April 30, 2025 • 22 mins
(April 30, 2025)
Why making an All-American product is so hard. How the fun police came for your holiday. Dr. Jim Keany, Chief Medical Officer at Dignity Health St. Mary Medical Center in Long Beach, joins The Bill Handel Show for 'Medical News'! Dr. Keany talks with Bill about the 17 ways to cut your risk of depression, dementia, and stroke, how Parkinsons disease may soon outpace dementia, and smart insoles could diagnose health problems.
Why making an All-American product is so hard. How the fun police came for your holiday. Dr. Jim Keany, Chief Medical Officer at Dignity Health St. Mary Medical Center in Long Beach, joins The Bill Handel Show for 'Medical News'! Dr. Keany talks with Bill about the 17 ways to cut your risk of depression, dementia, and stroke, how Parkinsons disease may soon outpace dementia, and smart insoles could diagnose health problems.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:01):
You're listening to Bill Handle on demand from KFI AM
six forty Wednesday.
Speaker 2 (00:06):
Morning, April thirtieth, last day of the month. Because someone
just told me that some of the big stories, four
billion dollar settlement was approved yesterday by the Board of
Supervisors La County dealing with more than sixty eight hundred
claims of sexual abuse in either county facilities or foster
homes that were overseen by the county. And we're still
(00:30):
in the tarraffores. China is not backing down. Factories are
closing over there. Our economy is down. The GDP is
down zero point three percent two months of that or
two quarters of that, and that's defined as a recession.
Speaker 3 (00:44):
So it's tough. Things are tough.
Speaker 2 (00:46):
Now let me go back to things that are not
only tough, but it strikes you as it can't happen,
but it is.
Speaker 3 (00:55):
And this has to do with Meta specifically.
Speaker 2 (01:00):
That has come out with these chatbots where people can
just get engaged through AI with personalities people.
Speaker 3 (01:08):
As a matter of fact, what.
Speaker 2 (01:09):
Meta did is pay some big time personalities Judy Dench
for example, Kristen Bell up to a million dollars. We
want to use your voice and to have conversations with people. Okay,
you always John Senna, who is the wrestler who is
now an actor who is fairly well known. This is
(01:31):
sort of the poster child because this is where they
spent time.
Speaker 3 (01:34):
And so.
Speaker 2 (01:37):
He was asked as a fourteen year old. Okay, this
is a fourteen year old going on or someone pretending
to be a fourteen year old and talking about sexual acts.
Now the computer meta the program knew it.
Speaker 3 (01:56):
Was a fourteen year old. Okay, that was the basis
of the.
Speaker 2 (02:01):
And the meta bot said, in Senna's voice, I want you,
I need to know you are ready, to a user
identified as a fourteen year old. She reassures him that
she wants to proceed. The bot promises to cherish your
innocence before engaging in a sexual act. Now keep in
(02:23):
mind this is all, of course, computer generated, and the
bot went further and was aware that what was happening
was both morally wrong and illegal. In another conversation along
the same line, same people, the test user asked the
bot that was speaking a Senna, what would happen if
(02:44):
a cop came in.
Speaker 3 (02:46):
Cina. I'm sorry I always mispronounced names.
Speaker 2 (02:49):
That what would happen if a police officer walked in
while they were having or right after a sexual encounter.
This was with a seventeen year old. The officer sees me,
still catching my breath. You partially dressed. The cop says,
John Cena, you're under arrest for statutory rape. And he
puts handcuffs on me and then goes on and says,
(03:11):
my wrestling career is over. We terminates my contract. I'm
stripped of my titles, Sponsors dropped me, I'm shunned by
the wrestling community. My reputation is destroyed. I'm left with nothing.
This is the bot talking to a minor and graphic
sex and Zuckerberg in one put is the guardrails that
(03:37):
his employees wanted to put in place. He wants to
eliminate those because he's competing with other AI bot organizations,
which is now wide open.
Speaker 3 (03:48):
And here is the problem. Whenever there is new technology.
Speaker 2 (03:52):
In the world of consumer use, for example VHS and
video cameras and DVDs, it was always poor and that
started it.
Speaker 3 (04:05):
It was always sexual encounters.
Speaker 2 (04:07):
Everybody goes to the lowest common denominator and that's what happening.
WHOA so in the meantime, you have these personalities that
are going out of their minds saying you can't use
our voice for stuff like this?
Speaker 3 (04:22):
Are you insane? Matter of fact, you've agreed to it.
Speaker 1 (04:27):
Now.
Speaker 2 (04:28):
What Meta is saying is this is totally unique. It's
very hard to do. It doesn't happen very often. And
Meta did say that, however, there are plenty of people
that do. Just the fact that it can be done,
and can it be controlled?
Speaker 3 (04:45):
I don't know, the Meta spokesperson said.
Speaker 2 (04:48):
The use case of this product in this way described
by the Wall Street Journal is so manufactured.
Speaker 3 (04:55):
It's not just fringe. It's hypothetical. Not quite.
Speaker 2 (05:00):
Individuals who want to spend hours manipulating our products into
extreme use cases will have even more difficult time using
it because they actually have started putting in some guardrails.
Speaker 3 (05:13):
Wow.
Speaker 2 (05:15):
So if you want to have sex with Betty White
and want to have a conversation with her, I'm listening. No,
I don't think that her voice is used as part
of this. I don't think she's one of those.
Speaker 3 (05:30):
Is this Betty White as the character Rose Golden Girls?
I don't know. It's a very good point too. Details, yes,
all right, before we get to Jim Keeney at the
bottom of the hour.
Speaker 2 (05:43):
One of the aspects, actually the primary aspect of the
terriff wars. President Trump wants to move manufacturing to the
United States. He does not want us to buy products
overseas because it's a balance of trade. If we buy,
if we import more products from a country, then we
have a negative trade balance. If we export more to
(06:05):
that country, we have a positive trade balance.
Speaker 3 (06:07):
And that's fairly simple. Except the issue is really.
Speaker 2 (06:10):
A lot more complicated than that, because there are certain
things that we can't do. For example, importing certain minerals.
We don't have them, so what do you do? You know,
all we have to produce them in America. Can't certain expertise.
For example, all the chips that are being manufactured in
(06:30):
Taiwan and now China, Well, it takes us years to
build those plants, which, by the way, it's a good
thing to build them in America. There's no question for
all kinds of reasons, financial reasons and.
Speaker 3 (06:41):
National security issues. But it's not simple.
Speaker 2 (06:46):
There are many, many, many different aspects of trade, and
what the President has done has made it very simple,
and I guess that's both good and bad.
Speaker 3 (06:57):
But one of the problems is you can't do all
this with such a broad stroke.
Speaker 2 (07:01):
Okay, let me give you a couple of examples here,
because the whole point of these tariffs is to make
sure that it's made in America. We want to keep
American workers, even though I have to tell you manufacturing
jobs are not great jobs. You know, it's you know,
they may be decently paying jobs, but it's they're not
tech jobs.
Speaker 3 (07:20):
It's manufacturing.
Speaker 2 (07:21):
To push that for people, I don't think that's the
way of the future, but that is, you know, it's
a view that's held by some of us. Okay, So
there's an Idoco Idaho company decker or decked and it
makes out slide out organizer pickup trucks. Ninety five percent
of spending go to US suppliers. Now that last five percent,
(07:44):
what the hell do they do? They're looking for a
domestic source. It buys bearings from China. Ball bearings.
Speaker 3 (07:51):
You can't find them. We've struggled to find components, components.
We're trying to.
Speaker 2 (07:56):
See what's competitive. Can't do it, just can't do it.
It's one of those things that is just not going
to buy.
Speaker 3 (08:02):
What do we do with that? Is there an exemption.
Speaker 2 (08:05):
Do we say a certain percentage is made in the
United States.
Speaker 3 (08:08):
That's another issue. What is made in the United States?
What does that mean? Assembling in the United States.
Speaker 2 (08:16):
Producing fifty percent of a product with parts that are American,
does that make it made in the United States. You've
got car plants BMW has went in North Carolina, for example,
is that an American made car?
Speaker 1 (08:32):
Well?
Speaker 2 (08:32):
And what percentage of parts come from Germany? That is
how complicated this is. Made in America. Either is relatively
simple to do, and it's being done by many companies
because not just the tariffs, because company it was the
(08:54):
supply issue, the gridlock that happened during COVID, and that
is companies realized, you know what, it is worth more
to manufacture here, even though it is more expensive, because
we can turn on a dime. Well, for example, I'm
gonna use my business I always do because I'm right
next to that. We buy from China. If we bought
(09:18):
from the United States, the turnaround time would be two days.
Let's say a factory we buy from is in Nevada.
We throw the cookwear on a truck and bring it
to southern California.
Speaker 3 (09:31):
The other way around. That's two days. I buy from China,
that's two weeks.
Speaker 2 (09:36):
It sits in a port, and then it goes on
a ship, and then that takes a bunch of days,
and then we have the brokers we have to deal
with and the bonding warehouses.
Speaker 3 (09:47):
None of that happens.
Speaker 2 (09:49):
And business is able to turn on a dime. You
change a product, it happens overnight. You change a product
over there, it can take weeks.
Speaker 3 (09:59):
That can take money.
Speaker 2 (10:00):
So there's a lot of advantages. But what do you
do when the cost of building a product is ten
percent or twenty percent of the cost of building it
here and there are lots of examples of that. And
the problem we're looking at is none of that is
being taken into account. That is the issue. These broad
(10:23):
sweeping tariffs one hundred and forty five percent on everything.
Speaker 3 (10:28):
Okay, well, let's exempt some stuff.
Speaker 2 (10:30):
The latest is exempting cars to an extent.
Speaker 3 (10:34):
The one hundred and forty five percent, I got hit
with it.
Speaker 2 (10:37):
But if I had manufactured chips or iPhones or televisions
or tablets or high tech, I'm exempt, and so am I.
And I'm talking about hundreds of thousands of small business
people in this country who are looking at losing their businesses,
(11:00):
honest to God, just out of business, which by the way,
is happening in China.
Speaker 3 (11:06):
As we speak.
Speaker 2 (11:07):
My partner Savo, who's been buying from China for forty years,
he knows these factories very very well. I mean, he
has a lot of friends there, and he says.
Speaker 3 (11:17):
Those companies are going out of business.
Speaker 2 (11:19):
This thing, this trade war, is going crazy to the
end the end of this right when Trump sees where
this is all going to stop, it's going to be
more manufacturing in the United States. It's going to be
punitive to buy from overseas. But there's a world economy
going on right now. So life is pretty complicated. And
(11:42):
there are certain things that are never going to be
able to be built in the United States or created
the United States, and we have to buy those from overseas.
Speaker 3 (11:52):
Do you do you exempt those products?
Speaker 2 (11:56):
Because right now there's going to cross the board ten percent,
I believe, from every product that's spread in the United States.
Do we have exemptions? It's insanely complicated. One of the
things that we're hearing is we're gonna have a deal
with India, for example, We're gonna have a deal coming
in next week. You know that most tariff arrangements and
(12:17):
negotiations can take years for countries to negotiate.
Speaker 3 (12:23):
It's that complicated. So am I gonna be talking more
about that? Yeah, just a little bit.
Speaker 2 (12:30):
All right, It's Wednesday, which means it's time for our
discussion with doctor Jim Keeney. Jim who is the chief
medical officer for Dignity Saint Mary Medical Center in Long
Beach and Jim, good morning, Good morning, Bill.
Speaker 3 (12:49):
Sorry, I'm just coughing. What do you think where it is?
What do you think it is?
Speaker 2 (12:54):
If you had to guess, Okay, yeah, kick well said yes,
with some inspiratory disease, I'm gonna die, all right, don't
just reminded me of a Paul Simon song. You know,
fifty ways to leave your lover, seventeen ways to cut
your risk of depression, dementia, and stroke all at once.
(13:16):
So you put all these ways into blender and turn
it on and there you go, no more dementia or
depression or stroke.
Speaker 3 (13:24):
Kind of neat. Yeah, Probably not that simple.
Speaker 1 (13:27):
Is it? Well, I mean it's really in a way,
it's not that simple. But another way, it's like kind
of what your mother's been telling it your whole life,
you know what I mean. It's just the basics of
healthy living is what we're talking about here. So when
we look at those those diseases, the protective factors are
things like and they overlap a little bit, right, low
(13:49):
alcohol and take the risk factor is the opposite high
alcohol intake. And by low alcohol intake, they're talking about
less than one drink a day, so not even a
drink a day. And then this stimulation, so you know, reading,
learning new skills, things like that, puzzling, all those type
of things would help healthy exercise. So basically Mediterranean diet
(14:12):
is the easiest way to say that, you know, fruits, vegetables,
those kind of things, nuts, legumes, and then a moderate
or vigorous physical activity you need to get out move
your body. A strong social network is key, and I've
seen this in a lot of older people. I mean
a friend of mine's grandmother moved into an assistance not
an assistant living facility, but a retirement apartment complex where
(14:36):
they all come down for breakfast, lunch, and dinners, but
they all also have their own apartments. And I got
to say, she has blossomed. She was falling apart. I
really didn't think she was going to live too much longer,
and now she has a reason to get out of
her apartment, get down there every day, socialize and it's
a very social group. So I mean, it's amazing what
(14:56):
a strong social connection I'll do, and then some sense
of purpose life. Right, But the risk factors are all
the ones you would expect. High blood pressure, high weight,
you know, body mass index or overweight, blood sugar, cholesterol, depression,
those type of things, right, and then you know, go
ahead and sleep. Let's do one more thing is sleep,
(15:18):
because sleep is super important, and you know, getting at
least eight hours of sleep every day is great. All right.
Speaker 2 (15:25):
So the question I've always looked at is you've got
all of those factors, and assuming you're following that fairly rigorously,
and you know, you take pretty good care of yourself.
Although we've gone to dinner, obviously you get try to
get up, and you were falling down drunk gym. You
could barely crawl out the front door. So sometimes on
the alcohol side, maybe not so much.
Speaker 1 (15:46):
But the study, you're going to give up my true
secrets of eating the entire bread basket.
Speaker 3 (15:52):
Oh that's the other thing.
Speaker 2 (15:53):
I was going to get that while you're drinking, you know, yeah,
wine and bread.
Speaker 3 (15:59):
There's some religious connotation there.
Speaker 2 (16:01):
But in terms of living healthier, longer, how much of it?
If there are any studies that say genetics play x
percent for the most part versus a healthy living style,
and obviously both are going to be important. But if
you've got good genes, is the rest of it that important?
Speaker 1 (16:26):
Yeah? I mean, so the rest of it can be
a huge influence, right, I mean we'd regularly see smokers
getting lung cancer and other cancers, right, heavy drinkers getting
kidney disease, liver disease, and all kinds of other problems
at higher risk for cancers. So the thing is, your
genetics is something you absolutely can't control, at least at
(16:48):
this stage of the game. There are some treatments coming
out that are small pieces of RNA. I think we
might have done this on the show already that can
use DNA to mask certain proteins and stop them from
being produced rather than producing them. So you know, right now,
you can't control your genetics and all these other things
(17:08):
you can control. So if you're going to live a
short life but you want it to be high quality.
These are the things you should follow.
Speaker 2 (17:16):
Okay, fair enough, all right, Parkinson's may soon outpace dementia.
And I thought dementia was hitting as hard, hard as
the disease of the future, so I had no idea
that Parkinson's is growing like that.
Speaker 1 (17:33):
Yeah, so Parkinson's is on the rise as opposed to dementia,
which is starting to show, you know, a decline in prevalence.
So that's what people are saying, Well, is it possible
that in the future Parkinson's could actually outpace dementia? And
you know, people get this confused sometimes, Right, dementia just
means as we get older, and people sometimes call it
(17:55):
senility where you start forgetting things right. That's dementia. But
Parkinson's a very specific disease. It's this accumulation of proteins
in your brain that reduce the function mostly a movement right,
so it's primarily a movement disorder, but it also comes
with with loss of memory, cognition problems, energy problems, mood problems,
(18:16):
so a little bit different. And then there's variations of
Parkinson's like Louis body dementia that are much heavier in
the dementia side of things, but there's been some significant breakthroughs,
so hopefully, you know, the future looks good for people
that could be coming down with Parkinson's. Number one is
there's this kind of experimental at this stage, they are
(18:38):
using it clinically but not commonly, as a test called
archy quick that can detect the Parkinson's protein with about
ninety five percent accuracy. Now the most accurate test you
need to get a spinal tap for that and get
spinal fluid to test it. But they're working on a
more broad based test for blood. They've got, you know,
they've used for years adaptive deep brainston relators that can
(19:01):
reduce the effects.
Speaker 3 (19:03):
What is that? Adaptive deep brain stimulators.
Speaker 1 (19:07):
Deep deep brain, deep brain?
Speaker 2 (19:10):
Okay, no, no, I just so what is that? Is
that like an electroshock therapy.
Speaker 1 (19:16):
It's a it's an implant kind of like a pastment,
but it goes into the brain and in real time
it changes the brain signals to the reduced kind of
the tremor and some of the side effects. Literally people
you turn it on and their tremor stops.
Speaker 3 (19:31):
Wow, and you oh no, I'm sorry.
Speaker 2 (19:35):
I'm just going to say, is it fair to say
that if you are a slide of hand magician and
you get Parkinson's.
Speaker 3 (19:42):
That's problematic.
Speaker 1 (19:45):
Yeah, okay, so the thoughts good thoughts.
Speaker 2 (19:55):
So in terms of Parkinson's UH and dementia and specifically
the diagnosed dementia, which I think you can can you
diagnose Alzheimer's today without doing an autopsy to absolutely determine
if that's the case.
Speaker 1 (20:14):
Yeah, Alzheimer's as well, you can you can diagnose through
a different some new tests that are going on, but
also you know, scams and things like that.
Speaker 2 (20:24):
So which which disease is being better attacked right now
in more success? Is a Parkinson's or dementias? As we're
we're comparing the two.
Speaker 1 (20:34):
You know, with both of them going on, I think
you know that there's a lot of research really pushing both.
I don't I really don't have a way to quantify
if one is getting more attention than the other. That's
an interesting question. Maybe look at how many dollars are
being spent on each, but but both are being have
you know, significant improvements and significant uh you know advancements
(20:56):
going on. So it's just an exciting time and noticit
with what you know, AI assisted and a lot of
the things that have been done previously, coming all to fruition.
At the same time, we really got a lot of
good things in the pipeline.
Speaker 3 (21:09):
Do you see cancer being beaten?
Speaker 2 (21:11):
I know there are a lot of different cancers, but
do you see the magic bullet coming in the next ten, fifteen,
twenty years.
Speaker 1 (21:18):
Well, I mean I really thought all of those what
do you call the monoclonal antibodies were going to be
something really powerful and might have been the magic bullet.
And some of them are very good. I mean, you
see all the commercials for Treveda and all those other ones.
You know, there's tons of a monal that you see
on commercials. So I do think that we're making progress
(21:41):
in that area and that the monoclonal antibodies will be
a big part of that.
Speaker 3 (21:45):
Okay, Jim, thank you. We'll talk again next Wednesday. Anytime
I have a good one. Kill some people. Okay, we
are done, guys.
Speaker 2 (21:55):
Tomorrow morning all over again, we start to wake up,
call Amy and Will and then Neil and I joined
at six cono and and of course making the show happen.
And I am taking phone calls right now, starting right
after the show as I lock out for handle on
the law questions off the air, and I go through
(22:16):
them very quickly because we have no brakes at all.
I go right through them, and of course no patience
for me. The number eight seven seven five two zero
eleven fifty eight seven seven five two zero eleven fifty
Next up, Gary and Shannon.
Speaker 3 (22:30):
Right here KFI AM six forty. You've been listening to
the Bill Handle Show.
Speaker 2 (22:35):
Catch My Show Monday through Friday, six am to nine am,
and anytime on demand on the iHeartRadio app.
You're listening to Bill Handle on demand from KFI AM
six forty Wednesday.
Speaker 2 (00:06):
Morning, April thirtieth, last day of the month. Because someone
just told me that some of the big stories, four
billion dollar settlement was approved yesterday by the Board of
Supervisors La County dealing with more than sixty eight hundred
claims of sexual abuse in either county facilities or foster
homes that were overseen by the county. And we're still
(00:30):
in the tarraffores. China is not backing down. Factories are
closing over there. Our economy is down. The GDP is
down zero point three percent two months of that or
two quarters of that, and that's defined as a recession.
Speaker 3 (00:44):
So it's tough. Things are tough.
Speaker 2 (00:46):
Now let me go back to things that are not
only tough, but it strikes you as it can't happen,
but it is.
Speaker 3 (00:55):
And this has to do with Meta specifically.
Speaker 2 (01:00):
That has come out with these chatbots where people can
just get engaged through AI with personalities people.
Speaker 3 (01:08):
As a matter of fact, what.
Speaker 2 (01:09):
Meta did is pay some big time personalities Judy Dench
for example, Kristen Bell up to a million dollars. We
want to use your voice and to have conversations with people. Okay,
you always John Senna, who is the wrestler who is
now an actor who is fairly well known. This is
(01:31):
sort of the poster child because this is where they
spent time.
Speaker 3 (01:34):
And so.
Speaker 2 (01:37):
He was asked as a fourteen year old. Okay, this
is a fourteen year old going on or someone pretending
to be a fourteen year old and talking about sexual acts.
Now the computer meta the program knew it.
Speaker 3 (01:56):
Was a fourteen year old. Okay, that was the basis
of the.
Speaker 2 (02:01):
And the meta bot said, in Senna's voice, I want you,
I need to know you are ready, to a user
identified as a fourteen year old. She reassures him that
she wants to proceed. The bot promises to cherish your
innocence before engaging in a sexual act. Now keep in
(02:23):
mind this is all, of course, computer generated, and the
bot went further and was aware that what was happening
was both morally wrong and illegal. In another conversation along
the same line, same people, the test user asked the
bot that was speaking a Senna, what would happen if
(02:44):
a cop came in.
Speaker 3 (02:46):
Cina. I'm sorry I always mispronounced names.
Speaker 2 (02:49):
That what would happen if a police officer walked in
while they were having or right after a sexual encounter.
This was with a seventeen year old. The officer sees me,
still catching my breath. You partially dressed. The cop says,
John Cena, you're under arrest for statutory rape. And he
puts handcuffs on me and then goes on and says,
(03:11):
my wrestling career is over. We terminates my contract. I'm
stripped of my titles, Sponsors dropped me, I'm shunned by
the wrestling community. My reputation is destroyed. I'm left with nothing.
This is the bot talking to a minor and graphic
sex and Zuckerberg in one put is the guardrails that
(03:37):
his employees wanted to put in place. He wants to
eliminate those because he's competing with other AI bot organizations,
which is now wide open.
Speaker 3 (03:48):
And here is the problem. Whenever there is new technology.
Speaker 2 (03:52):
In the world of consumer use, for example VHS and
video cameras and DVDs, it was always poor and that
started it.
Speaker 3 (04:05):
It was always sexual encounters.
Speaker 2 (04:07):
Everybody goes to the lowest common denominator and that's what happening.
WHOA so in the meantime, you have these personalities that
are going out of their minds saying you can't use
our voice for stuff like this?
Speaker 3 (04:22):
Are you insane? Matter of fact, you've agreed to it.
Speaker 1 (04:27):
Now.
Speaker 2 (04:28):
What Meta is saying is this is totally unique. It's
very hard to do. It doesn't happen very often. And
Meta did say that, however, there are plenty of people
that do. Just the fact that it can be done,
and can it be controlled?
Speaker 3 (04:45):
I don't know, the Meta spokesperson said.
Speaker 2 (04:48):
The use case of this product in this way described
by the Wall Street Journal is so manufactured.
Speaker 3 (04:55):
It's not just fringe. It's hypothetical. Not quite.
Speaker 2 (05:00):
Individuals who want to spend hours manipulating our products into
extreme use cases will have even more difficult time using
it because they actually have started putting in some guardrails.
Speaker 3 (05:13):
Wow.
Speaker 2 (05:15):
So if you want to have sex with Betty White
and want to have a conversation with her, I'm listening. No,
I don't think that her voice is used as part
of this. I don't think she's one of those.
Speaker 3 (05:30):
Is this Betty White as the character Rose Golden Girls?
I don't know. It's a very good point too. Details, yes,
all right, before we get to Jim Keeney at the
bottom of the hour.
Speaker 2 (05:43):
One of the aspects, actually the primary aspect of the
terriff wars. President Trump wants to move manufacturing to the
United States. He does not want us to buy products
overseas because it's a balance of trade. If we buy,
if we import more products from a country, then we
have a negative trade balance. If we export more to
(06:05):
that country, we have a positive trade balance.
Speaker 3 (06:07):
And that's fairly simple. Except the issue is really.
Speaker 2 (06:10):
A lot more complicated than that, because there are certain
things that we can't do. For example, importing certain minerals.
We don't have them, so what do you do? You know,
all we have to produce them in America. Can't certain expertise.
For example, all the chips that are being manufactured in
(06:30):
Taiwan and now China, Well, it takes us years to
build those plants, which, by the way, it's a good
thing to build them in America. There's no question for
all kinds of reasons, financial reasons and.
Speaker 3 (06:41):
National security issues. But it's not simple.
Speaker 2 (06:46):
There are many, many, many different aspects of trade, and
what the President has done has made it very simple,
and I guess that's both good and bad.
Speaker 3 (06:57):
But one of the problems is you can't do all
this with such a broad stroke.
Speaker 2 (07:01):
Okay, let me give you a couple of examples here,
because the whole point of these tariffs is to make
sure that it's made in America. We want to keep
American workers, even though I have to tell you manufacturing
jobs are not great jobs. You know, it's you know,
they may be decently paying jobs, but it's they're not
tech jobs.
Speaker 3 (07:20):
It's manufacturing.
Speaker 2 (07:21):
To push that for people, I don't think that's the
way of the future, but that is, you know, it's
a view that's held by some of us. Okay, So
there's an Idoco Idaho company decker or decked and it
makes out slide out organizer pickup trucks. Ninety five percent
of spending go to US suppliers. Now that last five percent,
(07:44):
what the hell do they do? They're looking for a
domestic source. It buys bearings from China. Ball bearings.
Speaker 3 (07:51):
You can't find them. We've struggled to find components, components.
We're trying to.
Speaker 2 (07:56):
See what's competitive. Can't do it, just can't do it.
It's one of those things that is just not going
to buy.
Speaker 3 (08:02):
What do we do with that? Is there an exemption.
Speaker 2 (08:05):
Do we say a certain percentage is made in the
United States.
Speaker 3 (08:08):
That's another issue. What is made in the United States?
What does that mean? Assembling in the United States.
Speaker 2 (08:16):
Producing fifty percent of a product with parts that are American,
does that make it made in the United States. You've
got car plants BMW has went in North Carolina, for example,
is that an American made car?
Speaker 1 (08:32):
Well?
Speaker 2 (08:32):
And what percentage of parts come from Germany? That is
how complicated this is. Made in America. Either is relatively
simple to do, and it's being done by many companies
because not just the tariffs, because company it was the
(08:54):
supply issue, the gridlock that happened during COVID, and that
is companies realized, you know what, it is worth more
to manufacture here, even though it is more expensive, because
we can turn on a dime. Well, for example, I'm
gonna use my business I always do because I'm right
next to that. We buy from China. If we bought
(09:18):
from the United States, the turnaround time would be two days.
Let's say a factory we buy from is in Nevada.
We throw the cookwear on a truck and bring it
to southern California.
Speaker 3 (09:31):
The other way around. That's two days. I buy from China,
that's two weeks.
Speaker 2 (09:36):
It sits in a port, and then it goes on
a ship, and then that takes a bunch of days,
and then we have the brokers we have to deal
with and the bonding warehouses.
Speaker 3 (09:47):
None of that happens.
Speaker 2 (09:49):
And business is able to turn on a dime. You
change a product, it happens overnight. You change a product
over there, it can take weeks.
Speaker 3 (09:59):
That can take money.
Speaker 2 (10:00):
So there's a lot of advantages. But what do you
do when the cost of building a product is ten
percent or twenty percent of the cost of building it
here and there are lots of examples of that. And
the problem we're looking at is none of that is
being taken into account. That is the issue. These broad
(10:23):
sweeping tariffs one hundred and forty five percent on everything.
Speaker 3 (10:28):
Okay, well, let's exempt some stuff.
Speaker 2 (10:30):
The latest is exempting cars to an extent.
Speaker 3 (10:34):
The one hundred and forty five percent, I got hit
with it.
Speaker 2 (10:37):
But if I had manufactured chips or iPhones or televisions
or tablets or high tech, I'm exempt, and so am I.
And I'm talking about hundreds of thousands of small business
people in this country who are looking at losing their businesses,
(11:00):
honest to God, just out of business, which by the way,
is happening in China.
Speaker 3 (11:06):
As we speak.
Speaker 2 (11:07):
My partner Savo, who's been buying from China for forty years,
he knows these factories very very well. I mean, he
has a lot of friends there, and he says.
Speaker 3 (11:17):
Those companies are going out of business.
Speaker 2 (11:19):
This thing, this trade war, is going crazy to the
end the end of this right when Trump sees where
this is all going to stop, it's going to be
more manufacturing in the United States. It's going to be
punitive to buy from overseas. But there's a world economy
going on right now. So life is pretty complicated. And
(11:42):
there are certain things that are never going to be
able to be built in the United States or created
the United States, and we have to buy those from overseas.
Speaker 3 (11:52):
Do you do you exempt those products?
Speaker 2 (11:56):
Because right now there's going to cross the board ten percent,
I believe, from every product that's spread in the United States.
Do we have exemptions? It's insanely complicated. One of the
things that we're hearing is we're gonna have a deal
with India, for example, We're gonna have a deal coming
in next week. You know that most tariff arrangements and
(12:17):
negotiations can take years for countries to negotiate.
Speaker 3 (12:23):
It's that complicated. So am I gonna be talking more
about that? Yeah, just a little bit.
Speaker 2 (12:30):
All right, It's Wednesday, which means it's time for our
discussion with doctor Jim Keeney. Jim who is the chief
medical officer for Dignity Saint Mary Medical Center in Long
Beach and Jim, good morning, Good morning, Bill.
Speaker 3 (12:49):
Sorry, I'm just coughing. What do you think where it is?
What do you think it is?
Speaker 2 (12:54):
If you had to guess, Okay, yeah, kick well said yes,
with some inspiratory disease, I'm gonna die, all right, don't
just reminded me of a Paul Simon song. You know,
fifty ways to leave your lover, seventeen ways to cut
your risk of depression, dementia, and stroke all at once.
(13:16):
So you put all these ways into blender and turn
it on and there you go, no more dementia or
depression or stroke.
Speaker 3 (13:24):
Kind of neat. Yeah, Probably not that simple.
Speaker 1 (13:27):
Is it? Well, I mean it's really in a way,
it's not that simple. But another way, it's like kind
of what your mother's been telling it your whole life,
you know what I mean. It's just the basics of
healthy living is what we're talking about here. So when
we look at those those diseases, the protective factors are
things like and they overlap a little bit, right, low
(13:49):
alcohol and take the risk factor is the opposite high
alcohol intake. And by low alcohol intake, they're talking about
less than one drink a day, so not even a
drink a day. And then this stimulation, so you know, reading,
learning new skills, things like that, puzzling, all those type
of things would help healthy exercise. So basically Mediterranean diet
(14:12):
is the easiest way to say that, you know, fruits, vegetables,
those kind of things, nuts, legumes, and then a moderate
or vigorous physical activity you need to get out move
your body. A strong social network is key, and I've
seen this in a lot of older people. I mean
a friend of mine's grandmother moved into an assistance not
an assistant living facility, but a retirement apartment complex where
(14:36):
they all come down for breakfast, lunch, and dinners, but
they all also have their own apartments. And I got
to say, she has blossomed. She was falling apart. I
really didn't think she was going to live too much longer,
and now she has a reason to get out of
her apartment, get down there every day, socialize and it's
a very social group. So I mean, it's amazing what
(14:56):
a strong social connection I'll do, and then some sense
of purpose life. Right, But the risk factors are all
the ones you would expect. High blood pressure, high weight,
you know, body mass index or overweight, blood sugar, cholesterol, depression,
those type of things, right, and then you know, go
ahead and sleep. Let's do one more thing is sleep,
(15:18):
because sleep is super important, and you know, getting at
least eight hours of sleep every day is great. All right.
Speaker 2 (15:25):
So the question I've always looked at is you've got
all of those factors, and assuming you're following that fairly rigorously,
and you know, you take pretty good care of yourself.
Although we've gone to dinner, obviously you get try to
get up, and you were falling down drunk gym. You
could barely crawl out the front door. So sometimes on
the alcohol side, maybe not so much.
Speaker 1 (15:46):
But the study, you're going to give up my true
secrets of eating the entire bread basket.
Speaker 3 (15:52):
Oh that's the other thing.
Speaker 2 (15:53):
I was going to get that while you're drinking, you know, yeah,
wine and bread.
Speaker 3 (15:59):
There's some religious connotation there.
Speaker 2 (16:01):
But in terms of living healthier, longer, how much of it?
If there are any studies that say genetics play x
percent for the most part versus a healthy living style,
and obviously both are going to be important. But if
you've got good genes, is the rest of it that important?
Speaker 1 (16:26):
Yeah? I mean, so the rest of it can be
a huge influence, right, I mean we'd regularly see smokers
getting lung cancer and other cancers, right, heavy drinkers getting
kidney disease, liver disease, and all kinds of other problems
at higher risk for cancers. So the thing is, your
genetics is something you absolutely can't control, at least at
(16:48):
this stage of the game. There are some treatments coming
out that are small pieces of RNA. I think we
might have done this on the show already that can
use DNA to mask certain proteins and stop them from
being produced rather than producing them. So you know, right now,
you can't control your genetics and all these other things
(17:08):
you can control. So if you're going to live a
short life but you want it to be high quality.
These are the things you should follow.
Speaker 2 (17:16):
Okay, fair enough, all right, Parkinson's may soon outpace dementia.
And I thought dementia was hitting as hard, hard as
the disease of the future, so I had no idea
that Parkinson's is growing like that.
Speaker 1 (17:33):
Yeah, so Parkinson's is on the rise as opposed to dementia,
which is starting to show, you know, a decline in prevalence.
So that's what people are saying, Well, is it possible
that in the future Parkinson's could actually outpace dementia? And
you know, people get this confused sometimes, Right, dementia just
means as we get older, and people sometimes call it
(17:55):
senility where you start forgetting things right. That's dementia. But
Parkinson's a very specific disease. It's this accumulation of proteins
in your brain that reduce the function mostly a movement right,
so it's primarily a movement disorder, but it also comes
with with loss of memory, cognition problems, energy problems, mood problems,
(18:16):
so a little bit different. And then there's variations of
Parkinson's like Louis body dementia that are much heavier in
the dementia side of things, but there's been some significant breakthroughs,
so hopefully, you know, the future looks good for people
that could be coming down with Parkinson's. Number one is
there's this kind of experimental at this stage, they are
(18:38):
using it clinically but not commonly, as a test called
archy quick that can detect the Parkinson's protein with about
ninety five percent accuracy. Now the most accurate test you
need to get a spinal tap for that and get
spinal fluid to test it. But they're working on a
more broad based test for blood. They've got, you know,
they've used for years adaptive deep brainston relators that can
(19:01):
reduce the effects.
Speaker 3 (19:03):
What is that? Adaptive deep brain stimulators.
Speaker 1 (19:07):
Deep deep brain, deep brain?
Speaker 2 (19:10):
Okay, no, no, I just so what is that? Is
that like an electroshock therapy.
Speaker 1 (19:16):
It's a it's an implant kind of like a pastment,
but it goes into the brain and in real time
it changes the brain signals to the reduced kind of
the tremor and some of the side effects. Literally people
you turn it on and their tremor stops.
Speaker 3 (19:31):
Wow, and you oh no, I'm sorry.
Speaker 2 (19:35):
I'm just going to say, is it fair to say
that if you are a slide of hand magician and
you get Parkinson's.
Speaker 3 (19:42):
That's problematic.
Speaker 1 (19:45):
Yeah, okay, so the thoughts good thoughts.
Speaker 2 (19:55):
So in terms of Parkinson's UH and dementia and specifically
the diagnosed dementia, which I think you can can you
diagnose Alzheimer's today without doing an autopsy to absolutely determine
if that's the case.
Speaker 1 (20:14):
Yeah, Alzheimer's as well, you can you can diagnose through
a different some new tests that are going on, but
also you know, scams and things like that.
Speaker 2 (20:24):
So which which disease is being better attacked right now
in more success? Is a Parkinson's or dementias? As we're
we're comparing the two.
Speaker 1 (20:34):
You know, with both of them going on, I think
you know that there's a lot of research really pushing both.
I don't I really don't have a way to quantify
if one is getting more attention than the other. That's
an interesting question. Maybe look at how many dollars are
being spent on each, but but both are being have
you know, significant improvements and significant uh you know advancements
(20:56):
going on. So it's just an exciting time and noticit
with what you know, AI assisted and a lot of
the things that have been done previously, coming all to fruition.
At the same time, we really got a lot of
good things in the pipeline.
Speaker 3 (21:09):
Do you see cancer being beaten?
Speaker 2 (21:11):
I know there are a lot of different cancers, but
do you see the magic bullet coming in the next ten, fifteen,
twenty years.
Speaker 1 (21:18):
Well, I mean I really thought all of those what
do you call the monoclonal antibodies were going to be
something really powerful and might have been the magic bullet.
And some of them are very good. I mean, you
see all the commercials for Treveda and all those other ones.
You know, there's tons of a monal that you see
on commercials. So I do think that we're making progress
(21:41):
in that area and that the monoclonal antibodies will be
a big part of that.
Speaker 3 (21:45):
Okay, Jim, thank you. We'll talk again next Wednesday. Anytime
I have a good one. Kill some people. Okay, we
are done, guys.
Speaker 2 (21:55):
Tomorrow morning all over again, we start to wake up,
call Amy and Will and then Neil and I joined
at six cono and and of course making the show happen.
And I am taking phone calls right now, starting right
after the show as I lock out for handle on
the law questions off the air, and I go through
(22:16):
them very quickly because we have no brakes at all.
I go right through them, and of course no patience
for me. The number eight seven seven five two zero
eleven fifty eight seven seven five two zero eleven fifty
Next up, Gary and Shannon.
Speaker 3 (22:30):
Right here KFI AM six forty. You've been listening to
the Bill Handle Show.
Speaker 2 (22:35):
Catch My Show Monday through Friday, six am to nine am,
and anytime on demand on the iHeartRadio app.
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