Aristotle and Your “Curve of Happiness”

Image by Couleur from Pixabay

I hope you don’t think I have a big-word fetish.  Last week I dumped a doozy on you with “oligodencrocytes.”  Judging from the positive response and zero unsubscribes from last week, I’m sensing you have a tolerance level for an occasional esoteric linguistic trip.

Assuming so, let’s go on another one. This time, I’m going to invoke a really old friend of all of us  – Aristotle,  he of Greek legend and fame and one with considerable currency on the personal development front.

Before I dive in too deep, let me confess that I’m drawing much of today’s content from a fabulous book that fell in my path recently entitled “Life Reimagined: The Science, Art, and Opportunity of Midlife” by veteran NPR journalist and correspondent Barbara Bradley Hagerty.

If you invest in it, I think you will enjoy the trip, especially through chapter five entitled “It’s the Thought That Counts.”  It was in that chapter that Aristotle resurfaced.

Thinking about your thinking

Apparently the Greeks thought a lot about thinking.  They debated a lot about happiness.  One side of the debate was “hedonia” from which we get our word hedonism, described in the book as happiness coming from “satisfying appetites, having a good beer, a good meal, and good sex.”

What’s not to like, right?

Aristotle, on the other hand, enters the debate rather curmudgeon-like, asking questions like “What is a good life?” explicitly saying it’s not hedonia but rather something more than that.

He wrote that “- the highest of all human goods is the realization of our own true potential” and suggested that we all emerge on this mudball with unique human capacities and abilities.

Deepening his role as a party-pooper. he called it “the daimen” and suggested, according to Hagerty, “that our task in life is to figure out what those unique capacities are, and then to do our very best to bring them into reality.”

This brings us our big-word-of-the-week: eudaimonia (not to be confused with those healthful, green immature soybeans).

From it, we derive “eudaimonic happiness.”  It is about “striving, working hard, purposeful engagement, the kind of effort that may be stressful or even painful in the short run but over the long run brings meaning and a wildly profitable return on investment.”

 Going “blue collar”

I needed that big word and definition.  You see, I’ve committed to writing at least 500 words a day on something to somebody or some thing (this blog, Quora.com, Medium.com, guest blog, etc.) taking the advice of a large squadron of very successful writers, who have persuaded me that learning the craft of writing is unglamorous blue-collar work.

Since my start, and as of 12/31/19, I had missed only 38 out of 203 days and have missed 0 days over the last three months.  That has produced, since I started tracking in mid-June 2019, over 110,000 words.  For you non-writers, that’s roughly equivalent to 2-4 self-help books or 1 1/2 of Ms. Hagerty’s masterpiece.

How does my commitment stack up against Ari’s eudaimonic happiness checklist?

  • Striving? Check.
  • Working hard? Check – some days the words flow, most days not.  Some days, 30 minutes; most days, 1-2 hours.
  • Purposeful engagement? Check. Feeling good about the mission/quest and the encouraging feedback. Positive comments, upvotes, claps, likes are increasing along with a steady climb in new subscribers to this weekly diatribe.
  • Stressful? Check. Yeah, it pushes me out to the edge of my comfort zone which I consider the kind of positive stress I need.
  • Painful in the short run? Check. Reference Working Hard above.
  • Meaning?  A subjective check. Yeah – I think I’m touching a soul now and then. And I know I’m incrementally getting better at the craft I’ve chosen to finish out with.
  • Wildly profitable ROI?  NOT! Missing in action! I took my 110,000-word tracking sheet to King Soopers to use to buy some Zyrtek.   I was ushered out, gently, sniffling all the way.

So, where’s the eudaimonia?

No, I wasn’t dropped on my head as a child?  Yes, I’m feeling “eudaimonic happiness” despite the absence of anything resembling ROI presently, or a clear vision of where it may come from.

Hagerty helped me understand why, illogically, I feel that way.  She suggests that there are two types of happiness: short-term happiness and long-term meaning.

As a septuagenarian feeling eudaimonic happiness, I’m not in a very exclusive club.  Most folks, by this age or earlier, have “matured” past short-term happiness into seeking something with long-term meaning.   If we haven’t begun to make that transition in mid-life we can end up stuck permanently in an unhappiness rut – or on a “hedonia” track.  You know what I’m referring to – the trophy wife, red convertible, radical career change sort of track.

That track can make you a permanent resident at the bottom of life’s “U-curve of Happiness.”

A happiness curve?

There has been a lot of research on the stages of happiness across the age spectrum and it’s produced a thing called the “U-curve of Happiness.”

It looks something like this:

Surprising to most, happiness generally hits bottom in mid- to late-forties and then curves back up steadily through old age.

That’s pretty counter-intuitive, counter-cultural isn’t it? In our younger years, we looked askance at older people and assumed that they are unhappy and miserable with what we perceived as deteriorating minds and bodies. Conversely, wouldn’t the pinnacle of earnings years, material accumulation, title prestige, etc. be the really happy times?

Now we’re there and, if we are fortunate, have discovered it to be false.

Research has reinforced our mid-life discovery that continued pursuit of extrinsic, image-related goals won’t serve us well and can bring on negative emotions such as shame, guilt, anger as well as recurring sicknesses and loss of energy – not to mention the occasional red ‘beemer convertible.

Conversely, we’ve learned that intrinsic goals that value personal growth, deeper relationships, and something bigger than self reward us with a better self-image and better health.  Maybe even a much longer life with good health.

Hagerty points out:

“Our bodies prefer selfless happiness to self-centeredness and will reward eudaimonia with longer life. Scientists have discovered that people who pursue eudaimonic well-being also have lower particular biomarkers for inflammation that have been linked to a number of health problems, including diabetes, cardiovascular disease, osteoporosis, and Alzheimer’s disease.  These purposeful people even have lower cholesterol.”

The MIDUS touch

I encourage you to invest in Hagerty’s book. In chapter five, she shares the results of an enormous research project  conducted at the University of Wisconsin called MIDUS (Midlife in the United States) that “tracked thousands of people through their mid-life and later years, measuring their well-being in every possible way: physically, emotionally, psychologically, biologically, and neurologically.”

The conclusion of the study:  pursuing happiness can backfire, but pursuing eudaimonia rarely fails.  In chapter five, she shares the study’s six attitudes or mindsets that can predict health and well-being: 

  1. Positive relations with others
  2. Environmental mastery, or the ability to create or choose environments where you thrive and handle events as they come along.
  3. Self-acceptance, or knowing your strengths and weaknesses.
  4. Autonomy, that is independence, controlling your own behavior, and not looking for approval from others.
  5. Personal growth, meaning that you keep evolving and learning throughout your life.
  6. Purpose in life, or the search for meaning in everyday life, even when things go (horribly) wrong; a sense of direction and zest for life.

It’s the thought that counts!

Take the big words, all the research, the eloquent language, the checklists and it all returns back to one thing which Hagerty uses as the chapter title – “It’s The Thought That Counts.” 

We are nothing more than what we allow our thinking to think about what we think.

It can be both disturbing and reassuring to know that we have thought our way into our current circumstances, good or bad.

I don’t think it’s inappropriate to wrap with the time-worn cliché:  the only control we have over circumstances in life is how we respond to (think about) those circumstances.

We will experience the upturn of the happiness curve only if we have our arms around that principle.

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How about you? Any “eudaimonia” happening in your life?  I’d love to hear your story.  Scroll down and leave a comment or email me at gary@makeagingwork.com with your thoughts or suggestions.

If you haven’t, join the steadily growing tribe by subscribing at www.makeagingwork.com and get a free copy of my e-book “Achieve Your Full-life Potential: Five Easy Steps to Living Longer, Healthier, and With More Purpose.”

WARNING!  Retirement May Mess With Your Oligodencrocytes!

Oligo what?

Hey, I didn’t know we had them, did you?   Yet another something in the “cytes” category roaming around our bodies.

I found out I had oligodencrocytes as I was slogging through my second reading of a challenging book entitled “Deep Work; Rules for Focused Success in a Distracted World” by Georgetown University computer science professor, Cal Newport.

I bought the book in hopes of finding an inexpensive antidote to my  ADD and “shiny object syndrome.”

I’m thinking 3-4 times through this book will have saved me the stigma and expense of the therapy I really need.

So it was that on page 36 of “Deep Work”, I found out that I have oligodencrocytes.  We all do.

Why should we care? 

Well, we don’t have to – and most people don’t.   Can we survive without them?  Probably not.  I’m no expert, but I believe that if you don’t have them at some level, you are dead.

To understand oligodencrocytes, what they do and why they are important, we have to climb a notch higher in basic neurology and understand that we have a process going on in our brain called myelination.

It turns out our brain produces a fatty tissue called myelin that wraps around neurons as we use them, acting like an insulator that allows that neuron’s cells to fire cleaner and faster.   Oligodencrocytes are cells that trigger that myelin.  The more you use a neural circuit, the more “olis” you have that are producing more myelin to wrap and thicken that circuit.

I’m now thinking these little “oli” rascals are pretty darn important in where we end up in life.  And all this time I didn’t know they were there standing ready to help dismantle my self-inflicted ADD.

I’m likely butchering the neurological description, but I think it’s safe to say that each of us has, between our temples, a labyrinth of skinny, semi-thick and (maybe) thick neuronal circuits.  All determined by WHAT we think about and HOW MUCH we think about that WHAT.

The more we use a neural circuit to focus on one particular idea or activity, the more “olis” we ignite to help wrap another layer of myelin around that circuit.

Thick or thin?

Most of us are walking around with a mess of thin and semi-thick neuronal circuits.  Few of us have really thick circuits.  And then we marvel at – or maybe even resent – the prolific perfection of Tiger Woods, Daniel Day-Lewis, YoYo Ma, Stephen King, Jerry Rice, etc., not understanding that they simply have myelinated themselves to a very small number of very thick neuronal circuits – by what they think about and do every day, in-depth, deliberately.

I first became aware of the significance of myelination having read about it ten years ago in an excerpt from the 2008 book by Fortune editor Geoff Colvin entitled “Talent Is Overrated: What Really Separates World-Class Performers from Everybody Else”.  With my curiosity peaked by the boldness of the title, I subsequently read Malcolm Gladwell’s book “Outliers: The Story of Success” and Daniel Coyle’s “The Talent Code: Greatness Isn’t Born. It’s Grown”.

All three books talk about the significant role of myelination in achieving success and mastery.  The message from the books – and subsequently confirmed by tons of data and research – is that there are no prodigies, only “deep work” and “deliberate practice” behind the outliers on the performance and success scales.

In other words, high achievers are prolific “oli” and myelin generators.  By choice and design, not by chance.

When I first read about this years ago, I remember I had just decided that I was going to learn to play fingerstyle acoustic guitar after avoiding it for 40+ years of playing only plectrum-style jazz guitar.   I had dabbled a bit with it but found it took too much effort and was a distraction from my love for learning and playing jazz ballads.

But then I discovered an Australian guitarist by the name of Tommy Emmanuel when someone sent me a link to a YouTube recording of him playing “Somewhere Over the Rainbow”.

I was immediately mentally transformed.  I could no longer reject the challenge of learning fingerstyle having witnessed it performed by a master. I decided to become a student of Tommy Emmanuel, which included not just learning technique from his CD, DVD, and online tutorials but also understanding him as a person (I’ve met him twice), what drives him and what it took for him to become what most consider to be the best acoustic guitar player on the planet.

As I struggled to make both hands do what felt very unnatural and uncomfortable while asking my brain to sync them up, I began to appreciate that this wasn’t going to happen without some serious myelination which, in turn, wasn’t going to happen without serious “deep work” and “deliberate practice”.

As I immersed myself in Tommy’s world, I set a goal of learning 10% of what he has forgotten, knowing that if I did just that, I would have put myself at a level achieved by few guitar players.

Tommy Emmanuel is highly myelinated.  As I write, he is 64.  He started playing guitar at age 4 and hasn’t looked back; he taught himself from Chet Atkins records and subsequently become one of four guitarists in the world to be designated “Certified Guitar Player” by Chet; he performs 300 days a year globally, practices every day and vows “to be better tomorrow than I am today.”

I can just imagine the thickness of that neural circuit and the number of “olis” he’s burned through to have his brain and hands do the seemingly impossible.

Myelin isn’t permanent.

I’ve learned another thing about myelin along the way.  It isn’t permanent.  After several years of pretty disciplined deep and deliberate practice on the acoustic guitar, I’ve had to set it aside for the last several months due to a painful arthritic condition in my left thumb, a vital digit for trying to mimic Tommy Emmanuel.

Any attempt to resurrect a favorite Tommy song on my 1966 Gibson Hummingbird only generates frustration on top of the pain since it’s too painful to complete any of the songs I worked so hard to learn. It will require a joint replacement. a restart, and another commitment to deep work and deliberate practice to get back.

That once relatively thick neuronal circuit has gone skinny.

I’ll get it back.  In the meantime, I’m stimulating my “olis” and myelinating another circuit – my writing circuit.

I haven’t done serious research on “olis” but I’m pretty confident that they will stay with me as long as I want to put them to work.  I know that I can build new neurons as long as I live if I work at it. I believe scientists called it “neurogenesis”.  I take that to mean I’ve got “olis” ready to do their thing if I’ll activate them.

Dr. Roger Landry, preventive medicine physician, former Air Force flight surgeon and author of  “Live Long, Die Short: A Guide to Authentic Health and Successful Aging” points out that:

” Atrophy of the brain used to be viewed as a side effect of aging. Now, we know this may simply be a lack of use.  When we use the skills and knowledge we have, the many connections in the brain remain in the best shape they can be. Don’t use them, and they become more difficult to use through a process known as synaptic pruning, in which the brain atrophies in areas where these functions are rarely used.  Neuroplasticity and effective neurogenesis can only occur when the brain is stimulated by environment or behavior.”

There you have it – my Tommy Emmanual channel is being”synaptically pruned”.

Is retirement good for your oligodencrocytes?

The last sentence in Dr. Landry’s quote took me back to a number of retirement conversations I’ve had over the last year with recently retired or soon-to-be-retired C-level healthcare executives. Boredom is one of the most common concerns expressed by these high-functioning leaders as they enter this phase of life.

I think I’m within reasonable neurological boundaries to say that boredom is a lack of neurogenesis because retirement, for most, is a transition from an environment where the “brain is stimulated by environment and behavior” along with active oligodencrocyte/myelin production to one that starts skinnying up some pretty valuable neuronal circuits.

A multi-decade investment of “olis” and myelin is allowed to waste away. A new imbalance of leisure versus learning kicks in that isn’t conducive to maintaining or cranking that biological partnership back up to form newer thick circuits.

In other words, retirement may mess with your oligodencrocytes – and, in turn, with your myelination and enable “synaptic pruning” to take thick back to thin.

I wouldn’t want to infer that retirement may end up wasting a lot of talent, wisdom, and experience, but  – – – well, OK, that’s exactly what I’m saying!

Hey, I get it if you have zero interest in re-myelinating some of the circuits that you myelinated for decades in your job, more out of necessity than desire.  Like herding the cats that were your staff.  Or pushing through unrealistic budget creation.  Or jousting with board members.  Or writing grant proposals.  Or – – – – – –

– – -you know what you were good at then that you don’t want to do more of.

But embedded in all that accumulated experience and talent deployment, I’ll just bet there are some residual semi-thick circuits that still fire your jets, screaming for a dose of “olis”, ready to myelinate.

Drifting into retirement without a non-financial plan – which 2 of 3 new retirees do – sets the stage for dormant “olis” and de-myelination at a time when the combination of wisdom, experience, and talent are at optimum levels.

I think we can agree that life is essentially just a series of choices.  The cultural influences affecting the retirement or third age phase of life often lead us to choices counter to our biology and neurology.

Brain atrophy (READ: de-myelination) is one of those choices.

It’s a time for a new take-off, not a landing.  And your “olis” and myelin stand ready to help the re-launch.

I would love your comments.  Scroll down and let me know what you think.  If you haven’t signed up for my weekly articles like this one, you can do so at www.makeagingwork.com.  When you join our rapidly growing “tribe”, I’ll send you a free e-book entitled “Achieve Your Full-life Potential:  Five Easy Steps to Living Longer, Healthier, and With More Purpose.”  

Have an outrageous 2020!!

Can We Become Age-agnostic? Do Your Part – Be a “Perennial”.

Image by Mabel Amber from Pixabay

The deeper I get sucked into this vortex of dialog about aging – older vs elder, saging versus aging, retirement versus rewirement, etc., etc., ad nauseum – the more I sense that we are creeping to the edge of an age-agnostic era.

What does that mean?  It means that instead of our identity being tied to a number it will be tied to how we choose to pursue our life.

Show of hands:  how many of you mid-lifers and beyond would find that refreshing?

Hey, Martha – I just met the coolest guy who retired from managing large medical practices.  He’s now working with health clinics in our community to organize activities to get people walking on a regular basis to combat rampant obesity and Type 2 diabetes.

How old is he?  I don’t know, Martha – I didn’t think to ask.  I suppose he may be 65-ish or more, don’t you imagine?  After all, he did say he recently retired.  For all I know, he could be 80. I just know he was really charged up about this quest.  Why do you need to know his age, Martha?

I’ve talked previously about having the choice to be older for longer or younger for longer as we move into and through the “third age” of life.  Older for longer is the conventional perspective, but I believe it is beginning to reverse.

Chris Crowley and Dr. Henry Lodge got on that theme twelve years ago with their highly-transformational book “Younger Next Year” (What? You haven’t read it yet? Oh my!) blazing a trail saying that the lifestyle decisions you make can lift you out of a number-related category, away from the “live short, die long” group and into the “live long, die short” category.

The book’s message is timeless.

Be a Perennial

Gina Pell is an award-winning creative director and tech entrepreneur.  In 2016, she coined the term “Perennials” to  “define the idea that people may be in their prime much longer, in ways that defy traditional expectation about age.”

Ms. Pell, age 49 at this writing, describes Perennials as people who are:

“- ever-blooming, relevant people of all ages who know what’s happening in the world, stay current with technology and have friends of all ages.  We get involved, stay curious, mentor others, and are passionate, compassionate, creative, confident, collaborative, global-minded risk takers.”

That kinda has younger-next-year and younger longer woven through it, don’t ya think?

Here’s a short video of Gina describing Perennials and how she came to coin the term:

How many in your similarly-aged circle of friends and family can you tag as a “perennial”?

Does it fit you?

Do you look at life as a time-line?  Are you “so 20th-century” that you look at your birth year as relevant?

But,how could you not, with our cultural bent toward putting people in categories?

One-hundred years ago we had two categories: child-adult.  Then demographers, statisticians, sociologists, marketers teamed up and we now have seven age-related categories:  newborn, infancy, childhood, adolescence, young adult, middle age, and old age.

But that wasn’t enough. We decided we better break down that last category even further.  So now we have four stages of old:

  1. 65–74 = young old
  2. 75–85 = middle old
  3. 85–95 = old old
  4. 95+ = frail old

Enough already!!!  It’s bad enough that I have bunches of other archaic, irrelevant cultural beliefs that I’m still trying to shed that now I need to be dragging around “middle old” at 77.

The Thief Called “65”

Look at that first category of “old” and where it starts.  Yep, that eight-decade old artificial finish line of 65 – the FDR-era irrelevant relic that we just can’t seem to shake.

Maybe we should listen up with Gina and forget the birth year.

Let’s ignore a youth-obsessed culture that says our societal irrelevancy begins in our mid-40’s.

Let’s stop getting wrapped around the axle and anxious about what others might think or say if we’re not retired at 65.

Let’s pay attention to models out there that get it. Like Fred Bartlit, 87-year old Colorado attorney I wrote about earlier who still maintains a robust legal practice, skis the back-bowls at Vail, is a gonzo-weight lifter, just wrote a book about how to avoid frailty, maintains a website providing resources that combat aging and refuses to acknowledge the number on his birth certificate.

Fred is one of many that we can emulate.

Let’s ignore the “OK, Boomer” fad and actively engage and listen to these youngsters with an open mind and an understanding that we need them as much as they need us.

 

Be the one that will set the example that your birth date is irrelevant.

Be that ever-blooming Perennial.

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Share your thoughts below with a comment – I appreciate your feedback.

Also, if you haven’t,  you can subscribe to this weekly article at www.makeagingwork.com.  I publish Monday of every week.  I’ll send over a free ebook with your subscription: “Achieve Your Full Life Potential: Five Easy Steps to Living Longer, Healthier, and With More Purpose.”

 

 

Alzheimer’s Disease and What We Eat

It’s two weeks since attending the funeral service for a dear friend whose battle with Alzheimer’s ended as her body gave in to the complications from the disease.

Our friend Judy’s Alzheimer’s experience was the first with this disease for my wife and me.  We shouldn’t be surprised by that since statistically the disease only affects about 1.8% of the American population.

I know it would seem to be so much more prevalent than it is because of the attention it gets.  The attention is deserved because it truly is a devastating and costly experience for those close to the victim and to our society.

We can confirm that the impact hugely outweighs its relatively low level of occurrence.

For Judy, her transition from a quiet, warm, giving, serving mom, wife, sister, aunt, grandmother, and friend into a world none of us can comprehend was shockingly quick.   Her signs manifested quickly and progressed rapidly.

At least it seemed so for us, but probably not for her husband and two sons who we suspect saw the signs much earlier and protected her, and us, by not revealing those until an official diagnosis was made and the signs too obvious to conceal.

It seemed like almost overnight that our relationship moved from energy-filled golfing trips, card-playing evenings, countless dinners together, years of Bible-study to one where she was a mere incoherent, bewildered body in the room, unable to connect and communicate.

We observed the truth that the disease is much harder on the caregiver than on the victim.  Her husband was extraordinary in his love and caring for her to the point where a memory care facility was necessary.  The devastating toll on him physically and emotionally was and is palpable.  We reached a point in the progression where we realized our focus needed to be on watching and trying to help him get through it.

That continues as a focus for us.  They were exceptionally close – he needs and deserves a strong support group going forward to help cope with this void.

No cure in sight.

It’s discouraging, with our awareness of the devastating impact of the disease, that virtually no progress has been made in finding a cure or treatment, despite billions poured into research.  It seems to be a classic case of trying to catch a racehorse after it has left the barn.

We know enough about the disease to realize that it is very insidious in nature with the symptoms developing gradually years before the disease noticeably manifests itself.  So as we try to attack the disease, our reductionist system of medicine looks more to a cure and less to a cause.  My sense is that once the symptoms are apparent, there is nothing at this point in our medical knowledge that can fix it.

It begs the question then why do we not talk and spend more on prevention than on chasing what appears to be an incredibly elusive and perhaps unfixable condition once contracted.

With that thought in mind, an article recently published by the Blue Zones organization entitled The 2 Foods That Combat Alzheimer’s Disease (& Other Lifestyle Factors to Reduce Your Risk of Cognitive Decline)” caught my eye.

I encourage you to read the article.  It’s an interview by “The Blue Zones” author Dan Buettner with a husband and wife team, Drs Dean and Ayesha Sherzai, who are “combating the disease with a comprehensive approach that includes prevention and treatment.”  Their book “The Alzheimer’s Solution” espouses Alzheimer’s prevention through a healthy lifestyle.

They state:

“We believe 90% of Alzheimer’s can be prevented through a healthy lifestyle. Despite the resistance towards lifestyle intervention as a tool for dementia prevention, the most recent consensus statement from Alzheimer’s Association is that 60% of Alzheimer’s can be prevented through a comprehensive lifestyle. This number is based on a recent study by Rush University and was highlighted in the media. But we think that they are still understating the influence lifestyle has on Alzheimer’s risk, because their idea of intensive/comprehensive intervention is a watered-down version of what we consider healthy. If people truly live a healthy lifestyle, 90% should be able to avoid Alzheimer’s within their normal lifespan.”

They coined an acronym to help us remember the components of this lifestyle:  NEURO

N – Nutrition

E – Exercise

U – Unwind

R – Restorative sleep

O – Optimizing cognitive and social activity

It’s appropriate that N-nutrition is the first letter of the acronym because they come down on nutrition as the most significant Alzheimer’s risk reducer.

That makes sense because that’s consistent with what I noted in my September 30, 2019 article  that “our diet is both the number-one cause of death and the number-one cause of disability in the United States.”

This Blue Zones article covers a lot of ground and concludes with the selection of two foods that are best for brain health.

Pretty simple: beans and greens.

How tough can it be to adopt these two natural foods into our nutrition plan?

Well, tougher than we demonstrate.  These are not popular components of the fare you will find in fast food places or restaurants in general.

Since we now spend more money eating out than we do to purchase food to eat at home, our current lifestyles are not the venue where we are likely to feed our brains optimally.

I don’t expect that “beans and greens” will ever supplant the pervasive “burger and fries”, “steak and potatoes”, “milk and cookies”, “beer and brat”, “bacon and eggs” American nutrition mindset.  But then, life is really nothing more than a series of choices and this is one in which current research is bringing us encouraging news to combat one of the worst debilitations a human can experience.

I dedicate this article to Judy, thanking her for the example of love, sweetness, calmness, and service that exemplified her life.  And to her husband whose endurance, dedication, and sacrifice during this very difficult time has been far beyond the pale.

Extend Your Healthy Longevity – Twelve Things That May Be Accelerating Your Aging – Part Three of a Three-part Series.

It’s been a challenge selecting four more topics to wrap up this three-part series on age accelerators to avoid.  Not because there is a scarcity of accelerators but rather having so many possible topics to bring forth.

So here’s my final selection of age accelerators to avoid – I hope you find these last four helpful.

1. Holding on to disempowering cultural beliefs.  Dr. Mario Martinez, in his books “The Mindbody Code” and “The Mindbody Self”, introduces us to the new language of biocognition – how our culture affects our biology.  This language provides a basis for many insights into health or the lack of it.  Our cultural beliefs are extremely potent when it comes to our health.  They can promote wellness and lead us to joy and happiness or they can cause us to cling to patterns of behavior that are known to be harmful and life-shortening.

Dr. Martinez points out:

“Based on the latest scientific studies of healthy brains, healthy longevity, and a strong sense of self worth, biocognition debunks some very persistent myths: that we are victims of our genetics; that aging is an inevitable process of deterioration; and that the life sciences can simply choose to ignore the influence of culture on human health and well-being”.

Through his extensive global study of centenarians, Dr. Martinez uncovers the empowering and disempowering effect of cultural beliefs and argues that ” – healthy longevity is learned rather than inherited and that the causes of health are inherited rather than learned.”  For instance, he uses the term cultural portal to argue that growing older is the passage of time, whereas aging is what we do with time based on our cultural beliefs.

Dr. Martinez uses this example (bolding is mine):

Middle age is one of the cultural portals.  When it begins, your culture will tell you how to behave and dress and what to expect – all without any biological evidence to support that stage of your life.  But if you’re not aware that you are in a cultural fishbowl, you will age according to what your culture tells you rather than your biology.  Fortunately, there are ways to come out of the portals, as healthy centenarians and other outliers are able to do.”

Does this paragraph make you stop and think?  What cultural beliefs might we be carrying forward into the third age that are sub-consciously disempowering us and keeping us from realizing the tremendous potential that remains for us in this period?  A few come to my mind:

    • The expectation and necessity of retirement.  We are often tagged as a “fool” or “unfortunate” if we don’t capitulate to retirement.  The cultural editors that have instilled this cultural belief have been tremendously effective in taking a flawed, unnatural concept and turning it into an entitled withdrawal by appealing to the more hedonistic side of our personalities and away from our instinctive need for meaning and purpose.
    • The belief that our DNA is our destiny.  We’re learning, according to Dr. Martinez,  to challenge genetic sentencing in family illness and that “we are not the mechanical products of our genes, we are the coauthors of their expression.  With few exceptions, illnesses are only genetic propensities, not inevitable disruptions waiting for their time to unfold.”  We are born with a gift of health but allow cultural beliefs to roadblock our opportunity to express and benefit from the gift.   We thus view health as the absence of illness rather than understand and pursue the concept of wellness, the optimal expression of health.
    • Old age is to be dreaded. When I mention to someone my intention to live to 112 1/2, the reaction is immediate repulsion.  Not toward me personally, but to their mind’s eye – wheelchairs, dementia, Depends, bent-over immobility.  Yet we hear more and more stories of centenarians who replace dread with resilience in the face of age-related setbacks and combine it with two robust causes of health:  passion and meaning.  Above all, they continue to work, refusing to retire from what they love.

2.  Act your age.  Here an interesting infographic from SeniorLiving.org from a survey of more than 1,100 Americans about the upper limit age for many behaviors.  It pulls together quite a list of cultural activites and how we view adherence to them as we age.

I’m all in on not acting your age.

Spend 3 minutes to view this video by Dr. Roger Landry, former Air Force flight surgeon and respected author of “Live Long, Die Short”.  He introduces a new concept called the “dignity of risk.”  It says all that needs to be said about not acting our age.

3.  Stop being courageous.  The dying have a message.  Australian hospice nurse, Bronnie Ware, for many years spent time with patients who were in the last few weeks of their lives and who had gone home to die.  In her article “Regrets of the Dying, she shares the five most common regrets that they expressed in their final days:

    • I wish I’d had the courage to live a life true to myself, not the life others expected of me.
    • I wish I hadn’t worked so hard.
    • I wish I’d had the courage to express my feelings.
    • I wish I had stayed in touch with my friends.
    • I wish that I had let myself be happier.

Regret #1 was by far the most common.

For many, being courageous and heeding the call to break out and be true to oneself while progressing into the second half/third stage of life intensifies and, at the same time, becomes increasingly difficult.

4.  Losing a sense of purpose and meaning.  Dr. Robert Butler was a world-renowned gerontologist, psychiatrist, and a Pulitzer Prize-winning activist and aging pioneer who coined the terms “ageism” and “longevity revolution.  The Blue Zones website reports that Dr. Butler and his collaborators led an NIH-funded study that looked at the correlation between having a sense of purpose and longevity. His 11-year study followed healthy people between the ages of 65 and 92 and showed that those who expressed having clear goals or purpose lived longer and lived better than those who did not. This is because individuals who understand what brings them joy and happiness tend to have what we like to call the Right Outlook. They are engulfed in activities and communities that allow them to immerse themselves in a rewarding and gratifying environment.

In Okinawa, where we find one of the highest percentages of people living to 100 or beyond, they have a term for sense of purpose – ikigai.  It stands for “why I wake up in the morning”.

 

In an interview for the book “Boundless Potential”, Shep Nuland, retired surgeon/author (now deceased) offered this answer to the question: “Is there purpose in the second half of life?” (bolding is mine).
“Absolutely. The purpose is to continue to develop your real humanity. I think our real humanity often gets stunted by our occupational years. All of your energies are devoted to that. And you become something less than your full potential.
Unlike most other animals, the human species lives long beyond its reproductive years, and it is the only animal with the ability to continue developing in these later stages of life. I think we should consider that a gift.
The years of midlife and beyond are simply a new developmental period.  The key word here is ‘developmental.’  You have to look for something that is in continuity with the previous 10, 15, 20 years of your life. That choice exists for each of us.”
If you’ve got to this sentence, thanks for making the journey through this three-part series and for your feedback along the way.  I’ve learned a lot from assembling the content.  I hope there has been a pearl or two over the last three weeks that helped physically, emotionally, mentally, spiritually.
Please leave your feedback with a comment below.  Also, if you haven’t, subscribe to our weekly newsletter at  www.makeagingwork.com and receive a copy of my free ebook entitled “Achieve Your Full-Life Potential: Five Easy Steps to Living Longer, Healthier, and With More Purpose.”

 

 

 

 

Extend Your Healthy Longevity – Twelve Things That May Be Accelerating Your Aging – Part Two of a Three-part Series.

Thanks for your feedback on the first article in this three-part series.  A special thanks to loyal reader, Roger Knisely, for suggesting that I “flip the script”.  So I’ve changed the headline and will try to put a more positive spin on the next eight items over the next two weeks.

Here are four more age accelerators for your consideration:

  1. Sticking to the S.A.D – Standard American Diet. I’m a bit of a snit when it comes to how bad our nutrition awareness is in our culture.  I fear that our abundance is killing us, especially in the food area.  I believe we can argue that we are, literally, eating ourselves to early deaths.

Let me have better authorities than me do the talking about this since you may be tired of my tirades.

Food journalist and author, Bee Wilson, published this article in The Guardian that says it better than I can. It’s a long article so just in case it’s more than you want to read, here are a few extracts that get to the core message (bolding is mine).

“For most people across the world, life is getting better but diets are getting worse. This is the bittersweet dilemma of eating in our times. Unhealthy food, eaten in a hurry, seems to be the price we pay for living in liberated modern societies. It makes no sense to presume that there has been a sudden collapse in willpower across all ages and ethnic groups since the 1960s.”

“What has changed most since the 60s is not our collective willpower but the marketing and availability of energy-dense, nutrient-poor foods. Some of these changes are happening so rapidly it’s almost impossible to keep track. Sales of fast food grew by 30% worldwide from 2011 to 2016 and sales of packaged food grew by 25%. Somewhere in the world, a new branch of Domino’s Pizza opened every seven hours in 2016.  You can measure this life improvement in many ways, whether by the growth of literacy and smartphone ownership, or the rising number of countries where gay couples have the right to marry. Yet our free and comfortable lifestyles are undermined by the fact that our food is killing us, not through lack of it but through its abundance – a hollow kind of abundance”

One of the most vocal critics of our food system is physician Dr. Michael Greger of Nutritionfacts.org.  In an article just this week he wrote the following:

“Most deaths in the United States are preventable and related to nutrition.  According to the most rigorous analysis of risk factors ever published, the Global Burden of Disease study, funded by the Bill and Melinda Gates Foundation, our diet is both the number-one cause of death and the number-one cause of disability in the United States, having bumped smoking tobacco down to number two. Smoking now kills about a half-million Americans every year, whereas our diet kills thousands more.”

As in so many health-inducing solutions, the resolution is simple, but not easy. Renowned food author Michael Pollan’s now-famous seven words illuminate the path:  “Eat food, not too much, mostly plants.”  You’ll find those pithy words, along with 80+ other life-saving nutrition-focused suggestions in his wonderfully simple and readable book “Food Rules”.

Our taste buds have been taken and held captive for decades by carefully engineered and designed combinations of sugar, salt and fat, designed by our global food industry to promote cravings rather than satiation.  Our bodies are called on every day to fight a battle against this invasion.  Maintaining the Standard American Diet is to lose this battle insidiously before our time should be up.

A largely plant-based diet can be the age decelerator.

2. Limited or no aerobic exercise and no strength training.   “Aerobic exercise will give us life; strength training will make it worth living.”  So says the late Dr. Henry Lodge, co-author of the life-altering best-seller “Younger Next Year”.

Last week, I suggested that we become better at understanding our biology.  Fundamental in that understanding is that our cells need and crave oxygen. The only way to increase the amount they get naturally is by getting our heart rate up.

Voila!! Exercise.

Dr. Lodge does a masterful job of bringing that complex process down to an understandable level.  It was his explanation that motivated me to move a modest, sporadic exercise schedule to a six-day-a-week aerobic exercise routine of 45 minutes per day. If I miss it, I envision my cells shaking their fists.  That motivates me to get on a boring upright bike or treadmill.  Thank goodness for my Kindle!

Most people north of fifty shun resistance training/weight lifting.  That’s for the younger set, they say – the tattoo and tanktop and lululemon hard-body crowd at 24-Hour Fitness.  Dr. Lodge takes the opposite position.  Strength training in your 30s or 40s is optional.  At 50 and beyond it is imperative.

Why! There’s this condition that we all begin to contract in our late thirties called loss of muscle mass (commonly referred to as sarcopenia) that really accelerates when we reach fifty.  There is no drug to treat it – you can only counter it by doing resistance training.

I hope you’ll take this seriously. None of us want to end up that stooped, shuffling old person.  I get it – exercise, especially strength training, is inconvenient, usually painful starting out and you won’t feel like the in-crowd at the local fitness shop or rec center.  But without the strength-training component, we face extended morbidity and early frailty.

Be sure to consult with your physician before starting and I suggest starting with a professional trainer who has worked extensively with mid-life and older clientele.

3.  Being a hermit. A recent article in Medium.com contained an attention-getting sub-title:  “Lonely people are 50% more likely to die prematurely than those with healthy social connections.”

In 2016, the AARP Foundation announced that the health risks of prolonged isolation are equivalent to smoking 15 cigarettes a day.

Our wi-fi connections are getting better but our personal connections are going south, especially when we enter into the post-career phase of our lives.  The promotion of full-time, leisure-based retirement steers starry-eyed retirees into “golden years” that often evolve into “lonely years.”  We retire, we move away from our roots, friends move away, we become generally less-socially active. The expectation that our “work playmates” will “stay in touch” doesn’t happen. Health issues may cause us to restrict our ability to travel to maintain our social engagement.

The AARP study revealed:

    • 17 percent of American adults 65 and older are isolated
    • Research shows a 26 percent increased risk of death due to a subjective feeling of loneliness
    • 6 million adults 65 and older have a disability that prevents them from leaving their homes without help
    • 51 percent of people 75 and older live alone

Building and maintaining an active, positive, sustaining, and available network of people requires a pro-active approach.  Here’s a link to a brochure that has a self-assessment checklist to gauge your risk of isolation and its effects.

4.  Be done with learning.  Some time ago, I did some research for a Toastmaster speech on the “state of reading” and was surprised by what I found.

    • Approximately 39% of high school never read another book after graduation.
    • Approximately 42% of college graduates never read another book after graduation.
    • 95% of books read in the U.S. are read by 5% of the population.

I have a college-degreed, septuagenarian friend who proudly boasts of having never read a book since graduating from college.  For him, and the many like him, I offer up this wisdom for consideration:

“In a world that is constantly changing, there is no one subject or set of subjects that will serve you for the foreseeable future, let alone for the rest of your life. The most important skill to acquire now is learning how to learn” John Naisbitt

“Anyone who stops learning is old, whether twenty or eighty. Anyone who keeps learning today is young. The greatest thing in life is to keep your mind young. ” Henry Ford

Charlie Munger, Warren Buffett’s partner of 40 years, says there’s one quality of Buffett’s that he holds in especially high esteem: his ability to be a lifelong “learning machine”.  At 89, Buffett still spends 5 hours a day reading – often up to 500 pages a day.

Today, we are the benefactors of new knowledge about your brains.  Dr. Roger Landrey, preventive medicine physician, former Airforce flight surgeon and author of  “Live Long, Die Short: A Guide to Authentic Health and Successful Aging points out that

” Atrophy of the brain used to be viewed as a side effect of aging. Now, we know this may simply be a lack of use.”   

If we don’t use it, we lose it.

Dr. Landry goes on to say:

” When we use the skills and knowledge we have, the many connections in the brain remain in the best shape they can be. Don’t use them, and they become more difficult to use through a process known as synaptic pruning, in which the brain atrophies in areas where these functions are rarely used.  Neuroplasticity and effective neurogenesis can only occur when the brain is stimulated by environment or behavior.”

It’s encouraging to see the trend line in adult learning turning up.  Boomers are awakening to the benefit of continued learning.  The evidence of this is showing in the increased enrollments in adult learning classes at universities and community colleges and the many online learning communities such as Senior Planet, Osher Lifelong Learning Institutes (OLLI), Coursera, Udemy, and others.

The choice to stop learning is a choice that says “I’m done.”  As Strategic Coach founder Dan Sullivan says: “It’s a signal to the universe that you are preparing to send your parts back.”

Four more aging accelerators to come next week.  Thanks for your feedback.  Please let me know your thoughts on these four – or on the series so far – by scrolling down and leaving a comment.

Also, if you haven’t, subscribe to our weekly newsletter at  www.makeagingwork.com and receive a copy of my free ebook entitled “Achieve Your Full-Life Potential: Five Easy Steps to Living Longer, Healthier, and With More Purpose.”

 

 

 

 

 

 

 

Extend Your Healthy Longevity – Twelve Things That May Be Accelerating Your Aging – A Three-part Series.

Image by Gerd Altmann from Pixabay

“Life is a fatal disease. Once contracted, there is no known cure.”

This is a quote from Dr. Walter Bortz, one of my favorite authorities on maintaining good health in our third age.  Dr. Bortz is an 89-year old former Stanford University geriatric physician and author of seven books, my favorites being “Dare to Be 100” and “The Roadmap to 100”.

While his quote has a bit of a fatalistic tone, his written and spoken advice takes a much more optimistic tone about delaying the “fatal disease” part of life.

Dr. Bortz convinced me, when I read “Dare to Be 100” the first of three times in 2013, that I needed to ratchet up my own longevity expectations.  Prior to reading his reasoned and experienced position on successful aging, I hadn’t given it a lot of thought and was pretty fatalistic in my longevity expectations.

Kind of the “what will be, will be” – with a sprinkling of naivete about the non-role of genetics in my longevity.

So with a fresh understanding from Dr. Bortz that there is no biological reason that the human body shouldn’t last well past 100 years, I began confessing to the goal of living to 100.  I’ve since revised that to 112 ½ years because, at 75, I decided I need another third of my life to catch up for what didn’t get done in the first two-thirds.

Yes, my friends and family still think I’m nuts but no longer roll their eyes – probably out of boredom, deference, and pity.  Candidly, I am probably nuts to think it will happen.   With mild hypertension, hypothyroidism, atrial flutter, and statin-controlled cholesterol, I’m probably not the best horse to bet on in this race.

But one thing is certain.  Like anything else,  if I don’t set the goal, I for sure won’t get there.  So what if I miss it by 5 or 10 years?  It beats buying into only living to the average U.S.male lifespan of 78.69 years.   Especially when you are 77.5, which I am.

No, I’m not going to be a part of the statistic.  Too much to do in my quest to instill sageism and fight ageism.

Yeah, we aren’t going to get out of this thing alive.  But we don’t need to hasten the demise. Culturally, we’re really good at building age accelerators into our lifestyles, often innocently and due to lack of knowledge, more often just out of laziness, lack of discipline, capitulation to convenience and a refusal to acknowledge the insidious nature of habits.

How might you be accelerating your aging?  Here are the first four of a dozen accelerators I’ll toss out over the next three weeks for you to consider and check yourself against :

  1. Attitude with no gratitude or altitude. Bortz turns the word DARE into an acronym for longer living: Diet – Attitude – Renewal – Exercise.  Of the four, he considers attitude the most important, by far.  He reminds us that “attitude facilitates the biological steps, the planning, the decision making that take us to true old age.  It’s possible to get there by chance, but not likely.” The research studies of centenarians have revealed that they think health and don’t dwell on sickness and death.  They expect to foil the doc and live.

William James wrote: “Believe that life is worth living, and your belief will help make it so.”  Tony Robbins reminds us that it’s impossible to be grateful and depressed at the same time. Think lofty thoughts and be grateful for each day.

  1. A past bigger than your future. I learned the other day that the highest increase in suicide in the U.S. is in males 50+ and that suicide rates for males are highest among those aged 75+.  Certainly, illness is a big factor in this.  But also contributing can be a lost sense of purpose, a loss of personal identity brought on by retirement, or a living in the past without a vision for what could be a bigger future in the third age.

Culturally, we’ve been taught to wind down as we age, to come in for a landing after several decades of flying high.  A mindset that suggests another take-off and moving into a future that could be bigger than a high-achieving past is foreign to us when, in fact, we are in an ideal position to make our future bigger.  Maybe not in title; maybe not in money; maybe not in culturally-perceived prestige.  But we can bring and pay forward our talents and acquired skills and experiences to serve others in transformational ways that exceeded what we did in our past.

  1. Seeking comfort and security. Nothing significant develops in a comfort zone.  When we seek comfort, we unconsciously seek complacency. Any progress made in our first half or two-thirds only happened when we stepped out of the comfort zone that was holding us back. Yet we strive for comfort within the illusion that there is a thing called security. The pursuit of comfort and security is not how we grow and is not the real world we live in. We’ve bought some bad intellectual goods.

Brianna West, author and blogger at Thought Catalog offers up some insight in both areas:

 “There’s no such thing as real comfort, there’s only the idea of what’s safe. This one is a big one to swallow, but there’s really no such thing as “comfort,” which is why comfortable things don’t last, and why the best-adjusted people are most “comfortable” in “discomfort.” Comfortable is just an idea. You choose what you want to base yours on.”

“There’s no such thing as true security. We seek comfort believing that it makes us safe, but we live in a world in which there is no such thing as true security. Our bodies were made to evolve, our physical items are temporary and can be lost and broken, etc. To combat this, we seek comfort, rather than accepting the transitory nature of life.”

  1. Ignoring our biology. I certainly was naïve about my biology in my first half: smoking for 18 years, extended periods of limited physical exertion, poor nutrition – just a few of a plethora of bad habits.  Had I been more informed of how my body is designed to function, perhaps I would have overcome the peer pressure and cultural influences that put me in those habit patterns. Will I pay a longevity price for that?  Most likely. But I grew up and matured in an era when we knew relatively little about our biology.  For instance, in my teen years, doctors, dentists, and actors encouraged smoking!  Our knowledge today of how the body parts all work together and what it takes to keep them healthy is unparalleled.  We know all we need to know to virtually eliminate the five major killers in our culture (heart disease, stroke, diabetes, cancer and dementia).  Yet none of the five is receding!

Lori Bitter of The Business of Aging.com  and author of “The Grandparent Economy” found, in extensive research she recently conducted, that “baby boomers know what they should be doing – they just don’t do it.  It generally takes a crisis to provide the stimulus to make the changes they know they should be making.”  We choose to ignore what we know that can slow age acceleration.

Let’s keep it simple.  We are 35 trillion cells, give or take a few trillion.  Give those cells the oxygen they crave (exercise), the right type of glucose (nutrition) and less cortisol, adrenaline, and norepinephrine (stress reduction), and they’ll do their job to slow the age acceleration.

 

In addition to either of the two books by Dr. Bortz mentioned at the top, I suggest a trip through a great transformational book on this topic entitled “Younger Next Year”, a must-read for anyone wanting to push that endpoint further out.

These four age accelerators get us started.  Eight more to follow over the next two articles.  Tune in next week.  Please leave your comments below about this quartet of accelerators.

Health alert: Get to Know Your PCP!

How well do you know your primary care physician (PCP)?  Have you been with him/her for a long or a short time?  How old do you think s/he is?  How long in his/her practice?

These aren’t questions we’re inclined to spend time thinking about.

Maybe we, as third agers, should be more attentive to this relationship.  Because there is an intensifying shift in the physician space that has been going on for a number of years that can affect our ability to get the care we may need as we get older.

If you’ve followed me for a while, you know I’m not a big fan of the healthcare system here in the U.S. (Note: my apologies to my non-U.S. followers.  I’m going to be talking about what I understand to be largely a U.S.-centric issue).

If you are like most, your first point-of-contact when a health issue comes up is your primary care doc (PCP) who is most likely a primary care or family practice physician.   They are generalists who treat adults (and children, in a family practice) specializing in the prevention, diagnosis, and management of disease and chronic conditions.

Like many things in life, we take them for granted, assuming they’ll be there when needed.

But that may be changing – and within our lifetime.

I’ve had a bit of a front-row seat to the machinations taking place in the healthcare space over the last 17  years as an executive healthcare recruiter.  Over the last seven years, that involved recruiting specifically for small to large medical practices, some of which were internal medicine and family practice organizations.

When I moved my recruiting business to that healthcare segment, a major shift in the makeup of physician practices was well underway.  Many independent medical practices, especially internal medicine and family practices, were struggling to survive because of the tremendous burden of regulations, insurance, and billing issues.

In particular, one of the major culprits in this shift was the advent of the electronic medical record system foisted on practices by the government.  It has turned out to be one of the great disasters within our healthcare system history and is driving many physicians out of their practices.

Many internal medicine and family practices consolidated to try to achieve economies of scale. Or they scurried under the wings of hospitals to relieve the burden of running the office side of the business which stole from their ability to “be a doctor” and practice medicine.

Follow the money

For years, physicians-to-be have been selecting the more “prestigious” and higher-income specialties such as orthopedic, anesthesiology, dermatology and others and avoiding the family practice/internal medicine path.  Much of this is being driven by the fact that primary care specialties are amongst the lowest-paying specialties.

It’s now becoming a national problem   – one that could affect us in the coming years.

According to a 2019 study conducted by the Association of American Medical Colleges (AAMC) the United States will see a shortage of up to nearly 122,000 physicians over the next decade, including up to 55,000 primary care physicians.

Kaiser Health News recently reported that in 2019 the number of internal medicine positions offered was the highest on record – over 8,000.  Only 41% were filled by graduating seniors pursuing their medical degrees from U.S. medical schools.

So why am I sounding an alarm here?

Given this backdrop, we need to recognize that it’s going to be increasingly difficult to find a primary care physician that will accept us as a patient.   Fewer are coming into the system and older docs are retiring out at an earlier age.

Burnout is a growing issue

Forty percent of males physicians and fifty percent of female physicians are burned out because of high patient loads, the hassles of running a practice, electronic medical record requirements, and government regulations – all while reimbursement rates under Medicare are declining.

This condition isn’t likely to get better, certainly not in our lifetimes.

So what is one to do?  Here are three proactive things you may want to consider:

  1. Start by elevating your healthcare literacy. How much do you know about what all the parts and pieces of your body do, how they work, how they interact/interface/intertwine?  Do you know the key biomarkers of your health and where yours are?  How conscious are you of the insidious nature, positive and negative, of your current habits and the role they play in your long-term health?   We exist inside of a 24×7 immune system of  35 trillion cells that are working hard to keep us healthy despite how we ignore and mistreat them.  The knowledge to know how to provide them what they need to do their jobs has existed for a long time, but we give it up to complacency and convenience.  That is, until a calamity hits.
  2. Take greater control of your own health. As an extension of number one, take full charge and responsibility for your health. I don’t believe that we should rely on our doctor to be the arbiter of our health.  Rather, they should be our partners, with us at the helm.  Our ability to do that does require an elevated healthcare literacy and a commitment to compliance.  Too often in our culture, we play into the hands of a reactive healthcare system and turn to our docs only when something skids off the tracks.  It’s like we’ve turned our healthcare into a reactive, $35 co-pay experience.  Start now to let your PCP know that you are going to become, with his/her help, more knowledgeable about what it takes to be healthier and that you wish to partner with her/him on a plan of self-efficacy – taking charge of your health.

P.S. You might get pushback from your doc.  Here’s why: what you are asking of them doesn’t fit the corporate model that they have stepped into if they are part of a large health system or large consolidated practice.  Expectations on the part of the system or practice are to see as many patients a day as possible.  Follow the money.  The more visits, the more insurance payouts.  Someone like you with your questions and requests take time that your doc may want to take with you but be forced to avoid because of insurance restrictions and health system expectations.  Plus a lot of what you will want to know and discuss doesn’t translate into the boxes in the electronic medical record that your doc has his nose in throughout your entire meeting.  You are creating more “paperwork” for an already overburdened doc.  It’s your health – don’t let all that get in the way.

  1. Know your PCP. How old is your primary care physician? How long is he/she planning to continue to practice?  Have you asked her/him?  You might want to just so you know in case you need to plan ahead for a replacement.  We are seeing many PCPs retiring or selling their practice and going inactive at much earlier ages than in the past.  Much of this is due to the declining incomes at the primary care level combined with, and often the result of, the challenges of managing a primary care practice and being a doctor at the same time.  Don’t get caught having to scramble to find a PCP who will take you as a new patient.  Obviously, because of reasons cited earlier, it will be tougher and you may be faced with settling for less than what you want in a doctor.

One possible solution to consider:  a relationship with a concierge practice where, for an annual fee, you are guaranteed unlimited access to a doctor who really does want to practice medicine.  The model is built on reducing patient enrollment from several thousand down to 5-600 and offering more personalized service.

One of the primary care docs I was with for a short while admitted to having 4,800 patient charts.   The average appears to be around 2,500 for primary care physicians.   Concierge-style practices can be relatively expensive, and there can be some insurance coverage issues, but I’m told it’s an environment where you can truly partner with your physician.

So, to recap. 

We need that PCP but we needn’t relinquish our health to them.  Be sure you are positioned with one that is going to be around for a while and engage him/her at a deeper level letting them know you are becoming more knowledgeable ( with her/his help), that you are taking charge, and really want his/her help on this journey.

I believe you will get a very positive response from the doctor. One, because they get that from very few; two, because you are asking them to do what they really want to do – be a doctor.

You will quickly discover, from the response, if this is someone you want to continue with –or whether it’s time to initiate a search for someone else.

This shortage is not likely to get the attention it needs from the government or, surprisingly, from the medical community itself.  It’s lost, along with all the other critical issues that are going nowhere in Disneyland on the Potomac.

It’s on us.  Don’t wait until it’s too late.

Let me know of your experience in this area – positive or negative.  We welcome your feedback on this topic – scroll down and leave a comment below.

Does Your Favorite Presidential Candidate Have a Food Platform?

 

Hold on – I’m not going all political on you.  I’m in the same place you are – dumbfounded by how far off the tracks we’ve gone in government leadership and common sense.

That’s stuff for another article – somebody else’s article because I’m not writing it.

But a New York Times piece entitled “Our Food Is Killing Too Many of Us” recently hit my newsfeed.  It reminds us that we “Americans are sick – much sicker than many realize.”  It refers to the CDC report that more than 100 million U.S. adults are now living with diabetes or prediabetes.  Breaking down the CDC report, it appears that about 10% have diabetes, 90% have prediabetes which, if not treated, can lead to Type 2 diabetes within five years.

If you’ve been enduring my articles for a while, you know that I unabashedly boarded this “food is killing us” bandwagon long ago and continue as a lonely voice in a wilderness of fellow sapiens whose taste buds and habits have been taken and held captive as we slowly eat ourselves to death.

Along with the planet!

OK – I’m not going all environmentalist on you either.  But, at some point, we’ve got to get real about all this.

Think about it – have you heard one garlic-laced utterance from any of the several thousand presidential candidates that included the word “food”?

Have any of them expressed concern or interest in the current destruction and burning of the lungs of our planet to graze more four-legged saturated-fat-factories?

How many of them know or care that it takes 600 liters of fresh water to produce one liter of any sugar-sweetened soda delivered in a plastic bottle.  Or that, according to Soil and Water Specialists at the University of California Agricultural Extension, the water required to produce one pound of beef is 5,214 gallons.

Please assure me you won’t be holding your breath waiting for any of the above to cross the lips of any candidate, right or left.

What we can count on is the continuing political dance that steps over the problem to focus on how to ensure that the financial injury for bad health habits isn’t egregious.  Nary a poke at the source of the problem – poor eating habits, lack of exercise, a food industry that thrives on government inaction and a populace ignorant to what they are doing to themselves.

Oh, and we had best throw in a healthcare system that struggles to spell “food” and would go apoplectic if asked  to define “nutrition.”

The Times article acknowledges that government plays a crucial role:

“The significant impacts of the food system on well-being, health care spending, the economy, and the environment — together with mounting public and industry awareness of these issues — have created an opportunity for government leaders to champion real solutions.

Yet with rare exceptions, the current presidential candidates are not being asked about these critical national issues. Every candidate should have a food platform, and every debate should explore these positions. A new emphasis on the problems and promise of nutrition to improve health and lower health care costs is long overdue for the presidential primary debates and should be prominent in the 2020 general election and the next administration.”

 I suppose we could hope it will happen –the political “food platform” thing.  Nothing wrong with being hopeful but I’m inclined to put hope and wish in the inaction category.  Does it make sense to wait for a political “food platform” to emerge from the tangle of trade wars, border conflicts, space defense, buying frozen countries, and free everything for everybody?

It starts with us. And our nutritional and environmental awareness.  We don’t do well with the first and ignore the impact of the latter.

Meat equals money and our appetite for meat is the most direct cause of the Amazon’s peril along with other parts of the world with the U.S. near the top of the list.

Carefully engineered combinations of sugar, salt and fat are a direct cause of our sickness.  We are victims of our own naivete, reprogrammed taste buds, and craving for convenience. Given all that, we individually are still the only solution.

Consider this suggestion from nutrition activist and physician Dr. David Katz ( the bolding is mine):

“Eat less meat this week. If you eat it daily, skip a day. If you only eat it weekly, skip the week.  If you, personally, had to set some majestic, 200-year-old tree on fire as a prelude to your next bacon-cheeseburger, would you do it? Those of you who say yes are beyond redemption. To everyone else: eat less meat, please. This is the price it is exacting- unattenuated simply because someone else strikes the match.

Less ultra-processed food, less meat, and more whole plant foods are the very formula most indelibly linked to less chronic disease, less premature death, less obesity, more years in life, more life in years. But in this context, that is simply fortuitous.

There are no healthy people on a ravaged planet. There are no healthy people on a planet that can no longer sustain them. We are at risk of eating ourselves into extinction.”

Thanks for allowing me back up on my soapbox.  Feel free to knock me off with a comment below if you feel differently.  My-fruit-and-vegetable-and-wholegrain-fed skin is getting thicker.

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P.S. How fortuitous.  Just as I finished this article, a newspaper headline in our daily rag called the Denver Post said the following: “Trump administration limits scientific input” with a tag “USDA Dietary Guidelines”.  We now know that one presidential candidate, and his administration, have a “food platform”.  It indirectly supports the consumption of meat, highly processed and high sodium foods by eliminating questions about those issues from the 80 questions that the committee overseeing nutritional guidelines have been asked to explore.  If you read the article, I hope you come away a bit incensed.

 

 

 

One Woman’s Quest to Restore Good Nutrition

The Dalai Lama, when asked what surprised him most about humanity, said:

“Man.
Because he sacrifices his health in order to make money.
Then he sacrifices money to recuperate his health.”

That quote was shared with me by Susan Buckley, Registered Dietitian and the Nutrition Manager at South Denver Cardiology, one of Denver’s premier cardiac medical practices.  I interviewed Susan for this article after attending several of her free nutrition presentations at SDC. I was impressed with the depth and breadth of her nutrition knowledge – and her commitment to revealing the truth about the sad state of nutrition in our society.

Susan has a pretty amazing personal story.  A southern California native, she grew up in a household where her mother didn’t cook much so there was lots of fast food.  She struggled for years with her weight, going from 118 pounds to 180 during her high school years.

Like many facing this condition, she tried lots of diets with the typical see-saw results.  The tipping point for her was when she reached 200 pounds following the birth of her second daughter.

She didn’t want her daughters to grow up with a “disordered relationship with food and their bodies” so she committed to the Weight Watcher program and decided to go back to school to become a dietitian, earning a degree in dietetics and doing an internship at the St. Louis VA Medical Center.

And she dropped 70 pounds – and kept it off!

Susan is a long-standing member of the National Weight Control Registry which is a  research study that includes people 18 years or older who have lost at least 30 lbs of weight and kept it off for at least one year. There are currently over 10,000 members enrolled in the study, making it perhaps the largest study of weight loss ever conducted.

She shared with me that the commonality they have discovered through the Registry is that it is a cohort of breakfast eaters and exercisers.   Those are two consistents in her life also.  And her exercise includes strength training multiple times a week.

As Nutrition Manager at South Denver Cardiology, she does a lot of one-on-one consulting as well as teaching classes on a variety of topics such as diabetes, cholesterol,  high blood pressure, and different diet plans.  She also teaches some cooking classes.  All this typically consumes one day of her week.

The rest of her week is spent in her private practice where she consults with people who have severe, life-altering food sensitivities such as migraines, irritable bowel syndrome, reflux, and autoimmune disorders.  She tells of clients who suffer from devastating migraines who can’t leave their homes for days and have exhausted their options with their doctors.  She works with these types of clients to do food sensitivity blood tests to determine what foods are causing severe inflammation in the body and then does a food elimination diet to reduce or eliminate the inflammation.

The results have been remarkable.

Susan exudes passion and confidence.  Tall, slender and fit, she portrays what she preaches.

I asked Susan if she is optimistic or pessimistic about the future when it comes to nutrition in our culture.  She admits to going back and forth on this.  My sense is that she tilts a bit to the pessimistic side as one who is immersed in understanding the tremendous forces working against us in trying to achieve widespread healthful nutrition.

She told me: “it’s almost impossible to sustain a healthy lifestyle in the environment we’ve created.  Our society is set up for convenience and high calories – and we combine it with all kinds of labor-saving devices.”

She bristles a bit as she explains how effective food companies are at designing foods to hit the “bliss point” where one bite, or one chip, or one sip builds a craving for another.  Bliss points aren’t aimed at what’s good for the body.   Remember the “betcha can’t eat just one” ads for potato chips.  That’s a core food design principle.  And it’s where a lot of our “pretend” food or “toxic food-like substances” come from.

In her world, she observes how entrenched bad eating habits are in our society and how incredibly difficult it is to change nutrition habits.  Our taste buds have been held captive since childhood.  Despite that, she has seen people make healthy long-term changes in their lives through her coaching.

She places her hope for the future with children, on reaching them while they are still malleable with a message of how important good nutrition is.  To tackle the childhood obesity epidemic, she feels we are going to have to work through the schools and the food companies.  She laments the horrific food offerings in our school systems and blames food companies for turning a blind eye to the health impact that their products are having on our children.

Susan mentioned the work that Dr. Mark Hyman is doing to work with food companies to try to convince them to produce “real food” rather than “chemical food” which we know can affect the brain.

Susan has co-authored two books:  “The Kardea Gourmet: Smart and Delicious Eating for a Healthy Heart” and “Cooking With Heart”.  Both were co-written with Dr. Richard Collins, a retired cardiologist from South Denver Cardiology and a former partner in presenting many cooking and food selection classes at SDC.

I love the quote she shared with me that she borrowed from Dr. Collins. It clearly speaks to where we are today:

“It takes 2 calories to roll down a car window to get a 700 calorie breakfast”

It makes you appreciate what she is up against.  And what she’s been through.  And the worthiness of where she is going.

You can find out more about Susan and her practice at www.susanbuckleynutritionsolutions.com