To Your Health

Spring Chicken: Stay Young Forever (Or Die Trying) by Bill Gifford (Grand Central Publishing, $16.99, 366 pages)

Spring Chicken is a book with an intended audience. You should read this book only if you are interested in living longer.

Bill Gifford is a rather average guy, with a receding hairline and a bit of a beer gut, who decides to investigate how to live to and past the age of 100. It’s pretty tricky stuff, especially since “your risk of dying doubles roughly every eight years.” What?

When we’re young, the risk (of dying) is fairly minimal; there isn’t much difference between age twenty-five and, say, thirty-five. But thirty-five to forty-five is a big jump, and by fifty our peers are popping up with breast cancers and colon cancers and high blood pressure and other scary ailments.

Yes, this death business is pretty scary stuff. But Gifford handles it with a great deal of humor and more than a dab of self-deprecation. The surprising thing is that, other than being born with good genes (such as the writer’s grandmother in her late 90s who eats an unhealthy serving of rich pastry each and every morning) and doing one of two things, he finds that there are no magic bullets to avoid aging. The key – how simple is this? – is not to avoid aging but to avoid aging as quickly as others in your peer group.

Gifford notes a harsh reality, that at a high school or college reunion of individuals the same age, some will appear to be older than their classmates and some will appear to be younger. This is, to some extent, the luck of the genetic draw but is also a reflection of lifestyle. (The individual who appears to be younger – such as the old friend who has retained a full head of hair, bright eyes and sparkling nails, may in fact be healthier; although this is not a hard and fast rule.)

Gifford’s self-assigned job was to find out what factors result in a person living a longer and, more importantly, a healthier life. He discovers that there has not been much substantive progress in this venture. Why haven’t we devoted as much time and energy to improving and extending human life as to, say, putting a man on the moon? To be sure, science and medicine are working to eliminate deadly diseases but whenever one is conquered another one pops up to take its place. (Gifford provides a logical explanation of why we age and die. Some of it has to do with the fact that the resources of our planet are limited. But the key is that human life is tied to the survival of the species, not the individual. Aging, in fact, is a visible signal to the world that we’ve moved beyond our essential, critical breeding years.)

If there’s no magic to aging slowly and extending life, what things can be done? First, as a research scientist-physician tells Gifford, “It’s very simple. Get off the couch.” Exercise is the drug. And it need not be strenous, back-breaking exercise. You can walk, jog, swim, or play tennis or golf. Almost anything done regularly which involves movement helps to extend health and life. (However, sports that involve stress and torque, like tennis and golf, are highly problematic for aging backs.)

Exercise is key because mobility is essential. Without mobility – and this is true in humans as well as for animals in general, disease and death are never far away. In Spring Chicken, Gifford includes practical tests that one can use to self-measure mobility.

So, exercise is one key factor in terms of longevity. Remember that Gifford discovered two important factors. However, no spoiler alert is needed as I’m not going to disclose the second factor here. You will need to purchase the book to learn that rather surprising “secret.”

Read this book and stay young forever! Or, die trying.

Highly recommended.

Joseph Arellano

This book was purchased by the reviewer.

“Gifford’s survey of those who study aging and those who claim they can slow it down or stop it makes for a great read.” The Washington Post

If you read and enjoy Spring Chicken, you may also want to consider Vitamania: Our Obsessive Quest for Nutritional Perfection by Catherine Price.

Advertisement

Another Roundup

Quick Looks at Books

True Strength: My Journey from Hercules to Mere Mortal and How Nearly Dying Saved My Life by Kevin Sorbo (Da Capo Lifelong)

The overly-long title gives you some idea of what this memoir is about.   The actor who played Hercules on TV was hit with a series of puzzling strokes that disabled him for quite a long time.   The first half of this true tale is interesting, but then the reader fully expects to find out – in the second half of the telling – what caused the strokes and/or how Sorbo was cured.   Neither happens and nothing much of interest (other than Sorbo’s getting married and having children) occurs in the last 140 or so pages.

This is the type of account that, if boiled down to six or seven pages, would have made for a heck of an interesting magazine article.   Unfortunately, at 276 pages it just seemed to go on and on without resolution.

The Me Generation by Me: Growing Up in the ’60s by Ken Levine (Ken Levine)

Levine writes about much of the growing up male territory covered so well previously by Bob Greene.   Levine, however, grew up in the greater Los Angeles area rather than in the Midwest.   While there are a lot of funny bits in this memoir, a good amount of the (Jewish-American) humor seems forced – more Woody Allen, if you will, than Jerry Seinfeld.   Not that there’s anything wrong with that.

God’s Hotel: A Doctor, A Hospital and a Pilgrimage to the Heart of Medicine by Victoria Sweet (Riverhead Books)

This medical memoir is best summed up in the quote, “The secret in the care of the patient is in caring for the patient.”   Dr. Sweet, who has practiced medicine for more than two decades at the Laguna Honda Hospital in San Francisco, is a doctor who truly cares for the most indigent of patients; and she cares for the human-paced hospital which barely survived a closure scare.   At a time when some still wish to debate the benefits of a national health care system, Sweet explains why we should “still believe and act as if taking care of the sick poor is something that a society should do.”

Sweet goes on to explain how a physician can learn lessons from patients, such as the fact that “medicine no longer (needs to seem) so complicated.”   A hospital should still be just that rather than a dreaded modern “health care facility.”   Sweet also details how literally dangerous it can be for a budget-cutting hospital administrator to meet and get to know the patients – actual human beings and not just “residents” – for whose lives he’s ultimately responsible.

Most readers will find themselves wishing that Dr. Sweet could be their own personal M.D., providing medical care that’s less technology and more about instinct, feeling and a sense of bonding.   Oliver Sacks said this book “should be required reading.”   Indeed.   Well recommended.

How We Age: A Doctor’s Journey into the Heart of Growing Old by Marc E. Agronin, M.D. (Da Capo Lifelong)

“…the burden of illness and the proximity of death force a special bond (between a health care professional and) patient and family.”

Marc Agronin, a psychiatrist for the Miami Jewish Health Systems is another caring doctor who has written about his relationships with elderly patients in How We Age.   Agronin makes clear that he’s also learned much from them:  “…no matter how many years I’ve practiced, I still find myself a student to the life lessons offered by these (patients).”   He specifically learns that his patients, no matter what their illness or psychological state, generally die with dignity and prior to their expiration, they acquire “the crowning glory of old age” (Cicero) – namely wisdom.   “Wisdom serves to calm (the) maelstrom (of decay), providing a way of thinking, feeling, and experiencing that brings order, harmony, and, for many, a great measure of happiness.”

To his credit, Dr. Agronin also – like Dr. Sweet – rejects the notion that the business of medicine has evolved into nothing more than “a business transaction between strangers.”   In his view, a doctor or psychiatrist and patient should be no less than truly friends, if not more.   Highly recommended.

Joseph Arellano

Review copies were provided by the publishers or authors.

Bad to the Bone

The Complete Book of Bone Health by Diane L. Schneider, M.D. (Prometheus Books, $21.00, 491 pages)

Your skeleton is more than a bunch of bones.   Dr. Diane Schneider, a gerontologist specializing in the effects of aging on our bones, has crafted a wonderfully helpful and easy-to-use reference book – a comprehensive summary of the best research regarding osteoporosis, bone fractures and the medications that can assist in rebuilding bone mass.

All six parts can stand alone or the reader can proceed from beginning to end.   Regardless, the general layout of the narrative along with the generous use of bullet points, summary statements and anecdotal case histories makes it a go-to reference for the entire family.   There are illustrations that provide clarification of medical terms.

Dr. Schneider is able to convey critical information using a caring, but firm voice.   Her colleagues and other researchers are well-represented and acknowledged.   The many charts included in the treatment section list all the medications currently prescribed, calcium-rich foods, and study results related to bone density improvement and osteoporosis prevention.   Exercises are noted with ample warnings to avoid fractures and breaks.

Let’s hope there will be future updates to this very valuable resource.   Highly recommended.

Ruta Arellano

A review copy was provided by the publisher.   The Complete Book of Bone Health is available in hardbound and trade paperback versions, and as a Kindle Edition download.   The foreword was written by astronaut Sally Ride.

Turn Back the Clock

The Memory Palace: A Memoir by Mira Bartok (Free Press, $15.00, 302 pages)

When she turned seventy-nine she wrote to tell me that although she was now legally blind she had decided to study medicine:  “I am thinking of going to nursing school…   That way, if I ever get sick or lose my sight completely, I’ll know what to do.”   I found a set of her teeth inside an old eyeglass case.

In The Memory Palace, Mira Bartok writes of a world that, sadly, too many of us will come to experience.   This is the world of the adult child whose parent is not only rapidly aging, but entering the throes of dementia or full-fledged insanity.   Whether caused by disease or mental illness, the results are the same – a parent terrified of having bad things happen to him or her brings those very results about through his or her own irrational behavior.   Bartok’s mother, Norma, was terrified of becoming homeless but became so after stabbing her own mother – who suffered from dementia – six times.

When her two daughters were young girls, Norma was diagnosed as having severe schizophrenia, and it cost her both a husband and a home.   Aside from the illness, Norma was a highly talented classical pianist who might have become a household name.   But it was not to be and Mira and her sister grew up in a hellish home with a mother who heard voices in her head, voices that caused her to lose touch with reality and normalcy.

As anyone who has lived through it knows, once a parent begins acting irrationally, their behavior will inevitably continue to deteriorate.   We no longer seem to have systems in place for properly dealing with the problems of the aged with mental illness.   They may be medicated or locked up for various periods of time (from hours to weeks or months), but they simply do not “get better.”

Bartok is to be commended for writing frankly about an adult daughter’s reaction to this, and it is mixed.   One third of her escaped by thinking back to the times when her mother was seemingly normal – a time before this parent’s rapid descent into madness.   One third of her lived in denial, literally trying to escape by hiding from her mother in Europe and elsewhere.   And the last third consisted of the daughter who sometimes had to take harsh actions against her mother – such as attempting to get a court to declare her incompetent – knowing deep down that the situation would only be resolved (made peaceful) with her mother’s death.

In this account it becomes clear to the reader that although Bartok lived a very difficult life due to their mother’s mental instability, she very much loved her mother and has wrestled with feelings of guilt (“I abandoned my mother to the streets.”).   As a young woman, Bartok was involved in an automobile accident that injured her brain and led to memory problems.   This provided her with a measure of insight into her mother’s faded connections with the world.

“…I go to the church and light a candle for my mother.   Not that I believe it will do any good; it’s just to remind myself that she is still lost in the world.”

By writing this blunt and painstakingly honest account of her mother’s troubled life, Bartok has performed an act of penance.   It is an act of humble penance in which she seeks to forgive her mother for literally losing herself.   It is an act of contrition in which she asks the world to forgive both herself and her mother for leading damaged lives.

This brilliantly written work reminds us that self-examination and self-forgiveness precede forgiving others for their real or imagined wrongs.   It’s a harsh world – a dark ocean – out there and we sometimes need assistance in navigating our way through it.   This memoir tells us that lighthouses exist.

Highly recommended.

Joseph Arellano

“If memory is a palace, let me live there, forever with her, somewhere in the place between sleep and morning.”

A review copy was provided by the publisher.   The Memory Palace was released in trade paper form on August 9, 2011.   “This is an extraordinary book.”   Audrey Niffenegger

Out of My Mind

The Memory Palace: A Memoir by Mira Bartok (Free Press; $25.00; 305 pages)

When she turned seventy-nine she wrote to tell me that although she was now legally blind she had decided to study medicine:  “I am thinking of going to nursing school…  That way, if I ever get sick or lose my sight completely, I’ll know what to do.”   I found a set of her teeth inside an old eyeglass case.

In The Memory Palace, Mira Bartok writes of a world that, sadly, too many of us will come to experience.   This is the world of the adult child whose parent is not only rapidly aging, but entering the throes of dementia or full-fledged insanity.   Whether caused by disease or mental illness, the results are the same – a parent terrified of having bad things happen to him or her brings those very results about through his or her own irrational behavior.   Bartok’s mother, Norma, was terrified of becoming homeless but became so after stabbing her own mother – who suffered from dementia – six times.

When her two daughters were young girls, Norma was diagnosed as having severe schizophrenia, and it cost her both a husband and a home.   Aside from the illness, Norma was a highly talented classical pianist who might have become a household name.   But it was not to be and Mira and her sister grew up in a hellish home with a mother who heard voices in her head, voices that caused her to lose touch with reality and normalcy.

As anyone who has lived through it knows, once a parent begins acting irrationally, their behavior will inevitably continue to deteriorate.   We no longer seem to have systems in place for properly dealing with the problems of the aged with mental issues.   They may be medicated or locked up for various periods of time (from hours to weeks or months), but they simply do not “get better.”

Bartok is to be commended for writing frankly about an adult daughter’s reaction to this, and it is mixed.   One third of her escaped by thinking back to the times when her mother was seemingly normal – a time before this parent’s rapid descent into madness.   One third of her lived in denial, literally trying to escape by hiding from her mother in Europe and elsewhere.   And the last third consisted of the daughter who sometimes had to take harsh actions against her mother – such as attempting to get a court to declare her incompetent – knowing deep down that the situation would only be resolved (made peaceful) with her mother’s death.

In this account it becomes clear to the reader that although Bartok lived a very difficult life due to her mother’s mental instability, she very much loved her mother and has wrestled with feelings of guilt (“I abandoned my mother to the streets.”).   As a young woman, Bartok was involved in an automobile accident that injured her brain and led to memory problems.   This provided her with a measure of insight into her mother’s faded connections with the world.

“…I go to the church and light a candle for my mother.   Not that I believe it will do any good; it’s just to remind myself that she is still lost in the world.”

By writing this blunt and painstakingly honest account of her mother’s troubled life, Bartok has performed an act of penance.   It is an act of humble penance in which she seeks to forgive her mother for literally losing herself.   It is an act of contrition in which she asks the world to forgive both herself and her mother for leading damaged lives.

This brilliantly written work reminds us that self-examination and self-forgiveness precede forgiving others for their real or imagined wrongs.   It’s a harsh world – a dark ocean – out there and we sometimes need assistance in navigating our way through it.   This memoir tells us that lighthouses exist.

Highly recommended.

“If memory is a palace, let me live there, forever with her, somewhere in the place between sleep and morning.”

This review was written by Joseph Arellano.   A review copy was provided by the publisher.   The Memory Palace was released on January 11, 2011.

On Wisdom

Wisdom: From Philosophy to Neuroscience by Stephen S. Hall (Knopf, $26.95, 320 pages)

Whether you’re fascinated by psychology, philosophy, or science, you’re likely to find much of interest in this survey book by Stephen Hall.   This is a search for the meaning and definition of “wisdom” with a capital W – sometimes interpreted to be emotional intelligence or an internal calmness.   Hall’s journey reads like the script for a public television documentary, one that might have been entitled: “The Search for Wisdom.”

Boomers will like the conclusion that older persons are apparently wiser, calmer and far more content than those with their entire futures ahead of them.   Research shows that younger people become angrier about daily slights and hold onto these negative feelings longer than their elders.

Although the language in this nonfiction work is generally clear, it unfortunately sometimes sounds like an academic textbook.   It also often comes close to parody (“proverbs and aphorisms…  are the cocktail peanuts of conventional wisdom”; large events in the world can “change the lens of one’s emotional view like a new prescription from a spiritual optometrist.”).   Wisdom could have used a lot of wise editing, still it offers both old and young readers a chance to re-examine their lives and their yet-to-be-made choices.

Recommended.

Reprinted courtesy of Sacramento Book Review.

The Superhero

The Side-Yard Superhero by Rick D. Niece (Synergy Books, $17.95)

“Used to dream in that small town/ Another born romantic that’s me…”   John Mellencamp, “Small Town”

Automythography – A work of nonfiction that looks reflectively at what we think we remember and how we think we remember it; an iridescent memory based upon truth and fact.   Rick D. Niece

Rick D. Niece made a promise to a childhood friend, and while the central premise of his book The Side-Yard Superhero revolves around his visit later in life to his ailing former companion in which he fulfills that promise, the book is more about the simplicity and human decency found in the everyday experiences of small-town America.

Niece, president of College of the Ozarks, constructs his tale almost as if he pulled the old John Irving trick and started with the ending of the story and then moved backward to the first sentence.   In between is the story of Niece’s childhood in DeGraff, Ohio.

As a boy, Niece secures a paper route and, in so doing, interacts with virtually everyone in his hometown.   This includes the unforgettable Bernie Jones, who – stricken with cerebral palsy – eagerly awaits Niece’s arrival on his bicycle each day from his wheelchair in the yard along the side of the house.

The reader encounters church socials, trick or treating, and Boy Scout award ceremonies.   Even the carnival comes to town and, you guessed it, Rickie takes Bernie.

Think Mitch Albom, and you have the idea of the type of storytelling you will experience in Side-Yard.   The book occasionally slips into sentimentality, but it is largely free of it, because the book has a more comprehensive story to tell than just the relationship between its two characters.   The verse which is interspersed between chapters is usually effective and works better than anticipated.

Without giving away too much of the story, this reviewer is left to wonder if hope really can keep a person alive; if history will ultimately judge America on how it treats its old, sick, and weak; and what in the world this country would be like if we were ever to lose our small towns.

Some stories need to be told, and some writers have a story they just have to tell.   This is the case with Rick D. Niece’s The Side-Yard Superhero.

Recommended.

This review was written by Dave Moyer, educator and author of the novel Life and Life Only.   He is currently working on his follow-up book, Younger Than That Now.   Mr. Moyer also writes reviews for the New York Journal of Books.   (A review copy was provided by Smith Publicity.)

Time Goes By

In the Fullness of Time: 32 Women on Life After 50 will be released by Atria on April 27, 2010 in trade paperback form ($16.00).   This collection of essays, poems, photographs and drawings was edited by Emily W. Upham and Linda Gravenson.   The following is an excerpt from one of the essays included in the compilation.

“My Narrow Escape” – Abigail Thomas

I like living alone.   I like not having to make male conversation.   I like that I can take as many naps as I feel like taking and nobody knows.   I like that if I’m painting trees and the telephone receiver gets sticky with hunter green and there’s a long drool of blue sky running down the front of the dishwasher, nobody complains.  

I’m seldom lonely.   I have three dogs, twelve grandchildren and four grown kids.   I have a good friend who now and then drives down with his dog.   We’ve known each other so long that we don’t have to talk and when we do we don’t have to say anything.   When he asks me if I’d like to take a trip around the world, I can say yes, knowing that I’ll never have to go.

Inertia is a driving force in both our lives.  

Sometimes I feel sorry for my friends who are looking around for a mate.   I don’t want one, and I don’t want to want one.   It has taken me the better part of 60 years to enjoy the inside of my own head and I do that best when I’m by myself.

I am smug.   I am probably insufferable.