The Metamorphosis Diet

Most people when they hear the word metamorphosis think about a caterpillar and butterfly.  Fewer people, those with a literary bent, are reminded of Kafka’s Gregor Samsa, the dude who turned into a big bug.  I need to meta-morph myself, but I’m afraid it would be too much to believe I could become young again and go the butterfly route, however if I don’t, I do see myself going down the dead bug path, flat on my back with my feet up in the air.

I’ve reached a time in my life I’ve been avoiding for thirty years – the time to diet.  My doctor insists I need statins for cholesterol, but they just don’t agree with me.  Since my father died of a heart attack at age 49 after having three previous heart attacks and a stroke, I am an obvious candidate for such drugs.  To go without them demands dramatic changes in diet.

I’m overweight – tipping the scales at 232, at five ten and three quarters, which gives me a horrible body mass index of 32.4.  Being fat hasn’t been unpleasant until I became unhealthy, so I had no incentive to diet.  Feeling bad is an incentive, but then my father had many such demons driving him and he never changed his habits.  Only 1 person out of 20 can diet and keep the weight off.  What makes that 1 person succeed?

I also have spinal stenosis, so I want to believe weighing less would ease the pressure on my back, which is yet another incentive to put myself through some kind of metamorphosis.  Now I wished I lived in the world of Harry Potter where I could buy a transformation potion, but that’s not an option.  The only real choices are the same ones I’ve been hearing my whole life:  diet and exercise.

But if I dieted like skinny-crazed actresses could I somehow morph myself into a new me?  I found this book, Stop Inflammation Now! by Richard M. Fleming, M.D. that promises dramatic change (read the Amazon customer reviews).  The trouble is Fleming’s diet is hard!!!  The phase 1 diet, the prescription to get your cholesterol numbers under control, is composed of only fruits and vegetables.   I’ve been a vegetarian since 1969, but I find it almost impossible to eat as many fruits and vegetables as Fleming wants me to.

I’m a lacto-ovo vegetarian, one who doesn’t eat animals, but will eat eggs and milk products.  And since I’ve also discovered The Kind Diet by Alicia Silverstone after watching Food, Inc., I’ve been thinking about becoming a vegan vegetarian.  But even the vegan diet is far more varied than the Fleming diet.  Giving up cheese, yogurt, ice cream and scrambled eggs is scary to me, since they are great comfort foods.   The Fleming diet, at least the early phase 1, doesn’t even provide salad dressing for salads – no fats allowed.  Under the vegan regime, I can have rice, oils, and even mutant pasta and breads, as well as fake meats and cheese.

So in my waffling, I’m shifting toward the vegan diet, but hoping I can eventually build up the guts to do the Fleming diet for a few weeks and see if my cholesterol numbers do come down.  The Fleming phase 1 diet is almost identical to many cleansing diets.  When I was 26, and only weighed 155 pounds, I did a cleansing diet that had dramatic effects in two weeks.  This diet was based on eating fruits one meal, and veggies the next, and the only condiments were pepper and lemon juice.  The day was started with a bracing wake-up of hot water and garlic.  I remember, the first thing I ate after going off this diet was scrambled eggs.  I don’t think I’ve ever felt as healthy as I did after that cleansing diet.

However, dieting is hard.  But after seeing Food, Inc. and many news films about the recent egg contamination scare, with all those warehouses of monster ugly chickens, I’ve decided that eggs aren’t that appealing anymore.  Giving up cheese and milk is going to be much harder, no matter how badly cows are treated.  But whenever I see how milk is produced, I waver.  That’s why the agribusiness keeps animal production hidden.

Ultimately, the hardest part of dieting is fitting the new way of eating into my existing lifestyle.  Being a normal vegetarian has made me a social outcast of sorts, and going vegan will distant me further from normal people.  Going out to dinner, either at restaurants or at a friend’s house, becomes trying at best, and sometimes impossible at worst.  The transformation I’m seeking will make me far from normal.  And that might be the key to why diets fail.

I think I can make it to veganism, especially after reading this New York Times article on vegan cupcakes.  It proves tasty food can be vegan.   Also, Alicia Silverstone preaches a hell-fire sermon for vegan living.  Time will tell if I can meta-morph into a better eater, and whether or not it will make me butterfly-like.  Even if I got down to 199, I doubt I’d float like a butterfly.  Maybe I can be Mothra.  I’ll keep you posted.  I will say that after making this decision I got up early the next morning and drove to the store and bought myself some soy milk for my cereal.  Yuck.  I have adapted that much.  One step at a time, as they say in the metamorphosis business.

JWH – 9/16/10

Mind Over Matter

When the day is fine, and you hate it to end, don’t you wish you could exert mind over matter, and extend it a few more hours?  Or when your energy is spent, and pain defines your limits, and you feel time is running out – don’t you wish for a way out?  Now, I don’t mean a final exit kind of thing.  Nor the easy solution of popping a pain pill to buy a few hours release.  That’s not what I’m talking about.  I’m talking about those moments when you ask God for help, if you’re a believer, or wish for a helpful God when you are not, and you hear silence, don’t you secretly want to believe in the power of positive thinking?

I don’t believe in magic, so I’m not expecting to twitch my nose like Samantha and rearrange reality.  And since I don’t believe an omnipotent being is listening to our prayers ready to intercede with a helping hand, I’m not talking about supernatural powers.  And I’m not even talking about the power of thought where people believe with right thinking riches will come their way.  No, I’m exploring the subtle effect of the placebo, or why some people don’t get sick during flu epidemics, or why that only 1 person in 20 can lose weight and keep it off, or why some kids learn so much more in the same class as others.

We all know people who overcame extreme odds and won.  We all know about the power of the placebo effect.  We’ve all read fantasy stories where the good witch tells us we had the power all along to go home but didn’t believe it.  Somewhere between the grim reality of fate and the magic of Harry Potter is a realm where the mind has influence.  I’d love to know where the limits of the mind lie.  How come some people can run five day African desert marathons and other healthy people take the elevator to avoid a single flight of stairs?

I’ve always defined my limits by health.  I’ve always felt I had unlimited potential as long as I was healthy.  As soon as I get sick in any way I feel like I’m running up against a concrete wall.  Now that I’m getting older I feel the constraint of many more barriers.  For several years I was constrained by a heart arrhythmia but I finally had a surgical procedure and now I’m better, except that I’ve now got arthritis in a back vertebrae, and maybe a pinched nerve, and pain keeps me from doing more.  Physical therapy is the best my doctors can offer me at this time, but the pain and limitations I live with are ones I wish I could overcome with mind over matter.  I’d like to believe that meditation and yoga could cure my back and leg problems, but is that just being naive?

I always see my limits in terms of biology.  Sleep, energy, disease, age, etc.  Some people define their limits by success, wealth or power.  Others fight habits and impulses that enslave their behavior.  I suppose the young are obsessed with the limits of friendship, possessions, love and sex.  I’m guessing that it is mentally universal that people want to believe they can think their way out of their problems. 

Okay, there are always those people that look for outside intervention, either from God or luck.  I am not concerned with those folks, those who just wait around for providence, fairy godmothers and lady luck.  And yes, I do believe that some people are luckier than others, but isn’t that statistical?  It is possible to flip a coin and get heads 10 times in a row.  Of course, luck can also be proper preparation.

So far in life, I have been lucky, and I’ve gotten past every obstacle of health that has come my way.  I know I’m lucky because I’ve known  so many people that have suffered tragically from birth defects, accidents, disease or horrible degenerative conditions that befall the human body.  Death comes to us all, so our bodies must ultimately fail in some way, we just don’t know how and when.

Now that I’m getting older, each pain, bizarre twinge, weakness, ill feeling makes me wonder if I’ve suddenly received an early warning signal to my doomed fate.  When is a headache due to constipation or an approaching brain tumor?  The last few months I’ve been experiencing numbness in my legs, which makes it even harder to sleep through the night.  Pain in my back, which is under control at the moment, has already forced me to sleep part of the night in bed and part in a chair.  Moving to the chair at 2:30 am feels great to my back that has stiffened up in the bed, but now the chair makes my legs go numb.

If only I could overcome these problems with will power.  I wish through focused thought, by the power mind over matter, that I could heal my body.  The other day I was arguing with a friend who is a professor of counseling psychology whether biology or culture creates most of our behavior.  I was on the side of biology, since I’m a computer programmer, I can understand the idea of biological programming.   My friend argued strongly against that idea.  I asked why.  She said always blaming biology is like making excuses.  Of course, physical health can’t be equated to psychological behavior.  Or can it?

New Age mumbo-jumbo preachers claim realty is all mental.  That’s a seductive philosophy.  It’s wonderful to think we can escape all the evils of life by willing them away.  But how far can such a belief system take us?  Is it our fault if a stray bullet slams into our gut because we allowed ourselves to walk in a slightly bad part of town?  Is my back hurting because I let myself get overweight?  Because the grim reaper eventually harvests us all, does that mean we all mentally accept death in some form?  Do those New Agers go to their death wondering where they made their mental mistake.

We’d like to think that clean living, exercise and a good diet will keep away the doctor.  I know people who never work out and eat whatever they want and never have any trouble with their bodies.  Is that genes or powerful minds at work?

The trouble is, I’m probably wrong in hoping the mind has some degree of influence.  Science shows over and over again this is a cause and effect universe, and that there is an explanation for everything, even though that explanation might not be known to us at the moment.  The New Agers latched onto the spooky world of quantum physics hoping for a gateway to a mystical universe from our purely mechanical reality, but so far atom smashing has revealed none.

In this world, avoiding cavities is only found through the knowledge of dental hygiene and not wishful thinking.  But there’s still that damn placebo effect to deal with.  The placebo effect has even been proven to work for years.  How is the brain tricked?  I wish I knew.

JWH – 9/8/9

Losing My Modesty

One thing about getting older is you go to the doctors more often.  Another thing about getting older is doctors want to examine places that you’ve tried to keep hidden all your life.  So far, I’ve been lucky, and all my surgeries have been out-patient procedures, but I’ve seen the generation ahead of me spend more and more of their dwindling time in hospitals, and I know a lot of painful and embarrassing adventures are in store for me.  I never worry about dying, but the thought of peeing, but especially dumping, in a bedpan gives me the willies.

Recent excursions with the medical profession are preparing me for what’s to come, and I’ve decided that getting used to things little by little is the way to go.  A few years back I had a hernia surgery.  Beforehand, I was all worried about getting naked in front of so many people, but when the time came, being a turkey on the dinner table surrounded by six masked men and women didn’t turn out to be as embarrassing as I thought.

I was also worried about being put under for the first time, but all I got was twilight sleep and it was a truly fun experience.  One moment I was the naked guy trying to joke with six strangers and BOOM, the surgeon was rolling a giant plastic band-aid over my belly-button area.  Literally, no time had passed.  The recovery room turned out to be a bummer with frightened people coming out of general anesthesia, crying, screaming, puking – leaving me afraid of getting more than twilight sleep in the future.  So that’s another big fear I have.  I’m afraid of intubation and heavy knock-out drugs.

Another anxiety is having my below the belt hair shaved.  I went in for a heart procedure last year where the plan was to snake some kind of roto-rooter up my leg vein and into my heart and zap it.  I thought for sure they wouldn’t need to shave me, but I was wrong.

I was lying on a gurney in a staging area when a cute young nurse came in carrying a toolkit that looked like her job was blood collecting.  I said, “You here to collect blood?”  And she said, “No,” and pulled out a little washcloth size towel, looked aside while throwing back my covers, slapped the towel over my genitals, grabbed on good, and then whipped out a plastic disposable razor with her other hand and quickly began shaving me.

“Wow!  You have quite a method for protecting my modesty,” I said.

“I don’t want to see anything, and I know you don’t want to show anything,” she said while dry scrapping the hair off my thigh and across the top of my crotch.

“I am a little modest,” I admitted, “but I mostly don’t want to gross young people out with naked oldness.”

“Thank you,” she said with an appreciative smile.  “And oh my god,” she suddenly remembered, “I know what you’re talking!  The first woman I had to work with was old and wrinkly, and before I had a chance to glance away she just let it all hang out for me to see.  I sure wished she hadn’t shown me that future.”

“I don’t even want to imagine that,” I said think about all the old women I still wanted to see naked.  This cutey and I went on to have a very pleasant conversation about not seeing old naked body parts.  It was an entirely fun experience talking with this girl who was clutching my package with a little rag and chatting with me.  I realized then hospital adventures wouldn’t all be horrors.  I’m still scared of going in a bedpan, but who knows maybe it won’t be as bad as I imaged.

Like I said, I’m working my way up to the big stuff, like a heart bypass, or brain surgery, and the dreaded bedpans.  Each little adventure with doctors and nurses chip away at my modesty and fears.  Like a few weeks ago when I went to see my doctor about cholesterol drugs.  I timidly wanted to ask her about an annoying mole on my inner thigh but was going to chicken out and wait to see my lady skin doctor.  Then my doctor asked, “While you’re here, can I do a regular physical?”

A little while later, when my doctor had her finger up my exit hole, I started thinking maybe I should ask her about that mole.  Then she had me turn around and she began playing ball with mine trying to determine if I had a hernia, so I figured this was as good a time as any to ask her to look just a little closer at something I didn’t want her to see in the first place.

“Where?” she replied when I meekly brought up the topic.

I pointed behind the right sack she was holding to a place on my leg.

“Hey, I can slice that off in a jiffy.  Wait here,” and she pulls out a green paper robe and handed it to me.

Great I thought, now I won’t have to expose myself to my lady dermatologist.  I’ll get everything done today.  She leaves and I take off the rest of my clothes and put on the paper robe on backward so it feels like a dress, a mini-dress.  I figured my doctor went to get her scalpel.  Then a nurse comes in with a kit of stuff.

“Where are we cutting?” she asks with a nice friendly smile.

I’m trying to imagine what the etiquette of legally exposing oneself to a strange young woman is and all I can say is, “down there.”

“Show me.”

So I hike up a leg, hold my dress up like a little girl showing off her underwear and push aside my testicles.  She gets a needle out and sticks it into a little vial while giving me a casual look.  Then another woman comes in, the physician’s assistant, and I flop my dress down.  Just how many young women get to see me naked today?  When the door is opened I worry that some mother walking her kid to another exam room will see the big fat nude bearded man and traumatize their poor kid’s psyche and ruin any fantasies the mom might have about fun with older men.

“Let’s get you on the table,” the assistant says pushing me over as the doctor bustles in.  The room is about half the size of a tiny bedroom, and now there’s four of us in there.  Three women and a naked fat man with a paper dress that’s so short that it’s not much protection for my modesty at all.

So I climb on the table, and the nurse flips up my dress and grabs me around one leg, the physician’s assistant moves between my legs, and the doctor grabs my right leg.  I feel like my legs are in stirrups made of women.  The doctor tells her buds, “Move him around so I can see better.”

I’m thinking, dear god, and I don’t believe in god, by the way, don’t let me have an erection in front of these women.  The nurse and assistant both grab by genitals and try to shove them out of the way.  It’s not unpleasant  The doctor whips out the needle and looks at me in the eyes.  “Please, do not, and I mean, do not, kick me in the face when I stick you,” she says very seriously.

Needles don’t bother me, and so far in my life have never caused any real pain.  “Is this going to hurt enough that I will kick a woman in the face?”

“Some patients have,” she replies warily, still staring me down.

She stabs me quickly with the needle and I barely feel anything, but wonder where that inch of steel went.  Then I notice that the nurse isn’t wearing much of a bra.  In fact, I notice I’m getting an excellent sense of the shape of her breasts.  She rests them on my side and then pushes them against my back.  Then rests them on my side again.  My mind is creating wire-frame models of their shape on my inner computer screen.  I mentally plead with myself, “No wood, no wood. no wood.”

Luckily, seeing a tall blonde with a razor in her hand struggling to get a good aim keeps me tiny.  Hey, not too tiny, I now worry.  The nurse and assistant keep losing their grip and struggle to keep my sensitive parts away from the blade.  I ask them if they want help.

“This sure is a lesson in modesty,” I say weakly and try to laugh and they all laugh good.

The doctor jokes about her brother-in-law getting ‘snipped’ with six women in the room.

“Do you know what I mean,” she asks grinning at me.

I said I did and felt my genitals wanting to retract like a turtle’s head.

“Open the bottle,” the doctor finally says and the assistant did, and my doctor dropped a small bloody clump of flesh inside.  It was all over.  Except, that night I had trouble with my wound bleeding and I had to come back the next day and expose myself to a fourth woman.

I was getting used to it by then.  She led me back to a little room and when the door was shut said, “What’s the problem?”  Again I was troubled by wondering what were the rules for politely exposing myself.  She seemed like she was in a hurry so I just dropped my pants and pulled out a bloody rag I had sandwiched between my right testicle and right thigh.  “It won’t stop bleeding.”

She pulled out what looked like a paper tablecloth and handed it to me.  “What’s this for?” I asked.  I wondered if I was supposed to cover the table with it before I sat down on it and got it bloody.

“It’s for your modesty,” she said like I was being silly.  I couldn’t see how it would help since I was standing clearly showing her what I normally hide from all other women but my wife, and I was even holding a bloody rag I had just removed from between my legs.  Tell me, what was I going to shelter from her eyes?

She quickly bandaged me up.  I felt no qualms of modesty.  I was just a car in for some work, is how I imagined she saw me.  Or maybe I was a dog on the vet’s table to her.  Either way, my modesty didn’t matter.  These four women probably saw hundreds if not thousands of naked people every year.  I doubt if I was the grossest or ugliest, or even the fattest.  I know I wasn’t the manliest – I just hoped they hadn’t seen very many potential porn star guys.

Getting old means losing control.  I don’t like that.  I know if I live long enough I’ll have to spend some real time in hospitals, and each time I’ll become more and more a hunk of body and less like a person.  My sister once made a clever observation about life.  She said we start out life spending most of our time in bed and we end up spending most of our time in bed.  I could elaborate on that.  We start out having people change our diapers and we end up having people change our diapers.  As we get older we get more freedom and we travel further and further, but then we get old and travel less and less, until we’re confined to a room again, sleeping in something very much like a crib.

Maybe I never was really all that modest.  Maybe what really bothers me is losing control and having to let other people treat me like a child.  We dress and undress kids like they have no modesty and never worry if they care about being naked.  Going to the doctors is like being a kid.  We have to do what the big people tell us.  We don’t get any say in the matter.  And crying doesn’t affect the outcome.

Can it be that modesty isn’t about being naked?  And rather it’s about losing control?  It’s like those dreams of being naked in a high school class.  Do we wake up afraid of being laughed at?  Or do we wake up afraid of getting into a situation beyond our control?

JWH 12/18/8

Did AARP Rip Off My Old Mother?

    I don’t mean to knock AARP, an organization that helps us all as we get older, but I have to question their efforts to promote the sale of long term healthcare insurance. My mother died recently, and the experience was a great learning one for me in many ways. Getting old and dying involves a lot of details and it really helps to be prepared. My mother was a fiercely independent person who lived alone for the last third of her ninety one years. Around 1995 she purchased long term healthcare insurance policy from AARP. I assumed she was afraid my sister and I would not take care of her and she wanted peace of mind. She tried to buy that mental comfort at $220 a month, spending around $32,000 before she died without requesting even a dime in benefits.

    For the last several years my mother was in and out of the hospital. She refused to live with either me or my sister, Becky, and she didn’t want to go to an assisted living home. I would force her to stay with me and my wife when she was very sick, but she’s always pack her bags and sat on the edge of her bed demanding to be taken home when she got well. Lesson number one: old people want to stay in their homes. The AARP policy did provide for some at home professional care, but it had severe limitations and didn’t pay much. As it turned out, Medicare covers some at home help which we used on various occasions.

    In the end my mother had two very strong wishes. First, she wanted to die at home. Second, she wanted to leave Becky and me something, and the only thing she had was her house. To have gone to assisted living or a nursing home would have required selling her home. Medicaid will pay for a nursing home if the individual is poor, so a common practice for old people is for their families to sell their parent’s homes, pay for nursing home care until the money runs out and then get their parents on Medicaid. My mother grew up during the depression and had strong objections to going on the dole. She hated the idea of Medicaid.

    I’m guessing she bought that AARP policy assuming it would keep her from using Medicaid and losing her house. However, reading the policy after the fact, which was in large print and easy to understand verbally, the math just wasn’t there to make it practical. Nursing homes at the low end run around $6,000 a month and that policy only paid $50 a day, or $1,500 a month with a limit of 1,460 days – for a maximum value of $73,000. It didn’t even start paying out until day 91 of a nursing home stay. My sister moved from Portland, Oregon to take care of my mother, who was a total invalid for the last three months of her life. In other words, even if we had put my mother in a nursing home, the policy would never have paid out. Lesson number two: any insurance must cover inflation and practical experience.

    So when is a long term care policy worth buying? My wife and I have no children. I assume I will die first and my wife will have to live by herself. Single living is very common to the baby boomer generation anyway, even before old age. Thus, insurance for long term healthcare is appealing. I’m seeing it promoted and advertized on TV and in magazines. Mathematically, when does it make sense? If my mother had put $220 monthly in the bank, she would have had about $40,000 dollars when she needed it to spend starting on day one. Assuming she really would have gone to a nursing home, which I don’t think was her desire.

    Dying at home is expensive too. We had to hire non-professional sitters. Even in a rural town where wages are low, sitters can run to thousands a month for 24×7 care. Personally, at my current age and thinking, I plan on going to assisted living, this runs about half the cost of nursing home care (and not covered by long term care insurance). But I’m only 55, and who knows how I will think when I get to be 90. Lesson number three: it’s impossible to plan for specific arrangements in the future. That leads me to believe that putting money in the bank is better than buying an insurance policy because it’s more flexible.

    I currently buy insurance betting if I die my wife will have some money to help her get by. It’s a precautionary thing. Life insurance become more expensive and less practical as you get older, but is very practical if you die young. When is long term health care insurance practical? I’m guessing it’s not in many situations. If my mother had been forced to stay in the nursing home for the last 9-12 months of her life, she would have gotten her money back, but it wouldn’t have covered her true expenses and she would have still had to sell her house. All the policy would have done would have been to delay becoming poor enough to go on Medicaid.

    One year of low end nursing home care is about $72,000. I’m guessing, unless you have Alzheimer’s or some other condition that involves a long slow decline, that on average you’ll spend less than a year in a nursing home. The decision between assisted living and nursing home care seems to be whether or not you can get out of a building under your own steam in case of a fire. Most people will need far more money for assisted living expenses than for nursing home care – not the territory of long term care insurance. My mother never understood this and I’m wondering if she thought the policy covered assisted living.

    In the end, my mother wanted to die at home and Becky and Hospice Care were the miracles that allow that. My sister had to quit her job and rent her house to come stay with my mother and that was a huge sacrifice on her part. I think Becky felt she owed me that because I always lived closer to my mother and helped her during her long retirement. Thus having children is a key component to long term care. Like I said before, my wife and I do not have children. Most of our regular friends do not have children. Where does that leave us? It makes the urge to buy some kind of insurance stronger, but I have to wonder after seeing my mother’s experience and ask if it’s worthwhile.

    I wonder what kind of insurance AARP is selling today, twelve years after my mother bought her policy. I’m sure the market is constantly evolving. Would something I buy today be practical when I get ready to use it 20-30 years from now? How can we best plan for the future? I know this might sound silly, but I’m hoping that science and technology will perfect robotic health caretakers so if I want to stay in my home as long as possible. I’m guessing though, a good supply of cash will be the most flexible problem solving insurance. I also have to wonder how the system will handle the bulge of aging baby-boomers.

    Medicare pays for Hospice care, and I think they do this because it’s far more cost effective than letting people die in hospitals. My guess is any end-of-life living arrangements for the future might follow this lead. Can nursing homes be made more affordable and more humane? There is work in that area now. Long term health insurance policies need to prepare us for various kinds of possibilities. I don’t think AARP ripped off my mother, but I don’t think it sold my mother a good policy either. Long term care insurance should be more like what was called whole life insurance – more of an investment than a gamble. What we need is something like a 401k for our final days (402k?). We need to save for living without working but remaining independent, and we need to save for our dying months when we can’t take care of ourselves

jwh

Who Is In Control Here?

    I am reminded of the classic sci-fi novel Mindswap by Robert Sheckley where the main character, Marvin Flynn mind travels to alien worlds and ends up in a body of a giant beetle like creature who has a snout ring with a bomb in it. “On Celsus V, the giving and receiving of gifts is a cultural imperative.” Marvin our hero can not refuse the gift, which explains why the former owner of the body elected to mindswap. Marvin Flynn’s adventures in this hilarious novel illustrate life without control. We like to believe our lives are controlable, and that we are in the driver’s seat of our bodies, looking out the windows of our eyes, driving through life. What throws us is when we crash into a situation where we have no control.

    From an early age we learn to live with a lack of control. At first we just cry until we get what we want. Eventually we develop drives, skills, ambitions and we get pretty good at getting what we want. However, life sometimes parks us between a rock and a hard place and we can’t do anything about it. The most intense and intimate of these places of no control is failing health. My heart arrhythmia reminds me of that ticking snout ring. For the most part we go about our lives ignoring the obviousness of death. It’s not until some vital component in our body starts telling us knock-knock jokes that we have to whisper, “Who’s there?” to Mr. Death.

    The weird thing about health is how easy it lets you forget about disease. My heart can act nuts for several days taking me on a roller coaster ride of thrills, and then settle down for a day and I can forget all the scary lessons almost immediately. Feeling good makes the future seem bright, even if it’s just for a moment. When Mr. Death starts thumping one of your vital organs you have these amazing revelations. For instance, “Oh, that’s why we’re supposed to exercise and eat healthy,” comes to you in a Zen like clap of enlightenment. Your mind swears you’ll never eat another french fry again. But as soon as the thumping stops for a moment and you have a brief instance of feeling good, it’s “Hey, guys, let’s go to McDonald’s.”

    Who is in control here? I’d like to think I was, but I’m learning what a silly notion that is. If I was in control I should have become a health fanatic the first time I over ate and puked up as a kid. Or at least the first time I drank too much and puked up. Or, one of the other zillion times I got sick or hurt. But I didn’t. When my heart dances like I’m jogging when I’m reclining in my La-Z-Boy I know I should have lost that extra fifty pounds decades ago, but that doesn’t put me in control. I can pop a beta-blocker my doctor gave me and get my heart to beat to the time I want, but is that being in control? I can pretend I’m healthy, but inside my heart is like a cartoon character, boinking around. I know it wants to get out of its chemical straight-jacket so it can sing and dance again to its own tune.

    What I learned from conversing with my body parts is there’s a vast divide between body and mind, and the trouble is, the body is in control, not me. In fact, you end up pleading and begging with your organs to behave by swearing you’ll do anything they want if they’ll just be nice for a little while longer. This does open up a whole can of philosophical worms. In this bag of flesh there are countless components with their own drives and desires, so which one is the one who wants to eat Ben & Jerry’s every night with Oreos? Egotistically, I’d like to say it’s me, the mind, that makes all the choices, but I know there is some chemical process that I can’t name working with cells I can’t identify that talk to other cells and organs that shanghai me, the mind, to buy and eat the B&J.

    I do have some control. The more I know how the body works the more I can consciously try to influence it. I’ve read studies that say only 1 person in 20 can lose weight and keep it off. Does that mean five percent of the population has will power or that five percent have a body with a variable set point for weight? I know I can make my heart happier if I lose weight, eat right and exercise every day, but do I have the control to do that? I consider myself trying to do all that for thirty years and I’m still fifty pounds overweight. Who is in control here?