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<v Speaker 1>You're listening to kaf I AM six forty the Bill

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<v Speaker 1>Handles show on demand on the iHeartRadio app Yesterday last evening,

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<v Speaker 1>another horrific airline crash.

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<v Speaker 2>This one or actually a.

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<v Speaker 1>Collision between a civilian aircraft American Airlines regional plane. It

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<v Speaker 1>was a smaller plane I think sixty some odd people

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<v Speaker 1>can hold I think seventy and a military helicopter as

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<v Speaker 1>the plane was approaching landing at Reagan Reagan Airport.

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<v Speaker 2>In Washington, d C.

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<v Speaker 1>With us Jay Ratliffe, the iHeart aviation expert who joins

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<v Speaker 1>us whenever we have these unfortunate stories and he knows.

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<v Speaker 3>What he was talking about.

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<v Speaker 1>Jay, thanks for taking the time, greatly appreciated. Can we

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<v Speaker 1>start with what happened? And then I have question after question?

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<v Speaker 1>So describe what happened.

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<v Speaker 2>If you would.

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<v Speaker 3>Well, I mean, we had a American Airlines commuter flight

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<v Speaker 3>flying in. It was American Airlines fifty three forty two.

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<v Speaker 3>On approach coming out of what you talk Kansas into Washington,

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<v Speaker 3>DC's Reagan Airport to normal operations, clear skies, ten miles visibility,

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<v Speaker 3>the winds a little bit sixteen to twenty miles an hour.

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<v Speaker 3>It was okay and then as they were preparing for landing,

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<v Speaker 3>at the last moment, the aircraft collided with an essence,

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<v Speaker 3>a military black Hawk helicopter and exploded in the air

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<v Speaker 3>and no one survived. Sixty passengers for crew members on

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<v Speaker 3>the American Airlines flight, and then three people that were

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<v Speaker 3>crew members on the aircraft. And now the search francers

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<v Speaker 3>begins because obviously having two aircraft in the same spot

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<v Speaker 3>is not what we want, and it just I've not

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<v Speaker 3>had to talk about this since February of two thousand

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<v Speaker 3>and nine. It's been sixteen years since our last aviation

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<v Speaker 3>disaster here in the United States involving a US carrier

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<v Speaker 3>with a crash and a loss of life. Now, we

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<v Speaker 3>did have the Asiana plane crash or episode that we

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<v Speaker 3>had in San Francisco. We had a couple of fatalities there,

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<v Speaker 3>but they were more from what happened after the crash

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<v Speaker 3>and the crash itself. But it's not the norm. So

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<v Speaker 3>when this happens, everybody kind of gets to wake up

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<v Speaker 3>called like, oh my gosh, what happened?

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<v Speaker 1>With that being said, a couple of questions and if

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<v Speaker 1>there is a silver lining, you can possibly just take

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<v Speaker 1>something out of it. Is it fair to say that

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<v Speaker 1>no one aboard the airplane ever knew what happened. It

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<v Speaker 1>happened so quickly, it was instantaneous, so there was no anticipation,

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<v Speaker 1>there was no pain, there was nothing that fair to say.

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<v Speaker 3>I would think, given the explosion that we unfortunately had

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<v Speaker 3>to witness on the video, that would be an accurate statement.

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<v Speaker 3>In fact, I think the only people that might have

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<v Speaker 3>had any sort of prior knowledge that something was about

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<v Speaker 3>to happen them would have been the flight crew for

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<v Speaker 3>American Airlines, and that would have been the helicopter coming

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<v Speaker 3>up underneath from the side would have been the last

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<v Speaker 3>thing they saw before everything happened. And I believe that

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<v Speaker 3>you're right that no one suffered, and that's certainly something

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<v Speaker 3>that if that's the case, we're certainly glad to see,

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<v Speaker 3>because you know, aviation is incredibly safe, and when this happens,

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<v Speaker 3>we always have questions, and I always say, the best

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<v Speaker 3>way for us to honor the lives of those that

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<v Speaker 3>were lost is to make sure that we learned from

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<v Speaker 3>the accident and then do everything humanly possible to prevent

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<v Speaker 3>it from ever happening again. And that's what the National

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<v Speaker 3>Transportation Safety Board is going to do now. Right now,

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<v Speaker 3>we have nothing but questions. But there are some observations

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<v Speaker 3>that I can offer because we have heard the air

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<v Speaker 3>traffic control conversation from ATC to the militarily helicopter that

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<v Speaker 3>was flying on a VFR or visual flight rules. They

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<v Speaker 3>were lying along the Potomac River as that's what that

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<v Speaker 3>corridors for, and it was at the proper altitude. They

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<v Speaker 3>were what we hope they were, and they were responsible

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<v Speaker 3>for making sure they kept a visual separation between them

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<v Speaker 3>and any other aircraft. Well, what happens is air traffic

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<v Speaker 3>Control reaches out to them and says, hey, do you

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<v Speaker 3>have a visual of that American Airlines flight? Now? The

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<v Speaker 3>problem or a question I have is that happened seconds

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<v Speaker 3>before impact. So my question is, now wait a minute.

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<v Speaker 3>And again it's a snippet. We don't know if anything

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<v Speaker 3>happened before or anything else. So this is a tainted

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<v Speaker 3>observation that doesn't have all the facts. But why are

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<v Speaker 3>we asking a question moments before impact that's going to

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<v Speaker 3>require a response that we then have to give evasive

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<v Speaker 3>commands to. To me, it should have been you need

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<v Speaker 3>to evade, you need to move, you need to do

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<v Speaker 3>whatever to that black Hawk helicopter, which obviously, between the

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<v Speaker 3>two aircraft is the one better positioned to respond quickly

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<v Speaker 3>because that's what they do, all right, to get out

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<v Speaker 3>of the way.

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<v Speaker 1>So with that, with that in mind, okay, I have

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<v Speaker 1>an additional question, and we can do this for hours

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<v Speaker 1>and hours, and that is I'm assuming that that air

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<v Speaker 1>space because I know that Reagan International is one of

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<v Speaker 1>the busiest.

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<v Speaker 2>Airports probably in the world. I know it's the busiest

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<v Speaker 2>airport that we have in the United States.

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<v Speaker 1>Certain number of planes, uh, and corridors are established specifically,

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<v Speaker 1>I mean, you don't put helicopters anywhere at the same

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<v Speaker 1>time as airplanes coming in or the same level or

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<v Speaker 1>the same trajectory. Any preliminary uh, any preliminary accounts were

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<v Speaker 1>they in the wrong places? Was air traffic involved and

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<v Speaker 1>telling them.

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<v Speaker 2>Where to go?

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<v Speaker 1>Uh?

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<v Speaker 2>Does it look like anyone is at fault pilots? Uh?

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<v Speaker 2>It would have to either be pilot, air or traffic control.

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<v Speaker 2>Any idea.

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<v Speaker 3>Well, I mean at this point in time that there's

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<v Speaker 3>no way to know any of the definitive stuff at

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<v Speaker 3>this point in time because of the fact that you know,

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<v Speaker 3>the investmentation is going to take us where we need

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<v Speaker 3>to go, So we don't know what the investigation will

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<v Speaker 3>help us out as far as what's taken place. The

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<v Speaker 3>conversations that happened between air traffic control and the pilots

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<v Speaker 3>is obviously something for me that is a big, big

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<v Speaker 3>issue because what I want to know is what happened before, during,

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<v Speaker 3>and after. And unfortunately they communicate the air traffic control

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<v Speaker 3>with the pilots on one frequency and of military and

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<v Speaker 3>then the commercial pilots on another frequency. So sadly, the

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<v Speaker 3>American Airlines crew could not benefit from overhearing that conversation.

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<v Speaker 3>And again, we don't know what the American Airlines crew

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<v Speaker 3>was told of anything. Hey there's a black hog in

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<v Speaker 3>the area, keep an eye out, blah blah blah. Typically

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<v Speaker 3>that's not the case, So I don't know. We're going

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<v Speaker 3>to have to wait and see everything. In the National

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<v Speaker 3>Transportation Safety Board that's going to be overseeing this entire investigation,

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<v Speaker 3>they're an all star team. They will do everything they

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<v Speaker 3>can to make sure that they get as much of

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<v Speaker 3>the information as they possibly can, and we'll get to

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<v Speaker 3>the bottom of what happened, and then they will make

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<v Speaker 3>recommendations to the Federal Aviation Ministration about ways that we

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<v Speaker 3>can improve safety, and then it's up to the FAA

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<v Speaker 3>whether or not they implement those because many times they

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<v Speaker 3>do not, and we'll make things even safer. But I mean,

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<v Speaker 3>we're going to find probably absent a mechanical problem or

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<v Speaker 3>a medical episode that happened on the crew members, that

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<v Speaker 3>this was an unbelievably preventable accident.

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<v Speaker 1>Yeah.

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<v Speaker 3>Now again that's asinine for me to say, but I have.

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<v Speaker 2>Investigations, you know. I think I think that that's a

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<v Speaker 2>pretty good guest. Can you hang on to one more segment?

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<v Speaker 3>I can? I can't.

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<v Speaker 1>Okay, great, that would because I again more and more

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<v Speaker 1>and more questions and analysis from you.

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<v Speaker 2>We'll be right back with that. Jay Ratliffe, iHeart Aviation Expert.

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<v Speaker 4>You're listening to Bill Handle on demand from KFI AM

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<v Speaker 4>six forty.

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<v Speaker 1>Thursday morning, January the thirtieth, and welcome back, by the way,

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<v Speaker 1>and if I'm on echo, because I just lost you

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<v Speaker 1>guys on my computer, so don't know what I can

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<v Speaker 1>do with that right now. In the meantime, let's go

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<v Speaker 1>back to Jay Ratcliffe, the iHeart Aviation Expert, and we're

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<v Speaker 1>talking about the crash that occurred last night, the mid

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<v Speaker 1>air collision between a military hospital, a military helicopter and

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<v Speaker 1>a civilian aircraft American Airlines Regional jet. And the jet

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<v Speaker 1>was on approach four hundred and five hundred feet up. Boom,

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<v Speaker 1>the collision happened. Everybody on board died. Of course, what

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<v Speaker 1>sixty four people on the civilian aircraft and then three

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<v Speaker 1>people on the military helicopter. Jay, let me ask you.

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<v Speaker 1>The first thing that comes to mind when I saw

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<v Speaker 1>this was, how about anti collision systems?

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<v Speaker 2>Don't both aircraft have them?

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<v Speaker 1>And do we have any information that they kicked in

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<v Speaker 1>or said something.

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<v Speaker 2>To the pilots.

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<v Speaker 3>Well, the tea cash or the traffic collision Avoidance system

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<v Speaker 3>is well known and well used. In fact, all of

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<v Speaker 3>us that bore the airplane hear the flight crew testing it.

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<v Speaker 3>Pull up, pull up, you know, because it's designed that

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<v Speaker 3>if your aircraft gets in close proximity to another, it

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<v Speaker 3>alerts one crew to do one thing and the other

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<v Speaker 3>crew to do the other thing. You know what, one

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<v Speaker 3>will ascend to the other. World decend to make sure

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<v Speaker 3>that they don't end up occupying the same airspace at

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<v Speaker 3>the same time. Now, typically on every commercial aircraft you've

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<v Speaker 3>got teacass available. To my knowledge, it's not something that

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<v Speaker 3>is on the Black Hark Because of that, it requires

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<v Speaker 3>a specific transponder for that to happen, So that's one thing.

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<v Speaker 3>The other thing is typically once you go under one

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<v Speaker 3>thousand feet, the TCAs system tends to shut off, so

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<v Speaker 3>it's really of no use when you're in that final

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<v Speaker 3>thousand feet, which is unfortunately where this happened. And you

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<v Speaker 3>can tell that the flight crew had literally no indication

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<v Speaker 3>of what was going on because as you watch that

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<v Speaker 3>horrific video, you see them just continuing to descend as

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<v Speaker 3>they would typically come in for landing and the impact.

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<v Speaker 3>There was no last minute adjustment to course, altitude anything

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<v Speaker 3>like that, which you're right when you talk about how

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<v Speaker 3>it just caught everybody off guard, and it did, and

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<v Speaker 3>at that point in time, there was obviously nothing that

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<v Speaker 3>could be done. So they really didn't have the tools

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<v Speaker 3>to use that you would have elsewhere. And you don't

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<v Speaker 3>have a flight crew in American airlines that's busy looking

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<v Speaker 3>out the windows. Any critical time of flight, the most

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<v Speaker 3>critical is five hundred feet in under. If you're taking off,

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<v Speaker 3>m landing, you have a lot of things that you're doing,

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<v Speaker 3>and in the last bit, because they're seconds away from landing.

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<v Speaker 3>You've got your airspeed, you've got all of the pre

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<v Speaker 3>arrival things you do pre landing, and you were monitoring

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<v Speaker 3>systems making sure that everything's going. You have constant communication

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<v Speaker 3>between the two crew members on executing that landing. So

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<v Speaker 3>you're busy doing a whole bunch of things, and then

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<v Speaker 3>all of a sudden, out of nowhere, here comes an

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<v Speaker 3>aircraft from underneath and to one side that you know

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<v Speaker 3>you're on top of before you know it.

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<v Speaker 1>And yeah, yeah, that was the other question in terms

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<v Speaker 1>of trajectory. There's video there, so who ran into whom

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<v Speaker 1>and from where.

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<v Speaker 3>Well, there's an argument to be made that both aircraft

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<v Speaker 3>were where they were supposed to be or could have been.

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<v Speaker 3>In other words, had the American Airlines flight not been there,

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<v Speaker 3>the Blackhawk was in the corridor that it should have been. Now,

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<v Speaker 3>another question that I have is typically that ceiling is

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<v Speaker 3>two hundred feet for that designated visual corridor that goes

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<v Speaker 3>up and down the river there. So reports are this

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<v Speaker 3>collision happened at four hundred feet, So again the initial findings,

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<v Speaker 3>who knows, We'll have to wait and see. But that's

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<v Speaker 3>a question. I mean, if it was a four hundred

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<v Speaker 3>feet was a black Hawk at a different altitude. But

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<v Speaker 3>also keep in mind you had three crew members on

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<v Speaker 3>that black Hawk that were officers that were simply doing

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<v Speaker 3>were current train When we hear that it's a training flight,

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<v Speaker 3>it wasn't somebody up there learning how to do things.

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<v Speaker 3>They were on what's called an annual we're current training

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<v Speaker 3>where they were simply going through their annual current night training. Uh,

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<v Speaker 3>and they were very, very proficient at what they did.

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<v Speaker 3>So you've got them where there should be. And obviously

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<v Speaker 3>the American Airlines flight grew is exactly where they were

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<v Speaker 3>told to be. And uh, it just happened the two

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<v Speaker 3>airplanes ended up at the same spot at the same time.

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<v Speaker 1>So so you're I'll go ahead and finish up now.

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<v Speaker 3>I was going to say, and how many times have

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<v Speaker 3>you and I talked about this year and going into

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<v Speaker 3>even last year, the number of runway incursions, near miss

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<v Speaker 3>of things that we've had at airports around the country.

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<v Speaker 3>And each time you and I are holding our breath thinking,

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<v Speaker 3>dear Lord, how close are we to really having a

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<v Speaker 3>super accident with some of these And you know, it

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<v Speaker 3>had it been two commercial jets, you know, it would

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<v Speaker 3>have been far worse than it was. And you know,

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<v Speaker 3>my heart goes out to the families that are involved

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<v Speaker 3>in this because my family had a loss that was

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<v Speaker 3>very public as well, and when it's constantly on the news,

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<v Speaker 3>you can't get away from it. It is just it

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<v Speaker 3>just makes it even more difficult to go through. But

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<v Speaker 3>American Airlines as a care team, these are individuals on

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<v Speaker 3>a go team like I was with Northwest. When there's

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<v Speaker 3>an accident, you're dispatch to that facility and you're assigned

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<v Speaker 3>to work with a specific family who had a lost

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<v Speaker 3>loved one. During the entire process, you're getting them set

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<v Speaker 3>up with the hotel rangers, you're taking care of any

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<v Speaker 3>of their family that needs to send them, You're working

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<v Speaker 3>with whatever funeral home that they're going to do. I mean,

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<v Speaker 3>it is a very emotional, unbelievably so time for the

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<v Speaker 3>American Airlines care team people. So you've got so many

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<v Speaker 3>people that are impacted that this is going to change

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<v Speaker 3>your life forever. And once we start hearing the stories

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<v Speaker 3>of the people that were on those planes in the helicopter,

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<v Speaker 3>it's going to make it even more tragic as we

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<v Speaker 3>hear about the futures that were lost in an accident

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<v Speaker 3>that we'll probably find out and never should have happened.

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<v Speaker 1>Yeah, and stories are already coming out, for example, the

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<v Speaker 1>skating team, Oh yeah, skaters, the champions, all of it.

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<v Speaker 2>Jay, thank you.

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<v Speaker 1>Unfortunately, we're probably going to be talking about this a

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<v Speaker 1>little bit more over the next few.

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<v Speaker 2>Days and weeks.

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<v Speaker 1>Thanks for joining us, Jay Ratliff, ihearted expert. All right,

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<v Speaker 1>coming up, Jim Keeney, who is going to talk to us.

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<v Speaker 1>So I asked some questions about the CDC, Donald Trump

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<v Speaker 1>and the World Health Organization.

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<v Speaker 2>That just begins the conversation.

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<v Speaker 4>You're listening to Bill Handle on demand from KFI AM

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<v Speaker 4>six forty.

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<v Speaker 1>And the light of this a mid air collision last night,

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<v Speaker 1>all of us are spinning. And we still have tons

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<v Speaker 1>of politics that are going on that would be front

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<v Speaker 1>page news, but for what happened one of them, for example,

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<v Speaker 1>of RFK, his first hearing was yesterday and it's going

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<v Speaker 1>to continue on today. But Jim Keeney is our guest,

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<v Speaker 1>actually not even yes, he's a regular on the show.

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<v Speaker 2>Jim, who is the.

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<v Speaker 1>Chief medical officer of Dignity Saint Mary Medical Center in

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<v Speaker 1>Long Beach. Uh and Jim and not only an er

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<v Speaker 1>doctor but also a doctor that has specialized and dealt

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<v Speaker 1>with mass casualties.

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<v Speaker 2>I mean, that's one of the things you know something about.

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<v Speaker 1>So jim uh here you are in the er room

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<v Speaker 1>and you hear that something like this just happens. Now

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<v Speaker 1>the reality is they're gonna there are going to be

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<v Speaker 1>no survivors. But is that is that assumption made or

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<v Speaker 1>do you anticipate casualties coming in?

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<v Speaker 5>Yeah, we we usually anticipate casualties coming in, and we

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<v Speaker 5>would get that from EMS or emergency medical services in

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<v Speaker 5>the field. So typically, you know, somebody would call nine

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<v Speaker 5>to one one, they would arrive to the location. They

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<v Speaker 5>would set up what they call an incident command and

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<v Speaker 5>would have an incident commander who would organize everything because

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<v Speaker 5>you're going to have multiple agencies and units responding to

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<v Speaker 5>this event, so somebody has to kind of coordinate and

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<v Speaker 5>take control. Then they start dividing up the work and

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<v Speaker 5>we'll say, you know, such and such unit will be

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<v Speaker 5>on the east bank, the other one will be on

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<v Speaker 5>the west bank. The other one will be you know,

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<v Speaker 5>with a helicopter over the water, another one will be

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<v Speaker 5>with a boat unit in the water. So they start

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<v Speaker 5>coordinating all that and we'll quickly, they'll set up an

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<v Speaker 5>area where they're going to bring patients, and that'll be

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<v Speaker 5>the extraction area where all now ambulances will show up

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<v Speaker 5>and gather in that area, so that as they find victims,

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<v Speaker 5>they'll bring them to those areas. So there's really as

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<v Speaker 5>you can see, once we're starting to set up all

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<v Speaker 5>that structure, there's typically enough time to get at least

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<v Speaker 5>a few minutes, if not even you know, hours warning

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<v Speaker 5>before we start get patients.

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<v Speaker 2>Okay, so let me ask this.

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<v Speaker 1>I mean, clearly, initially it starts with we are on

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<v Speaker 1>a rescue mission.

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<v Speaker 2>That's what the authorities here.

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<v Speaker 1>I'm assuming that then sets off what you just said.

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<v Speaker 1>And then in this case, it wasn't too much longer.

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<v Speaker 1>Now it's recovering bodies, and as soon as you hear that,

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<v Speaker 1>you shut everything down.

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<v Speaker 2>Do I have that right?

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<v Speaker 5>Not exactly. I mean, you know, of course, when you

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<v Speaker 5>call nine one one, we don't have to declare it

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<v Speaker 5>a rescue mission. I mean, that's what it is.

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<v Speaker 2>What I'm talking about the authorities now.

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<v Speaker 5>From the very beginning. Yeah, I mean, then the authorities

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<v Speaker 5>are gonna make comments, but on the ground they are

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<v Speaker 5>somewhat disconnected. A lot of the times between what the

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<v Speaker 5>authorities say and what's going on on the ground. But yes,

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<v Speaker 5>they will say we are in the mode, we are

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<v Speaker 5>in a rescue operation mode right now, which is by definition,

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<v Speaker 5>what's happening when you call nine one one and then yeah,

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<v Speaker 5>then once they realize okay, wait a second, the water temperature.

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<v Speaker 5>You know, we're talking about minutes of survival, not hours

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<v Speaker 5>of survival, and here we are hour later. There's just

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<v Speaker 5>no way somebody would survive in that cold of water.

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<v Speaker 3>Now.

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<v Speaker 5>Here's the thing though about hypothermia is that, you know,

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<v Speaker 5>we never say the rule is nobody's dead until they're

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<v Speaker 5>warm and dead, because if you cool off fast enough

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<v Speaker 5>and it protects your brain. A lot of times, you know,

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<v Speaker 5>people can be down for quite a long period of

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<v Speaker 5>time and we can resuscitate them.

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<v Speaker 1>It's yeah, just absolutely heartbreaking this. And the reality is,

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<v Speaker 1>even when it's a quote rescue, if you've got a

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<v Speaker 1>mid air collision, as soon as I've heard mid air collision,

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<v Speaker 1>it's over. I mean, no one ever survives that or

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<v Speaker 1>it happens. So now I don't even think anybody has

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<v Speaker 1>survived anything like that. At four hundred feet mid air

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<v Speaker 1>collision where you see that huge fireball. All right, moving

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<v Speaker 1>away from there, let's take a break, because I want

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<v Speaker 1>to talk about a big, big picture, and that is

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<v Speaker 1>the FED saying that the CDC, the President does not

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<v Speaker 1>communicate in anymore with the World Health Organization.

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<v Speaker 2>That relationship is now severed. Oh what does that mean?

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<v Speaker 1>And then we're looking at the largest outbreak of TB

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<v Speaker 1>in US history.

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<v Speaker 4>You're listening to Bill Handle on demand from kf I

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<v Speaker 4>AM six forty.

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<v Speaker 2>Jim Keeney a regular segment.

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<v Speaker 1>W what's been going on for a couple of decades now,

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<v Speaker 1>doctor Jim Keeney, who is an er specialist in er

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<v Speaker 1>doc and now the chief medical officer of Dignity Saint

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<v Speaker 1>Mary Medical Center in Long Beach.

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<v Speaker 2>All right, Jim, two big stories.

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<v Speaker 1>When I heard that Trump had cut off the CDC's

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<v Speaker 1>communication with the World Health Organization, I was fairly stunned,

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<v Speaker 1>and I was thinking, this is.

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<v Speaker 2>No small deal.

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<v Speaker 1>I'm assuming I'm right on that one. And what kind

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<v Speaker 1>of repercussions are we talking about?

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<v Speaker 5>Sure? Yeah, I mean it's not a small deal. CDC

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<v Speaker 5>and who work collaboratively and have done so for a

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<v Speaker 5>long time. They share information, they collaborate with each other

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<v Speaker 5>and especially in the world of surveillance like disease surveillance

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<v Speaker 5>and response, so we get early warnings when things are

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<v Speaker 5>going on in other countries, say Marlborough virus or empos

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<v Speaker 5>or even Avian flu monitoring. They're looking at that, coordinating

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<v Speaker 5>with the CDC, and then we're made aware of those

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<v Speaker 5>and are able to respond. I mean, when you think

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<v Speaker 5>about it, we're not with jet travel. It's a global

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<v Speaker 5>economy and a global everything. So you know, you've got

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<v Speaker 5>four hundred thousand people a year coming from the continent

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<v Speaker 5>of Africa to the United States, and that has the

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<v Speaker 5>potential to bring some of those diseases that we see

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<v Speaker 5>that initiate in Africa and then end up in the

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<v Speaker 5>United States. We could lose that early warning system.

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<v Speaker 2>I'm trying to figure out even would be the politics.

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<v Speaker 1>And you may not know this answer because it's not

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<v Speaker 1>a medical question, but does the United States fund most.

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<v Speaker 2>Of the work that the World Health Organization does? Maybe

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<v Speaker 2>that's the political reason this happened.

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<v Speaker 5>Yeah, No, I believe it is about money, and and yes,

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<v Speaker 5>the United States is a big supporter of the World

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<v Speaker 5>Health Organization and spends a lot of money. And I

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<v Speaker 5>know that Donald Trump has mentioned before that that you know,

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<v Speaker 5>we disproportionately contribute to a lot of different things in

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<v Speaker 5>the world, and this was one of them. So this

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<v Speaker 5>may be just kind of a strategic move to get

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<v Speaker 5>better participation globally. I don't I don't really know.

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<v Speaker 2>Well, work with NATO. I'll tell you that the first

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<v Speaker 2>time around.

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<v Speaker 1>Okay, Now, tuberculosis Kansas City, Who the hell gets tb anymore?

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<v Speaker 1>I mean I thought that was you know, this is

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<v Speaker 1>in Doc Holiday, sitting in tombstone, coughing up, you know,

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<v Speaker 1>blood into a napkin.

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<v Speaker 2>What is going on here?

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<v Speaker 5>Yeah, I mean it's really interesting because for the most part,

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<v Speaker 5>you know, tuberculosis is controlled in the United States. There

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<v Speaker 5>are cases of tuberculosis, like eight to ten thousand cases

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<v Speaker 5>a year in the United States of tuberculosis, but it's treatable.

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<v Speaker 5>We have antibiotics for most of it. There is multi

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<v Speaker 5>drug resistant tuberculosis, and even cases that are resistant to

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<v Speaker 5>all known antibiotics to treat tuberculosis, but those are rare.

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<v Speaker 5>Most of them come from outside the country because the

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<v Speaker 5>rest of the world is still struggling with tuberculosis. That's

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<v Speaker 5>actually a worldwide problem, a much bigger problem outside the

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<v Speaker 5>United States. So to see this, especially because you know,

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<v Speaker 5>during COVID again we saw drops and a lot of

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<v Speaker 5>communicable diseases, and tuberculosis was one of those. During the

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<v Speaker 5>years following COVID, we saw big drops in TV cases

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<v Speaker 5>and now all of a sudden, we're starting to see this.

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<v Speaker 5>We see this one area where it's resurging. I didn't

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<v Speaker 5>really see there's two kinds. There's latent TV and active.

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<v Speaker 5>And they said a lot of these cases are latent,

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00:23:02.359 --> 00:23:06.160
<v Speaker 5>which means not active, not infectious. You can't spread it.

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00:23:06.480 --> 00:23:08.319
<v Speaker 5>But when we test people, we know that they have

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00:23:08.400 --> 00:23:09.960
<v Speaker 5>tuberculosis in their body.

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00:23:10.640 --> 00:23:12.400
<v Speaker 2>I mean, just crazy. Just a quick story.

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<v Speaker 1>I don't know if I share that with you, but

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00:23:14.240 --> 00:23:17.039
<v Speaker 1>my mom worked at All of You Medical Center as

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00:23:17.039 --> 00:23:19.920
<v Speaker 1>a lab technician. All of You Medical Center in Silmar,

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00:23:21.400 --> 00:23:23.680
<v Speaker 1>before it became a County General Hospital, was.

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00:23:23.640 --> 00:23:27.240
<v Speaker 2>A TB hospital. It was a tuberculosis hospital and in

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00:23:27.319 --> 00:23:29.079
<v Speaker 2>fifties my mother was there.

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00:23:29.160 --> 00:23:32.240
<v Speaker 1>There were times when there were four, count them, four

437
00:23:32.559 --> 00:23:36.519
<v Speaker 1>patients that she was dealing with. She had to bring

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00:23:36.559 --> 00:23:39.160
<v Speaker 1>books with her to read because she would go out

439
00:23:39.200 --> 00:23:42.319
<v Speaker 1>of her mind all day because drawing blood from four

440
00:23:42.359 --> 00:23:45.759
<v Speaker 1>people does not take eight hours, so it has it

441
00:23:45.839 --> 00:23:49.839
<v Speaker 1>gone from that kind of rarity to it's much more prominent.

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00:23:51.079 --> 00:23:53.759
<v Speaker 5>No, that's why this is a surprise. It really has

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00:23:53.880 --> 00:23:57.599
<v Speaker 5>been relatively under control. So it is a shocker to

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00:23:57.599 --> 00:24:01.960
<v Speaker 5>get a grouping of cases like this. I mean, it's

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00:24:02.079 --> 00:24:04.799
<v Speaker 5>so it remains to be seen why did this happen.

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00:24:05.359 --> 00:24:06.680
<v Speaker 5>TV is not easy to catch.

447
00:24:06.759 --> 00:24:08.160
<v Speaker 3>You have to be in the.

448
00:24:08.240 --> 00:24:11.240
<v Speaker 5>Space with someone for a prolonged period of time to

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00:24:11.240 --> 00:24:13.079
<v Speaker 5>be able to get TV from somebody. That's why we

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00:24:13.119 --> 00:24:17.240
<v Speaker 5>see it in confined spaces like jails and places like that,

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00:24:17.480 --> 00:24:21.920
<v Speaker 5>or communal living type of places. We don't usually see

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00:24:21.920 --> 00:24:24.400
<v Speaker 5>it in the general public, especially in big outbreaks. If

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00:24:24.440 --> 00:24:28.039
<v Speaker 5>you're sitting next to someone on the subway or even

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00:24:28.039 --> 00:24:30.880
<v Speaker 5>on a plane ride, you're very unlikely to get TV

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00:24:31.039 --> 00:24:31.839
<v Speaker 5>even if they have it.

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00:24:32.599 --> 00:24:34.480
<v Speaker 2>Okay, Jim, thank you.

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<v Speaker 1>We do this again next Thursday at seven thirty, like

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<v Speaker 1>we do every week.

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<v Speaker 2>Have a good one. We'll talk again, all right, coming

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00:24:43.559 --> 00:24:44.200
<v Speaker 2>out Joel.

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00:24:44.079 --> 00:24:47.960
<v Speaker 1>Larsguard which we do on Thursday, which we broadcast and

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00:24:48.039 --> 00:24:50.519
<v Speaker 1>Joel always has great information as we go in through

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00:24:50.599 --> 00:24:55.880
<v Speaker 1>some of the financial world. Oh and Valentine joins us

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00:24:56.000 --> 00:24:59.839
<v Speaker 1>at eight point fifty. There is a massive benefit concert

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00:25:00.240 --> 00:25:03.440
<v Speaker 1>and it's going to be carried here on iHeart and well,

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00:25:03.559 --> 00:25:06.920
<v Speaker 1>Valentine is all over that, and you'll explain what's going

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00:25:06.920 --> 00:25:09.640
<v Speaker 1>on to help the victims of the fire. And that's

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00:25:09.680 --> 00:25:12.480
<v Speaker 1>our last segment this morning. All right, we'll be back

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00:25:12.720 --> 00:25:17.039
<v Speaker 1>with Joel Larsgard how to Money right here KFI am

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00:25:17.079 --> 00:25:17.519
<v Speaker 1>six pot.

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<v Speaker 2>You've been listening to the Bill Handle Show.

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00:25:20.680 --> 00:25:24.039
<v Speaker 1>Catch my show Monday through Friday, six am to nine am,

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00:25:24.079 --> 00:25:27.519
<v Speaker 1>and anytime on demand on the iHeartRadio app.
