Posts Tagged ‘longevity’

Time Out

April 11, 2013


Andrew Siegel, MD  Blog #102


I am now just a few short years away from 60 (how is that possible?), inciting me to wax philosophical about the aging process.  The numbers are concrete and I view and interpret them through a surreal prism of disbelief and astonishment, still appearing reasonably young and internally feeling no different than 20 or 25 or 30. Factually, the average life expectancy for a male in the USA is 75.5 years.  So the truth of the matter is that if I am fortunate enough to achieve average longevity, I have already lived 75% of my life. And generally speaking, the last 25% of one’s life are not the best years in terms of one’s health, as I can attest to as a physician.

Somehow and some way, humans are imbued with a powerful mechanism of denial that allows us to isolate realities such as these and store them on some imaginary shelf, bottled in some imaginary can to be sequestered and quarantined and not to be contended with.  If we did not have this ability, the psychic pain would be unbearable and thanks to this artifice, we manage to endure emotional burdens. This allows me to proceed under the delusion that I am still “young” and have my whole life in front of me and I remain hopefully optimistic about what the future will bring, and my optimism is self-fulfilling.

I completed my fellowship at UCLA and continue to receive mailings and updates from this superb medical institution.  I just received their publication “Vital Signs,” which has a section for my demographic advertising their “Fifty Plus” program, which offers educational lectures, a walking program, information on community and health resources, membership amenities, a free community flu shot clinic, and special events. In the Spring 2013 edition, the following classes were offered: Senior

Scholars; Memory Training Course; Brain Boot Camp; Vision Problems in Older Adults; Health Maintenance and Disease Prevention; Tai Chi Workshop; Introduction to Dementia; Senior Health Fair; Vaginal and Bladder Mesh Surgery; and Dizziness. Oy Veh…woe is me!

The aging process is insidious. The years creep by, seemingly slowly at first; then, ever so gradually, the wheel of time starts to crank faster and faster with greater and greater momentum, until the weeks and months roll past at a dizzying and frightening warp speed. Before you know it, you are at the summit of the mountain, looking down at the back face or, for you golfers out there, you’re on the back nine.

The older one gets, the faster one’s perception of the passage of time. When I was a child, a single summer seemed to represent an eternity; now, in midlife, the summers blur by at a rate that challenges my sanity. Family events that are initially scheduled on the calendar for a few years from now seem to approach at an uncomfortably rapid pace and, suddenly, are here. Part of this may be explained on a strictly mathematical basis—for a five-year-old, one year represents 20% of his or her life, whereas for a 50-year-old, it represents a mere 2%. Another factor in the perception of time racing faster and faster is our pursuit of a career—being productive and busy does not necessarily lend itself to the awareness of time: time consciousness, if you will. Many of us are ever increasingly focused on our day-to-day activities, too caught up in maintaining our routines to take notice of the hours, weeks, and years speeding by.

The lightness of being is an additional factor contributing to the perception of the rapid passage of time—we float around the planet consumed by a variety of roles that we play, always in a hurry, constantly on the move, existing without giving a great deal of thought to actual existence—as a result, existence seems to lose its substance, weight, meaning, and time framework. We are so consumed by our numerous mundane daily destinations, working, traveling, living in our oftentimes insular circles, that we are remiss in attending to the real journey, the true process, life in its entirety. It is a Zen precept that life is to be found in the present moment, and not the future. Lack of focus on the here and now with too much attention to the next moment can be a factor in the perception of time passing at warp speed.

The bottom line is that the future is approaching in a fast and furious fashion and most of us hopefully desire to maximize our time—irrefutably one of our most precious commodities—that we spend occupying space on our planet. And we really do have precious little time here—to paraphrase Hart Crane: “Our earthly transit is a brief wink between eternity and eternity.” To quote Ben Stein, “Time is overwhelming, omnipotent, and ubiquitous in its power…it may never be conquered or defeated.”

As my former golf instructor-cum-philosopher Hank related to me, every opportunity we have to swing a golf club at a ball is a unique moment in space and time—a different day, a different course, a different ball, a different lie, a different mood, a different weather forecast—a moment that will happen once and only once and then will be gone forever. So, since you have one and only one chance at making the most of this unique slice (pardon the pun) of eternity, why not give it your all

and make it count to the best of your abilities. This concept is a useful metaphor when extended to life in general.

So what is one to do in the face of this seemingly harsh reality? The answer is to appreciate every moment, put your best effort into every endeavor, and relish the journey because the inevitable destination for ALL of us is exactly the same. This is essentially an expansion of Tony Horton’s “BRING IT” concept (regarding exercise) to life overall.

“We see life through a screen of thoughts and concepts, and we mistake those for reality.  We get so caught up in this endless thought-stream that reality flies by unnoticed.  We spend our time engrossed in activity, caught up in an eternal pursuit of pleasure and gratification and eternal flight from pain and unpleasantness.  We spend all of our energies trying to make ourselves feel better, trying to bury our fears, endlessly seeking security.”

Bhante Henepola Gunaratana

“Life is a fatal adventure. It can only have one end.

So why not make it as far ranging and free as possible.”

Alexander Eliot (author/critic)

“We are living on borrowed time.”

Father Americo Salvi, my patient

“Do stuff. Be clenched, curious.  Not waiting for inspiration’s shove or society’s kiss on your forehead.  Pay attention.  It’s all about paying attention.  Attention is vitality.  It connects you with others.  It makes you eager.  Stay eager.”

Susan Sontag

“Don’t betray time with false urgencies.” 

Jack Kerouac

“For of all sad words of tongue or pen, the saddest are these—it might have been.”

John Whittier

“The miracle is not to walk on water.  The miracle is to walk on the green earth, dwelling deeply in the present moment and feeling truly alive.”

Thich Nhat Hanh

“Life moves pretty fast.  You don’t stop and look around once in a while,

you could miss it.”

Ferris Bueller

“Learn as if you were to live forever. Live as if you were to die tomorrow.”



“….Time is passing faster and faster every day.  Day to day I have to make all sorts of choices about what is good and important and fun, and then I have to live with the forfeiture of all the other options those choices foreclose.  And I’m starting to see how as time gains momentum my choices will narrow and their foreclosures multiply exponentially until I arrive at some point on some branch of all life’s sumptuous branching complexity at which I am finally locked in and stuck on one path and time speeds me through stages of stasis and atrophy and decay until I go down for the third time, all struggle for naught, drowned by time.  It is dreadful.  But since it’s my own choices that’ll lock me in, it seems unavoidable—if I want to be any kind of grownup, I have to make choices and regret foreclosures and try to live with them.”
David Foster Wallace

“The first half of life is orderly, a miracle of detailed harmonious unfolding” beginning with the embryo.  What comes after our reproductive years is “more like the random crumpling of what had been neatly folded origami, or the erosion of stone.  The withering of the roses in the bowl is as drunken and disorderly as their blossoming was regular and precise.”

Jonathon Weiner


“What surprises me most about humanity is man. Because he sacrifices his health in order to make money. Then he sacrifices money to recuperate his health. And then he is so anxious about the future that he does not enjoy the present; the result being that he does not live in the present or the future; he lives as if he is never going to die, and then dies having never really lived.”

The Dalai Lama, when asked what surprised him most about humanity.

“Maybe it’s not metaphysics. Maybe it’s existential. I’m talking of the individual US citizen’s deep fear, the same basic fear that you and I have and that everybody has except nobody ever talks about except existentialists in convoluted French prose. Or Pascal. Our smallness, our insignificance and mortality, yours and mine, the thing that we all spend all our time not thinking about directly, that we are tiny and at the mercy of large forces and that time is always and that every day we’ve lost one more day that will never come back and our childhoods are over and our adolescence and the vigor of youth and soon our adulthood, that everything we see around us all the time is decaying and passing, it’s all passing away, and so are we, so am I, and given how fast the first forty two years have shot by it’s not going to be long before I too pass away, whoever imagined that there was a more truthful way to put it than “die,’ “pass away”, the very sound of it makes me feel the way I feel at dusk on a wintry Sunday—’

And not only that, but everybody who knows me or even knows I exist will die, and then everybody who knows those people, and might even conceivably have even heard of me will die, and so on, and the gravestones and monuments we spend money to have put in to make it sure we are remembered, these’ll last what—a hundred years? two hundred? – and they’ll crumble, and the grass and insects my decomposition will go to feed will die, and their offspring, or if I am cremated the trees that are nourished by my windblown ash will die or get cut down and decay, and my urn will decay, and before maybe three or four generations it will be like I never existed, not only will I have passed away but it will be like I was never here.

That everything is on fire, slow fire, and we’re all less than a million breaths away from an oblivion more total than we can even bring ourselves to even try to imagine, in fact probably that’s why the manic US obsession with production, produce, produce, impact the world, contribute, shape things, to help distract us from how little and totally insignificant and temporary we are.”

David Foster Wallace, from “The Pale King”

“Life is tough.  It takes a lot of your time, all your weekends, and what do you get at the end of it?  Death, a great reward.  I think that the life cycle is all backwards.  You should die first, get it out of the way.  Then you live twenty years in an old-age home.  You are kicked out when you are too young.  You get a gold watch, you go to work.  You work forty years until you’re young enough to enjoy your retirement.  You go to college, you party until you’re ready for high school.  You become a little kid, you play, you have no responsibilities, you become a little boy or girl, you go back into the womb,  you spend your last nine months floating.

 And you finish off as a gleam in someone’s eye.”

Jack Kornfeld
“Reverse Living”

Bottom Line: The reality is that the “end of the line” comes far too quickly. So, enjoy and protect in every way possible what you have today. Carpe Diem!


Andrew Siegel, M.D.

Author of Promiscuous Eating: Understanding and Ending Our Self-Destructive Relationship with Food:

Available on Amazon in paperback or Kindle edition

Blog subscription: A new blog is posted every week.   On the lower right margin you can enter your email address to subscribe to the blog and receive notifications of new posts in your inbox.  Please avail yourself of these educational materials and share them with your friends and family.


A Tribute To One Of The Father’s Of Public Health

July 14, 2012

A Tribute To  Lester Breslow

Andrew Siegel, M.D.      Blog # 66


The field of public health is of utmost importance to the vitality and well being of humankind. Public health and sanitation saved more lives than any other cause in the 19th century—the Century of Hygiene; in the 20th century—the Century of Medicine—vaccines, antibiotics, transfusions, chemotherapy, etc., helped contribute to longevity; the 21st century will be the Century of Behavior Change—where longevity will be furthered by reducing risky behavior and making positive changes with regards to exercise and nutrition.

One of the father’s of the field of public health, Lester Breslow, M.D., M.P.H., died earlier this year at the age 97.  Originally intent on becoming a psychiatrist, he changed to public health because he believed it was an appropriate match for his desire to be a political activist for disadvantaged people.  His seminal contributions to the health of our society are more than worthy of a blog.  He was one of the first to prove that we can live longer and healthier by modifying our habits including tobacco use, sleep and diet.  He changed the direction of public health from a discipline with an emphasis on communicable infectious diseases to a field focused on lifestyle, the effects of community and the environment and the emergence of chronic disease.

Dr. Breslow joined the California Department of Public Health in 1946 to found the Bureau of Chronic Diseases. He then became a professor at UCLA School of Public Health and subsequently chairman of the UCLA School of Medicine’s Department of Preventive and Social Medicine. He served as Dean of the UCLA School of Public Health from 1972 to 1980.  President Truman appointed him director of a commission to assess the health of the nation in 1952.  He was elected president of the American Public Health Association and was the founding editor of The Annual Review of Public Health and the editor-in-chief of The Encyclopedia of Public Health. He was also president of the International Epidemiological Association and the Association of Schools of Public Health.

In the 1940’s and 1950’s, he was responsible for some of the earliest studies on the hazards of tobacco and three of these were cited in the surgeon general’s report in 1964 linking tobacco to lung cancer.

One of his major accomplishments was the Alameda County Study, a long-term investigation of the lifestyles of almost 7000 residents of Alameda County, California.  Using quantitative analysis, the study unquestionably proved that one’s lifestyle strongly influences longevity.  The study concluded that to achieve maximal longevity, one must do the following: avoid tobacco; consume alcohol moderately; sleep seven to eight hours a night; exercise at least moderately; eat regular meals; maintain a healthy weight; and eat breakfast.  Dr. Breslow concluded that a 60-year-old man who heeded all seven recommendations would be as healthy as a 30-year-old man who heeded fewer than three.  Considering that this study was initiated in 1965, its results were quite remarkable, although in the 21st century, we take his recommendations for granted.

In 2010, at the ripe age of 95, he co-authored a paper on the life expectancy of a group of Californian Mormans.   The study, conducted during the previous 25 years, concluded that the Morman life expectancy exceeded the life expectancy of the general population of Caucasian males by 10 years on the basis of the Mormans’ clean lifestyle. Although not a Morman, Breslow practiced what he preached, even growing his own organic vegetable garden.  Given his longevity, his healthy lifestyle seems obviously to have supported many of his theories.  He was a man of enormous vision and his contribution to the field of public health was profound.

*Credit to Douglas Martin, writer of Dr. Breslow’s New York Times’ obituary, for much of this information.

Andrew L. Siegel, M.D.

Author of Promiscuous Eating: Understanding and Ending Our Self-Destructive Relationship with Food

Available on Amazon Kindle

Aging Young

September 17, 2011

With the occurrence of my birthday this past week and lots of birthdays of family members this month, I have been thinking about longevity, the aging process, and why—for so many of us—there is a glaring discrepancy between how old we are and how old we look.

Our collective longevity has improved dramatically over the past few centuries.  The 19th century was the Century of Hygiene (improved public health and sanitation saved more lives than any other cause), the 20th century was the Century of Medicine (vaccines, antibiotics, transfusions, chemotherapy, etc., helped contribute to longevity), and the 21st century will be the Century of Healthy Lifestyles—whereby longevity will be increased by reducing risky behaviors and making positive changes with regards to exercise and nutrition.

Aging is an inevitable occurrence, but how we age is within our control to a significant extent. We have it within our own power to maintain health, vitality, and quality longevity—to walk with a spring in our steps and to feel energized and content. Aging is, of course, a 100% fatal proposition, and the best recommendation to push the limit of it is to first do no harm by avoiding malignant behaviors. So the first general rule is active omission—avoid doing bad—do not eat excessively, stay away from harmful substances such as fast food, tobacco and drugs, be moderate when it comes to such things as alcohol and ultra-violet light exposure, minimize stress, etc. The second recommendation to push the limit of aging is active commission—do good—eat properly, exercise vigorously, get enough sleep, seek preventative maintenance, respect yourself, invest in yourself, engage in the fitness and health lifestyle, live well!

“You have to work on longevity…” “My ‘secret’ is that you have to plan for your life. You need to plant the seeds and cultivate them well. Then you can reap the bountiful harvest of health and longevity.” 

(Jack LaLanne, at age 92)

“The secret to aging well is simply living well.”

(A rabbi in his 80’s, who is a patient of mine)

Chronological age refers to how old you actually are (in years, months, days, etc.); physiological age refers to your functional age, the age at which your organ systems and other body parts are functioning.  There can be a great disconnect between chronological and functional ages—one can have a chronological age of 40 and a functional age of 30; or alternatively, someone may chronologically be age 40, yet have a functional age of 60. This disparity basically comes down to genetics and lifestyle. A desirable goal is to maintain a functional age that is as young as possible.

Through my interviews with many chronologically older adults who were physiologically much younger than their years of life would seemingly indicate, certain attributes of aging well and aging long became obvious:

  • An active, purposeful and meaningful existence—for many this means continuing to work in some capacity or involvement in other endeavors that create purpose
  • Ample exercise and physical activity
  • Mental engagement and commitment to interests and hobbies—reading, travel, games, art, music, crafts, pets
  • A healthy diet
  • Avoidance of self-abusive behavior—junk food, obesity, tobacco, excessive alcohol, excessive sun, excessive risks—an “everything in moderation” attitude
  • Close relationships with family and friends with sources of strength being a good social network and perhaps religious/spiritual pursuits; in particular, being in a good marriage seems to be a very important attribute of aging well
  • Optimistic and grateful attitude—cheery, happy and upbeat dispositions with a sense of hope about what the future will bring, a good sense of humor and the ability to deal positively with stress
  • The ability to adapt to loss or change
  • Good genes
  • The practice of preventative maintenance
  • Care about yourself, respect yourself and invest in yourself—live well

Andrew Siegel, M.D.

If interested in a free electronic download of Finding Your Own Fountain of Youth: The Essential Guide to Health, Wellness, Fitness & Longevity, go to the Promiscuous Eating site and click on “links.”