We are a commune of inquiring, skeptical, politically centrist, capitalist, anglophile, traditionalist New England Yankee humans, humanoids, and animals with many interests beyond and above politics. Each of us has had a high-school education (or GED), but all had ADD so didn't pay attention very well, especially the dogs. Each one of us does "try my best to be just like I am," and none of us enjoys working for others, including for Maggie, from whom we receive neither a nickel nor a dime. Freedom from nags, cranks, government, do-gooders, control-freaks and idiots is all that we ask for.
Our Recent Essays Behind the Front Page
Saturday, August 26. 2023
For one thing, the numbers mean nothing for us as individuals, because our life chances depend on weight, fitness (a tiny bit), genetics, luck, etc.
If you go back a few centuries, it is surprising to see that, at least in the Western world, life expectancy has not increased much if you discount infant and childhood mortality from infectious diseases. In 1700, if you made it to age 25, you had a goodchance to make your 80s barring farm accidents. There is also the factor of maternal mortality from Puerperal Fever. Many women died from that.
My main point is that the bimodal death rates in the pre-antibiotic era skew the life expectancy data. Antibiotics have saved plenty of adults too, along with immunizations against infectious diseases. George Washington's life could have been saved with a shot of penicillin.
Every journalist should study these books (but they won't cuz it's math-ish):
Thursday, July 13. 2023
That might not apply to 8 hours on the Appalachian Trail or a day job as a lumberjack, but it is certainly true for me with my 1-hr daily exercises. The more consistently I exercise, the less interest I have in food and the smaller the portions I can handle. This effect is most pronounced with demanding cardio and calisthenic exercise, not much with strength exercise or with sports. There is a theory that the effect has something to do with Peptide YY.
Nobody wants to eat anything after a hour of tough cardio exercise and that suppressive effect tends to last 24 hrs.
Maybe it makes some genetic sense. If you need to move yourself vigorously and frequently, the less fat you have on you the better you can avoid becoming part of a Tiger Dinner Party. Hunger is an interesting instinct and only recently has it been studied biochemically. One thing we know for certain is that subjective hunger or attraction to food is not a signal for a need for nourishment for most adults in a food-rich environment.
Overweight people seem to have the strongest subjective hunger, and sedentary people tend to have stronger appetites. Cause or effect? Chicken or egg?
Wednesday, January 18. 2023
We've written about this topic in the past, but it's worth reviewing the misconceptions about cardio fitness and cardio exercise. (Remember, in our view, "cardio" should be only 1/3 of your exercise program beacuse it does little for muscle and bone strength, and little for athleticism.)
Any exercise, from walking to weight-lifting, makes more demand on heart function than sitting or lying down. So cardio exercise has a spectrum from very light to maximum intensity. Simply put, the core purpose of "cardio" exercise is to maintain or upgrade heart function (cardiac condition is measured by things like a Cardiac Stress Test with Echo, Stroke Volume, Cardiac Output, cardiac vasculature, and left ventricle size to some extent). Like weight-lifting for skeletal muscle, it requires stress, relative to your conditioning and medical condition.
With lighter stresses (eg non-sprint, endurance-oriented swimming laps, jogging, rowing, stair machine, elliptical, etc) we are putting our hearts to some use, but we are working more on general time endurance than cardio. (Lots of people do those things thinking that they involve fat-burning, but don't count on that to work if you do 1 hour/day.) For people who are not training for specific goals, building endurance is great for life. Nobody wants to slow down or feel tired during ordinary recreational activities like sports or hiking. These non-sprint exercises aim for around 70% of one's max heart rate to make it worth your precious time.
The higher the physical demand - the intensity of an exertion for your level of fitness - the more you are training your heart rather than just using it. The highest levels of exertion (say, with sets of deadlifts near 80% of your max, or with 30-second sprints) are anaerobic and can push your heart rate to 90% of your max. That heart-pounding rest time or slow time is to catch up on oxygen.
For endurance, an hour of lap swimming, cycling, jogging, elliptical, stair machine, ski machine, rower, etc at around 70% of your max heart rate is where you ought to be, if in decent health. Over time, you will need to raise the speed to get to those heart rates. These exercises do nothing much to build muscle or bone strength.
For maximum cardiac fitness (with bonus endurance benefits as well), mixing in sprints which get your HR to 80-90% of your max should be included. Bursts of intensity. In the Maggie's Fitness for Life program, the other good sources of intense cardiac stress are the powerlifts and calisthenics. Ideally, some of all of those because there is more to fitness than cardiac fitness. Fitness is a package deal.
An interesting detail is that to up your game in any area of exertion, it's always a good idea to do what you do not usually do. Explosive linebackers get better with distance running, distance runners get better with weights and sprints, heavy lifters get better with calisthenics. Balance.
Tuesday, January 3. 2023
People have been asking me about Damar Hamlin. Cardiac arrest or, sometimes termed "Sudden Cardiac Arrest", occurs at all ages. It is only newsworthy when it occurs in young, otherwise healthy athletes. Still, it happens enough that many states have rules about medical check-ups for athletes. I suspect that it occurs more often than reported.
Sudden Cardiac Arrest is usually associated with a heart arrhythmia called ventricular fibrillation. The heart stops. These have a long list of possible underlying causes, but it seems possible, if rare, that even a blow to the chest can set it off. The risks are that you die, or survive with brain damage. First aid is CPR (all of our readers should know how to do that), then shock from a defibrillator. The brain begins to die after a handful of minutes without a functional heartbeat.
In youth, arrest is hardly ever related to a "heart attack," which refers to a Myocardial Infarction.
Monday, January 2. 2023
For example, they make the point that exercise is, generally, useless for weight loss. Weight is nutritional - period. There surely are genetic effects on body architecture and maybe even on satiety-signalling.
Is exercise useful for cognitive functioning? Dubious.
Also, the point that the current thing about "lots of fruits and vegetables" is nonsense. Food is not medicine. Nothing wrong about those things though as long as you do not think of them as magic.
Fitness goals, I agree, are primarily about feeling good, maintaining functionality and vitality, and looking good for as long as possible. Those make life better. 6+ hours/week is good.
I stand by the Maggie's Fitness for Life program: Weights, calisthenics, and cardio. With a little luck, it might slow your fate in a wheelchair.
Friday, December 30. 2022
Tuesday, December 27. 2022
Anecdotally, it looks likely. But the catch is that it's the most fit people who do an hour or so most days, so is it causality? Statistically, fitter people are best prepared to deal with the attacks of nature: better disease-resistance, better healing, etc.
People with physical jobs do not need to think about it, but most of us do. In a way, daily exercise is an attempt to recreate a bit of what humans were built to do.
I feel that exercise (The Maggie's Fitness for Life program, especially) has the main goal of maintaining functionality and vigor for as long as possible. Sure, looking good matters too, in life. Nutrition for weight, exercise for strength.
Thursday, December 22. 2022
Wednesday, December 21. 2022
Monday, December 19. 2022
Tuesday, December 13. 2022
Friday, December 9. 2022
I understand that we live in an hyper-politicized world right now. It seems more so than in the past, but I can't say. It does seem to me that "the long march through the institutions" has been occuring. I especially hate to see it occur in my field of clinical medicine.
I do not mind debate about the role of government in medical care, and will even listen to arguments in favor of Medicare for all citizens. That is a different topic.
Tuesday, December 6. 2022
Wednesday, November 30. 2022
I have posted most of these concepts in the past, but it's time to revisit them.
First off, people use the term to refer to different things. Some use it to refer to anything that raises your heart rate at all, such as walking, hiking, or swimming aerobic laps. Anything we do to remain active, if not to reach for better levels of fitness, is worthwhile.
Why is low-intensity activity worthwhile? Because it helps maintain a current level of function. Keep walking 1-3 miles daily, and odds are you will keep doing it until something physical intervenes. That's all that most people want.
However, I think of "cardio" as heart-centered exertion. That means stressing the heart with the goal of improving fitness and conditioning. While my favorite forms of cardio (treadmill, stair machine, rower) keep many muscle groups busy if not stressed, the goal is cardiac muscle power. That is why cardio focus is almost 1/3rd of the Maggie's Fitness for Life program.
How do you stress your heart muscle, rather than just using it a little bit? By making high demands just as you can do with other muscles. That means sprints on your favorite "cardio" forms. That's assuming your doctor tells you that you are fit for intensity.
Regardless of the exercise, it's easy to know when you are sprinting because it's all-out for 30-60 seconds at intervals. That is HIIT. Sprints are anaerobic, not aerobic. People claim that heavy weight-lifting can have the same effect, and that is likely true. Still, I feel a couple of hours/week of HIIT cardio is a good supplement, plus endurance, plus mental health.
Talk Test and Monitoring Exercise Intensity. It's a simpler measure than heart rate.
Thursday, November 17. 2022
Sunday, November 13. 2022
Why do people with any fat stores ever feel hungry, or eat anything at all, considering they may have 1-5 month's worth of energy stored as fat? (We term the hunger experienced by overweight people "False Hunger," because it is.) Except in the truly malnourished or extremely fit, low body-fat athletes, hunger is rarely a signal of an energy deficit or of any nutritional need.
Think about it. Even normal-weight (neither overweight nor underweight) people carry 8-10 weeks of energy stored in fat if they can only access it.
You can consider appetite in the pudgy or overweight, not to mention the obese, to be a design flaw based on the hunting and gathering, and, earlier, just plain gathering condition of human existence, same as the other great apes who only become overweight in captivity. Agriculture and food abundance, along with sedentary life, exposed the design flaw for people who overnourish themselves. Of course, physical inadequacy is another side effect.
Here are a few issues (below) -
Continue reading "Why do overweight people ever feel hunger? (re-posted)"
Sunday, October 30. 2022
Wednesday, October 26. 2022
My point though, which I repeat to the point of annoying readers, is that you cannot lose weight that way.
From a practical standpoint, body fat can only be gained, or lost, through nutrition. Exercise is minimal for fat loss. I'd make an exception for those hiking 15 miles/day on the Appalachian Trail while carrying 40-60 lbs of gear, food, and water. Or the kid.
Tuesday, October 18. 2022
Is monogamy "natural"? Of course not, because of the unrelenting sex drive of humans. Humans are always in heat, especially when younger but it never stops entirely. Regardless of how committed one is, all anybody needs to do is to check your fantasies. Temptation abounds.
Infidelity Reconsidered - As a society, we should not presume to judge the relationships of others based on our own moral code.
Really? I advise people to check with their spouse first. And yes, I know, it "happens" all the time.
It Was Once Someone’s Job to Chat With the King of England While He Used the Toilet, “Groom of the Stool” could be a crappy role, but it came with great benefits.
Monday, October 17. 2022
The Executive Branch should tell me what to eat and drink as if I were an infant? Apparently people want to increase the $750/month SNAP poverty allowance for food.
Friday, October 14. 2022
So I do not hate cosmetic surgery. It makes plenty of doctors very wealthy, but it is not me. When it comes to elective sexual mutilation, though, I have to draw some sort of a line. In fact, I can't imagine a physician who would be willing to do it.
See this: Doctors against dissent, trans edition
Thursday, October 13. 2022
First year Organic is often viewed as one of the sieves to sort out chemists, biochemists, medical aspirants of all sorts, and so forth. First year Organic does not require Calculus, but it certainly requires a grip on all pre-calc maths. Lots of equations.
As a non-STEM college major, I figured out the tricks of Chem 1 and Organic quickly. It's just logic based on relatively simple math. Here are my tricks: 1. Have a smart study partner to challenge you, and to teach. 2. Approach manipulating carbon molecules as fun puzzles. 3. As with General Chem (Chem 1), make sure you can reconstruct the equations by understanding them, and not by memorization. If you understand them you don't need to trust memorization on an anxiety-producing exam.
My Organic Prof was useless, and the TA grad students were just annoyed with us wasting their research time. They just said "Study the textbook." This Prof seems like a real teacher:
He was fired.
Related from Chronicle: NYU’s Firing of a Chemistry Professor Caused a Furor. Here’s What He Has to Say About It.
Posted by Dr. Joy Bliss in The Culture, "Culture," Pop Culture and Recreation at 15:38 | Comments (10) | Trackbacks (0)
Wednesday, October 12. 2022
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