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The work day before a long weekend or major holiday is usually a frantic one. There are often a lot of ‘no-shows’ as people forget they have an appointment today. There are also lots of frantic telephone calls from folks in hysterics about to leave for the airport needing their medications renewed right now – usually valium. I wrote this entry in piecemeal when people failed to make their appointments.

What I should be doing now is rummaging through my office desk and cupboards to discard old journals and such, the things I’ve squirrel away ‘for later’, papers I’ve completely forgotten about and are outdated anyway so into the rubbish they go.

I just saw a patient with “SAD” which is seasonal affective disorder. This means depression/anxiety worsens in the winter months. When I lived in Michigan I had a lot of patients with SAD. There are not as many of these cases in Arizona. All the same the lack of light this time of year makes even the locals sluggish and logy. On top of SAD are the ‘holidays’ with all their stressful elements hohoho. Unfortunately hibernation is not a feasible option for most: the co-pay on this prescription is outrageous.

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My office – PHX branch

Speaking of winter my office is as cold as witch-tit. As you can see I have the corner office is half windows. When we moved into the place everyone was initially mad-jealous that I got the corner office with its view of the mountains and Evita-balcony. We soon discovered for half the year in the summer months the morning sun bakes it hot as an easy-bake oven and in the other half of the year it’s positively arctic. No one will swap rooms with me now for love or money. I need to remember next week to bring in a little space heater as I am freezing my wrists off even as I type.

Today at noon we are having a telephone conference sales pitch about some sort of device or metric flogged as something useful to my practice. At the moment I can’t think of anything useful I want right now other than someone or something that fills out prior-authorization forms.  The salesman has already lost a few points by putting this at lunch time and not providing food. Thrall #1 (the dear!) went out to fetch us some tuna fish sandwiches served on buns and things.

Later – the  teleconference zoomed in and out in half an hour and I still don’t know what it was about. Imagine someone trying to explain quantum mechanics in thirty minutes. It seems to be an on-line do-it-yourself cognitive exam for patients. It has all sorts of fancy charts ups and do-dads apparently to see how bad is your memory. My soul swoons with questions on its use, privacy issues/HIPPA laws, and the price of such shenanigans. Imagine me telling an elderly patient struggling with memory to go on line to a website and follow the instructions to set up an account and do all the tasks and have it generate a report to send to my office. The saleslady wanted me to sign up before I hung up and she wasn’t one to take no for answer. I’m afraid she had to live with disappointment – at least until I can figure out what the hell she was talking about.

It looks like I may get out today on time enough to go to the gym and then head home for my four days introverted cocoon weekend. This evening I plan on making some bread. It shall be my Thanksgiving treat.

I meet a lot of people (professionally and personally) who remonstrate they are not very happy.  When I ask them what this means it invariably leads to the same nebulous statement they want happiness in their lives and this isn’t happening. Oh the pain. I’ve often wondered if we should eliminate the word ‘happiness’ from the lexicon. We would be better off without the wicked word – or at least narrowing and defining it. ‘Happiness’ is too vague a concept yet we all strive for it. It’s like hunting for an animal you are unsure what it looks like and where to find it but I am damned determined to go out and hunt and capture it and hang its stuffed head over the fireplace. See! You say to the world. I got happiness!  Adding to the difficulty is the erroneous sense happiness is an end-product, a trophy for having accomplish something. If only I had “X” I would be happy. *

Let me try to help.

We ought to do is limit the definition. Happiness is a temporary positive emotion of enjoyment. This morning I had a lovely breakfast followed by a dog walk.  These activities made me feel happy. Yesterday my GI system was tempest tossed from too much hot sauce. I was not happy.  

What people usually mean when they say they want happiness is better defined by the word ‘well-being’.  Happily (pun intended) there is nothing complicated about well-being.  Well-being is the state of being loved, secure, and fed. **  

Well-being is not a ‘reward’ nor an outcome. It has a general sense of feeling content about your lot in life. Some may be shocked to hear well-being is NOT correlated to having wealth, celebrity status, or power. Studies reveal being a lottery-winner or a movie star or a dictator doesn’t create well-being per se.

This is a good time as any to point out the number one asset towards well-being is a good social connection. From it come all that makes well-being.  Your tribes and loved ones should be guarded as if your whole life depends on it – which in fact it does. 

Another problem with well-being is it doesn’t come with fireworks and obvious signs of congratulations. There is no euphoria to it. As a consequence people don’t often recognize it when they have it  but only when it is lost.  Yet if they went back in time they remember being happy and ask their former selves ‘are you happy?’ the former would be bewildered by the question. “Can’t you see I’m busy here running errands and managing my life? No time for happiness now!”  

Be mindful!  Keep tabs on the differences between happiness vs. well-being.  It’s nice to have a big bag of nasty chips and dip*** but that’s not well-being.  Work on well-being.

Forget the rubbish and cultivate your connections – and recognizing it all when it happens. 

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*In psychology this is referred to as “The Promised Land” fallacy. I see it often in folks who feel once they retire all will be well.  Variants include getting a new job, moving to that city, finding Mr./Ms. Right.  If ‘X” is achieved, then happiness starts.

**Feeling secure is what’s missing most in people’s lives. It’s worth a blog entry in itself.

***That would make me quite happy right now. 

Office

One of the challenges of my job is I don’t see things ‘abnormal’ but normal things out of proportion or out of control. I spend a lot of time determining if behaviors and symptoms are beyond acceptable and now into pathology.  Eating is an example.  We have to eat so when is eating a pathology?  This morning’s symposium was on the topic of binge eating disorder. When is eating too much considered a disorder and in need of help? 

Not too long ago doctors never asked patients about their food intake (quality or quantity) unless the patient looked overweight.  Then the doctor would tell an overweight person “Quit stuffing yourself Joe” – and Joe either did or didn’t. 

We now know telling a person who is overweight* or binge eats** to stop eating so much is as useful as King Cnut ordering back the tide. Binge eating is about a loss of control about eating.  It is mostly done at night while no one is looking; it is associated with shame. Patients don’t usually bring this up and docs aren’t good at asking about it.  Folks who shovel food right from the refrigerator aren’t coming to see me with this as the ‘chief complaint’. They are coming in with depression, anxiety, insomnia, low energy etc. About 90% of folks with binge eating have other disorders but treating these co-morbid conditions don’t necessarily cause the binge eating to improve.  It needs to be directly addressed and directly treated. 

Like a lot of mental illnesses binge eating suffers from stigma. It is seen as a lack of willpower and your own damn fault.  Men are not as often to have binge eating but they are less likely to bring it up and if they do they are told merely to man up and stop it as dammit men have the ability to do so.*** 

I have a bit of a binge eating problem.I  have a nightly battle to not go to the kitchen and eat bread stuffs like bagels – which I hide from Someone. He would not judge yet I hide it all the same from shame.  When confronted with nasty chips I react in the same emotional way as an abstaining addict confronted by his drug of choice. The momentary pleasure of a starch binge is nothing to the shame the happens afterwards and the self-chastisement for succumbing.  My ‘case’ is mild; it is a fraction of the type and severity I see in clinic.  Part of seeking help is admitting the problem and ‘coming out’ to longer hide.  

It is hoped by going to medical conferences I will go back to work with improved ways to treat patients. Once in a while I get a bit of help myself; this morning I got some. 

*The lecturers spent some time teaching us to be careful with words. Being overweight is bad and it needs to be addressed – but don’t use words like  ‘fat’,  ‘obese”, or ‘large”. 

**It turns out only 50% of thems who binge eat are overweight. One can’t screen out the binge eaters simply by sizing up their stature. 

***Women ironically are more likely to get treatment compared to men as women are more likely to ask for help – and they are seen as less able to do things on their own.  Oh the pain. 

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My life seems to be a series of discoveries in which credos turn out to be codswallop. Every time I feel assured I’ve finally separated reality from the rubbish another so-called truism is exposed for the claptrap it is and always has been. You think by now I’d be used to it. I shouldn’t be surprised anymore when another is discovered to be a humbug. All the same, it irks me to realize I’ve been sold again another set of cheap goods.

Today’s metanoia is about Time Management. Not since the invention of The Wizard of Oz has there been such a sham. If the point of time saving devices is to free up our lives for leisure this has failed utterly. Indeed! It seems whenever there is so-called progress at time saving it creates more work – and expectations that go higher and become (in my opinion) more inimical to our health.  I remember Grandmother shook the rugs out once a month on a certain set day . It took time to do so this but in between beatings she was content to live with carpets not looking their best. She made cookies and played the piano instead. Along came the vacuum and she felt obliged to vacuum frequently to keep up the new standard of having spotless floors and rugs.  Another example of time sucking disguised as time saving is texting. People were once content to call a place and leave a message on a phone machine, knowing these wouldn’t be returned right away. Nowadays if a text/email isn’t instantly returned it is a great anxiety and upset.  It is Lucy and Ethel at the chocolate wrapping conveyor belt at its worst: when you get people to work more efficiently this merely ups the ante.  Making machines work faster and better is well and good but the human brain is probably not wired to work this way – and we are seeing signs of discontent in the worker – at least the ones in the States.

In response to time saving devices have taken over our lives we’ve developed the art of Time Management.  This principle rests upon the erroneous axiom we ought to do as much as possible and as efficient as possible when we do it.  The gist of Time Management is trying to deduce how to incorporate everything  in a better way.  The common sense conclusions to unload things or abandon the axiom aren’t ever considered. Rather we channel the Red Queen who has to run as fast as she can just to stay in one place; to get anywhere she had to run faster.

In my line of work I often see patients with ‘control issues”. This often means they feel out of control of everything they think they should be handling/doing.  I sometimes make the comment it’s as if the gods are trying to get them to learn the lesson doing and being all is not worth it – the gods are aggravating you until you connect the dots and let go of control and efficiency.  When my patients let up they report feeling so much better and their worlds don’t implode either.

I am planning to practice being more at peace with not needing to do everything for everyone right away. Things can wait or not happen. The rugs can have some dirt for awhile and the emails don’t need instantaneous attention.  I may not get as much done and not as on time but I think I will feel better.  I can wave at the unwrapped chocolates as they whiz by. Either the gods will slow down the conveyor belt in response or I will be fired.  Either way sound good.

 

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One of my psychiatry professors liked to use new-age lexicon to illustrate theories of psychology and psychotherapy. It was often difficult to determine if she was being literal or figurative about her points. She sounded like Professor Trelawney but her advice was sensible and useful. I use her teachings more than any other of my mentors. One tip she taught was ‘reaching out to the third chakra”. I won’t go into the theory of chakras here, only to illustrate her point: apparently #3 is where empathy and intuition reside. In order to connect with others and to bring out their worth one had to connect to their third chakra. What she meant by this was when confronted with someone you find odious you must find within them something / anything that is ‘good’ to connect with. This had to be done otherwise a therapeutic alliance couldn’t happen and no good would come from psychotherapy.  I remember she illustrated this point using a patient of hers who had done so in order to save himself while out hitchhiking. A trucker had picked him up – someone the patient immediately intuited was dangerous and going to do him some sort of harm. The patient thought quickly and stated he was glad you had picked me up and not someone else had stopped as I could sense right off  you (the trucker) was a good man and I feel safe in your truck. After looking around for guidance the man commented he saw the trucker was a music lover please tell me about your music. This trip ended with them ‘bonding’ rather than becoming the victim of a robbery or rape or both.

“Connecting to the third chakra” is sometimes a challenge in my line of work as I see a lot of people not easy to connect with. Many see me for this reason: their rough demeanor is causing friction – which is often duplicated within the appointments with me. When someone is irritable, immature, or downright nasty I need to somehow see past this terse Personae into the person to their suffering terrible psychic wounds within.

In Disney’s ‘Beauty and the beast’ there is a marvelous scene where Belle (playing the role of therapist) is approaching The Beast’s most vulnerable center, the fading rose. He lashes out at her attempt in a violent defense. My professor would argue the entire movie illustrates the therapeutic process of getting in touch with the third charka and succeeding doing so – resulting in true connection and healing.

I can usually find this third chakra in most patients but not all of them. There are a handful with whom I’ve had no luck at connecting with. Either I can’t (a failure on my part) or there is nothing there to connect with. Happily these are not many who are missing third chakra energy and I am seeing them only for meds management and not for counseling. Some of them sensing a lack of ‘bond’ or empathy on my part go elsewhere but a few stay for reasons often bewildering to me. They challenge my training and skills to do some good under this handicap.

Outside of the office whenever I encounter a Yahoo I try to remember their Persona may not be anything like what they are. If they are being awful I try to assume they are hurting somehow. After all when I am irascible I explain it is situational (tired, hungry, bad day etc.) and it is NOT a sign of my true well-being. Yet I assume similar moods/behaviors in others is a sign of who they truly are? Not good and not fair.

I fear over time I am becoming less skilled at connecting with third chakras. Perhaps I am encountering more and more people whose chakras are either missing or have degenerated beyond redemption. From a psychological point of view this is illustrated by the current president with whom I can make no connection, find no ‘good’ within other than pathological narcissism. This is true as well for his die-hard fans and minions. On his campaign he mocked a man on with cerebral palsy and his disciples – rather than be horrified at this terrible matter – laughed along with him. I think the Rubicon was crossed and the nation lost right there. He has no third chakra and neither do his followers – or the nation is seems.

All the same I continue to strive to connect with patients and strangers hoping they have enough good within them to plug in with. Without I might as well give up.

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All doctors think they are smart enough not to be swayed by sweet-talking pharm reps but the research supports the opposite: we are far more likely to prescribe something when a salesperson drops by to schmooze and give out samples and (best yet) something to eat. As a consequence I try to be vigilant towards these devious drug dealers. Most of the time I do a good job (I hope) sticking to evidence-based and science-supported statistics. The representatives who drop in at the office have learned not to talk rubbish or push things. There is one exception. A particular pharmaceutical representative is being especially insatiable in her pursuit to get me to make her product my number one prescribed medication. Unfortunately the prescription is very expensive, seldom covered, and causes side effects (despite her insisting it does not). There are cheaper alternatives that do just as good so why use it? Brand name medications are more expensive than generic meds; patients often complain these are not affordable.

Perhaps she is under pressure from her bosses to produce sales. Maybe it’s a personal matter; she sees me as a challenge like the Duke of Edinburgh award. I have to get on board and prescribe it. Whatever her motives she pops in a lot like a nefarious jack-in-the-box to inquire if I am using her product.

So far her means of persuasion have fallen flat. Someone didn’t do her homework that feminine charms and flattery may work well for on my colleagues but not with Urs Truly. The standard graphs and charts she presents I see right through (all of them produced by the same folks who make the drug). Poor reasoning and straw man arguments make my eyes cross. Her point ‘so many others use it as their main drug” does not move me onto the bandwagon.

Sorry lady but your product just isn’t my favorite. It isn’t as clean as you report and ny patients find it ‘too expensive”* It’s not a bad drug it’s just at the end of the line of my choices.

The Wonder Receptionist informs me said rep is bringing to her next luncheon** a physician to talk to me about the medication. The manifest reason is for me to ask a colleague any questions off-label something she is not allowed to do. Fair enough. The real reason to bring in Dr. Bigwig is for me to be dazzled so I too will want to be just like Dr. Bigwig and be swell too via using the product.

I could ask the Boss-man and Boss-lady to tell her and her ilk to go away but The Other Doctor likes having them in. I like the samples they provide; I use these for patients who can’t afford “X” when “X” is the only thing that works for them.

Salespeople come and go quickly as they are frequently sacked or reassigned to other areas. Ms. Persistence is more likely to be transferred than succeed. Perhaps someone higher up the food chain will connect the dots and replace her with a big burly bear-type salesman. I hope I am up to the challenge.

 

*In reply she asked me to ‘define expensive”. I explained when my patient says their medication is too expensive for them they want something cheaper I take this at face value and not argue.

**Poor thing. She always brings in the same food, not my favorite. If she brought in something better / something I liked perhaps her sales would go up?

I am not a fan of Robert Heinlein. There are many reasons for this but one of them is about the traits of his novels’ heroes. They are often ‘The self-sufficient man’. The fellows could do everything themselves thus never needing help from others. Mr. Heinlein extols his readers (mostly boys) to be likewise and he castigates thems who do not. Asking for help is a sign of failure. The truth is the opposite: we continually need help. We are a species that evolved to live in groups and cooperate to achieve our survival. All day long we seek assistance from others.

Throughout my workday I listen to patients’ fears. There are usual ones like public speaking, flying, and animals with nasty pointed teeth. “Asking for help” is a subtle but ubiquitous anxiety for most, which is odd as we all do it and need to. Many people avoid asking for help as they fear rejection or the judgment of others for doing so. I think men suffer most from the Shadow side of the Self-sufficient Man archetype.*

I try to teach patients it is OK to ask for help. To better their chances of getting results and feeling good about the process I give’m a few tips. We tend to ask for help badly, You would think by now we would be good at it. Many ask do so in an apologetic manner (I’m sooo sorry to bother you) and don’t communicate the specifics.  We often ask for help via text or email thinking this is the best way. Studies support the opposite: we are much more likely to get a ‘yes’ reply if we ask for help face to face or a phone call. Another matter to consider: we are awful at registering a person wants or needs help, yet people often assume our loved ones can sense we need help so they don’t directly ask and become upset when the others don’t pick up on our allegedly obvious vibes. I can’t remember the exact term for thi, but it is based on the illusion of transparency. Bottom line: you have to ask, even those you think should be able to read your mind.

When I need help I first tell my Self-Sufficient Man Complex shaming me yeah, I hear you but buzz off. Then find the person I want to ask and do so face to face. “I need your help” I say. Then I state in simple, realistic, and clear words what I want. “I need you to call this patient back for me to say she needs to come in” or “I want you please to call Hector (the groundskeeper) to come tidy up the yard” or “Thank you! I can’t get into my account I want you to help me figure out why not”.   Another tip: if there help was helpful, tell them about it later. “I wanted to let you know your help was really helpful, thank you”.

Let’s stop giving The Self-Sufficient Man more libido (psychic energy) than he needs or deserves.

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*The cliché of men not asking for directions touches spot-on this archetype.

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So-called truths are often not so. I recently heard a podcast debunking the concept of ‘alpha-males’ in wolf packs.* The Firesign Theatre strikes again: “Everything you know is wrong!” When I pull back the curtain on something to reveal the great and powerful Oz is a humbug I often feel a sense of being had. The alpha-male wolf nonsense evoked relief. The clap-trap behind this concept has done a lot of damage and it can be thrown out for the rubbish it is.

I grew up always at the other end of the hierarchy of alpha-males. Only at home did I have some clout. As the oldest of a bunch of brothers (fine fellows all, well over four feet) I am still  called upon to take the role of time-keeper whistle-blower referee. On the other hand they are all taller than I which sort of lowers (pun intended) my role as ‘big brother alpha-male’.

My nerdy wimpy self now has a board-certified double specialty connected to it. I forget I am the ersatz alpha-male. Being the ‘M.D.” at work puts me in the alpha-role more than I realize. I am not one of those bossy a-hole doctors barking orders at the minions. Despite my jovial nature and polite manners (think Lily Tomlin in “Big Business”) everyone at work addresses me as ‘doctor’ even though I’ve tried to make it OK to call me by my first name. The thralls all seem to do my bidding without question. I’ve noticed when I cut people off they shut up and let me go on not call me on it. It’s good to be King but it needs careful consideration when to pull out such archetypal energy.

In the bad old days when doctors = god patients did things without question. Nowadays the doctor/patient relationship is dialogue and consensual process (good!). All the same there is a part of patients that wants/needs me to be the alpha;  too much laid-back interactions makes them uncomfortable.  It is hard for me to conjure me-big-doctor alpha-male dressed in loud brightly colored aloha-style shirts. It’s like seeing your pilot wearing T-shirts and cut offs in the cockpit. You know he/she can fly the plane but you want to see a uniform.

It is hard to be The Great and Powerful Oz when you are more like Judy Garland.

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*Turns out the actions of the ‘alpha-male’ wolf is more of less doing the ‘dad role’ to his family. That’s it. Even the author of the seminal treatise on the topic can’t seem to shut it down.

Back when I was smaller and people were taller the ability to change your mind was considered a sign of maturity and wisdom. If you connected the dots you were wrong about something you were adamant was ‘true’ you were either sheepishly or  matter of fact admitted you were wrong.  Either way you moved on with your new and improved state of being.  If your hypothesis was incorrect you discarded it for something better – and you were looked upon as good for doing so.  I’ve been trained in the scientific way to test hypothesis and if they fall flat to reject them even if “I really wanted them to be true.”

Or so I remember.

Perhaps this openness and plasticity of the past wasn’t so stellar as I remember. My recollection is probably colored by the human propensity to make the past a more ‘golden age’. All the same the 180-opposite direction approach people have these days is refusing to admit they were wrong and let alone change. Presented with data that challenges paradigms makes people dig further into their convictions. Changing your mind is looked upon as a sign of weakness.* What was once considered a sign you were being pig-headed is now admired as a sign of strength. Oh the horror.

In my profession (medicine) new stuff comes up all the time. There is a continuous parade of “Everything you know is wrong” findings that oblige me to discard cherished beliefs to what work with what the data actually supports.  My specialty has so many turnovers it makes my eyes cross. Public Opinion may say this is a bad sign but I see it as quite good – and proper.  I want to throw out the rubbish. Otherwise I’d still be prescribing psychoanalysis for the treatment of OCD (which is caused by suppressed anger towards your parents) and sending ‘perverts’ to conversion therapy.  Oh the embarrassment.

You will be shocked shocked shocked to hear doctors are no better than anyone else that when confronted with data telling them to think and do differently they often than not just keep doing what they have always done.  “Time-honored treatments’ don’t bow readily to ‘evidence-based medicine” I am sorry to say.

And of course, thems who want things to stay status quo don’t take kindly to thems who challenge things  Just think of Galileo, Corpunicus, Darwin to name a few.

I will continue to be open and welcome changing my mind as needs arise and see this as a virtue not a sign of spinelessness. Thems who are recalcitrant in their beliefs in are not ‘strong’.

“You see, the point is that the strongest man in the world is he who stands most alone.”
Henrik Ibsen, An Enemy of the People

 

 

*I have a vague memory of a candidate running for public office being ridiculed on TV for changing his mind on something. The ad conveyed he was therefore not to be trusted and he was ‘weak’ for being so. I recall thinking he ought to be elected as a sensible fellow open to new ideas and self-correction.  I believe he lost.

I recently read genetics is only ~ 25% of what makes a long-liver from a short-timer. Thems who live to be 100 don’t do so just because they have ‘good genes’. This is good news for folks who want to make such a goal. It turns out the key(s) to achieving 100 gets down to five factors. Happily four of them aren’t too difficult to do if you are determined to do so.*

First of all let’s get rid of the rubbish, the things 100 year old folks did NOT use towards seeing your one hundredth birthday cake:

Complicated/zany diets

Mega doses of vitamins

Supplements

Antioxidants

Goop advice

Going to the gym

Money

Abstinence from alcohol

‘Success’ in life

The world’s communities with lots of 100-year-olds members were interviewed and they consistently don’t do anything of these things.  What a blessing to know!

Here be the five: 

1] Be active.  None of these folks went to the gym or ran marathons.  Rather they had active lives. Their work kept them moving. They walked to places; they took the stairs. 

Advice #1 – take the stairs, park further away and walk a bit to the store. Get up and move lots. Get in a daily dose of thirty minutes of action. 

 

2] Take time to chill. On the other hand they did not work themselves to death, double tasks or freaked out over a wasted minute. They all had some sort of ‘down time’ each day to take a siesta, have a tea break, gab whatever. They also got enough sleep, valuing  sleeping time over getting one more thing done.  Their vacations were the type for sitting and reading and talking – not running amok trying to do a lot and see all the sights.

Advice #2 – Take some time off each day to unwind in meditation, prayer, whatever. And turn off the techie things to get some sleep.  Forgoing sleep from ‘fear of missing out’ is bad bad bad. 

 

3] Eat right and eat less.  These sages never did silly diets; they had a dietary lifestyle. They did not stuff themselves; they would eat just enough to start feeling full and then they would stop. They ate little meat (not none!) and what they ate is mostly plants.  Nobody abjured butter or booze or bread; they just ate little amounts. They also spent time to eat – and with others. No drive-through dining here.  

Advice #3.  Common sense eating (type and amount) consumed slowly with friends and family is the best diet there is. 
4] Belong to something.  The 100 years folks did not live alone or in a vacuum. They lived in communities that helped each other out and tended to each other’s welfare.  They had privacy and personal times but they also ‘us’ times and places. 

Advice #4.  This is the one of the five that is most difficult to remedy. Somehow you need to be part of a family, a community, a church, or a club. Don’t do Life alone. 

 

5] Meaning. “What am I waking up for?” sort of questions. None of them lived cosmic or fabulous or infamous lives, but their lives had meaning. This was in their work or their art, or what they do for their family, friends. 

Advice #5. Make meaning in your life. I can not tell you how I can only tell you it is vital. 

There. Long life isn’t complicated or bedazzling. The list isn’t in line with todays’ society belief it is fame, power, and money that will get us long and happy life. 

Even it you don’t live to 100 you are likely to live well. 

100-Year-Old-Birthday-Cake.jpg

*It is a fair question whether or not making it to 100 years old is a good goal. This is not the point of today’s entry. 

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