficult for city departments, including police
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Speaker 3: and fire to get permission. They need permission to go
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Speaker 3: into those on that property. Back again, we go that
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Speaker 3: a government only allows itself to be sued by law. Okay,
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Speaker 3: it could take weeks to determine who is the property owner.
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Speaker 3: So cal Fire is a new map, new map for
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Speaker 3: fire hazard zones in southern California, and it's just added
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Speaker 3: three and a half million acres. Fire has THEIRD zones,
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Speaker 3: increasing that by increasing the acreage by.
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Speaker 2: Twenty six percent. So here's the bottom line.
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Speaker 3: If you happen to be homeless, and there are many
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Speaker 3: people who are, and it is in the depths of winter,
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Speaker 3: even though we don't get much cold, but there are
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Speaker 3: days when it's very, very cold. Let me suggest you
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Speaker 3: either take a bus or hitchhike or a ride to
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Speaker 3: Neil's house where he is surrounded by homeless encampments and
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Speaker 3: it is nice and toasty warm. You stave a lot
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Speaker 3: of money, don't you on power, Neil, because all of
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Speaker 3: the fires around you produce a fair amount of warmth.
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Speaker 2: I can't hear you. You don't have the mic on.
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Speaker 2: We don't need to heat, that's true.
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Speaker 1: You have the residual heat from all the hobo fires
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Speaker 1: keeps you nice and warm.
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Speaker 2: Yeah, that's true.
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Speaker 3: By the way, as much as I make jokes about that, Neil,
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Speaker 3: the closest encampment to your house is how far.
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Speaker 2: Uh oh? For real? Block? A block? No joke about
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Speaker 2: a block, I know, No, I know that. That's why
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Speaker 2: I bring it up. You know what's even crazier is
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Speaker 2: that is that you're moving into it.
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Speaker 1: No, you can find them easily within five hundred feet
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Speaker 1: of a school, which they're not supposed to be either.
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Speaker 2: That's correct.
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Speaker 3: That's it's pretty crazy, but you know, overwhelming, overwhelming.
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Speaker 2: All right.
6:42
Speaker 3: By the way, did I make any sense at all
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Speaker 3: about the initial part of that segment about the government
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Speaker 3: suing itself or allowing itself to be sued?
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Speaker 2: Did anybody understand that.
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Speaker 1: Because I get official, if it's not official, uh, if
6:54
Speaker 1: it's not official government business, that can be sued. The
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Speaker 1: parking lot illustration made perfect sense to me.
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Speaker 2: Good, okay, good, I feel better now, all right now.
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Speaker 3: The president President Trump, when he was campaigning, said that
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Speaker 3: day one he would cut prices in half, that our price,
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Speaker 3: the cost of living would be cut by half.
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Speaker 2: Well, I don't know how many people believe that. Maybe
7:21
Speaker 2: some MAGA supporters did. So come on.
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Speaker 3: You know, there's stuff that he does promise that he
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Speaker 3: comes through, and then there's stuff that's just insane. The
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Speaker 3: other one that's just insane happens to be with the
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Speaker 3: oil in Venezuela where he arrested Maduro. If you remember that,
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Speaker 3: there was an attack and there was an invasion where
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Speaker 3: Maduro and his wife were arrested, and now he is
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Speaker 3: dealing with the same government. It's just the vice president
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Speaker 3: has become the president Darcy Rigas, Rigas, nothing has changed now.
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Speaker 3: One of the things he did and said is we
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Speaker 3: are going to take the oil revenue from venezuel We
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Speaker 3: are going to take it and sell it and we
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Speaker 3: are going to rebuild the industry in Venezuela. Yeah, easier
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Speaker 3: said than done. Venezuela's oil industry. The infrastructure has collapsed.
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Speaker 3: There's nothing there. It's pipelines that have broken, its oil
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Speaker 3: wells that have rusted through.
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Speaker 2: There is no way.
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Speaker 3: It's going to take billions of dollars and experts are
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Speaker 3: estimating up to two hundred billion dollars and probably a
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Speaker 3: decade for this to happen, and a lot of people
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Speaker 3: saying it's just not going to happen at all. It's
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Speaker 3: it's just impossible to do at this level now. To
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Speaker 3: give you a stat back in the seventies, Venezuela was
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Speaker 3: pumping three and a half million barrels a day and
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Speaker 3: that was the primary source of revenue and Caracas, Venezuela,
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Speaker 3: the capital, was considered and was described as the Paris
9:03
Speaker 3: of South America. Gorgeous city wide boulevards, it was, it
9:09
Speaker 3: was just spectacular. Well today it's not the case today.
9:15
Speaker 3: It is a literally a skeleton of what it was.
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Speaker 2: Someone have to mute.
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Speaker 3: In any case, what has happened is that they now
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Speaker 3: are under a million barrels of oil, and the cost
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Speaker 3: of oil, the sales price of oil goes up.
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Speaker 2: And down, and it's in the seventies.
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Speaker 3: It was much lower. It is the but inflation has
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Speaker 3: killed it. Venezuela is broke, I mean completely broke. They
9:46
Speaker 3: have absolutely no money to buy anything. A few at
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Speaker 3: the very top that control the economy, it's always the case,
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Speaker 3: and the rest are doing just great, and the rest
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Speaker 3: are the economy and the population decimated.
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Speaker 2: Inflation is out of control.
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Speaker 3: People can't eat eat country as what thirty million people,
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Speaker 3: seven million of them have left. The brain drain is incredible,
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Speaker 3: and the president says it's all going to come back.
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Speaker 2: Well, that's on the same level.
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Speaker 3: Of food is a half price now than it was
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Speaker 3: the day that Joe Biden left the office and President
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Speaker 3: Trump became the president.
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Speaker 2: The food is half price, right.
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Speaker 3: Venezuelan oil will in fact start flowing once again.
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Speaker 2: Nope.
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Speaker 3: And there was a meeting of the executives of the
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Speaker 3: oil companies. The CEO of the oil companies that the
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Speaker 3: president called for and one of the CEOs he's only
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Speaker 3: when they had any balls, the president of or the
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Speaker 3: CEO of Excellent when the President said, you are all
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Speaker 3: of you talking to the oil companies are going to
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Speaker 3: invest in Venezuela. Ye, mister President, Yes, mister President, Yes,
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Speaker 3: mister President. The CEO of Exellen says that country, that
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Speaker 3: oil industry is uninvestible. You cannot put money into that.
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Speaker 3: Venezuela has nationalized the oil industry twice. American companies came in,
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Speaker 3: built this huge infrastructure, Chavez comes in and nationalizes it.
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Speaker 3: It's all now owned by Venezuela. Get the hell out. Well,
11:31
Speaker 3: the laws were changed, oil companies came back and guess what,
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Speaker 3: nationalized again.
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Speaker 2: I may have the dates wrong, but that did happen twice.
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Speaker 3: So you have this CEO saying, wait a minute, we're
11:45
Speaker 3: not going to go in for a third time. That
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Speaker 3: is not going to happen. Well, you can't say no
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Speaker 3: to the president's yes. So now he has been ostracized.
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Speaker 3: He is now an enemy of the president because he
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Speaker 3: has gone against the president's philosophy and statement. And you're
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Speaker 3: going to see Venezuela has become a third world country.
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Speaker 3: He used to be a first world country. I was there,
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Speaker 3: lucky enough to have gone in its heyday.
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Speaker 2: What a gorgeous city.
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Speaker 3: Now it's the same as going to the poorest country
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Speaker 3: in Africa. I mean, people don't have food. Inflation is
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Speaker 3: out of control. People who used to work in the
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Speaker 3: oil industry, and I'm talking about well paid engineers and technicians.
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Speaker 3: Now we're out there trying to They're selling apples on
12:37
Speaker 3: the street.
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Speaker 2: They're doing what they can and it's a heartbreaker.
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Speaker 3: And this is what happened when you have a communist,
12:45
Speaker 3: socialist government that comes in and all they do is
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Speaker 3: promise food for the masses. Now fair that the government
12:54
Speaker 3: did not take care of its people very well when
12:57
Speaker 3: the oil industry was at its peak.
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Speaker 2: So what do you do well? Is it too late?
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Speaker 4: Yeah?
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Speaker 2: Probably? Yeah, And you have the same government. That's the problem.
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Speaker 3: They arrest Maduro to overthrow the government, and guests who
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Speaker 3: comes in the vice president with the same people, exactly
13:17
Speaker 3: the same people.
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Speaker 2: All right. Medical News with doctor Jim Keeney, Jim.
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Speaker 3: Chief medical officer for Dignity Saint Mary Medical Center in
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Speaker 3: Long Beach, just back from the Olympics in Milan Cortino. So, Jim,
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Speaker 3: of course, how was it good time had by all?
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Speaker 4: Yeah, I know it was great. That's really fun. It
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Speaker 4: was nice. You know, the weather was good almost the
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Speaker 4: whole time we were there, only had like one day
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Speaker 4: of rain, beautiful blue skies when we were up in
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Speaker 4: the in the Alps. So it was great, nice trip.
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Speaker 3: Did you notice any well the health issues different how
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Speaker 3: how health is treated differently.
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Speaker 2: Maybe in Italy than you were than they are the
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Speaker 2: United States.
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Speaker 3: You know, for example, I know they have a really
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Speaker 3: big issue with pimples because they tend to slide off people.
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Speaker 3: That is horribly racist, by the way, never mind, let's
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Speaker 3: go in a different direction now, because of I have
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Speaker 3: had two heart surgeries, Jim, and of course you're aware
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Speaker 3: of this particular topic really interests me. And that's AI stethoscope.
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Speaker 3: Now that's kind of interesting. An AI tethoscope, stethoscope highly
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Speaker 3: accurate in detecting valvular heart disease.
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Speaker 2: Now that's v A L as opposed to VU L.
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Speaker 3: So Jim, explain that how that works is there is
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Speaker 3: it a device itself on the stethoscope.
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Speaker 4: Yeah, So basically what you're doing is getting a audio
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Speaker 4: track of the actual heart sounds using a device similar
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Speaker 4: to a stethoscope, feeds that into an AI that's able
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Speaker 4: to interpret it. So as physicians, you know, we learn this,
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Speaker 4: We learn about hearing the wishing sound. You know, there's
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Speaker 4: there's kind of two big types of valvular heart disease.
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Speaker 4: One is where you gets genautic and meaning it gets
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Speaker 4: tight and small and you can hear the blood rushing
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Speaker 4: through the valve because it's been tight. The other one
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Speaker 4: is incompetent valves where they just are floppy and all
15:19
Speaker 4: of a sudden you hear the blood escaping past the
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Speaker 4: valve when it shouldn't be. And that's an art to
15:24
Speaker 4: learn how to do that. I'll tell you it degrades
15:28
Speaker 4: over time because you in medical school you may have
15:30
Speaker 4: a lot of exposure to patients that have valular heart disease,
15:34
Speaker 4: and over time you're listening, you're listening, and then and
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Speaker 4: then doctors just rushed through the physical exam. I know
15:39
Speaker 4: in the er we often rush through the physical exam
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Speaker 4: and you don't take that time to hear it, to
15:46
Speaker 4: ask the patient to do different maneuvers where they strain
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Speaker 4: or bear down that might amplify those sounds. So these
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Speaker 4: are frequently missed on physical exam using a stethoscope. But
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Speaker 4: uph the AI can pick up not just those little
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Speaker 4: wish sounds they pick up. It picks up every intonation
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Speaker 4: that gives it the clue and has learned better than
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Speaker 4: the human ear to detect it.
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Speaker 3: All right, So this is not diagnosis, This is just
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Speaker 3: measuring and then you take the information.
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Speaker 2: Do I have that right?
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Speaker 4: Yeah? I mean the gold standard diagnosis is an ultrasound,
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Speaker 4: which is still sound waves, but it's an ultrasound machine
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Speaker 4: that we can see the you know, it turns it
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Speaker 4: into a visual cue that we can actually see the
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Speaker 4: blood either jetting through because it's smaller stenotic, or escaping
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Speaker 4: backwards because the valve is incoonfident. So that's the gold standard.
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Speaker 4: But how do you get to that. You have to
16:43
Speaker 4: have a doctor who says, hey, I think you might
16:45
Speaker 4: have valular heart disease. We should send you for an ultrasound.
16:48
Speaker 4: Right in your case, I think it was a pre
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Speaker 4: wasn't it a pre op evaluation? They said go get
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Speaker 4: an echo cardiogram and they discovered it kind of incidentally.
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Speaker 3: Oh absolutely, Well, Actually it was my Phossy, who has
17:01
Speaker 3: been my doctor for twenty five years and so he
17:04
Speaker 3: knew me pretty pretty well. And I was born with
17:08
Speaker 3: a heart murmur. I've always had one. And one day
17:12
Speaker 3: he is going for a physical and he puts the
17:16
Speaker 3: stethoscope on my back and he said, Bill, it's no
17:19
Speaker 3: longer a murmur. It is now a loud conversation. You're
17:22
Speaker 3: going to see a cardiologist. And I went and yep.
17:27
Speaker 3: She did an angigram actually and to see what was
17:31
Speaker 3: going on or for some kind of blockage, and it
17:34
Speaker 3: was just the aortic valve.
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Speaker 2: That's it. And they replaced it, and so I was
17:37
Speaker 2: actually go ahead.
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Speaker 4: But discovering it then is so is critical because what
17:43
Speaker 4: happens is is this extra strain on your heart can
17:45
Speaker 4: actually cause damage to the heart muscle itself. So early
17:49
Speaker 4: diagnosis and getting it fixed in a timely manner, you know,
17:52
Speaker 4: it's not an emergency. You don't have to be rushed
17:54
Speaker 4: to surgery that day, typically unless it's like sometimes the
17:57
Speaker 4: valve will go completely incompetent because of a heart attack
18:00
Speaker 4: and then just fall apart essentially. But usually this is
18:03
Speaker 4: something you can schedule and if you get it done
18:05
Speaker 4: before it actually causes this silent damage to the heart
18:08
Speaker 4: where you start actually getting symptoms, that's that's the best
18:12
Speaker 4: time to intervene.
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Speaker 3: Yeah, in my case, after my valve replacement, my heart
18:17
Speaker 3: was the healthiest it's ever been ever since birth because
18:21
Speaker 3: there was no murmur anymore, and it was it was
18:25
Speaker 3: kind of neat. And then I had another one because
18:27
Speaker 3: Kaiser almost killed me. But that's besides the point.
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Speaker 2: Okay.
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Speaker 3: Doctor Jim Keeney is with this every Wednesday at eight thirty.
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Speaker 3: Jim is a chief medical officer for Dignity Saint Mary
18:37
Speaker 3: Medical Center in Long Beach.
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Speaker 2: Jim, I want to go in another.
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Speaker 3: Direction, So I'm sorry about pitching one direction and going
18:44
Speaker 3: in another. But the neuro virus at the Winter Olympics,
18:48
Speaker 3: now I did, I would not have connected the two.
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Speaker 2: Explain this, would you please?
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Speaker 4: Sure? So? I mean people have heard of the neurovirus
18:57
Speaker 4: usually related cruise ships. That nasty virus that goes around,
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Speaker 4: very contagious, easy to get. You need to need a
19:04
Speaker 4: very small viral load to be exposed to to get
19:08
Speaker 4: sick from it. It's the one that causes vomiting, diarrhea,
19:11
Speaker 4: stomach cramps. You feel miserable for about forty eight to
19:14
Speaker 4: seventy two hours. Right. The problem with neurovirus is that
19:18
Speaker 4: then once you get better, you're still shedding the virus
19:21
Speaker 4: for up to a week afterwards. So people that feel
19:24
Speaker 4: better are now out and about and they're spreading it
19:27
Speaker 4: and giving it to people. It doesn't it isn't killed
19:30
Speaker 4: by the alcohol stuff that we use to wash our
19:33
Speaker 4: hands or to clean our hands. You need to really
19:35
Speaker 4: use soap and water to get rid of it. Leach
19:38
Speaker 4: is the most effective way to get rid of it
19:39
Speaker 4: off surfaces, and then like the things that you can't
19:42
Speaker 4: bleach scheme, cleaning is the only way to kill it.
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Speaker 4: So it did start going around the Olympic village with
19:50
Speaker 4: women's hockey team, and they identified it rapidly, very quickly,
19:55
Speaker 4: isolated them and they delayed their game so that they
19:58
Speaker 4: could recover from it. And it has so far, it
20:02
Speaker 4: doesn't seem to have spread. But an Olympic village with
20:05
Speaker 4: you know, thousands of participants all living in close quarters
20:07
Speaker 4: is the ideal set up, just like a cruise ship.
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Speaker 2: Yeah.
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Speaker 3: Now, I'm assuming that there's a huge difference between the
20:14
Speaker 3: neuro virus spreading at the Olympics because these are extraordinarily
20:18
Speaker 3: healthy young people who I'm assuming their immune system is
20:22
Speaker 3: at the top of their game versus older people that
20:26
Speaker 3: do the cruises.
20:28
Speaker 2: Because older people do cruises.
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Speaker 4: Yeah, I mean yeah, so no, it's so you're I
20:36
Speaker 4: think your likelihood of getting it might be just about
20:39
Speaker 4: equal or close to equal, because again, this is a
20:42
Speaker 4: highly contagious virus. But the difference is how it impacts you.
20:46
Speaker 4: I mean, an Olympic athlete can recover in a few days.
20:49
Speaker 4: Now will they that's the question. Will they be recovered
20:51
Speaker 4: all the way back to Olympic athlete status in a
20:54
Speaker 4: couple of days. Being dehydrated or you know, low nutritional status,
20:58
Speaker 4: they're going to have to recover a bit, but they
21:00
Speaker 4: recover much better than the cruises. And boy, you know
21:04
Speaker 4: that I learn about older people or people just in
21:08
Speaker 4: horrible shape in general choosing cruises as of their vacation.
21:12
Speaker 4: Method was during you know, COVID, when we took care
21:14
Speaker 4: of the cruise ship people, and man, I've never seen
21:17
Speaker 4: so many people in need of medical care.
21:21
Speaker 3: Oh yeah, I mean we were we were talking during
21:24
Speaker 3: that time, and you were part.
21:26
Speaker 2: Of picking bodies off of the ship. I mean it
21:29
Speaker 2: was crazy that yeah, but I was on a ship,
21:33
Speaker 2: so you know, Thank goodness, I was fine.
21:36
Speaker 4: Yeah. Even the people we were quarantining that didn't have
21:39
Speaker 4: COVID were like hanging by a thread, you know, it was.
21:43
Speaker 4: It was crazy.
21:44
Speaker 2: Yeah.
21:44
Speaker 3: One of the things that I remember you saying was
21:48
Speaker 3: that once someone is on a ventilator during COVID times,
21:52
Speaker 3: they were gone, just gone, and that that really struck
21:57
Speaker 3: me big time. Okay, yeah, all right, we're done. We're done.
22:02
Speaker 3: I'm glad real quickly. How many events did you go
22:04
Speaker 3: to at the Olympics?
22:06
Speaker 4: Much about four four lanky?
22:09
Speaker 2: All right, yeah, Well, you and I will talk.
22:11
Speaker 3: We have to get together and we were going to
22:14
Speaker 3: do a topic about fasting and how you fast personally.
22:20
Speaker 3: You don't fast when we eat lunch, Jim Man, you're
22:23
Speaker 3: very impressive when you eat lunch with me. All Right,
22:27
Speaker 3: we'll talk again, Jim, Thank you, welcome back. Thanks you've
22:31
Speaker 3: been listening to The Bill Handle Show. Catch My show
22:33
Speaker 3: Monday through Friday six am to nine am, and anytime
22:37
Speaker 3: on demand on the iHeartRadio app.