Tag Archives: health

the “best” health advice from 2019

The Week has cherry picked a few studies from 2019 as best. Although they did pick ones with large sample sizes, what would be “best” to me would be some kind of meta-analysis of all studies published and what they said on balance, with some kind of grading for quality and communication of the uncertainty involved. That would be awesome journalism, but I imagine it would be expensive. The great news is that if you add up all the percentages that doing this and that can reduce your chances of death, you can live forever! Anyway, here is my quick summary:

  • Exercise, fruits, vegetables, and whole grains just never go out of style. More whole foods (the thing, not the chain) and less processed foods in general seem to be a very good idea. Seriously, just orient your life style around these things and it is very unlikely the scientific consensus will change some day and tell you it was a bad idea.
  • Napping is good for you – this particular study says “five minutes to an hour once or twice a week”. I’m not surprised that rest is good for the heart, but I thought there was an emerging consensus that maintaining a consistent schedule on all days was good, and this seems to contradict that a bit.
  • Parents are stressed out while kids are young, then ultimately glad they had the kids later in life. This doesn’t surprise me since I am living through the stressed out part, but I do find it helpful to put myself in my future self’s shoes and ask if I would regret having children. In fact, my wife and I did that when we made the decision to have children, and the answer was and is no, we have no regrets. The distinction between happiness in the moment and overall life satisfaction also comes to mind.
  • Aspirin and ibuprofen seem to help your heart, but also raise your risk of internal bleeding. It’s probably best not to self-medicate.
  • Smoking and getting hit on the head, even gently, are not good for you.

sleep optimization

This article is about devices that can supposedly help you get more out of whatever hours of sleep you manage to get. It sound suspicious, but appears to be backed by at least some research and scientific/medical opinion.

One of the most promising techniques to do so works a bit like a metronome counting the brain into the correct rhythms. Experimental participants wear a headset that records their brain activity and notes when they have started to make those slow waves. The device then plays short pulses of gentle sound, beginning in sync with the brain’s natural slow waves, at regular intervals over the night. The sounds are quiet enough to avoid waking the participant, but loud enough to be registered, unconsciously, by the brain.

BBC

One of the devices commercially available is made by Phillips and costs around $370 (I do not get any sort of commission if you click on this link or buy one.)

bacteria, viruses, and fungi, oh my!

In the category of new diseases to worry about, and just in case you have not yet perused the latest issue of the Journal of Fungi, Candida auris is a really dangerous yeast fungus making the rounds in hospitals.

On the Origins of a Species: What Might Explain the Rise of Candida auris?

Candida auris is an emerging multidrug-resistant yeast first described in 2009 that has since caused healthcare-associated outbreaks of severe human infections around the world. In some hospitals, it has become a leading cause of invasive candidiasis. C. auris is markedly different from most other pathogenic Candida species in its genetics, antifungal resistance, and ability to spread between patients. The reasons why this fungus began spreading widely in the last decade remain a mystery. We examine available data on C. auris and related species, including genomic epidemiology, phenotypic characteristics, and sites of detection, to put forth hypotheses on its possible origins. C. auris has not been detected in the natural environment; related species have been detected in in plants, insects, and aquatic environments, as well as from human body sites. It can tolerate hypersaline environments and higher temperatures than most Candida species. We explore hypotheses about the pre-emergence niche of C. auris, whether in the environmental or human microbiome, and speculate on factors that might have led to its spread, including the possible roles of healthcare, antifungal use, and environmental changes, including human activities that might have expanded its presence in the environment or caused increased human contact.

June 2019 in Review

Most frightening and/or depressing story:

  • The world economy appears to be slowing, even though U.S. GDP is growing as the result of the post-2007 recovery finally taking hold, juiced by a heavy dose of pro-cyclical government spending. The worry is that if and when there is eventually a shock to the system, there will be little room for either fiscal or monetary policy to respond. Personally, the partisan in me is thinking any time before November 2020 is as good a time for any for a recession to hit the U.S. I am a couple decades from retirement, and picturing that bumper sticker “Lord, Just Give Me One More Bubble”. Of course, this is selfish thinking when there are many people close to retirement and many families struggling to get by out there. And short-term GDP growth is not the only metric. The U.S. is falling behind its developed peers on a wide range of metrics that matter to people lives, including infrastructure, health care costs and outcomes, life expectancy, maternal and infant mortality, addiction, suicide, poverty, and hunger. And it’s not just that we are no longer in the lead on these metrics, we are below average and falling. Which is why I am leading the charge to Make America Average Again!

Most hopeful story:

  • There have been a number of serious proposals and plans for disarmament and world peace in the past, even since World War II. We have just forgotten about them or never heard of them.

Most interesting story, that was not particularly frightening or hopeful, or perhaps was a mixture of both:

  • In technology news, Elon Musk is planning to launch thousands of satellites. And I learned a new acronym, DARQ: “distributed ledger technology (DLT), artificial intelligence (AI), extended reality (XR) and quantum computing”. And in urban planning news, I am sick and tired of the Dutch just doing everything right.

 

the latest on male birth control

Wired’s Gadget Lab, strangely enough, has an episode on male birth control. This is not a gadget, but a hormonal pill men could take. This has been a goal for many decades with little or no progress, and now it sounds like it may be within reach in the near future. Opinions will vary, but I think anything that gives us more control over our reproductive options is good for individual freedom and for society as a whole.

what’s new with longevity treatments

This article in The Week mentions a few things.

Humans grow fewer blood vessels in their muscles with age, which is believed to result in the gradual breakdown of vital organs. The same pattern exists in mice. In 2018, Harvard researchers fed mice a chemical to manipulate the gene associated with blood vessel growth and found that old mice subsequently were able to run on a treadmill 56 percent longer. While that work continues, biohackers are transfixed by nootropics — “smart drugs,” amino acids, and other supplements that purportedly boost cognitive abilities and prevent brain aging.

Mainstream scientists and doctors are still saying nay. I don’t know but exercising to keep the oxygen level up seems like a good idea.

measuring blood pressure through your @$$

This seems like a good idea actually – a toilet seat that measures your heart rate, blood pressure, and oxygen level. It’s designed for hospitals, but it makes a lot of sense to me. It would happen automatically, built automatically into your daily routine and with no wasted time or extra effort. You could have it sent right to your doctor if you wanted to.

the Nipah virus

One of the public services I provide is to bring you new diseases to worry about. Just in case Ebola is not horrifying enough (and with apologies to anyone who has been personally touched by it), there is concern about a new disease originating from human-wildlife contact as tropical forests are encroached on, in this case in Bangladesh.


Nipah virus encephalitis is one of eight diseases that the World Health Organization (WHO) has identified as epidemic threats in need of prioritization. The list includes Ebola, SARS, Zika, and an as-yet unknown affliction referred to as “Disease X.” All eight have been prioritized because of their inherent epidemic potential, and also the fact that there are currently insufficient measures in place to prevent them…

Because bats typically live in large colonies and roost in close proximity to one another, microbes are easily passed among members of the group. While virus numbers are typically kept in check by each bat’s immune system, when an animal is stressed, its defenses can become compromised. Much as a cold might make us cough and sneeze, a bat’s weakened immune system can cause the animal to shed viruses into its surroundings through saliva, urine, and feces…

The symptoms of the disease are now well documented, although they vary considerably from patient to patient and strain to strain. While some infected humans are completely asymptomatic, most initially develop symptoms including fever, headaches, vomiting, and sore throat. Some develop acute respiratory infections in the early stages of the disease; others never do. After a few days to a couple of weeks, many patients start to exhibit more serious signs of encephalitis—dizziness, drowsiness, altered consciousness, and other neurological changes. Within another day or two, the disease often progresses to coma, then death.

2018 in Review

Most frightening and/or depressing stories:

  • JANUARY: Cape Town, South Africa looked to be in imminent danger of running out of water. They got lucky, but the question is whether this was a case of serious mismanagement or an early warning sign of water supply risk due to climate change. Probably a case of serious mismanagement of the water supply while ignoring the added risk due to climate change. Longer term, there are serious concerns about snowpack-dependent water supplies serving large urban populations in Asia and western North America.
  • FEBRUARY: Cape Town will probably not be the last major city to run out of water. The other cities at risk mentioned in this article include Sao Paulo, Bangalore, Beijing, Cairo, Jakarta, Moscow, Istanbul, Mexico City, London, Tokyo, and Miami.
  • MARCH: One reason propaganda works is that even knowledgeable people are more likely to believe a statement the more often it is repeated.
  • APRIL: That big California earthquake is still coming.
  • MAY: The idea of a soft landing where absolute dematerialization of the economy reduces our ecological footprint and sidesteps the consequences of climate change through innovation without serious pain may be wishful thinking.
  • JUNE: The Trump administration is proposing to subsidize coal-burning power plants. Meanwhile the long-term economic damage expected from climate change appears to be substantial. For one thing, Hurricanes are slowing down, which  means they can do more damage in any one place. The rate of melting in Antarctic ice sheets is accelerating.
  • JULY: The UN is warning as many as 10 million people in Yemen could face starvation by the end of 2018 due to the military action by Saudi Arabia and the U.S. The U.S. military is involved in combat in at least 8 African countries. And Trump apparently wants to invade Venezuela.
  • AUGUST: Noam Chomsky doesn’t love Trump, but points out that climate change and/or nuclear weapons are still existential threats and that more mainstream leaders and media outlets have failed just as miserably to address them as Trump has. In related news, the climate may be headed for a catastrophic tipping point and while attention is mostly elsewhere, a fundamentalist takeover of Pakistan’s nuclear arsenal is still one of the more serious risks out there.
  • SEPTEMBER: A huge earthquake in the Pacific Northwest could be by far the worst natural disaster ever seen.
  • OCTOBER: The Trump administration has slashed funding to help the U.S. prepare for the next pandemic.
  • NOVEMBER: About half a million people have been killed in Iraq, Afghanistan, and Pakistan since the U.S. invasions starting in 2001. This includes only people killed directly by violence, not disease, hunger, thirst, etc.
  • DECEMBER: Climate change is just bad, and the experts seem to keep revising their estimates from bad to worse. The Fourth National Climate Assessment produced by the U.S. government is not an uplifting publication. In addition to the impacts of droughts, storms, and fires, it casts some doubt on the long-term security of the food supply. An article in Nature was also not uplifting, arguing that climate change is happening faster than expected due to a combination of manmade and natural trends.

Climate change, nuclear weapons, and pandemics. If I go back and look at last year’s post, this list of existential threats is going to be pretty much the same. Add to this the depressing grind of permanent war which magnifies these risks and diverts resources that could be used to deal with them. True, we could say that we got through 2018 without a nuclear detonation, pandemic, or ecological collapse, and under the circumstances we should sit back, count our blessings, and wait for better leadership. And while our leadership is particularly inept at the moment, I think Noam Chomsky has a point that political administration after political administration has failed to solve these problems and this seems unlikely to improve. The earthquake risk is particularly troublesome. Think about the shock we felt over the inept response to Katrina, and now think about how essentially the same thing happened in Puerto Rico, we are not really dealing with it in an acceptable way, and the public and news media have essentially just shrugged it off and moved on. If the hurricanes, floods, fires and droughts just keep hitting harder and more often, and we don’t fully respond to one before the next hits, it could mean a slow downward spiral. And if that means we gradually lose our ability to bounce back fully from small and medium size disasters, a truly huge disaster like an epic earthquake on the west coast might be the one that pushes our society to a breaking point.

Most hopeful stories:

I believe our children are our future…ya ya blahda blahda. It’s a huge cliche, and yet to be hopeful about our world I have to have some hope that future generations can be better system thinkers and problem solvers and ethical actors than recent generations have been. Because despite identifying problems and even potential solutions we are consistently failing to make choices as a society that could divert us from the current failure path. And so I highlighted a few stories above about ideas for better preparing future generations, ranging from traditional school subjects like reading and music, to more innovative ones like meditation and general system theory, and just maybe we should be open to the idea that the right amount of the right drugs can help.

Fossil fuels just might be on their way out, as alternatives start to become economical and public outrage slowly, almost imperceptibly continues to build.

There is real progress in the fight against disease, which alleviates enormous quantities of human suffering. I mention AIDS, diabetes, and Alzheimer’s disease above. We can be happy about that, of course. There are ideas about how to grow more food, which is going to be necessary to avoid enormous quantities of human suffering. Lest anyone think otherwise, my position is that we desperately need to reduce our ecological footprint, but human life is precious and nobody deserves to suffer illness or hunger.

Good street design that lets people get around using mostly their own muscle power. It might not be sexy, but it is one of the keys to physical and mental health, clean air and water, biodiversity, social and economic vibrancy in our cities. Come to think of it, I take that back, it can be sexy if done well.

Good street design and general systems theory – proof that solutions exist and we just don’t recognize or make use of them. Here’s where I want to insert a positive sentence about how 2019 is the year this all changes for the better. Well, sorry, you’ll have to find someone less cynical than me, and/or with much better powers of communication and persuasion than me to get the ball rolling. On the off chance I have persuaded you, and you have communication and/or persuasion super powers, let me know.

Most interesting stories, that were not particularly frightening or hopeful, or perhaps were a mixture of both:

Whatever else happens, technology and accumulation of human knowledge in general march on, of course. Computer, robotics, and surveillence technology march on. The human move into space is much slower and painful than many would have predicted half a century ago, and yet it is proceeding.

I’ll never drop the waterless sanitation thing, no matter how much others make fun of me. It’s going to happen, eventually. I don’t know whether we will colonize Mars or stop defecating in our water supply first, but both will happen.

The gene drive thing is really wild the more I think about it. This means we now have the ability to identify a species or group of species we don’t want to exist, then cause it not to exist in relatively short order. This seems like it could be terrifying in the wrong hands, doesn’t it? I’m not even sure I buy into the idea that rats and mosquitoes have no positive ecological functions at all. Aren’t there bats and birds that rely on mosquitoes as a food source? Okay, I’m really not sure what redeeming features rats have, although I did read a few years ago that in a serious food crunch farming rats would be a much more efficient way of turning very marginal materials into edible protein than chicken.

The universe in a bottle thing is mind blowing if you spend too much time thinking about it. It could just be bottles all the way down. It’s best not to spend too much time thinking about it.

That’s it, Happy 2019!