Now I can scratch “get hernia” off my bucket list

Trying to find some humor in the hernia diagnosis I received today, this cartoon reminded me that, hey, I only have a single hernia, so lucky me!  (I also have taken to wearing joggers much of the time rather than regular pants, which qualify as skinny jeans. And sure, I've got a lifetime supply of bitter regrets -- which now includes getting a hernia. But it's a stretch to say I'm in midlife, since I'm 72.) As befits my age, I don't have a great story to tell about how I ended up with a right-sided inguinal hernia. No, I…

Metabolism myths about diet, exercise, and weight loss

Science rocks. It's by far our best way of understanding reality.  But most of us, me certainly included, often are prone to embracing folk wisdom rather than science when it comes to losing weight. I'm six feet tall and 178 pounds at the moment -- though sadly, my long-term trend (I'm 72) has been to lose a bit of height and gain a bit of weight.  Since I'd like to get to about 175 pounds and know how difficult it is for me to lose even a few pounds, I was eager to read the front page story in the…

I finally fill out an Advance Directive. But not a POLST.

Well, it only took me about forty years. Better late than never, as the saying goes. Tomorrow I'm taking an Advance Directive to my family physician when I go for my annual physical exam, so it can be made part of my medical record. I've had this booklet from Oregon Health Decisions sitting at the bottom of a pile of papers in my office for a year, at least. This booklet replaced a previous booklet that I lost or threw away. It's kind of strange that I've been so reluctant to make my end-of-life wishes known, since I was the…

Monkii 360 is my favorite Covid-era home workout device

Here in Oregon health clubs have been closed for most of the pandemic. I'd been working out three days a week at Courthouse Club Fitness, so needed to find an alternative way of getting in my usual dose of aerobic exercise and weight training. I've bought five devices that seemed promising. Three of them currently are sitting unused. I'll mention them briefly, then share what I like about the #1 and #2 favorite home workout devices. (I walk two miles a day with our dog up and down some fairly steep hills, so my device focus has been on strength…

Getting a high dose senior flu vaccine isn’t easy in 2020

Being 72 and a believer in vaccines (everybody should be, since they work), every October I've been heading off to Walgreens on south Liberty to get my annual high dose flu shot.  (Since us old folks have weaker immune systems, a high dose flu shot offers more protection, though a regular flu shot is better than nothing, for sure.) That's what I did last Tuesday, only to be met with a sign on the pharmacy window saying that they didn't have any high dose vaccine. Which was the same sign I saw last week. So I decided to check with…

How to strengthen your immune system — advice from New Scientist

When I got the mail today and plopped the current issue of New Scientist, a British magazine, on a table, almost right away my wife started reading the cover story, "You're only as young as your immune system." (Online version has different title, "How to fight infection by turning back your immune system's clock.") That's the effect of the coronavirus pandemic. Suddenly almost everybody is concerned about their ability to fight off the virus, especially people over 70 like my wife and me, along with those with compromised immune systems and/or underlying health conditions.  It's a good cover story. So…

I’m not wearing gloves because of cold, but of old (COVID-19)

With fairly warm weather coming to western Oregon next week, I want to explain why I'll be wearing gloves when I go grocery shopping, enter a coffee shop, or am in other public places. As should be obvious, it isn't because I'm cold, but because I'm old -- and thus more susceptible to the nastier effects of COVID-19, or coronavirus. My wife, Laurel, is in the same situation, except a bit more so, since she has asthma and COVID-19 attacks the respiratory system. Today Amazon delivered four pairs of these oh-so-trendy gloves that Laurel ordered for me. (Via Amazon I'm…

My thoughts about the coronavirus outbreak

Yeah, there's other stuff going on in the world right now other than the coronavirus. But since my mind is filled to overflowing with thoughts about this rapidly evolving tragedy, I figure I might as well do a brain dump into this blog post. So in no particular order... (1) Feel for us old folks, America. My wife and I are both over 70 by a year or two. So we're doomed! If we get infected. Well, maybe not mortally doomed, though this is possible, but likely we'll suffer more than younger folks. Yet the empty shelves of hand sanitizer,…

Pros and cons of being a 70-something white guy these days

Well, it was fun while it lasted... being a 71 year-old white guy. For a while recently, I was exulting in the ascendance of my 70-something peers in the Democratic primary. Bernie Sanders: 78 years old Joe Biden: 77 years old Mike Bloomberg: 78 years old Woo-hoo! The three most viable candidates left standing (albeit shakily) were white guys even older than me. Yes, Elizabeth Warren was still in the race for a while after Bloomberg dropped out, but by that time it was clear that Sanders and Biden were going to duke it out for the Democratic nomination. It…

Good news is, I don’t have a blood clot. Bad news is, Trump still is president.

Being an ardent progressive in election year 2020 means that I'm prone to view everything through the lens of what it means for the prospect of making Trump a one-term president this November.  Yes, even being tested to rule out a blood clot in my right leg -- which occurred yesterday. A bit over a week ago I had a physical therapy visit to get some advice on what to do about annoying leg pain. When Michael, the therapist, asked me what caused the pain, I gave this 30-something guy my 71-year-old perspective on health problems like this one. "Michael,…

How a doctor’s waiting room suddenly turned pleasant

Almost always, in my experience, a doctor's waiting room has a funereal feel to it. Just about everybody sitting in the chairs is there because they've got some sort of medical issue, which isn't exactly a cause for joy. And if people were feeling good when they entered the waiting room, generally they soon understand why it's got the word waiting in its name.  But yesterday was different. Here's why. My wife had gone with me to an appointment I had at a clinic here in Salem. We arrived a few minutes early for my 1:50 pm appointment. After checking…

Why eating at In-N-Out Burger is morally wrong

Today an In-N-Out Burger restaurant has opened in nearby Keizer, Oregon, sending waves of feverish delight through the taste buds of people willing to spend hours in line to buy the main food offering... dead cows. I consider this to be morally wrong, having been a vegetarian for most of my life. So my objection isn't to In-N-Out Burger itself. What bothers me is that most Americans are so uncaring about the suffering they're producing by eating meat and fish. Understand: there's a variety of good reasons to be vegetarian or vegan. It's a healthier way to go. It's better…

Not all vaping is dangerous. Vaping cannabis flower is safe.

I ingest THC and CBD by vaping every day. It's my substitute for a nightly glass of red wine, because I believe cannabis is more beneficial and safer than alcohol. So it bothers me when reports of vaping illnesses and deaths (including two here in Oregon) make it sound like all kinds of vaping should be given up. What appears to be dangerous is vaping e-cigarettes containing nicotine, and vaping THC cartridges that contain additives and oil. A Vox story today, "THC vape products appear to be the main culprit in the mysterious lung illness outbreak," says:  Investigators appear to…

My fourth colonoscopy goes smoothly at Salem Gastro

First off, I just noticed the appealing slogan on the Salem Gastro web site: "What matters is what's inside." Nice mixture of philosophy and double entendre.  The colonoscopy I had last month at the hands of Dr. Richard Brandes wasn't exactly appealing, but it went about as smoothly as possible. This was my fourth colonoscopy. Well, fifth, counting a virtual (CT) colonoscopy I had in 2006. In retrospect, that probably wasn't a great idea, since if a suspicious polyp had been found (maybe all polyps are suspicious), I would have needed to undergo a regular colonoscopy. But at the time…

Youth mental health focus of gripping City Club program

In retrospect, I was crazy to consider not going to today's Salem City Club program, "Oregon Youth: Crisis in Mental Health." Fortunately I had the good sense to attend the meeting and hear two people from Liberty House, a child abuse assessment center, plus a South Salem High School counselor.  I'll end this blog post by talking about my own long-ago mental health problems in my high school years. First, though, here's some of what I remember from the presentations by Alison Kelley, CEO of Liberty House; Neda Grant, program manager of Liberty House's Hope and Wellness services; and Ryan…

Dr. Vinay Prasad zaps fellow physicians at provocative Salem City Club talk

"Maybe 40% of what doctors do is mistaken." That was one of the first of many OMG! zingers medical provocateur Vinay Prasad, MD MPH, flung at us at today's Salem City Club presentation, rather drily titled Evidence Based Medicine: Weighing the Evidence for Effective Health Care. But not one moment of his talk was boring. In fact, it was one of the most interesting and entertaining City Club talks I've experienced. And I've been to many of them. Prasad is a great speaker: funny, caustic, informed, blunt, spontaneous. I found what appears to be a very close version of his…

Shingrix gave my wife and I bad side effects. Still way better than shingles, though.

Getting shingles isn't fun, to put it mildly.  Shingles, also known as herpes zoster, is a painful skin rash caused by reactivation of the varicella zoster virus (the same virus that causes chickenpox). ...Generally, people only develop shingles once, although it is possible to get shingles more than once. Shingles may lead to long-term complications such as debilitating pain that lasts for months or even years. In rare cases, serious, long-term eye or hearing issues can occur. My wife, Laurel, and I are 69 and 70, respectively. We'd gotten the original Shingles vaccine, Zostavax, but we wanted to get the new and…

City Club talk about opioids both enlightening and disturbing

We're all addicted to something. Coffee. Video games. TV. Golf. Travel. Whatever. But usually our addictions aren't so intense as to wreck our lives. And rarely are they fatal. Opioids, though, are both addictive and highly dangerous. They can do good, when used correctly. They also do a lot of harm, when used incorrectly. Last Friday a Salem City Club talk, "The Opioid Epidemic: How We Got Here and the Way Forward," both fascinated me with facts I hadn't been aware of before, and depressed me with fairly familiar statistics about how opioids are ravaging our country.  Coelho and Holton…

Deep thoughts on switching my breakfast to regular oats from quick oats

It's only been one day, but optimistic me is considering this to be a life-changing moment -- switching my breakfast cereal from microwaved quick oats to stovetop boiled regular oats.  Sure, I've meditated every morning since I was 20, and for most of those 49 years I figured that one day meditation would reveal, if not the Secret of the Universe, at least some mini-secrets of how my own mind works.  But with age comes a bit of realism. I've now lowered my sights on how deeply I'm going to be able to penetrate the mysteries that surround us. So…

Between the black and white of suicide, there’s a gray area

The recent suicides of Anthony Bourdain and Kate Spade have gotten people talking about the problem of taking one's own life. That's good.  But I don't feel like we're talking about an important issue that is almost a taboo topic: the gray area between (1) the black badness of people killing themselves when there are better options available to them, and (2) the white goodness of people taking control of their death when they are suffering and only have a few months or less to live. What I see as a gray in-between area is when a person considers that…