Latest / The Bill Handel Show / AI Coming for Our Conversations | ‘Medical News’ with Dr. Jim Keany
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- 0:01Speaker 1: You're listening to Bill Handle on demand from KFI AM
- 0:05Speaker 1: six forty.
- 0:08Speaker 2: AM six forty handle. Here morning, everybody, I'm a little
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- 0:49Speaker 1: And then this Saturday, Neil.
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- 1:01Speaker 2: normally do and spraying food all over everybody. All right,
- 1:04Speaker 2: So there we go Conway Friday, Saturday, Neil and Me
- 1:11Speaker 2: for pasta Fon, and you'll be hearing a lot more
- 1:13Speaker 2: than that because pasta Thon is coming up December two.
- 1:17Speaker 2: All right, Well, we still have half an hour to
- 1:19Speaker 2: go before Jim Keeney comes aboard.
- 1:22Speaker 1: So I want to talk about AI. Okay.
- 1:26Speaker 2: AI is just something that's now in our lives in
- 1:32Speaker 2: a big, big way. We have had AI for example,
- 1:36Speaker 2: chat GPT do segments of our show and they sounded
- 1:41Speaker 2: pretty good. You know, do segments of the news, do
- 1:45Speaker 2: segments of me talking and they sounded pretty good. Now
- 1:50Speaker 2: there is an article in the Atlantic because it's about
- 1:53Speaker 2: a new company called Cluely. I believe that Demurow talked
- 1:57Speaker 2: about this rich and it's an artificial.
- 2:00Speaker 1: Intelligence tool called cleuly.
- 2:03Speaker 2: Now it advertises and says we want to cheat on everything,
- 2:09Speaker 2: and it's best suited for cheating at computer related tasks.
- 2:13Speaker 1: I mean, the reality is really isn't about cheating. That's
- 2:16Speaker 1: just to get your attention.
- 2:17Speaker 2: And it appears as an overlay on top of your screen. Right,
- 2:22Speaker 2: It's like a heads up display where this you have
- 2:25Speaker 2: a screen and all of a sudden you have your
- 2:28Speaker 2: your reading text on top of everything, and it is, uh,
- 2:35Speaker 2: you're looking at the conversation that you're having with someone
- 2:40Speaker 2: and it's helping you with the conversation. Now, they call
- 2:45Speaker 2: it the cheating on Everything program. But I mean you
- 2:50Speaker 2: can cheat obviously if you're using your computer, and you're
- 2:53Speaker 2: asking your computer while you are typing. You know, while
- 2:57Speaker 2: you're answering the questions, up comes the screen and it
- 3:00Speaker 2: ends up talking to you and will end up asking
- 3:04Speaker 2: you questions you ask it questions. Now here is what's
- 3:09Speaker 2: going on, because oh my god, look at the technology
- 3:14Speaker 2: and how that's going.
- 3:14Speaker 1: To basically take over. And this was fascinating to me.
- 3:19Speaker 2: There was an author on an article writer for Atlantic
- 3:22Speaker 2: who went ahead and tested this and had conversations with
- 3:28Speaker 2: people and on the overlay it changed the conversation. Let's
- 3:34Speaker 2: say you asked me a question I really don't know
- 3:36Speaker 2: the answer or it's too nuanced for me, and it's
- 3:41Speaker 2: giving me suggestions and it's telling me, here's what you say,
- 3:46Speaker 2: here's a good answer, because it's reading everything about you.
- 3:50Speaker 2: It's knowing what the conversation is about where it's going.
- 3:55Speaker 1: The problem with that is.
- 3:57Speaker 2: It changes how you speak, because when you're speaking to someone,
- 4:03Speaker 2: it's not just a broadcast. It's not just doing a
- 4:07Speaker 2: news broadcast, where tomorrow we easily can take Amy's broadcast,
- 4:11Speaker 2: use her voice with artificial intelligence, and outcomes Amy doing
- 4:16Speaker 2: a broadcast. We did that with me and it sounded
- 4:19Speaker 2: pretty good. But when you're having a conversation with someone
- 4:24Speaker 2: that is so much more nuanced, that is so much
- 4:28Speaker 2: more I would even say convoluted, because we're talking about inflection,
- 4:32Speaker 2: but very nuanced inflection. And all of a sudden you realize,
- 4:36Speaker 2: you know what, that's really not the way this person
- 4:38Speaker 2: is talking, even though you are talking. If you're influenced
- 4:42Speaker 2: by this and you're asking those questions, wait a sec.
- 4:45Speaker 2: You wouldn't do it that way. That's not quite the
- 4:48Speaker 2: way you would do it. Even if you would ask
- 4:50Speaker 2: that question, it would be different than what you're doing,
- 4:53Speaker 2: than what you're reading. And so we're not there yet.
- 4:58Speaker 2: As this thing is moving ahead, I did one hundred
- 5:00Speaker 2: miles an hour. This is one thing that they just
- 5:05Speaker 2: haven't gotten down yet. And I did a story yesterday
- 5:08Speaker 2: about Elon Musk and robotics and what Elon and mus
- 5:13Speaker 2: said the problem with robots and man, we're moving with robotics,
- 5:17Speaker 2: humanoid robotics, he said, the hand problem. You can't get
- 5:21Speaker 2: a robot to mimic what a human hand can do.
- 5:25Speaker 2: It's too complex. There are too many ways and too
- 5:28Speaker 2: many things that a human hand does much like and
- 5:31Speaker 2: I'm going to make the analogy to this. The way
- 5:34Speaker 2: we speak to each other is so complex, has so
- 5:39Speaker 2: many aspects to it. Some we don't even realize what
- 5:44Speaker 2: we're saying, how we're well, how we're saying it is
- 5:48Speaker 2: that we're a ways away from AI even being able
- 5:52Speaker 2: to do that. That's kind of nice to know that
- 5:56Speaker 2: in five years you're going to be useless. What is
- 6:00Speaker 2: that cartoon?
- 6:01Speaker 1: Is it Wally?
- 6:01Speaker 2: Where all those fat people are flying around on their
- 6:04Speaker 2: little scooters?
- 6:06Speaker 3: Wow?
- 6:07Speaker 1: Yeah, and I yeah, he does.
- 6:11Speaker 2: And I'm looking at the cartoon. It was an animated
- 6:15Speaker 2: It was an animated film. I think Disney did it.
- 6:18Speaker 2: And everybody's on this huge spaceship right, entire populations and
- 6:23Speaker 2: they're all fat, and they're all in these little flying
- 6:26Speaker 2: saucer things and no one can move, no one can
- 6:29Speaker 2: stand up. And if you look at that, it's not horrible.
- 6:32Speaker 2: And when I looked at it goes That's what I
- 6:34Speaker 2: want to be. I want to sit on my ass
- 6:37Speaker 2: and just literally fly around and never get up. Ah.
- 6:42Speaker 2: The wondrous of it all. Right, Now, a word or two.
- 6:47Speaker 2: And I do enjoy talking about Trump. Uh, not my
- 6:51Speaker 2: favorite president, as you know, although I tend or try
- 6:54Speaker 2: to give him credit where I think credit is due.
- 6:57Speaker 2: One of the things about this president, whether you want
- 6:59Speaker 2: to give him credit or not, is he is the
- 7:01Speaker 2: most out there president we will ever see. We'll never
- 7:06Speaker 2: see anything like Donald Trump again as president. He's not
- 7:10Speaker 2: presidential in any way, which means moderate, which means being
- 7:14Speaker 2: careful with his words. I mean, he gets what she
- 7:17Speaker 2: gets with this president. And I'll tell you there's no
- 7:21Speaker 2: secret agenda here. We knew exactly what we were getting.
- 7:25Speaker 2: And so women reporters have a tough time with him,
- 7:31Speaker 2: and a little sampling of what the president has done.
- 7:36Speaker 2: And this is both on Air Force one, on the
- 7:39Speaker 2: campaign trail in the White House. So on Friday, Catherine Lucia,
- 7:46Speaker 2: White House correspondent for Bloomberg, talked about the Epstein file
- 7:53Speaker 2: and the it was, and it was a follow up question,
- 7:56Speaker 2: and the President basically pointed his finger and said, quiet, quiet, piggy, Now, you.
- 8:03Speaker 1: Know, you know, was that presidential? Probably not?
- 8:09Speaker 2: Remember when he called Rosie O'Donnell a big fat pig,
- 8:15Speaker 2: all right?
- 8:16Speaker 1: I mean, is that presidential? I don't know.
- 8:21Speaker 2: Elias Almachado, who he once called miss Piggy, happened to
- 8:24Speaker 2: be have been the winner of the nineteen ninety six
- 8:26Speaker 2: missed Universe pageant, miss Piggy uh okay. And when it
- 8:32Speaker 2: comes to Rosie O'Donnell, he just recently said, I'm thinking
- 8:36Speaker 2: of removing her American citizenship?
- 8:39Speaker 1: Okay, how do you do that?
- 8:41Speaker 2: He just says, He just blurts out what he wants
- 8:45Speaker 2: to say. And the problem is is that he can
- 8:47Speaker 2: be pretty misogynist.
- 8:49Speaker 1: He can be fairly sexist.
- 8:51Speaker 2: Yesterday, what happened in the White House reporter asked about
- 8:57Speaker 2: the what was going on with Kushogi. He had he
- 9:00Speaker 2: had Muhammed Ben Solomon in the White House, a huge
- 9:04Speaker 2: event where the President had the Crown Prince Ben Solomon.
- 9:10Speaker 2: And of course as the reporters were in there and
- 9:12Speaker 2: the court and the President opens up. I mean, he
- 9:15Speaker 2: lays himself wide open, and EDI has to know he's
- 9:18Speaker 2: going to be attacked because.
- 9:19Speaker 1: That's what happens. And he still doesn't. He still allows this.
- 9:23Speaker 2: I don't think any other president would allow stuff like
- 9:26Speaker 2: this to happen.
- 9:27Speaker 1: He does.
- 9:28Speaker 2: And so he was asked by ABC reporter about the
- 9:33Speaker 2: Koshogi killings or the killing of Kashogi, and the President
- 9:39Speaker 2: got very upset, Look what you're doing to my guest,
- 9:44Speaker 2: you're horrible.
- 9:45Speaker 1: You're terrible.
- 9:48Speaker 2: The guy just doesn't like reporters unless the reporters are
- 9:53Speaker 2: reporting positively. Now, you're not going to see him ever
- 9:56Speaker 2: attack a Fox News reporter or a NEWSMAC reporter. But
- 10:02Speaker 2: the well, sometimes he doesn't even have to attack major
- 10:08Speaker 2: news outlet reporters because they're all hoasters, because.
- 10:13Speaker 1: It's all fake news.
- 10:15Speaker 2: What fascinates me is why does he have let him
- 10:18Speaker 2: in the White House if they're lying? And in fact,
- 10:23Speaker 2: what he has done is legitimized and given credentials to
- 10:28Speaker 2: some pretty far out people, I mean, just nuts. It's
- 10:33Speaker 2: fascinating stuff. And so here's some of the things that
- 10:38Speaker 2: we've heard him say. Keep your voice down, that's enough
- 10:41Speaker 2: of you. Be nice, don't be threatening. And my favorite
- 10:46Speaker 2: one to Megan Kelly during the debate was there was
- 10:52Speaker 2: blood coming out of her eyes, blood coming out of
- 10:55Speaker 2: her wherever. Now, I'm going to give him a pass
- 10:58Speaker 2: on that one, by the way, and I'll tell you why,
- 11:01Speaker 2: because he was some for some reason, while I'll tell
- 11:05Speaker 2: you I know exactly the reason.
- 11:07Speaker 1: But what he was quote credited for was referring.
- 11:11Speaker 2: To her new minstrel, new Christy minstrel cycle cycle, and
- 11:16Speaker 2: that's not the case if you happen to have a Okay,
- 11:20Speaker 2: that was a reference that Newilk shook his head. There's
- 11:24Speaker 2: it's will look it up the New Christy Minstrels.
- 11:27Speaker 1: Okay. In any case, So when he said there.
- 11:30Speaker 2: Was blood coming out of her eyes, cleming out of wherever,
- 11:33Speaker 2: he wasn't referring to that.
- 11:35Speaker 1: I don't think he was.
- 11:36Speaker 2: I think he just throws those lines out there now
- 11:39Speaker 2: when he calls someone miss piggy and says shut up.
- 11:45Speaker 1: That I believe. But he got really attacked for that one.
- 11:47Speaker 2: And you know, from from the minute he said that,
- 11:50Speaker 2: I gave him a pass on that, saying this is
- 11:52Speaker 2: the guy just throws out words that I do not
- 11:54Speaker 2: believe he was referring to that. And that's something that
- 11:57Speaker 2: I remember during the debates. It was pretty terrific.
- 12:00Speaker 1: It was all right, coming up.
- 12:03Speaker 2: It's a Jim Kenney, by the way, look up the
- 12:06Speaker 2: New Christy Minstrels, a very famous rock folk group.
- 12:12Speaker 1: Okay.
- 12:17Speaker 2: Jim Keeney is with US doctor Jim, chief medical officers
- 12:21Speaker 2: for Dignity Saint Mary Medical Center in Long Beach.
- 12:24Speaker 1: Good morning, Jim, Good morning mill.
- 12:28Speaker 2: Okay, do we want to do the antidepressant story first,
- 12:31Speaker 2: because I know you think that's pretty important, or the
- 12:33Speaker 2: new flu virus.
- 12:34Speaker 1: I'm gonna throw it to you. What do you think.
- 12:36Speaker 3: Let's let's do the flu virus first and then we
- 12:38Speaker 3: can talk a little bit longer about the antidepressant one.
- 12:41Speaker 2: Okay, the flu virus. I take one. Every year, I
- 12:45Speaker 2: get one. And what am I looking at this year?
- 12:49Speaker 3: Yeah? So this year, the interesting information out is that
- 12:53Speaker 3: there is an emerging strain that they're seeing more commonly
- 12:58Speaker 3: in places like the Japan and Canada. They're already starting
- 13:02Speaker 3: to see it. It's called subclade K and it's one
- 13:07Speaker 3: of the you know, we have all those H and
- 13:09Speaker 3: N variants for influenza influenza A, and it's this is
- 13:13Speaker 3: the H three N two that's the one that has
- 13:18Speaker 3: what we call antigenic drift. It means that the antigens
- 13:21Speaker 3: that that's what your antibodies attack, can drift a little
- 13:25Speaker 3: bit and change so that they evade the immune system.
- 13:28Speaker 3: That's why they are frequent causes of outbreaks. And that's
- 13:32Speaker 3: why the flu is so successful as an organism, you know,
- 13:35Speaker 3: to reproduce and be able to evade all of our defenses,
- 13:39Speaker 3: and in this case it's it wasn't in this flu shot.
- 13:44Speaker 3: This particular strain was not known. It wasn't it wasn't included.
- 13:48Speaker 3: But it still shows that the current in the UK,
- 13:51Speaker 3: they're showing that the current flu data is about seventy
- 13:53Speaker 3: five percent effective with that influenza vaccine for children and
- 13:58Speaker 3: about thirty to forty percent effective against this particular strain
- 14:01Speaker 3: for adults. It's still that's not bad protection, not horrible.
- 14:06Speaker 3: And the kids are the little They're like little concentrated
- 14:10Speaker 3: vectors that are putting this stuff out. They have higher
- 14:13Speaker 3: viral loads, they excrete more virus, and they do it
- 14:18Speaker 3: for longer than adults do. So really, children are the
- 14:22Speaker 3: little careers for this thing that get us all sick.
- 14:26Speaker 2: Now every year we talk about this and effectively what
- 14:32Speaker 2: medicine does. These flu baby factory vaccine manufacturers they kind
- 14:37Speaker 2: of guess which variant is coming down the pike, and
- 14:40Speaker 2: in anticipation of that, they create the vaccine.
- 14:43Speaker 1: Do I have that right?
- 14:45Speaker 3: Yeah? Yeah, So okay, they look in the southern hemisphere
- 14:48Speaker 3: because it's winter in the you know for us in
- 14:50Speaker 3: the summer.
- 14:51Speaker 2: So it's something they if they guess right, then obviously
- 14:55Speaker 2: seventy eighty percent, and it's a win.
- 14:57Speaker 1: What if the guess is just is a flu vaccine just.
- 15:05Speaker 2: Not helpful at all? Or you get some protection no
- 15:08Speaker 2: matter what.
- 15:10Speaker 3: Yeah, so if they guess wrong, you do get less protection,
- 15:14Speaker 3: we get a bigger outbreak, and that you could argue
- 15:17Speaker 3: then in a bigger outbreak, maybe you know that little
- 15:20Speaker 3: bit of protection is more important for you, especially if
- 15:23Speaker 3: you're one of the high risk groups like elderly, you know,
- 15:27Speaker 3: people with lung di these like emphysema, asthma, those type
- 15:31Speaker 3: of things, or young children. So you know, you do
- 15:35Speaker 3: get some benefit from it. It does reduce your chances
- 15:38Speaker 3: of being hospitalized or being you know, or dying from
- 15:42Speaker 3: it as well. And you know, you know, tens of
- 15:45Speaker 3: thousands of people die every year from this and are hospitalized.
- 15:48Speaker 3: And last year was a big year, was a record
- 15:52Speaker 3: year for a people hospitalized for the flu, and that
- 15:54Speaker 3: was with a flu that was not something new. It
- 15:58Speaker 3: was the standard what we had seen passed, and the
- 16:01Speaker 3: vaccine it didn't seem quite as effective as we hoped
- 16:04Speaker 3: it would be because it was it really wasn't a
- 16:07Speaker 3: new variant at that point. So that this year is
- 16:09Speaker 3: going to be a tough year, and they're going to
- 16:11Speaker 3: be looking at things like wastewater surveillance. COVID gave us that,
- 16:15Speaker 3: so now we're doing a lot better job of surveillance
- 16:18Speaker 3: and knowing. We can now know that that signal will elevate,
- 16:22Speaker 3: you know, a week or two before everybody starts showing
- 16:26Speaker 3: flu symptoms, so we'll have some early warning. Now.
- 16:30Speaker 2: And you're thirty years in the ER, I'm assuming you've
- 16:33Speaker 2: seen more than your share of people dying of the flu.
- 16:37Speaker 1: Do I have that right?
- 16:38Speaker 3: Yeah? But you know, thirty years ago people stayed home
- 16:41Speaker 3: and died.
- 16:42Speaker 1: You know, it's just so now to the er and I, Hey,
- 16:45Speaker 1: I have a question.
- 16:46Speaker 2: You ever look at someone who's just died on you
- 16:47Speaker 2: and you say something like, hey, better you than me?
- 16:51Speaker 1: Probably not.
- 16:51Speaker 3: I've never done that.
- 16:55Speaker 2: I wish i'd been a doctor, all right, Jim and
- 16:57Speaker 2: a depressants and team.
- 17:00Speaker 1: Sexual development? Yeah, let me ask you questions.
- 17:04Speaker 2: Uh, you know, aren't teens already pretty sexually developed?
- 17:09Speaker 1: Sexually?
- 17:10Speaker 3: I mean no, yeah, no, no, no, because we're talking
- 17:12Speaker 3: about their brains. We're not talking about Oh oh.
- 17:14Speaker 2: I'm sorry because I'm trying to when when I was
- 17:17Speaker 2: a teenager, I you know, I would have screwed a
- 17:20Speaker 2: tree except for the flint splinters a tree not so anyway, Oh,
- 17:25Speaker 2: we don't have to get into that. Let's talk about
- 17:29Speaker 2: tell you please.
- 17:31Speaker 3: Yeah. The issue, the issue here is that you know this,
- 17:34Speaker 3: this hasn't been studied very extensively in teens now. Number one, First,
- 17:38Speaker 3: I want to start by saying SSRI like like prozac
- 17:41Speaker 3: and those type of things are life saving and they
- 17:44Speaker 3: are extremely safe, unlike a lot of the other medicines
- 17:49Speaker 3: we'd use to treat severe depression. That's probably lower the
- 17:52Speaker 3: threshold though for people giving them out because they are
- 17:55Speaker 3: so safe. And there's a difference between a teen brain
- 17:58Speaker 3: and an adult brain. So when you're depressed as an
- 18:01Speaker 3: adult and they are, they are literally stuck in that depression.
- 18:05Speaker 3: What happens is you stop, the neuroplasticity stops, you stop
- 18:08Speaker 3: making new synaptic connections and uh, and you just kind
- 18:12Speaker 3: of get stuck in a depression. That So these work
- 18:15Speaker 3: very well on what we call the neuroplastic you know,
- 18:19Speaker 3: the neurotrophic hypothesis of depression. This is why when you
- 18:23Speaker 3: take prozac, it immediately elevates your serotonin, but it doesn't
- 18:27Speaker 3: work for like two to three weeks. That's because it
- 18:29Speaker 3: needs to, you know, increase connections. It needs to create
- 18:33Speaker 3: new neurons, increase synaptic connections, and it has to create
- 18:38Speaker 3: new memories and new processes in your brain. And that
- 18:42Speaker 3: works for an adult. But as a team that's already
- 18:45Speaker 3: happening to a very high degree. They already are extremely
- 18:49Speaker 3: you know, new tropic we call it. Their Their brain
- 18:52Speaker 3: is growing, they're they're pruning back certain connections, they're creating
- 18:56Speaker 3: new connections, and it's just going on at a very
- 18:59Speaker 3: high level. And now when you throw this monkey wrench
- 19:01Speaker 3: in there and you are affecting their serotonin levels, which
- 19:06Speaker 3: then affect all those things through a chemical called brain
- 19:11Speaker 3: derived neurotropic factor that's increased in this situation, we don't
- 19:17Speaker 3: really know what that does.
- 19:19Speaker 1: Now.
- 19:19Speaker 3: Again, I'm saying it cautiously though, because so many teens
- 19:23Speaker 3: have been helped by the SIME.
- 19:24Speaker 1: Yes, So let me ask you this.
- 19:27Speaker 2: The takeaway for me is that you don't give out
- 19:31Speaker 2: these psychotropic drugs. The prose acts very lightly, it takes
- 19:36Speaker 2: real depression. And where is that line?
- 19:40Speaker 3: Yeah, I mean you're you're on the right track exactly.
- 19:42Speaker 3: So you don't want to give it out for sadness, right,
- 19:46Speaker 3: that's normal human experience. We all get sad. Sometimes there's grieving, right,
- 19:51Speaker 3: we don't we grieve When you have a loss, you
- 19:54Speaker 3: have grief, and that's a normal human experience. But sometimes
- 19:58Speaker 3: grieving turns in to a severe depression. And there's a
- 20:01Speaker 3: definition for you know, severe depression, and the doctors can
- 20:06Speaker 3: identify that and say, look, I mean especially once people,
- 20:09Speaker 3: when teens are feeling suicidal or so impulsive that they're
- 20:12Speaker 3: at risk for suicidal behavior, that's when this becomes life saving.
- 20:17Speaker 3: So it definitely takes a high threshold. And despite how
- 20:21Speaker 3: safe these drugs are, there's reason to really believe that
- 20:25Speaker 3: they are impacting because when you look at animal models,
- 20:28Speaker 3: for sure, they show that adolescent animals who are given
- 20:32Speaker 3: this have much less interest in sexual behaviors and that
- 20:38Speaker 3: type of thing. And that probably is a reflection of
- 20:42Speaker 3: your interest in bonding and connection in general. So what
- 20:45Speaker 3: effect may this be having on the two million teens
- 20:49Speaker 3: that are that are taking the drug in the United States? Currently?
- 20:52Speaker 2: Okay, fair enough, Jim, We'll talk again next Wednesday, Love
- 20:57Speaker 2: and the Show with your stuff talk, I take care,
- 21:00Speaker 2: all right, We're done, guys, that's it.
- 21:02Speaker 1: Phoene Chow. Baby, you've been listening to The Bill Handle Show.
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