Latest / The Bill Handel Show / Harder and Harder to Return a Purchase | ‘Medical News’ with Dr. Jim Keany

Transcript

Harder and Harder to Return a Purchase | ‘Medical News’ with Dr. Jim Keany · The Bill Handel Show

• 0:01
  Speaker 1: You're listening to Bill Handel On Demand from KFI AM 640.
• 0:05
  Speaker 2: Man, I.
• 0:07
  Speaker 3: Love college. I love drinking.
• 0:12
  Speaker 4: KFI AM 640. Bill Handel on a Wednesday morning, September 9th.
• 0:19
  Speaker 4: Friday morning, September 11th is the 25th anniversary. As we celebrate,
• 0:25
  Speaker 4: we remember 9-11. And I'm going to play, we're going
• 0:29
  Speaker 4: to replay about six, seven minutes of recap, the highlights
• 0:33
  Speaker 4: of a six-hour broadcast that I did that morning as
• 0:36
  Speaker 4: 9-11 was just evolving in front of our very faces.
• 0:41
  Speaker 4: And I was broadcasting and we were talking about it
• 0:44
  Speaker 4: and I was on for six hours that morning. So
• 0:47
  Speaker 4: that's coming up at 8.30 on Friday. You don't want
• 0:50
  Speaker 4: to miss that. Also, a couple of stories we're looking at,
• 0:53
  Speaker 4: oil price. Well, oil is over $ 100 a barrel. Stock
• 0:56
  Speaker 4: market is down 300 and something points. Yesterday it was
• 0:59
  Speaker 4: down 600 points. And is it hitting us finally?
• 1:03
  Speaker 3: Don't know.
• 1:05
  Speaker 2: Okay.
• 1:06
  Speaker 4: Now something that I've talked about before, and we're going
• 1:09
  Speaker 4: to keep on talking about it because either you or
• 1:13
  Speaker 4: your kids mainly have issues with employment, and I am
• 1:17
  Speaker 4: in the middle of it. And that is we know
• 1:21
  Speaker 4: that the jobs that AI can do do instead of
• 1:26
  Speaker 4: human beings are being, well, those jobs are being replaced
• 1:29
  Speaker 4: just with a vengeance. And I've often talked about my daughter, Pamela,
• 1:34
  Speaker 4: who has a degree in computer science, working on her
• 1:37
  Speaker 4: master's degree because she can't get a job because entry-level
• 1:40
  Speaker 4: jobs in the world of computers are basically gone. And
• 1:44
  Speaker 4: you're going to see more and more jobs being eliminated
• 1:46
  Speaker 4: because AI is doing a better, better job. And I mean,
• 1:50
  Speaker 4: it's racing ahead, it's galloping ahead. And we're just starting
• 1:54
  Speaker 4: now to deal with it. So what's the bottom line? Well,
• 1:59
  Speaker 4: we always didn't make fun of, but also somehow there
• 2:01
  Speaker 4: was a stigma about working with your hands. You know,
• 2:04
  Speaker 4: being a plumber, being an electrician, you know, being a
• 2:07
  Speaker 4: repair guy, it was just something that was, you know,
• 2:12
  Speaker 4: it wasn't the same as a college grad. I mean,
• 2:15
  Speaker 4: you have to be a college grad. I knew I
• 2:18
  Speaker 4: was going to college before I learned how to talk.
• 2:21
  Speaker 2: Why?
• 2:21
  Speaker 3: Because that's just my culture. That's it.
• 2:24
  Speaker 4: You know, it's just there was no issue. And today
• 2:27
  Speaker 4: with my kids, I'll tell you, learn plumbing. Screw that degree.
• 2:33
  Speaker 3: Learn plumbing.
• 2:34
  Speaker 4: And the stats, well, they seem to bear that one out.
• 2:39
  Speaker 4: And so there's a story out of the Wall Street
• 2:41
  Speaker 4: Journal that talked about actual statistics. And it is no
• 2:48
  Speaker 4: secret that in the long term, long, long term, college
• 2:53
  Speaker 4: education is still going to win out as of today.
• 2:56
  Speaker 4: Next week, it won't be the same. And jobs that
• 2:59
  Speaker 4: heretofore were looked down upon. I mean, you know, are
• 3:03
  Speaker 4: you proud of the fact your kid's a plumber? I mean,
• 3:06
  Speaker 4: do you walk around saying, oh yeah, my kid's a plumber.
• 3:08
  Speaker 4: My kid does sheet metal work. My kid's in construction.
• 3:12
  Speaker 4: Where it used to be, okay, let's downplay that one.
• 3:15
  Speaker 4: As opposed to, my kid's a doctor. My kid is
• 3:19
  Speaker 4: a marketing executive. My kid's just finishing school.
• 3:23
  Speaker 3: Well, you know what? Now you can be proud of
• 3:26
  Speaker 3: the fact that your kid's a plumber. Why? Because they
• 3:29
  Speaker 3: make money. That's why. There's a wonderful joke about.
• 3:36
  Speaker 4: Someone calling a plumber and the plumber does 15 minutes
• 3:39
  Speaker 4: of work and hands a bill for $ 300. And the
• 3:44
  Speaker 4: homeowner says, oh my God, you know, that's crazy. You know,
• 3:48
  Speaker 4: I could be a brain surgeon and make more money
• 3:50
  Speaker 4: than this or make less money than this. And the
• 3:52
  Speaker 4: plumber goes, yeah, I did when I was a brain surgeon.
• 3:57
  Speaker 4: That's the point is that work that heretofore was deemed
• 4:04
  Speaker 4: less than is now more than, and those are the
• 4:07
  Speaker 4: waves of the future for sure.
• 4:09
  Speaker 3: And the stigma is changing and as it should. And
• 4:12
  Speaker 3: why is that?
• 4:13
  Speaker 4: Because with all the AI in the world, you're not
• 4:18
  Speaker 4: going to be able to find at this point, not
• 4:20
  Speaker 4: for many, many years, a robot that's going to come
• 4:23
  Speaker 4: in and fix your plumbing. It's just not going to
• 4:25
  Speaker 4: happen or repair your air conditioning or build homes or Now,
• 4:32
  Speaker 4: the guy sitting behind the counter doing inventory at the
• 4:35
  Speaker 4: parts shop, that's going to change and that will change.
• 4:40
  Speaker 4: But it seems that those people that work with their
• 4:44
  Speaker 4: hands are, well, this is the wave of the future
• 4:49
  Speaker 4: and certainly all the stats point that way.
• 4:52
  Speaker 3: So where do you go? Oh, and oh, there are jobs.
• 4:55
  Speaker 4: I remember sitting next to a guy on an airplane
• 4:58
  Speaker 4: and having the same complaint. that Pamela couldn't get a job.
• 5:01
  Speaker 3: He goes, I'm hiring. He was head of a department
• 5:04
  Speaker 3: at one of the major companies. He goes, I'm hiring
• 5:06
  Speaker 3: computer people. I go, really? He goes, yeah. Have her
• 5:09
  Speaker 3: send me a resume. And I go, really? Who do
• 5:11
  Speaker 3: you hire?
• 5:12
  Speaker 4: Well, we hired basically the top 5% out of computer
• 5:17
  Speaker 4: majors out of Stanford and Hopkins and UCLA. Those are
• 5:24
  Speaker 4: we get. We take the top 2%. Well, how about
• 5:26
  Speaker 4: the rest of those people?
• 5:27
  Speaker 3: Oh, no, no.
• 5:28
  Speaker 4: No, we're not interested in those at all. So I'm
• 5:32
  Speaker 4: trying to get my kids.
• 5:34
  Speaker 3: And it's no joke either.
• 5:36
  Speaker 4: If you're going to be a journeyman electrician, for example,
• 5:38
  Speaker 4: or a journey personal electrician, that's a four year stint.
• 5:42
  Speaker 4: I mean, the skill level that it takes to be
• 5:43
  Speaker 4: a master plumber is no joke. That is the equivalent
• 5:46
  Speaker 4: of a college degree. And it's something that will never
• 5:49
  Speaker 4: go away.
• 5:50
  Speaker 2: Never.
• 5:50
  Speaker 4: Never. You know, when I got out of college, I mean,
• 5:56
  Speaker 4: jobs were just waiting there. When I graduated law school,
• 6:01
  Speaker 4: I mean, it was fairly easy to get a job
• 6:03
  Speaker 4: as an attorney, although it wasn't in my case because
• 6:06
  Speaker 4: I had a horrible education and I really screwed up
• 6:09
  Speaker 4: the one time I did clerking, but that's another story.
• 6:13
  Speaker 3: Today, it's impossible. Now, do they still have jobs?
• 6:16
  Speaker 2: Yeah.
• 6:17
  Speaker 4: If you're in the top 2% from an Ivy League school,
• 6:19
  Speaker 4: you're going to do fine.
• 6:22
  Speaker 3: Short of that, you're completely out of luck. We knew that.
• 6:25
  Speaker 3: I just wanted to share that because I'm in the
• 6:27
  Speaker 3: middle of commiserating with so many people out there. Get
• 6:31
  Speaker 3: a job. I'm trying. I'm trying. Get a job.
• 6:35
  Speaker 4: Santa Monica Boulevard on a Friday night if you have to.
• 6:39
  Speaker 3: Earn some money. Okay. Returning products after being purchased online. Yes.
• 6:50
  Speaker 4: Especially if you're an Amazon Prime member, which we are
• 6:54
  Speaker 4: at home and I go to the UPS store, which
• 6:57
  Speaker 4: is the Amazon return center every day because things are
• 7:03
  Speaker 4: being returned like crazy. I mean, the philosophy at this
• 7:05
  Speaker 4: point is if you like something online, you get in
• 7:09
  Speaker 4: all three sizes to see which one fits and four
• 7:12
  Speaker 4: colors and you're returning seven out of eight. And that just,
• 7:16
  Speaker 4: you wonder how do these people make money?
• 7:19
  Speaker 3: They don't. That's the point.
• 7:21
  Speaker 4: So what's going on now? Well, returning online orders, which
• 7:25
  Speaker 4: we take for granted, we assume they're free. We assume
• 7:29
  Speaker 4: it's that easy. Well, surprise, surprise, because you're getting surprised fees,
• 7:34
  Speaker 4: shorter return windows, delayed refunds, more questions about what are
• 7:39
  Speaker 4: your reasons for sending products back? And a few of
• 7:43
  Speaker 4: them are getting warnings saying, you know what? You're not
• 7:46
  Speaker 4: going to get a refund on your next return. Because
• 7:49
  Speaker 4: at this point, with all the algorithms, these companies know
• 7:53
  Speaker 4: how often are you returning products.
• 7:56
  Speaker 3: And then there is.
• 7:57
  Speaker 4: Sort of a history of people taking advantage of it.
• 8:00
  Speaker 4: For example, you buy something for Halloween, you return it
• 8:02
  Speaker 4: after Halloween, a costume. Or you have a special event
• 8:06
  Speaker 4: and you buy a cocktail dress or a special suit
• 8:10
  Speaker 4: of some kind and you return it afterwards. I had
• 8:14
  Speaker 4: a party at my house in which Lindsay insists that
• 8:18
  Speaker 4: on costumes. They just, just bottom line, you can't come
• 8:22
  Speaker 4: to the party unless you're in costume. So we have
• 8:23
  Speaker 4: theme parties. So, well, everybody on the morning team that's invited, well,
• 8:29
  Speaker 4: all one of them people on the morning team that's
• 8:31
  Speaker 4: invited brings the costume and I know they're going to
• 8:34
  Speaker 4: return it. They buy a costume and back it goes
• 8:37
  Speaker 4: because none of.
• 8:38
  Speaker 3: Us returned anything. What are you talking about? Oh, come on.
• 8:41
  Speaker 4: Of course they did. Amy, you returned your costume, didn't you? Oh,
• 8:46
  Speaker 4: she's not listening. Amy, you returned your costume that you
• 8:49
  Speaker 4: wore for my party, didn't you? No.
• 8:51
  Speaker 3: Liar. Okay. By the way, those pictures are up of
• 8:56
  Speaker 3: all of us on Apple Reporter. I'm just kidding you, Amy.
• 8:59
  Speaker 3: It's a story about returns online. Oh, I do lots
• 9:02
  Speaker 3: of returns online. There you go. I rest my case. Well,
• 9:04
  Speaker 3: not after you wear them. No, I don't return stuff
• 9:07
  Speaker 3: after I wear them. I have friends who do, though. Yeah,
• 9:10
  Speaker 3: which is really rough. And here's the problem is they're
• 9:12
  Speaker 3: losing their shirts on them.
• 9:13
  Speaker 4: And now because it has become, you know, it's, it's
• 9:17
  Speaker 4: a victim of their philosophy.
• 9:20
  Speaker 3: And we're talking about the retailers.
• 9:21
  Speaker 4: We're talking about, uh, Amazon and UPS and all of that, uh,
• 9:25
  Speaker 4: who draw UPS loves it cause they get paid for it.
• 9:28
  Speaker 4: But it's a situation where we've taken advantage of it.
• 9:31
  Speaker 4: It is out of control. And now the pendulum has
• 9:34
  Speaker 4: swung back and it's going to be harder and harder
• 9:36
  Speaker 4: to return, or are you going to pay more money? And, uh,
• 9:39
  Speaker 4: I don't know how Amazon, uh, makes any money whatsoever.
• 9:43
  Speaker 4: If they pay for the shipping, which they do, so
• 9:47
  Speaker 4: what's $ 180 a year for Amazon Prime? And forget about
• 9:51
  Speaker 4: the great stuff they put on Amazon TV, which I love.
• 9:55
  Speaker 4: I'm returning stuff where Lindsay is every single day. I mean,
• 10:02
  Speaker 4: we're talking hundreds of packages a year. And I'm the
• 10:07
  Speaker 4: one that drives up. They all know who I am.
• 10:09
  Speaker 3: Hey, Bill, how you doing? Hey, Andy, how are you?
• 10:11
  Speaker 3: Or they'll look at their watch. Hey, Bill, you're five
• 10:14
  Speaker 3: minutes late this morning. What happened? We set our watch
• 10:17
  Speaker 3: by you coming in. That, unfortunately, is the wave of
• 10:22
  Speaker 3: the future.
• 10:22
  Speaker 4: The other thing that happens, and this one people are, well,
• 10:27
  Speaker 4: they've been using this forever, pick up a product and say,
• 10:30
  Speaker 4: it's no good. I'd like to return it. And the
• 10:34
  Speaker 4: retailer says, keep it. It costs more money to ship
• 10:40
  Speaker 4: it back and do whatever they're going to do with
• 10:42
  Speaker 4: it because then they either sell it or throw it away.
• 10:44
  Speaker 4: And so you get two.
• 10:46
  Speaker 1: So I buy from Teemu on occasion for electronics and
• 10:51
  Speaker 1: tools and things like that. And I bought a little
• 10:54
  Speaker 1: set of tools to keep in my truck. And what
• 10:58
  Speaker 1: arrived was a frog, a ceramic frog soap dish.
• 11:05
  Speaker 3: So I took a picture of it. And I said,
• 11:08
  Speaker 3: what the hell? I didn't order this. I don't want this.
• 11:14
  Speaker 3: And they acted like they were doing a favor. Listen,
• 11:17
  Speaker 3: keep it. Keep it.
• 11:19
  Speaker 1: Don't even bother sending it back. But we're only going
• 11:22
  Speaker 1: to do this one time for you. And I'm like,
• 11:25
  Speaker 1: I don't want the ceramic frog soap dish.
• 11:28
  Speaker 3: I want my tools.
• 11:29
  Speaker 4: You come to my house because Lindsay loves this. She
• 11:34
  Speaker 4: tells every single shipper saying it's, I want to return this.
• 11:38
  Speaker 3: And they have.
• 11:40
  Speaker 4: So she's told more often than I just keep it,
• 11:42
  Speaker 4: you know, and we'll send you a new one. We
• 11:44
  Speaker 4: have more doubles of stuff in this house than you
• 11:48
  Speaker 4: could ever imagine.
• 11:49
  Speaker 3: But isn't one of them broken? No. Cause all you
• 11:53
  Speaker 3: have to do is say they're broken. Well, so she's
• 11:57
  Speaker 3: doing that to get a second one. That's correct. Sheesh.
• 12:04
  Speaker 3: You guys are neat. Yeah, she's in the other room.
• 12:07
  Speaker 3: It's too bad she wasn't listening to this, or it's
• 12:09
  Speaker 3: good that she did miss this. No, but it's true.
• 12:14
  Speaker 3: Some stuff is broken. We've seen this stuff.
• 12:16
  Speaker 4: We had something on Wayfair, a cabinet thing that we bought,
• 12:20
  Speaker 4: and they should just keep it.
• 12:22
  Speaker 3: I did that with Wayfair once, too. And it was
• 12:24
  Speaker 3: a big piece of furniture. Yeah, they did that. And
• 12:29
  Speaker 3: the second one was broken, so they sent a third one.
• 12:33
  Speaker 4: And we ended up giving the first two away to
• 12:36
  Speaker 4: some handy person that could fix it, like Neil could
• 12:38
  Speaker 4: have fixed it.
• 12:39
  Speaker 3: That's what I end up doing.
• 12:42
  Speaker 1: There's a lot of things I open them up and
• 12:44
  Speaker 1: I don't send them back.
• 12:45
  Speaker 3: I just fix them and then... Good for you. Even
• 12:48
  Speaker 3: your ceramic frogs. Anyway, be prepared. I love the ceramic
• 12:52
  Speaker 3: frog story. You want to see it?
• 12:53
  Speaker 1: Look.
• 12:53
  Speaker 4: Yes.
• 12:56
  Speaker 3: Don't you wish this was television, huh? Look at the
• 13:00
  Speaker 3: stupid ceramic frog. It's a sponge holder, isn't it?
• 13:03
  Speaker 1: I think.
• 13:05
  Speaker 3: That's what my wife said. You need to post that.
• 13:08
  Speaker 4: Coming up September 11th, Friday, we're going to replay some
• 13:13
  Speaker 4: of the broadcast. That morning is 9-11 panned out because
• 13:17
  Speaker 4: it's 25 years to the day on Friday. And I
• 13:20
  Speaker 4: was on the air for six hours from the time
• 13:22
  Speaker 4: it basically started until, well, six hours later as we
• 13:26
  Speaker 4: were in the midst of dealing with it. And so
• 13:28
  Speaker 4: you'll get the highlights. And we played that a couple
• 13:30
  Speaker 4: of times. And it is, I tell you, still sends
• 13:34
  Speaker 4: chills up and down my spine. So that's at 8.30
• 13:38
  Speaker 4: on Friday. I don't know if it's a calendar or something,
• 13:41
  Speaker 4: but this one you should calendar. All right, Jim Keeney,
• 13:45
  Speaker 4: Chief Medical Officer for Dignity St. Mary Medical Center in
• 13:48
  Speaker 4: Long Beach, an ER doctor. Jim, a good Wednesday morning
• 13:52
  Speaker 4: to you.
• 13:53
  Speaker 2: Morning, Bill. Okay.
• 13:55
  Speaker 3: Good way to start. Good morning. I'm fine. You're fine, too.
• 13:58
  Speaker 3: How are things? Okay. How's the family? Great. How's the dog?
• 14:01
  Speaker 3: Mine are fine. You don't have any. Okay. Moving on.
• 14:06
  Speaker 4: Obviously, the big story, medical story that's happening right now
• 14:10
  Speaker 4: is the crazy-ass humidity and the heat. And we are
• 14:14
  Speaker 4: going to get stories of people that are outright dying.
• 14:18
  Speaker 4: So there's two questions. Number one, if you can explain
• 14:20
  Speaker 4: what the risk is or three things you can explain
• 14:22
  Speaker 4: the number one, the risk is how to deal with it.
• 14:25
  Speaker 4: And the third one I want to throw at you,
• 14:27
  Speaker 4: can you become a little bit acclimated? For example, people
• 14:31
  Speaker 4: in the South Louisiana who get stuff like this all
• 14:34
  Speaker 4: the time, are they better off at dealing with it
• 14:36
  Speaker 4: than we are?
• 14:36
  Speaker 3: So I'm going to throw it all that at you.
• 14:40
  Speaker 2: Yeah, I mean, so all of those are good questions. Basically, yes,
• 14:44
  Speaker 2: you can.
• 14:45
  Speaker 3: I'll work backwards.
• 14:45
  Speaker 2: You can get acclimated and people do get acclimated to
• 14:49
  Speaker 2: these warm temperatures. But, you know, here in Southern California,
• 14:52
  Speaker 2: we're not all that used to it for the most part,
• 14:54
  Speaker 2: unless you live in Palm Springs or somewhere pretty far inland. So,
• 14:59
  Speaker 2: you know, it's... It's all about the humidity right now, right?
• 15:03
  Speaker 2: What happens is 90 degrees is totally manageable for most
• 15:07
  Speaker 2: of us when the humidity is low because you're sweating
• 15:11
  Speaker 2: and it's not the act of sweating that cools you off.
• 15:13
  Speaker 2: It's the sweat evaporating off your skin. That's what drops
• 15:17
  Speaker 2: your temperature. It literally drops the temperature because when water
• 15:21
  Speaker 2: moves from liquid to a vapor state, that takes energy
• 15:25
  Speaker 2: and it pulls the energy off your skin and lowers
• 15:27
  Speaker 2: your temperature. So once we get into this, you know,
• 15:30
  Speaker 2: these high humidities, we can't sweat anymore. We lose our
• 15:34
  Speaker 2: ability to do our usual, you know, our usual heat
• 15:40
  Speaker 2: release mechanism. So it's like somebody, you know, took your
• 15:42
  Speaker 2: air conditioner and basically stuffed up the exhaust. So now
• 15:47
  Speaker 2: all the heat's coming back in your house. So what
• 15:51
  Speaker 2: we look at is humidity. The other one that people
• 15:54
  Speaker 2: kind of ignore is things like wet bulb reading or
• 15:58
  Speaker 2: dew point. Dew point is... Like in your shower, you know,
• 16:02
  Speaker 2: when you get the humidity high enough, the glass is
• 16:05
  Speaker 2: a certain temperature. Say your glass is 70 degrees. Well,
• 16:08
  Speaker 2: the steam starts to form on the glass. That's the
• 16:11
  Speaker 2: dew point. So if the glass is 70 degrees and
• 16:14
  Speaker 2: that's when it starts forming, the dew point would be
• 16:15
  Speaker 2: 70 degrees. And as humidity goes up, we lose our
• 16:19
  Speaker 2: ability to get rid of that sweat and we get hotter.
• 16:23
  Speaker 2: But there's people that are at risk for this, Bill.
• 16:25
  Speaker 2: The number one people that are at risk are elderly people,
• 16:28
  Speaker 2: people with underlying medical conditions. There's certain medications that reduce
• 16:32
  Speaker 2: your ability to sweat or get rid of heat, pregnant women,
• 16:35
  Speaker 2: things like that. People with decreased mobility, so somebody in
• 16:38
  Speaker 2: a wheelchair. I've seen people come to the ER because
• 16:41
  Speaker 2: they roll granny or even a younger person out into
• 16:44
  Speaker 2: the sun, and they can't move themselves, and they overheat
• 16:48
  Speaker 2: sitting there in the sun. So be careful with those
• 16:49
  Speaker 2: people as well.
• 16:51
  Speaker 3: So what are the symptoms?
• 16:52
  Speaker 4: You know, people come in and what they're not sweating
• 16:55
  Speaker 4: or they are sweating. I mean, when it's super humid
• 16:59
  Speaker 4: out there, I talked about this with Neil, why even
• 17:01
  Speaker 4: bother taking a shower in the morning because you step
• 17:03
  Speaker 4: outside the house and you've just basically taken a shower
• 17:05
  Speaker 4: 30 seconds later.
• 17:08
  Speaker 2: Right, right. So, yeah, there's there's some things you can do.
• 17:11
  Speaker 2: I mean, essentially, you want to try and stay out
• 17:15
  Speaker 2: of the direct sunlight because you have the radiant heat
• 17:17
  Speaker 2: from the sun, which is that direct sunlight hitting you.
• 17:20
  Speaker 2: You can feel it as soon as you're in the
• 17:21
  Speaker 2: sun versus the shade. Actually, putting water on your skin
• 17:28
  Speaker 2: does help. It reduces your body's need to sweat, and
• 17:31
  Speaker 2: so that water can evaporate instead of you sweating. You
• 17:34
  Speaker 2: don't run out of liquids to cool your body with,
• 17:38
  Speaker 2: and you're not getting dehydrated. But really, the symptoms become
• 17:43
  Speaker 2: when you start getting lightheaded and dizzy. We call that
• 17:46
  Speaker 2: heat exhaustion, right? At that point, maybe you might still
• 17:50
  Speaker 2: be sweating, but you're starting to get lightheaded. You feel
• 17:53
  Speaker 2: like you might pass out. You'll feel faint or dizzy.
• 17:55
  Speaker 2: You might have a headache. That's heat exhaustion. That's the
• 17:58
  Speaker 2: warning sign. You got to get yourself cooled off. Do
• 18:00
  Speaker 2: something to cool yourself off. If that continues and you
• 18:04
  Speaker 2: get temperatures, internal core temperatures of your body over like 105,
• 18:10
  Speaker 2: 106 degrees, well, now we start cooking proteins and your
• 18:13
  Speaker 2: brain starts malfunctioning. It's almost like having a stroke. And
• 18:17
  Speaker 2: that's why we call it heat stroke. That's when you
• 18:20
  Speaker 2: transition from just being lightheaded and dizzy to being mentally confused.
• 18:24
  Speaker 2: That person is having a medical emergency. You need to
• 18:27
  Speaker 2: call 911 for that person.
• 18:29
  Speaker 4: And if that keeps on going, if you don't deal
• 18:31
  Speaker 4: with it immediately, I'm assuming that you lost a lot
• 18:35
  Speaker 4: of your brain function.
• 18:35
  Speaker 3: You basically become a vegetable or you die?
• 18:38
  Speaker 2: Yeah, you literally die from heat stroke, essentially. So that
• 18:43
  Speaker 2: is a critical medical emergency. And that's why the heat
• 18:46
  Speaker 2: exhaustion is important. We see this especially. Okay, so in
• 18:49
  Speaker 2: the end of summer is the classic heat. You know,
• 18:52
  Speaker 2: football teams from the high schools go back to do
• 18:55
  Speaker 2: two-a-day practices, right? That's the thing you do in the
• 18:57
  Speaker 2: summer because it's the final push to get in shape
• 19:01
  Speaker 2: for the football season. And they're getting out there and
• 19:04
  Speaker 2: practicing sometimes in peak heat. And and they will start
• 19:09
  Speaker 2: getting that lightheaded and dizzy in the past. The rule
• 19:12
  Speaker 2: was like the coaches to make them tougher would say, no,
• 19:15
  Speaker 2: you don't get access to water. You're not going to
• 19:17
  Speaker 2: get water till everybody does these sprints. Right. And until
• 19:20
  Speaker 2: somebody pukes. Well, once you're nauseous and vomiting, that's another
• 19:23
  Speaker 2: sign of heat exhaustion. So that's the time. That's how
• 19:26
  Speaker 2: you kill an athlete.
• 19:27
  Speaker 3: Right.
• 19:28
  Speaker 2: As you don't allow them free access to water. And
• 19:30
  Speaker 2: you just work them hard until they're lightheaded, dizzy and puking. Well, now,
• 19:35
  Speaker 2: if you force them to stay out in the heat
• 19:37
  Speaker 2: in their excessive, you know, the extra padding that you
• 19:40
  Speaker 2: have in football, they're going to die from a heat stroke.
• 19:42
  Speaker 4: OK, fair enough. We're going to come back. I've got
• 19:44
  Speaker 4: a couple of questions they ask. Oh, something is driving
• 19:47
  Speaker 4: women crazy.
• 19:48
  Speaker 3: And.
• 19:50
  Speaker 4: Oh, of course, I had to go there. And I
• 19:52
  Speaker 4: will ask a major question there. Jim, Chief Medical Officer
• 19:56
  Speaker 4: for Dignity St. Mary Medical Center and a board certified ER.
• 20:00
  Speaker 3: Doc, who has seen thousands of people's die right there
• 20:04
  Speaker 3: under his knife, which is why I like him so much.
• 20:07
  Speaker 4: Jim, a quick, well, here's the question. What is driving
• 20:12
  Speaker 4: women crazy other than just being born?
• 20:17
  Speaker 2: Not touching that one, but there is an estrogen patch shortage.
• 20:20
  Speaker 2: So let's talk about that. You know, this is a
• 20:24
  Speaker 2: story inside a story inside a story, really. I mean,
• 20:28
  Speaker 2: the story of estrogen replacement started in the 1940s when
• 20:31
  Speaker 2: they invented Premarin, which is pregnant mare's urine, and they
• 20:36
  Speaker 2: got estrogen. Then in the 60s, everyone was on estrogen
• 20:40
  Speaker 2: because of a book. called Forever Feminine that came out.
• 20:43
  Speaker 2: It was published by a doctor who talked about how
• 20:48
  Speaker 2: we can medicalize menopause and you don't have to go
• 20:51
  Speaker 2: through menopause. You don't have to experience it. You can
• 20:54
  Speaker 2: relieve the symptoms with estrogen. And then we started realizing
• 20:58
  Speaker 2: that that causes endometrial cancer if you don't do it
• 21:01
  Speaker 2: with progesterone. So we added those two together. Then the
• 21:05
  Speaker 2: Women's Health Initiative study came out 20 years ago, 25
• 21:07
  Speaker 2: years ago, And that just like was a bomb that
• 21:11
  Speaker 2: went off. It was a huge major study. It showed
• 21:15
  Speaker 2: that women got breast cancer more often, strokes more often,
• 21:18
  Speaker 2: heart attacks, pulmonary embolisms, all these horrible things when they
• 21:21
  Speaker 2: took estrogen, even with progesterone. But wait, wait. These are
• 21:26
  Speaker 2: women that started it at age, on average, age 65
• 21:29
  Speaker 2: or so. So that's 20 years after some women are
• 21:33
  Speaker 2: starting estrogen for menopausal symptoms or perimenopausal symptoms. So now
• 21:39
  Speaker 2: we thought, well, maybe that doesn't apply. So we start
• 21:42
  Speaker 2: looking at data in younger women, and it's nothing like
• 21:45
  Speaker 2: the data in older women. So All of a sudden,
• 21:48
  Speaker 2: estrogen comes back, and now it's tripled. The number of
• 21:52
  Speaker 2: prescriptions for estrogen in the last three years or so
• 21:55
  Speaker 2: has tripled, and the estrogen patch manufacturers can't keep up
• 21:59
  Speaker 2: with it. They've doubled their production, but it's not enough
• 22:01
  Speaker 2: to keep up with this.
• 22:02
  Speaker 4: So when you talk about dealing with menopause or postmenopause,
• 22:06
  Speaker 4: just the symptoms, the pain, the bleeding, et cetera, I'm assuming,
• 22:10
  Speaker 4: as opposed to the actual physical going through that process.
• 22:14
  Speaker 3: Do I have that right?
• 22:17
  Speaker 2: Yeah, I mean, it's not going to create suddenly where
• 22:21
  Speaker 2: you can produce eggs and get pregnant again necessarily, but
• 22:24
  Speaker 2: it's going to all the associated symptoms with menopause, which
• 22:28
  Speaker 2: are many. The number one thing is hot flashes that
• 22:32
  Speaker 2: people complain about, night sweats. Those type of thing. But also,
• 22:36
  Speaker 2: you know, you get vaginal atrophy so that sexual intercourse
• 22:40
  Speaker 2: can become painful. And a lot of other symptoms. You
• 22:44
  Speaker 2: start losing, you know, you get that kind of belly fat.
• 22:47
  Speaker 2: You lose fitness level. A lot of other things happen
• 22:51
  Speaker 2: during pregnancy. the menopausal transition, and you can reduce some
• 22:55
  Speaker 2: of that with these estrogen patches, maintain your sex drive
• 22:59
  Speaker 2: and other things. That may be more related to testosterone.
• 23:02
  Speaker 2: And by the way, next week, we'll probably be talking
• 23:05
  Speaker 2: about that. The FDA is going to review testosterone use
• 23:07
  Speaker 2: in women on a meeting on September 17th. So, you know,
• 23:12
  Speaker 2: all these things suddenly, and now social media maybe has
• 23:15
  Speaker 2: oversold this a bit. They're selling it as anti-aging and
• 23:18
  Speaker 2: as longevity products. We don't know that it creates a
• 23:21
  Speaker 2: longer life. We just know that it does improve the
• 23:24
  Speaker 2: quality of life. So women are using this much more
• 23:27
  Speaker 2: often now.
• 23:29
  Speaker 3: I'm assuming there's some political aspects of this, too, why
• 23:33
  Speaker 3: there's some real fear of premenopausal women being elected president
• 23:36
  Speaker 3: because every 28 days they're right next to that button, right?
• 23:39
  Speaker 2: I did not think of that at all.
• 23:44
  Speaker 3: Don't worry, Doc. I got you. Jesus. Okay. Well, so
• 23:48
  Speaker 3: much for that, Jim. Always a pleasure.
• 23:51
  Speaker 2: All right. Take care.
• 23:53
  Speaker 3: Take care. Neil, that was a legitimate question. For you,
• 23:58
  Speaker 3: always a pleasure. That was a totally legitimate question.
• 24:02
  Speaker 1: Not only is he excellent at what he does, but
• 24:06
  Speaker 1: he's a very nice man. And then you go and
• 24:11
  Speaker 1: you put all your slop on him.
• 24:13
  Speaker 3: Yeah. And we're friends.
• 24:15
  Speaker 4: Incidentally, we are good friends as you and I are, Neil.
• 24:20
  Speaker 4: It's not like I don't put my slop on you.
• 24:22
  Speaker 4: It's not like I don't put my slop on you
• 24:23
  Speaker 4: who listen.
• 24:24
  Speaker 3: Everybody. It's handle slop is what it is.
• 24:29
  Speaker 2: All right.
• 24:29
  Speaker 3: We're done, guys. Please keep your slop off of me.
• 24:32
  Speaker 4: Gary and Shannon are up next. And, of course, it
• 24:36
  Speaker 4: starts 5 a.m. tomorrow morning with Will and Amy.
• 24:40
  Speaker 3: Pardon? No, aren't they out at an event tomorrow? No,
• 24:42
  Speaker 3: it's tomorrow. Tomorrow they're at an event. News and Brews.
• 24:45
  Speaker 3: I'm sorry? News and Brews? Yeah, tomorrow. Oh, okay.
• 24:48
  Speaker 4: BJ's?
• 24:48
  Speaker 3: Yep. Okay, that should be a lot of fun. Always
• 24:55
  Speaker 3: fun to watch Shannon tip over one or two at
• 24:58
  Speaker 3: 9 o'clock in the morning. You've been listening to The
• 25:02
  Speaker 3: Bill Handel Show. Catch my show Monday through Friday, 6 a.m.
• 25:05
  Speaker 3: to 9 a.m. and anytime on demand on the iHeartRadio app.