Latest / The Bill Handel Show / Boomers & iPads | ‘Medical News’ with Dr. Jim Keany

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Boomers & iPads | ‘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: Five bill Handle Here.
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Speaker 3: It is a Wednesday morning Hoopday, Wednesday, March eighteenth, which
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Speaker 3: means that the bottom of the hour, Jim Kinney joins
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Speaker 3: us for a medical segment, and the news that we're
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Speaker 3: following Iran's Minister of Intelligence Ismael Kattib. He has just
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Speaker 3: been taken out by the Israelis. There's another one that
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Speaker 3: is no longer with us, so we'll see what happened.
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Speaker 3: And then the war continues. And the argument is, or
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Speaker 3: the accusation is that the Trump administration did not anticipate
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Speaker 3: underestimated Iran, and that seems to be more of the case. Okay,
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Speaker 3: I'm going to tell you about some people here. Phones
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Speaker 3: never leaving their palms, constant companion, distracting, comes to family dinners,
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Speaker 3: nights out with friends, restaurant sutings. There's the phone there.
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Speaker 3: It is in your hand and devours hours at a time.
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Speaker 3: So which group of people do you think I'd be
1:08
Speaker 3: talking about gen zers, millennials? Nope, I am talking about
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Speaker 3: ARP members, boomers, people my age, not anyone whose birth
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Speaker 3: year starts with a two. Not even close. Social media use.
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Speaker 3: Media use is growing among people sixty five or older
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Speaker 3: from eleven percent and twenty ten to forty five twenty
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Speaker 3: twenty one, and then it just goes straight up from there.
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Speaker 3: I mean, the bottom line is old people like computers
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Speaker 3: and tablets and iPads and technology and devices as much
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Speaker 3: as anybody, and in some cases more so because there's
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Speaker 3: more of a reason for them to use it. Okay,
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Speaker 3: October survey adults fifty and older spend twenty two hours
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Speaker 3: per week on their devices. Adult sixty five and up
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Speaker 3: spend nearly twice as much time on YouTube, for example,
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Speaker 3: as they did two years earlier. A twenty twenty five
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Speaker 3: Nielsen study newly retired or more likely than people under
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Speaker 3: twenty five to own tablets, laptops and smart TVs, and
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Speaker 3: only repeat that newly retired are more likely than people
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Speaker 3: under twenty five to own tabolists, laptops, smart TVs. So
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Speaker 3: you've got phone addiction during retirement big time. Also coinciding
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Speaker 3: with cognitive decline, so probably takes you five times longer
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Speaker 3: to figure out what's going on.
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Speaker 2: How did all this start? I mean, when did this happen? Actually?
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Speaker 3: The pandemic, you know, when the pandemic came. We talked
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Speaker 3: about how it's going to take us years and years
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Speaker 3: to understand the influence the pandemic had. It's one of
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Speaker 3: the greatest influences, not great in terms of wonderful, one
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Speaker 3: of the biggest influences that we've had. Okay, religious services,
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Speaker 3: craft circles, book clubs, doctor appointments, family reunions all went online,
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Speaker 3: as did the retired folks navigating telehealth appointments.
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Speaker 2: I just did that.
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Speaker 3: You know, I had my colonoscopy, but before that, I
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Speaker 3: had a telehealth an appointment with the gastro entrologist, and
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Speaker 3: there I was on my iPad. By the way, let
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Speaker 3: me tell you how difficult it is to do an
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Speaker 3: exam with an iPad. It's you know, as the doctor
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Speaker 3: wants to see what's going on. You know, those things
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Speaker 3: are square, they're rectangular, they're about ten inches by six inches.
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Speaker 3: They are so uncomfortable when you're trying to show the
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Speaker 3: doctor what your clon looks like.
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Speaker 2: Just pointing out the fact, it's just yeah, it's a mess.
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Speaker 3: You're better off without a cover, by the way, because
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Speaker 3: the cover makes it even more difficult.
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Speaker 2: The point is is that.
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Speaker 3: The virtual socializing made some adults even more comfortable in
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Speaker 3: tech use and adoption that people become techies because of
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Speaker 3: all this. Now I have people on handle on a
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Speaker 3: law that I talk to all the time, and I
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Speaker 3: joke about their age one hundred and fifty years old?
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Speaker 3: Do you know what a computer is? Unfortunately, while that
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Speaker 3: used to be funny, everybody now says yes, So that
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Speaker 3: joke is gone. So here's why is all this happening? Well,
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Speaker 3: because adults have tons of extra time and now they're
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Speaker 3: filling it up with what they're used to computers, and
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Speaker 3: so now you have boomers that are very tech savvy
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Speaker 3: that didn't used to be. For example, I am very
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Speaker 3: tech savvy, as you know. Neil will tell you.
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Speaker 2: Well, maybe not. Okay, I'm not tech savvy.
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Speaker 3: I'm still having a hard time understanding how a cell
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Speaker 3: phone works without a wire to the wall. I've just
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Speaker 3: never gotten that technology down. So what's the bottom line here?
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Speaker 3: A factoid you probably didn't know. Boomers are the fastest
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Speaker 3: growing users of devices, and they actually have more devices
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Speaker 3: than people under twenty five. Finding out where the twilight
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Speaker 3: prices are at your local restaurant four o'clock because you're
5:29
Speaker 3: asleep by five point thirty at least, I am all right.
5:32
Speaker 3: We're done with that, Okay, Neil Oh Disneyland, You Neil Disneyland.
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6:19
Speaker 3: Okay, I'm gonna throw some figures at you. Defibrillator you
6:23
Speaker 3: know when you have a heart attack and they take
6:24
Speaker 3: that device and do the paddles. That delivers about one
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Speaker 3: thousand volts. If you're going to be executed by an
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Speaker 3: electric chair, that's about two thousand volts. If you're hit
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Speaker 3: by lightning, that's one hundred million vaults. I mean, how
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Speaker 3: do you survive well? Because lightning goes through the body
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Speaker 3: in milliseconds and it spares people.
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Speaker 2: Now, some people black out instantly.
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Speaker 3: Others recall the moment vividly, like slow motion, the flash
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Speaker 3: of lightning, of light widing out everything else, sound the
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Speaker 3: loudest they've ever heard, The pain excruciating. Others no pain
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Speaker 3: at all. It felt like adrenaline, but stronger. One survivor said,
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Speaker 3: I felt an incredible pulsing. Another one said, a burning
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Speaker 3: sensation from head to toe. Another one. And the reason
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Speaker 3: I'm bringing this up because we're in heading into lightning
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Speaker 3: season and I love talking about people who have been
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Speaker 3: hit with lightning.
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Speaker 2: It's always hugely entertaining.
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Speaker 3: And severity of the injury depends on all kinds of variables,
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Speaker 3: how the electricity enters the body, where the path the
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Speaker 3: current takes.
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Speaker 2: Direct strikes as you would guess, or the deadliest.
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Speaker 3: Most strikes are indirect, a flash coming off a tree
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Speaker 3: or a current going through the ground. Most people survive these,
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Speaker 3: by the way, and in some cases the damage is
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Speaker 3: immediately apparent very hot because the air around this is insane.
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Speaker 3: The air around a lightning strike is five times hotter
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Speaker 3: than the surface of the sun.
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Speaker 2: I mean, that's how crazy this is.
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Speaker 3: And the shock wave can actually fling you, throw you
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Speaker 3: across the room, breaking bones, causing concussions. And the other
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Speaker 3: thing it does is some victims have this scar like pattern,
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Speaker 3: very mysterious, called Liechtenberg figures.
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Speaker 2: It's weird, these figures.
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Speaker 3: They resemble the limps of a barren tree or the
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Speaker 3: structure of a lightning, the lightning itself, I mean.
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Speaker 2: So weird.
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Speaker 3: And those disappear within a few days, and no one
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Speaker 3: knows how that works. And since our bodies are basically electricity,
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Speaker 3: the heart of the brain, the nervous system, all depending
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Speaker 3: on electric signals, guess what lightning can do. You bet,
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Speaker 3: throw them out of whack forgetfulness, sleep problems, sexual dysfunction.
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Speaker 3: We're talking about me. Wow, what's going on here? Headaches
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Speaker 3: like my eyeballs are popping out. One person said. Some
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Speaker 3: people become hypersensitive, hypersensitive to NOI other lose their hearing completely.
9:03
Speaker 3: Some are actually miraculously freed of bad leg infections, visions restored. Wow,
9:13
Speaker 3: And some have to relearn how to read, how to sing,
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Speaker 3: how to ride a bike.
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Speaker 2: Phantom sensations are prevalent.
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Speaker 3: One said, this is by the way, This was at
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Speaker 3: an event where survivors of lightning meet.
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Speaker 2: They meet once a year. I mean, why not.
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Speaker 3: One woman said she feels as though water is running
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Speaker 3: down her limbs. Another feels an indescribable itching coming from
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Speaker 3: inside the back of her head, inexplicable odors.
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Speaker 2: Food can taste like cardboard or glue. Some of these
9:44
Speaker 2: symptoms last for decades, others don't. I mean, it just
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Speaker 2: goes on and on and on.
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Speaker 3: And then a lot of people reported that there is
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Speaker 3: a metaphysical aspect to this.
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Speaker 2: Woooo.
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Speaker 3: Somehow you become enamored with talking to bushes or whatever
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Speaker 3: because it's yeah.
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Speaker 2: I'm really big on that one.
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Speaker 3: The conference is of Lightning Strike and Electrical Shock Survivors International,
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Speaker 3: major major conference had thirty people in it, and it's, uh,
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Speaker 3: I'll tell you what lightning can do, which, uh, this
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Speaker 3: is why I don't need lightning an inexplicable urge to
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Speaker 3: get married, which I don't. I've never understood that. I
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Speaker 3: really don't. That's a lightning strike, you know, otherwise you don't, Neil,
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Speaker 3: It's very it's weird, gets odd.
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Speaker 2: What get married is odd. Yeah, you're damn right, is odd?
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Speaker 1: Nobody you want to get married because you got hit
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Speaker 1: by lightning? Yeah, and then you get imputed because yeah
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Speaker 1: it by lightning.
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Speaker 2: Yeah.
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Speaker 3: Or you can get or you can become impotent because
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Speaker 3: you're married. That works too. All right, We're done coming up,
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Speaker 3: Jim Keeney Medical. By the way, all those facts I
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Speaker 3: told you about lightning are absolutely true. I mean, this
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Speaker 3: is the weirdest stuff in the world. Getting hit by lightning.
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Speaker 3: It's just fantastic and too bad we don't have the
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Speaker 3: Sparky the electric chair anymore. It was in I think
11:25
Speaker 3: Florida was the last time Sparky was used. They have
11:28
Speaker 3: to strap down the the I guess the defendant the
11:34
Speaker 3: honoree there, it is the honoree.
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Speaker 2: Of the chair.
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Speaker 3: If they don't strap them down, their arms flail out
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Speaker 3: and their feet flail out like a cartoon character. See
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Speaker 3: that's entertainment. I gotta tell you. That is with a
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Speaker 3: capital e.
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Speaker 1: Put a light bulb in the mouth like Uncle Fester.
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Speaker 1: Absolutely all of that. We can do so much with that. Wow,
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Speaker 1: And all we're doing is asking people to be executed.
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Speaker 1: Very small price to pay, Okay, Doctor Jim Keeney, chief
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Speaker 1: medical officer for Dignity Saint Mary Medical Center in Long Beach,
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Speaker 1: and Jim, first of all.
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Speaker 4: Good morning, good morning.
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Speaker 2: There you are.
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Speaker 3: And I want to start with a quick story, and
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Speaker 3: that is one of my surrogacy stories. So I had
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Speaker 3: one of my surrogates who was pregnant and about to
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Speaker 3: deliver a baby, and she decided towards the end of
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Speaker 3: her pregnancy that she wanted to do it at home
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Speaker 3: with a midwife. And I said, no, no, you don't understand.
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Speaker 3: We have real doctors and real hospitals here. She goes, Nope,
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Speaker 3: I want to do it at home. Okay, then I'll
12:36
Speaker 3: have I'll make sure one of our midwives, like a
12:40
Speaker 3: certified midwife, and you have to be within ten miles
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Speaker 3: to a hospital in case something goes south. And we're arguing,
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Speaker 3: and I said, listen, you can have whatever you want
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Speaker 3: and your house. You can have the shaman, right, the
12:53
Speaker 3: witch doctor with a bone through his nose and taking
12:56
Speaker 3: chicken blood and putting at every corner of the room.
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Speaker 3: You can do it, you know, enchanting whatever the hell
13:01
Speaker 3: you want. It's a doctor. And that's and the problem
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Speaker 3: is that more and more people are doing exactly that, aren't.
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Speaker 4: They Yeah, they are, and they're doing it with success,
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Speaker 4: by the way. So I mean, I guess maybe I'm
13:16
Speaker 4: not as extreme about it as you are. I think
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Speaker 4: it's just understanding the risk, right. So you know, I
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Speaker 4: was trained by midwives when I was learning to deliver
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Speaker 4: babies as a medical student, and they actually do a
13:28
Speaker 4: great job. They really work hard to not over medicalize deliveries.
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Speaker 4: That and that extra stuff we do can create complications
13:38
Speaker 4: and problems. You know, we put every baby on a
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Speaker 4: baby monitor. You can't find a hospital that will deliver
13:42
Speaker 4: without being on a monitor the entire time of the
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Speaker 4: pregnancy or the entire time of the delivery. But no
13:49
Speaker 4: research has ever shown that that helps the outcome. You know,
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Speaker 4: bad things still happen during delivery and the monitor doesn't
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Speaker 4: stop that. And when you're putting monitors on people and
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Speaker 4: acting to what you see on those, you can kind
14:02
Speaker 4: of sometimes you overdo it.
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Speaker 2: So let me ask you.
14:05
Speaker 3: Even let's say you get a false positive, but what
14:08
Speaker 3: ends up happening when it's a real positive and you know,
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Speaker 3: a life is saved or a complication can be averted.
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Speaker 3: I mean, you've had kids, would you have a kid
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Speaker 3: outside of the hospital.
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Speaker 4: No, I wouldn't because you know, I understand a little
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Speaker 4: bit differently about what happens when things go wrong, right,
14:27
Speaker 4: And I'm an e R doctor, so I'm more focused
14:29
Speaker 4: on when things go wrong. And that's the point of
14:32
Speaker 4: there's a recent study that showed, look, if you have
14:35
Speaker 4: the baby out of the hospital, actually the outcomes are
14:38
Speaker 4: better out of the hospital as long as everything goes well.
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Speaker 4: And that's about eighty five percent of deliveries. So fifteen
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Speaker 4: percent of deliveries, a little more than one out of
14:47
Speaker 4: six something's going to go wrong, and when that goes wrong,
14:51
Speaker 4: the outcomes are disastrous.
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Speaker 3: Right.
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Speaker 4: It's a big delay from the time you're in the
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Speaker 4: house until the time you're sitting in an emergency to
15:00
Speaker 4: apartment or an operating room or whatever you need. If
15:04
Speaker 4: it's the mother, sometimes in an operating room because there's
15:06
Speaker 4: heavy bleeding or something like that. If it's the baby,
15:09
Speaker 4: you need a neonatal intensive care unit. So in that
15:13
Speaker 4: fifteen percent, they do worse. And that's I guess as
15:18
Speaker 4: a doctor, that's I'm more focused on what could go wrong.
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Speaker 4: Let's make sure we're in the right place if anything
15:24
Speaker 4: does go wrong, and that's why for me? I would
15:27
Speaker 4: do it in the hospital.
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Speaker 2: And how about and you know, I.
15:31
Speaker 3: Don't know the medical aspects of this, whether it makes
15:33
Speaker 3: sense or not, but there was a time when the
15:35
Speaker 3: big thing was having kids delivering underwater, which was really weird.
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Speaker 4: You know in Abu still do that?
15:42
Speaker 2: Do they really? Wow?
15:44
Speaker 4: Yeah?
15:44
Speaker 3: They still or a trapeez or whatever the hell they do?
15:48
Speaker 3: And does that work out?
15:49
Speaker 4: Well?
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Speaker 2: Would you would you have one of your babies delivered underwater?
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Speaker 3: No?
15:54
Speaker 4: It works, it really works. It works out well. I
15:57
Speaker 4: mean that's not the way I would do it. But
16:00
Speaker 4: I had an er doctor partner that actually did that.
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Speaker 4: I still was. It was shocking because he came after
16:06
Speaker 4: the baby was delivered with a photo album and I
16:09
Speaker 4: thought it was going to be a cute photo album
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Speaker 4: filled the pictures with his baby, and I opened to
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Speaker 4: the first page and it's him, you know, behind his
16:17
Speaker 4: wife in a jacuzzie in their house with his wife
16:21
Speaker 4: completely naked and uh and they're waiting for the baby
16:25
Speaker 4: to come. And I just lam the thing shut.
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Speaker 3: It was like, whoa I was not expecting and what
16:31
Speaker 3: a mess and what a miss that is in the jacuzzi.
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Speaker 2: I mean, who's going who's going.
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Speaker 4: To clean that up, right, It's not like a delivery
16:41
Speaker 4: in the hospital isn't messy either, It's just you don't
16:43
Speaker 4: get you don't see it, and you're not floating in it.
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Speaker 2: Yeah for sure, all right, Yeah.
16:49
Speaker 4: It's it's it's super interesting, it's fun, it's exciting. But
16:53
Speaker 4: it also is a good barometer, right for you know,
16:55
Speaker 4: we know we're going to be about eighty thousand physicians
16:57
Speaker 4: shorts and the short in the next ten years, and
17:00
Speaker 4: this kind of gives us a barometer for what's coming
17:03
Speaker 4: through the pipeline. But what it is is you go
17:06
Speaker 4: through medical school and then you need to apply to
17:08
Speaker 4: a residency program to decide what specialty you want to
17:11
Speaker 4: go into and what training you like to receive. And
17:15
Speaker 4: to do that, you enter into a match program where
17:19
Speaker 4: you applied all these different facilities. You may interview, you
17:22
Speaker 4: may not, and then the facility ranks their people after
17:27
Speaker 4: interviewing them from one to one hundred or one to
17:30
Speaker 4: one thousand. I mean, in our case at Long Beach,
17:32
Speaker 4: we got three thousand applicants and we interviewed a little
17:36
Speaker 4: over two hundred, and then we rank those two hundred
17:39
Speaker 4: from one to two hundred on the other side, the
17:41
Speaker 4: applicants doing the same thing. The places they went to.
17:44
Speaker 4: They now rank them from one to however many they
17:47
Speaker 4: applied to, and then a computer matches that up. So Monday,
17:52
Speaker 4: the people who matched. Anybody who match or didn't match,
17:56
Speaker 4: was just notified you matched. You're safe right in it match.
18:00
Speaker 4: And then there's a supplemental program to try and match
18:04
Speaker 4: people outside this process kind of a spramble around and
18:07
Speaker 4: call residency directors and see see who maybe had an opening.
18:11
Speaker 4: The titty's sale.
18:12
Speaker 3: All right, so in your case, in your case, you
18:14
Speaker 3: apply to many, many programs, and I assume they then
18:18
Speaker 3: told you you better learn to speak Spanish because you're
18:21
Speaker 3: not getting any place in the United States. Let me
18:24
Speaker 3: ask you a question about how this works, and that
18:27
Speaker 3: is you're raked. You had two hundred, you're ranked one
18:31
Speaker 3: to two hundred, and so the top five, ten, twenty five.
18:35
Speaker 3: I'm assuming you make an offer and saying, hey, we'd
18:38
Speaker 3: love to have you. At the same time, every other
18:41
Speaker 3: program wants these people too. How does that work out?
18:45
Speaker 3: Do you end up outbidding each other? And that's not
18:48
Speaker 3: necessarily for pay, but for benefits. You know, we have
18:51
Speaker 3: a great Starbucks down the street, and we're a great
18:54
Speaker 3: restaurant town.
18:55
Speaker 2: And mean does that come into it?
18:57
Speaker 4: You know absolutely if people are asking questions like what's
19:00
Speaker 4: the pay, what are the benefits, what are the days off? Like,
19:02
Speaker 4: what does the schedule look like? So all of those things,
19:05
Speaker 4: you're trying to optimize those before this match day, because
19:08
Speaker 4: again it's not like you're doing a one to one,
19:10
Speaker 4: this is a this is across the board. You interview
19:14
Speaker 4: these people, you tell them what the programs like, take
19:16
Speaker 4: it or leave it, and then they decide where you
19:19
Speaker 4: fit on their rank list. So yeah, it's both sides
19:22
Speaker 4: are competing for the best you know, they're competing for
19:24
Speaker 4: the best spots and we're competing for the best applicants.
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Speaker 2: And you did your residency were at low Molindet, Okay,
19:34
Speaker 2: and how many like go ahead?
19:36
Speaker 4: Five spot? Back then it was a little easier. I
19:38
Speaker 4: applied to five places and then on that dawn that
19:43
Speaker 4: match day at UCLA, I went to ACLA Med School.
19:46
Speaker 4: They tape the envelopes in alphabetical order along the wall
19:51
Speaker 4: in a hall and then there's like the letters above
19:55
Speaker 4: it for which letter of the alphabet your last name
19:57
Speaker 4: starts with, and everybody is allowed the room at the
19:59
Speaker 4: same time, and you all run over to your envelope,
20:02
Speaker 4: grab it, take it off the wall, and you know,
20:05
Speaker 4: ninety nine percent of the people are cheering and having
20:07
Speaker 4: a good time and excited, and there's a few people
20:09
Speaker 4: that just didn't get what they wanted to get, so
20:12
Speaker 4: they're a little disappointed. That's how a party.
20:15
Speaker 3: Yeah, that's how we learned my in my world, that's
20:18
Speaker 3: how we learned about the bar exam. You go to
20:20
Speaker 3: the bar office downtown and they literally taped up the
20:24
Speaker 3: names of everybody who passed the bar and you look
20:27
Speaker 3: at your name and if it's not there, guess what
20:29
Speaker 3: you didn't pass. And so yeah, it's a lot of
20:33
Speaker 3: fun today, it's it's very different.
20:35
Speaker 2: And you applied to five places.
20:37
Speaker 3: Oh, by the way, do you sit on I'm just
20:39
Speaker 3: we're going through this is not medical news. Is just
20:41
Speaker 3: fascinating stuff. The way the medical world works.
20:45
Speaker 2: I did.
20:47
Speaker 3: Do you sit on those boards hiring physicians at at
20:53
Speaker 3: Saint Mary at I'm sorry, your your facility?
20:58
Speaker 4: Yeah, yeah, so I part dissipate with the faculty as
21:02
Speaker 4: we you know, we get the applicants, we look at
21:05
Speaker 4: who we want to interview. Again, trying to go through
21:08
Speaker 4: three thousand is actually a massive underhall bit quite a
21:12
Speaker 4: bit of time, and then kind of narrowing it down
21:14
Speaker 4: to who we'd like to interview and who we think
21:16
Speaker 4: would really fit well. And actually, again, because they're applying
21:20
Speaker 4: to every other program, of so many other programs, you're
21:23
Speaker 4: trying not to waste your time on people who would
21:24
Speaker 4: never come here, you know.
21:28
Speaker 3: Okay, that was it. That was just fascinating how that works.
21:32
Speaker 3: I've always enjoyed hearing about the inside baseball when it
21:35
Speaker 3: comes to almost anything. Jim, thanks much, And we'll talk again,
21:40
Speaker 3: probably over the weekend, which we normally do and yell
21:42
Speaker 3: at each other. I will and you, Oh that's right,
21:45
Speaker 3: that's right. You're coming to the barbecue. Yeah, because you're
21:48
Speaker 3: part of the show.
21:48
Speaker 2: That's right.
21:49
Speaker 3: Okay, you're gonna wait till you see the menu you're
21:52
Speaker 3: going to You're gonna just love it.
21:54
Speaker 2: All right, we're done.
21:55
Speaker 3: Tomorrow morning we start all over again with wake up call,
21:59
Speaker 3: and that is Amy, who's I think coming also, and
22:03
Speaker 3: Will who's also coming, and Neil who is also coming.
22:07
Speaker 3: And it's at my house, so I just may bail.
22:09
Speaker 3: I haven't decided yet, And then yeah, Kono is not
22:14
Speaker 3: coming because he doesn't hang out with the help. Gary
22:19
Speaker 3: and Shannon are up next. This is kf I am six.
22:25
Speaker 2: You've been listening to the Bill Handle Show.
22:27
Speaker 3: Catch my show Monday through Friday, six am to nine am,
22:30
Speaker 3: and anytime on demand on the iHeartRadio app