3494– Monday, October 7, 2019 — Can We Really Grow Old Gracefully? – Part 2

persico family with names

This is the continuation of an article I started which might have been called the “Top Ten Attributes for Growing Old Gracefully.”  In Part 1, I described attributes 1 through 5.  I also noted that two of my very good friends had been ill for some time and were not expected to live out the year.  One of these good friends, died two days after I published Part 1 of this article.  He was a unique individual about whom I wrote the following to some common friends the day after he died:

“I will always remember Sam for his brilliance and intellectual rigor.  I do not think I have ever met anyone with a greater knowledge of the world than Sam.  He was my first mentor out of graduate school, and I learned almost all I know about consulting from the work that we did together at International Nickel in Canada.  He was kind and gracious to a fool that knew little or nothing about the consulting world.  Over the years, we had our ups and downs, but Sam always helped me when I was in need of advice or guidance.”

“The world is truly less of a place for me and many others without Sam.” 

I must say a word about the validity and reliability of the ideas that I am presenting here.  I believe in them with my whole heart and soul.  Everything about life that I have learned up to this point says that they are the keys to a happy old age.  A friend whom I have found since writing my blogs left a comment in Part 1 where she said: “I hope you are following this excellent advice, John!  I replied: “Jane, I wish I could honestly say that I always do but that is not always the case.”

For me, I am somewhat like the alcoholic with good intentions who occasionally falls off the bandwagon.  Looking at each of these attributes, I have good days and bad.  But somehow, I climb back up out of whatever is bothering me, and I start again.  I have days when I am not grateful or have very little sense of humor.  I have days when I can find no joy in life and days when I can find no purpose or meaning in what I am doing.  But I know that “this too will pass” and that it is important not to give up.  Growing old is a journey that only ends when it will be too late for you to do anything about it.  But as long as we are alive, we can do our best to enjoy the journey.  So, here are the rest of the key attributes that will help you grow old gracefully and enjoy the trip.  Following are attributes six through ten.

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  1. Kindness

This is a simple one.  Do something kind for someone each day.  Make someone else happy by sharing your good fortune, knowledge, skills or abilities with another.  It is often easier said than done though.  We get so busy with our own problems that it is easy to forget the needs of those around us.  Very few people will wake up today and jump out of bed with joy at being alive.  For many people, the kind word or deed that you can do for them will give them the strength to live another day or to have a day with joy and happiness.

A funny thing happened to me this afternoon while I was on my way to see a play called Pipeline at Penumbra Theater in St. Paul.  An old rumpled homeless looking man on a bicycle asked if I could give him a few bucks for a meal.  I was feeling generous, so I pulled out my wallet and took a peek in it.  I had a five, a twenty and three one-dollar bills.  I grabbed the fiver and handed it to the old man.  He took it and thanked me, and I impulsively decided to give him another single.  He took the second bill I gave him and let out a rather exuberant exclamation of thanks and gave both me and Karen hugs.

He set off down the street and said that he was heading right to McDonald’s to get a meal to eat.  I was still surprised at his extreme gratefulness.  Later on, when I went to look in my wallet for some money to pay for some stuff, I found that I still had the three singles but no twenty.  I suddenly realized why the old feller had been so ecstatic.  I had given him the five-dollar bill and the twenty-dollar bill.  I could have kicked myself in the butt.  I told Karen about my unexpected generosity and we both laughed and wondered what he was going to get to eat for the money we gave him.  I felt a little stupid giving this much money away but on the other hand, how many times have I wasted three or four times this amount on some impulse purchase that I did not really need.  It felt good knowing that I had made somebodies day a little brighter even if it was by accident.

“Beginning today, treat everyone you meet as if they were going to be dead by midnight.  Extend to them all the care, kindness and understanding you can muster, and do it with no thought of any reward. Your life will never be the same again.” — Og Mandino

benifits-of-physical-fitness

  1. Physical Fitness

What is the secret to living a long and health life?  Ask anyone who fits this qualification and who is in their nineties and do you know what they will say?  “Keep moving!”  “Keep moving!”  Stay active!  Garden, run, swim, bicycle, play Pickleball, walk, do Zumba, do Yoga, do anything but keep your body moving!

I have talked about the need for an exercise plan in many of my other blogs.  You have a choice.  If you live long enough and stay somewhat reasonably fit, then like our friend Joan, you can still play golf when you are ninety.  Or you can sit all day watching TV and become more and more dependent on walkers and canes and surgeries for your ailing joints.  Some of the problems of old age are unavoidable but some are due to a lack of good nutrition and good exercise.  Keep all things in moderation.  You will not be an Arnold Schwarzenegger at 80 but you can still be healthy enough to take trips and spend active time outdoors.  The key?  Right!  Keep moving!

For me, I love having an exercise plan that will adapt to my changing circumstances and that is fun.  If you are interested in more information on developing an exercise plan, see my blog at:  How Can We Set Realistic Exercise Goals as We Age?

“Those who think they have no time for bodily exercise will sooner or later have to find time for illness.” — Edward Stanley

friendship

  1. Friendships

There is a story told about Thomas Jefferson who supposedly attended a fiftieth anniversary party for the signing of the Declaration of Independence in 1826.  According to the story, Jefferson was not recognized by anyone at the party.  He was one of only three surviving members of the original signers who were still alive.  The other two being John Adams and Charles Carroll.  Jefferson died on July 4th, 1826 as did John Adams, so I am not sure when the party was actually held.  Nevertheless, Jefferson is reported to have said that he felt like a ghost.  That he felt like someone living in a time when he no longer belonged.

This story made an impact on me since as we age, we see more and more of our loved ones, relatives and friends pass away.  In the picture (top of blog) taken at a wedding for my father’s youngest sister, I am standing to the right in the picture.  The wedding was held in 1957.  The most remarkable thing about this photo (For me anyway) is that I am the only one left alive in the photo.  My sister died of lung cancer several years ago and my two cousins in the photo both passed away.  One died of a stroke and the other died younger of suicide.

My Aunt Mary, who is on the right in the picture, (She was my Godmother) died at the age of 103 about four years ago.  She too outlived almost everyone in the photo except me.  She outlived two of her sons and her husband who are in the picture.  I asked my Aunt a few years before she died if she felt like she no longer belonged and that her time had passed.  Her answer surprised me.  She said “No.”  I asked how she managed, and she told me that you must keep making friends.  She said that she had made many new friends who cared about her and helped enrich her life.  Could this be how she made it to 103 years of age?

The attribute of “Friendship” was mentioned at the Caregiver Conference I attended as one of the most important factors for a happy old age.  We cannot bury ourselves in pity or sorrow for the past.  Life must go on.  As someone said: “Life is for the living.”  You are never too old to make new friends.

“If you go looking for a friend, you’re going to find they’re very scarce.  If you go out to be a friend, you’ll find them everywhere.” — Zig Ziglar

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  1. Pain Management

Yes, you better believe it.  Pain management is a key attribute of growing old gracefully.  The older you get, the more pains you will have.  You will have pain and if you cannot deal with it, life will be one endless day of misery.  The sad fact is that people seem to only know two ways to deal with pain.  The first is to see a doctor who will often prescribe surgery.  The second is similar, you go to see a doctor, only in this case, the doctor prescribes some sort of pain killer.  If you want to know what is causing the pain, which should be the first step towards any diagnosis or remedy, the doctor will be very reluctant to order a Ct scan or MRI due to the cost of such diagnostics.  He/she might do some blood tests or other tests that will probably not tell you very much.

More than likely though, your doc will just tell you that the cause of your pain is “Old Age” and your remedy is to live with it.  The older you are, the more likely the latter will be your diagnosis and prescription.  A few years ago (until the opioid epidemic which doctors and pharmaceutical companies created), they would probably have given you an abundant supply of Oxycontin or Vicodin and told you to go home and swallow a pill.

Now the first step towards pain management is preventive.  You guessed it.  Exercise and weight control.  However, even with diligent exercise you will encounter problems.  The chronic pain treatment diagram (I have included above) is one that best fits my ideas of how we should deal with pain.  You start with the lowest possible tier with the least side effects and you work up.  You do not immediately accept that surgery is the solution.  There are more surgeries done in this country that are unneeded than I can count.  If you doubt my assertion, then see my blog on the subject where I have written about the epidemic of surgeries which serve only to make more money for doctors.  “Should we be cautious when seeing our family doctor?”

I could tell you true story after true story of pains that I have dealt with over the years.  Yes, I had prostate surgery and hernia surgery.  These required invasive medical procedures and some respite from exercising.  But I have had Plantar Fasciitis, Sesamoiditis, Morton’s Neuroma, knee pain, hip pain, shoulder pain, back pain and several other neuromuscular pains.  I have not had surgery for any of these.  While several of these problems managed to derail my exercise program for some months, I have managed to deal with each of these without surgery and am still running and exercising regularly.

In all cases, I have used the pain management continuum as noted above.  Starting with diagnosis (sometimes seeing a doctor but often doing research on the web) and moving up to the first level of diet, exercise and nutrition.  My second level would include OTC drugs, lotions like Tiger Balm or now CBD cream and diet supplements like Glucosamine and Turmeric.  I have managed to avoid opioids except in one case of dental problems where some implants became infected.  My second level also includes things like knee braces and elbow braces to help stabilize the joint until the inflammation went away.  My favorite second tier cure is a great massage which if I appear to be in enough pain, my spouse will usually proffer.  A massage will not cure the pain, but it helps to alleviate the pain and with other pain management techniques can speed recover.

I will not say anymore about pain management except to be wary of surgery until you have exhausted other less invasive possibilities.

“I’ve dealt with a lot of physical pain, with a lot of emotional pain; anybody’s who’s ever been an alcoholic has handled both of those in extreme.” — Jason Isbell

hope and optimism

  1. Hope and Optimism

I have saved these two attributes for graceful aging for last.  I believe these are essential for a happy and complete life.  I also believe they are the most difficult to acquire and maintain.  How can we be optimistic or have hope when death surrounds us and is the most inevitable fact of our lives?  What is there to be hopeful for when your friends and loved ones are dying and you see a future where you are left alone?  Sounds pretty bleak doesn’t it?

They say hope springs eternal in the human breast but a simple observation of the people you know, will tell you that is a lie.  People give up hope when they are continually beaten down by the daily toil and challenges of life.  It should be a great deal easier to be optimistic when you are twenty than when you are eighty, but I doubt whether hope and optimism are linked to aging.  (True, the suicide rate for the aged is very high, but some of that may reflect practicality rather than hopelessness. The suicide rate for teenagers is nearly as high as that for the aged.)  The simple fact is that some people are more optimistic than others.  Some are more hopeful than others.

But hope and optimism are a choice we each can make in how to see life.

I can’t tell you what your hope should be.  My hope is that my writing will help you to lead a better life. I am hopeful that something I say and someone who reads what I say will find some value in my ideas.

I can’t tell you what to be optimistic about.  I am optimistic about my trip to Russia this coming year.  It will be a new adventure and I will go again with my spouse to our 40th new country.  I have always dreamed of taking an express train across Europe and we are going to take the Paris to Moscow Express for our trip into Russia.  There are a million things that could go wrong between now and then, but what gain do I have from being negative and pessimistic?

Find your hope and find your optimism.  Perhaps they will change each day but without them, your life will be like a life without sunshine

“We must accept finite disappointment, but never lose infinite hope.” — Martin Luther King, Jr.

 

 

 

How Can We Set Realistic Exercise Goals as We Age?

time to set goals concept clock
Goal setting is as American as mom, God and apple pie.  Every exercise book, life improvement book and management book has a section on goal setting and accolades for the process.  I also once subscribed to the philosophy that those who did not set goals for their life were losers, losers and bigger losers.  Winners set goals.  When winners reach their goals, they up the bar and set them even higher.  That is the American Way.  Set unreachable goals and if you should meet those goals, then move the bar up, ever up, ever higher.

Well, I am going to tell you that everything in the above paragraph is STUPID advice.  Most of the wisdom around goal setting is simply dumb.  Unfortunately, when it comes to your health, it is not only dumb, it is dangerous.  It was not until 1986 that I met the man who would change my mind and my attitudes towards setting goals.  This man was the renowned quality expert and statistician Dr. W. E. Deming.

demingI had just finished my PhD program in Training and Organization Development and joined the consulting firm of Process Management International.  One of the founders Lou Schultz was a follower and friend of Dr. Deming and I was soon introduced to Dr. Deming and his world.  It was a world based on 14 Principles of Management which defied everything I had been taught in my business classes at the University of Minnesota.  Dr. Deming, upon meeting me, challenged me with the comment that “Everything they taught you in your business classes is wrong.”  I was stunned and somewhat chagrined by his comment.  It struck me as rude and extremely arrogant.  In six months, I learned that Dr. Deming was more than fifty percent right.  Inside of three years, I learned that he was at least ninety nine percent right.  Do not think I was brain washed.  I have always verified new knowledge by theory and personal experience.  Considering the hypothesis that Deming threw out, I was provided a new theory.  I became religious about testing his ideas to see if he was wrong.  Time and time again, Deming proved correct.

Deming’s 14 Points for Management are as follows:

  1. Create constancy of purpose for improving products and services.
  2. Adopt the new philosophy.
  3. Cease dependence on inspection to achieve quality.
  4. End the practice of awarding business on price alone; instead, minimize total cost by working with a single supplier.
  5. Improve constantly and forever every process for planning, production and service.
  6. Institute training on the job.
  7. Adopt and institute leadership.
  8. Drive out fear.
  9. Break down barriers between staff areas.
  10. Eliminate slogans, exhortations and targets for the workforce.
  11. Eliminate numerical quotas for the workforce and numerical goals for management.
  12. Remove barriers that rob people of pride of workmanship, and eliminate the annual rating or merit system.
  13. Institute a vigorous program of education and self-improvement for everyone.
  14. Put everybody in the company to work accomplishing the transformation.

Note number eleven above, where he says to eliminate quotas and numerical goals.  How can he advocate this when every single expert in the world says to do the opposite?  Setting goals and establish quotas and targets is the refrain most often heard in business.   Dr. Deming says that following the traditional rules on goal setting is counterproductive.

“Management by numerical goal is an attempt to manage without knowledge of what to do, and in fact is usually management by fear.”  — W. E. Deming

Problems with Goal Setting:

exercising

There are several problems with goal setting which I would like to discuss.  You need to understand these problems to understand why goal setting my hurt your health.  If you have some knowledge of the statistical concepts that Dr. Deming puts forth so much the better.  However, I will try to explain Deming’s opposition to goal setting for the reader that has no statistical background.  The four major problems are:

  1. Where did your goals come from and how realistic are they?
  2. Is your system/body capable?
  3. What is your apex?
  4. Are your goals sustainable?

I will try to explain how each of these four problems impacts the goal setting process.  I hope you will have a better idea of the pros and cons of goal setting after reading this blog.

  1. Where did your goals come from and how realistic are they?

Dr. Deming always said that if you do not know what a process is capable of (measured by standard deviation and CPK) than any attempt to set a goal would be foolish.  Under these conditions, it would just constitute wishful thinking.  For instance, organizations will often set sales goals by simply decrying that they want a 10 percent increase in sales over the previous year.  The first question I would have is why 10 percent?  Why not 1,000 percent?  Ridiculous you might say to a 1,000 percent increase but it is no more ridiculous than 10 percent if I do not have a system that can handle or produce that kind of an increase.  Any goal is ridiculous if you do not have a system and a process capable of achieving that goal.  Unfortunately, too many goals are simply pulled out of thin air and have no roots in reality.

  1. Is your system/body capable?

set huge goalsLet me illustrate the problem addressed by this question with an example from my own life.  Several years ago, I had just turned sixty years of age and I thought it would be cool to be able to do twenty pullups.  I could usually do about ten or so and so I thought it would be a snap to increase my routine and get to the goal of twenty.  At first, I simply increased the number of pull-ups I did each week but this did not work very well as I soon plateaued.  I then decided to find some “established” routines.  These established routines generally involved doing at least three sets three times per week and having the number of repetitions in each set increasing each week.  The formula upon which these increases were based was never disclosed.

recon ron

I tried several different routines including the Marine program, a program called Recon Ron and several online programs that outlined a systematic way to reach twenty pull-ups.  In each case, I followed the program but after six or so weeks, I would reach a point at which I could not advance to the next level.  Sometimes the number of reps required for the next level was down right ridiculous.  For instance, one day my total repetitions might be five sets of 10- 13 pull-ups each set.  The next day, they would have five sets of between 13-16 pull-ups.  The jump between 13 and 16 was like trying to jump across a mile-wide chasm.  No way could I make the transition.

myth of sisyphusIn hopes of salvaging the program, I would often drop back to the previous level and try to continue my progress.  However, every time I started to progress again, I would reach a point where my body could not obtain the increases dictated by the regime I had selected.  I once reached as high as sixteen pull-ups before I crashed.  The crashes would usually take the form of having an acute muscle pain or sometimes getting sick and not feeling like I had the energy to continue.  Laying off for two weeks or so to recover, I would find that when I tried to start the program again, I had now dropped down to a much lower level than I had previously attained.  It was like starting all over again.  Over the years, trying to reach my twenty pull up goal, I have felt like Sisyphus pushing the rock up the hill and nearly reaching the top only to have the rock roll all the way down again.

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I am now of the belief that first, at my age, I may not have the system or body capability to achieve twenty pull-ups and second, (more importantly) that I am not doing my body any good by trying to push it to some arbitrary goal.  What is magic about twenty pull-ups?  Am I going to be any healthier or fitter?  Furthermore, trying to achieve some arbitrary goal, I could end up doing real damage to my shoulders or back.

  1. What is your apex?

hippo to unicorn

An apex is the top or highest part of anything.  Most athletes reach their physical peak at about twenty-nine years of age.  This is true for many but not all sports.  I did my best 10K run of 38:48 when I was thirty years old.  Since then, my running times have become slower and slower.  Some athletes, particularly swimmers may maintain their peaks for many years past their apex.  This is not the general rule.  It is more likely that whatever sport you excel in your apex performance will deteriorate with age.

The importance of one’s apex performance lies in the recognition that it will be impossible to maintain this performance over time.  Moreover, it is foolish and unproductive to try to use such prior performance measures as goals for one’s fitness.  The outcome will likely be pulled muscles or worse.  What makes more sense is to set “maintenance goals” that are well within your reach and work towards or with them.

A maintenance goal is much different than a stretch goal.  Most books on physical fitness emphasize stretch goals.  This concept of stretch goals represents a state wherein you are constantly setting lofty goals and moving them forward as you accomplish them.  This is very dangerous and frustrating.  The first problem with the stretch goal strategy is that they are arbitrary and have no empirical relationship to how fit you are or want to be.  The second is the danger of hurting yourself as you constantly try to increase the number, weight or time involved with each goal.

In a maintenance goal, you decide first on the level of fitness that you think makes sense.  For instance, do I want to be able to bench press 150 lbs. or do I want to be able to bench press 50 lbs. three or more times?  If I am working to become a champion weight lifter than lifting large weights is a must.  If I am working to have good muscle tone, flexibility and a relative level of arm strength necessary for normal every day lifting, then being able to life 25 lbs. ten or twenty times will make much more sense than being able to bench press 300 lbs. once.  Furthermore, with maintenance goals, I am much less likely to injure myself by tearing or pulling a muscle.

Perhaps you have never had an apex performance in any sport.  This is not important.   An apex performance simply gives you a relative benchmark based on your best ability at a certain age.  If you have never worked out a day in your life, then simply start with what I call a 1-1-1 program.  I developed this concept when I was being discharged from the Air Force after serving four years.  I had to go in for a discharge physical with 12 other men.  After the physical, the doctor called us all together and told us we were all overweight and fat.  I was so embarrassed, I determined to start exercising the next day.

The following day after my physical, I had my wife drive the car about a mile down a dirt road and drop me off.  I told her to drive down to the end of the road and wait for me.  I started to jog down the road.  I did not even make it half way down the road before I became sick to my stomach.  I walked the rest of the way to the car and asked my wife to take me home.  Once home, I went to bed and stayed there until the next morning.

I knew right then and there that I had to start off small and work up.  I decided to walk about a block each day.   Do one push up each day and attempt one pull up each day.  Eventually, I shed my excess weight and got back into the best shape I had seen in three years.  I labeled my program, the 1-1-1 program after my three goals or starting points.  I allowed myself to progress naturally and not to adopt any outlandish and wishful stretch goals.  Later, I started competing regularly in running, biking, swimming, canoeing and skiing events.  I continued this competing until I burnt out on the extra load that competing places on one’s body.  As the years went by, I could clearly see I was not going to win any gold medals.  Based on a knowledge of my body and the realization that my goals needed to adapt over time, I set a series of basic maintenance goals which over the past ten years I still try to follow.   My goals are:

  • 4 or 5 runs per week with an average run of 30 minutes for the month. Average 60 percent “days run per month” based on 30 days in the month. 
  • 10 Pullups 3x per week
  • 200 bicep curls with five lb. weights, 3x per week
  • 45 Triceps presses, 3x per week
  • Calf stretch and knee bends, 3x per week, 3 minutes stretches with 1 minute for knee bends
  • Yoga 25 minutes, 3x per week
  • Ab exercises 8 minutes, 3x per week

The above routine is my basic routine which I do each week.  I do not increase my goals.  I do not try to stretch myself.  I measure and monitor my routines each week to accomplish what I consider to be my maintenance goals.  I call them maintenance goals because I am focused on simply maintaining my present state of fitness.  This is a level of fitness that enables me to do the activities I enjoy and not feel exhausted or overly worn out.  I can hike, bike, canoe or do a relative amount of physical labor without my body protesting too much.  Just a few weeks ago, I helped my stepdaughter move into her new home.  Her boyfriend and I rented a U-Haul truck and did all the furniture moving ourselves.  I had no unusual aches or pains the next day.

Some experts would say that I am going to decline in fitness since my body will acclimate to these goals and then my level of fitness will deteriorate.  My reply would be to have them wait until they are 70 years old and see if they still believe this.  The truth of the matter is, I occasionally must adjust my goals downward some months.  If I have been sick, been traveling or had company and not able to exercise, I may not be able to make my maintenance goals.  I will set my sights lower for a while and then work towards getting back to my maintenance level of activity.

  1. Are your goals sustainable?

fitness goalsThe fourth question you will want to address concerns the sustainability of your goals.  I raise this question since the Second Law of Thermodynamics says that all systems will deteriorate unless energy is put into them.  Our bodies are simply physical and biological systems interacting with our environment.  Over time the energy that we can put into our systems will inevitably decrease with age.

The effects of this decline will mean that any goals, maintenance or otherwise that you have set for your body will be that much harder to attain.  Just like a clock runs down when the battery gets weak, your body is going to run down as your energy level declines.  This decline will be caused by a combination of age, physical condition, life style, motivation and illness. There is no escaping this.  However, this does not mean that you need to give up.  The goal you need to have for your body is to be in the best physical condition possible given the exigencies facing you each day.  This is going to be different for each of us.  My goals, your best friend’s goals, the goals in some exercise book are not going to be the right goals for you or anyone else.

Conclusions:

Don’t let me tell you what your goals should be.  Don’t let anyone else tell you either.  Decide what your priorities are in life and set your goals or exercise program to match your priorities.  Keep in mind that if good health is your priority, you will need to spend some time in physical activities that promote good health.  How long and how hard your time and activities will need to be will depend on how you feel and how you want to feel.  Start small and remember that progress is not always upwards.

Time for Questions:

Do you exercise?  Do you have a written exercise program?  Do you have goals?  What has been your experience with goals?  Have you ever had any bad experiences with goal setting?  Can you share them in the comments section?  As you age, how have your goals changed?

Life is just beginning.

“An individual will of course have his own goals.  A man may set his heart on a college education.  He may resolve to finish this chapter by morning: I give myself a deadline.  Goals are necessary for you and me, but numerical goals set for other people, without a road map to reach the goal, have effects opposite to the effects sought.” — Dr. W. E. Deming

“A goal such as “improve throughput by 20%” or “reduce lead time from 10 days to 5 days” is incomplete or worse, unachievable or irrelevant, because it doesn’t relate to the process capability. The danger of setting goals without understanding the process capability is twofold.

  1. If the goal was set beyond the process/system’s capability (or expected range of performance), the only way to achieve the goal is to change the process. However, in many cases, the critical variables in the process are outside the control/scope of the people who are tasked with achieving the goal.

For example, you are getting 25 miles per gallon from your car in the last 3 fill-ups. If you don’t know the capability of 20-30 MPG fuel efficiency, it doesn’t matter if your goal is set at 35MPG (because of your desire or economic need). You might try to change driving habits, keep tires properly inflated, use some additives, or perform more routine maintenance. You might even get rid of some stuff in the car or pick a route with less stop and go traffic. What you will find is that despite great effort, your MPGis still below 30. In some rare occasions, you might achieve 35 MPG or greater because it’s mostly downhill. But you know you would give up the gain when coming back uphill.

  1. If the goal was set within the process capability, there is always a finite probability of achieving it without any effort or change in the process. The goal without an associated probability target is pointless.” —- Goals and Process CapabilityFang Zhou

 

Will Yoga or Physical Therapy Help You or Kill You?

yoga

I started doing Yoga in 1972.  I am still doing Yoga three times per week and for over 45 years now.  My first Yoga instructor was a gentleman from India who did not look anything like Arnold Schwarzenegger.  He was short and a little on the pudgy side.  I credit him for giving me a wonderful grounding in both the physical and spiritual characteristics of Yoga.  I have since had many Yoga instructors but my first one still stands out in my mind as head and shoulders above the rest.

Over the years, many people have taken up teaching and doing Yoga.  Many of these “so-called” Yoga instructors are really Jazzercise or aerobics instructors in disguise.  Taking Yoga from some of them is a little like taking music lessons from someone who can only play an “air guitar.”  You will not get the true flavor of Yoga from someone who does Yoga to a four count hip hop beat and keeps shouting “work your buns.”  I feel privileged that I know the difference between real Yoga and “fake” Yoga.  Real Yoga has been a vital aspect of my weekly exercise routine.

When I started this blog (Which will be the 8th in my series on exercise and health care) my spouse wanted to know “Whether was I was going to say something negative about Yoga?”  I reassured her that it was not my intention to disparage Yoga or to say anything off putting about the practice.  Indeed, I think everyone would be happier and healthier if they did Yoga at least three times per week for ½ hour per session.  However, I did note in an earlier blog that Yoga and physical therapy could make your health worse.  As with anything in life, there is always a possible downside or negative impact which can occur with any activity.  If you lay in your bed all day long, your house could be hit by a tornado, earthquake, hurricane, flood or falling airliner.  Everything in life has a risk.

ManDoingYoga_0

The greater risk in life (IMHO) is doing nothing.  It is always easier to do nothing.  Whether your doctor has given you a regimen to practice physical therapy or whether you have a schedule for Yoga, there are many nights when you will just feel like doing nothing or perhaps simply eating.  It often goes like this in our house:

5 PM

John:  Let’s do Yoga today at 6:30 PM.

Karen:  OK

6:15 PM

John:  I sort of got behind on some things I was doing.  Could we make it at 7 PM and eat dinner after?

Karen:  OK

8 PM

John:  Dam that took longer than I thought it would.  Shit, it is now 8 PM.  I am hungry and tired.  Would you mind if we skipped Yoga tonight?  We could do it tomorrow instead.

Karen:   OK

One problem with Yoga (as noted in the above discussion) is to skip doing it.

yoga cat

Another problem can be overdoing it.  Yoga must be practiced carefully.  The formula “no pain, no gain” is a prescription for disaster when it comes to doing Yoga.  That is the issue I have with Jazzercise instructors who think that they can teach Yoga with the same philosophy they use in their Jazzercise classes.  Yoga should be slow and gentle.  Yoga should not be frenetic and schizophrenic.  Some people might feel that there is little benefit to doing something that does not result in pain or sore muscles.  However, with the wrong philosophy, you can do real damage to your muscles or joints while attempting to do some Yoga exercises.

worrier poseBeing overly competitive might be a good formula in exercise programs where you attempt to outdo other participants, but this can be another recipe for disaster when it comes to Yoga.  Each participant in Yoga needs to pay attention only to their own body; not to the other participants or even the instructor.  If the instructor has his/her legs at a 180 degree angle to their torso and you can only make 30 degrees, you are best advised not try to imitate your instructor or other participants.  A good instructor will repeatedly advise you to only go as far as you can with any Yoga posture.  Pushing the envelope may lead to torn muscles or dislocated joints.

I have lumped physical therapy in with Yoga exercise.  I have done this recognizing that though they are two very different practices they actually share several things in common.

  1. They are both healthy alternatives to pills and surgery
  2. They both require discipline and a regular routine
  3. They cost a great deal less than surgery or pills
  4. They have less side effects than pills or surgery
  5. You can do them in the privacy of your home and you do not need a prescription
  6. You can target particular areas of the body where you have some type of soreness or imbalance
  7. You can do them regardless of the physical shape you are in since the level you do each at can be adjusted to your present condition
  8. You can do them forever and they will help prevent future problems
  9. They are both proven in terms of health and therapeutic value

Many of the yoga practices that have now become routine in physical therapy are derived from Yoga exercises that go back thousands of years.

“A co-worker of mine recently had knee surgery and said he is in physical therapy. I am always curious as a Yoga teacher what the medical community does to treat ailments via physical movement.  He graciously copied his sheet of exercises his physical therapist prescribed to him.

I saw immediately that the actions being taught in physical therapy mimic many of those in asana, with asana being a bit more extreme in range of motion.” — From Home Yoga Practice

For a more in-depth analysis of the similarities and differences between Yoga and physical therapy see the following article:  Yoga and physical exercise – a review and comparison by Ramajayam GovindarajSneha KarmaniShivarama Varambally & B.N. Gangadhar

Conclusions:

Yoga can be an excellent addition to your weekly health routine.  The exercises (called asanas) will help to keep you flexible and limber.  Yoga will also help with your balance and posture.  Flexibility and balance are two of the six key pillars for a healthy lifestyle.  I would argue that for good health, you need to address each of the following six pillars on a weekly basis:

  1. Flexibility routine
  2. Strength routine
  3. Balance routine
  4. Stress routine
  5. Good nutrition
  6. Aerobic routine

If you supplement your weekly Yoga with an aerobic exercise program, strength program and good nutrition, you will have done the most that anyone can do to insure a long and healthy life.  The rest will be up to your genes and lifestyle.

Yoga set394Start doing Yoga once or twice a week.  You can get a Yoga mat, strap, blocks and some used Yoga DVD’s for less than $30 dollars.  With some Yoga tapes and a DVD player, you will be able to do Yoga in the privacy of your home and as often as you want. I have found Rodney Yee, Patricia Walden and Susan Deason to be great instructors.  Gaiam Yoga tapes can often be found in Goodwill or other thrift stores for a few dollars each.  On frigid days, it is a real pleasure not to have to get dressed and go to a gym.  It is also great to have an instructor on DVD that I do not have to keep paying weekly fees to.

Time for Questions:

Do you do Yoga?  Why or why not?  If not, what would it take for you to get started?

Life is just beginning.

“Yoga is not a religion. It is a science, science of well-being, science of youthfulness, science of integrating body, mind and soul.” — Amit Ray

 

 

 

 

Why Diet Programs Ignore Common Sense! Or How to Lose Weight without even Trying!

marthas-vineyard-detox-diet

There are two rules of wisdom that I think most of us believe in.  They are:

  1. If it is too good to be true, it probably isn’t
  2. There are no free lunches

I have found the above precepts to be good guideposts for my life.  They are so often noted that we begin to take them for granted.  It could be argued that perhaps they are not true in every situation, but I believe that they are more often true than not true.  This brings us to the issue of diet programs.  Consider the following statistics:

  • An estimated 108 million American adults were dieting in 2012.
  • Each year, more and more adults are trying to lose weight
  • 80% of dieters try to lose weight on their own
  • In 2012, Americans spent an estimated $65 billion trying to lose weight
  • 90-95 percent of all dieters gain their weight back

(Statistics are from Fitness for Weight Loss)

HT_rocco_dispirito_book_jef_140109_16x9_608If I go to Amazon.com and type in “diet books”, I find that there are 184,291 books available to sell me on a strategy for losing weight.   There were 424 “Diet Best Sellers” in 2016 and 209 “Best Sellers” published already in 2017.  These are only the “Best Sellers.”  There were a total of 39,673 diet books listed as published in 2016.  Many if not most diet books do not make the “Best Seller” lists.  In terms of magazines dealing with diets and weight loss, there are over a dozen magazines that you can buy each week at your local grocery store (that you will find stocked right next to the chocolates) that will tell you how to lose weight “without even trying.”

fad-diet-adsHowever, the above statistics are only the tip of the proverbial iceberg.  If I go to Google and type in the words “diet strategies” in parentheses, I find that there are over 319,000 listings concerning various diets, stratagems, plans, tips, secrets, etc., that will show you how to lose weight “without even trying.”

Here are some typical headlines that you will find as you peruse any of the above information that is offered for those of us that need to lose weight “without even trying”:

  • The Harcombe Diet 3-Step Plan: Lose 7 lbs. in 5 days and end food cravings forever
  • 1200 Calorie Diet Menu – 7 Day Lose 20 Pounds Weight Loss Meal Plan
  • Win at Slim: New Secrets to Lasting Weight Loss
  • Outsmart Your Cravings: Sweet, Salty, Crunchy
  • How I Lost 42 lbs.
  • Eat, Drink, Shrink: No Diet Ways to Fight Holiday Gain
  • No More Guilt: Stop Dwelling, Start Enjoying

no exercise or dieting

The beauty of all these weight loss schemes is that you can lose weight “without (you guessed it) even trying.”  Any half-way intelligent person would regard these titles and by applying either of the two rules noted earlier decide that they were pure bunko.  Lose weight without trying!  End food cravings forever!  Lose 7 lbs. in 5 days!  No sane person would believe any of this BS.  Nevertheless, the diet magazines, diet plans and diet books sell like crazy.  Every year a plethora of new diet strategies replace last year’s models.  Why do people continue taking the bait when they know that it is a sucker’s game?  The simple answer is that when it comes to looking like Jennifer Lopes, Christie Brinkley or any of the Kardashians, all brain power and rational thinking goes down the drains.  Everyone in America wants to be thin and beautiful “without even trying.”

SUPER-SHRED-DIET-ROTATOR-617x241Every new diet strategy renews hope for the downtrodden and overweight oppressed masses.  Every new diet plan offers the possibility that beauty and slimness might be had before Christmas or at least before the New Year.  Every new weight loss scheme provides the potential to become the person that we dream of being.  Hope springs not just eternal in the human breast, but perpetually, irrationally and beyond all measures of logic or intellect:  To hell with “no free lunches!”  To hell with “it probably is not true!”

If even the remotest opportunity exists that I can lose weight “without even trying”, I will take the bait like a mouse eats peanut butter or a cat eats catnip or a bear eats donuts.  “Dam the torpedoes, full speed ahead.”  Who cares about logic?  Who cares that no evidence exists to back these claims up?

before and after maleSo now we come to the real issue.  You wanted to know if there actually might be a method for losing weight “without even trying.”  My answer is YES!  But there is even better news.  I will send you the secret strategy for my quick weight loss “without even trying” plan that I have developed for only $9.95 plus postage and handling.  In six weeks or less, I will give you a money back guarantee that you will lose twenty pounds “without even trying” or I will send you a full refund.  This offer is good for only thirty days after you read this blog and it will then expire.  The following stipulations also apply:

  • You must reside on a lake
  • You must be over 99 years of age
  • You must have been born in Last Chance, New Mexico
  • You must be at least 100 lbs. overweight at the start of this offer
  • You must believe everything you read or hear

Time for Questions:

Do you need to lose weight?  Have you been trying to lose weight?  How successful have your efforts been?  What has worked for you?  What did not work for you?  What would you like to change in your diet?

Life is just beginning.

“I believe that parents need to make nutrition education a priority in their home environment. It’s crucial for good health and longevity to instill in your children sound eating habits from an early age.” — Cat Cora
 

 

 

 

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