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482. The Butchering Art: Joseph Lister’s Quest to Transform the Grisly World of Victorian Medicine

Rating:  ☆☆☆

Recommended by:  Ben and Drue Emerson

Author:   Lindsey Fitzharris

Genre:   Non Fiction, Biography, Science, Medicine, Health

304 pages, published October 31, 2017

Reading Format:  Book

Summary

The Butchering Art tells the story of Joseph Lister, a Quaker surgeon in nineteenth-century England and Scotland who solved the riddle of post operative infections.  Drawing from the work of friend Louis Pasteur and his own tireless experimentation, Lister proved germ theory and changed the practice of medicine and saving countless lives.

Quotes 

“The adoption of Lister’s antiseptic system was the most prominent outward sign of the medical community’s acceptance of a germ theory, and it marked the epochal moment when medicine and science merged.”

 

“From the moment he looked through the lens of his father’s microscope to the day he was knighted by Queen Victoria, his life was shaped and influenced by his circumstances and the people around him. Like all of us, he saw his world through the prism of opinions held by those whom he admired most:”

 

“Lister understood that being in a hospital could be a terrifying experience and followed his own golden rule: “Every patient, even the most degraded, should be treated with the same care and regard as though he were the Prince of Wales himself.”

 

“The best that can be said about Victorian hospitals is that they were a slight improvement over their Georgian predecessors. That’s hardly a ringing endorsement when one considers that a hospital’s “Chief Bug-Catcher”—whose job it was to rid the mattresses of lice—was paid more than its surgeons.”

 

“If Lister had nursed any hope that his diligence and reasoned argument concerning his antiseptic system would convert the American audience, he would be sorely disappointed. One attendee accused him of being mentally unhinged and having a “grasshopper in the head.”

 

“Erysipelas was one of four major infections that plagued hospitals in the nineteenth century. The other three were hospital gangrene (ulcers that lead to decay of flesh, muscle, and bone), septicemia (blood poisoning), and pyemia (development of pus-filled abscesses).”

 

“When a distinguished but elderly scientist states that something is possible, he is almost certainly right. When he states that something is impossible, he is almost certainly wrong. —ARTHUR C. CLARKE”

 

“The symptoms syphilis engendered worsened over time. In addition to the unsightly skin ulcers that pockmarked the body in the later stages of the disease, many victims endured paralysis, blindness, dementia, and “saddle nose,” a grotesque deformity that occurs when the bridge of the nose caves into the face. (Syphilis was so common that “no nose clubs” sprang up all over London. One newspaper reported that “an eccentric gentleman, having taken a fancy to see a large party of noseless persons, invited every one thus afflicted, whom he met in the streets, to dine on a certain day at a tavern, where he formed them into a brotherhood.” The man, who assumed the alias of Mr. Crampton for these clandestine parties, entertained his noseless friends every month for a year until his death, at which time the group “unhappily dissolved.”)”

 

“Let us not overlook the further great fact, that not only does science underlie sculpture, painting, music, poetry, but that science is itself poetic.… Those engaged in scientific researches constantly show us that they realize not less vividly, but more vividly, than others, the poetry of their subjects. —HERBERT SPENCER”

 

My Take

I learned a lot about history and medicine from The Butchering Art which focuses on the story of surgeon Joseph Lister and how he demonstrated the role played by germs in causing infections.  Prior to Lister, surgery was a gruesome affair with unsanitary hospitals and many post-operative infections.  We all owe a debt of gratitude to Lister and all of the scientists who were courageous enough to challenge the status quo.

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473. Better

Rating:  ☆☆☆☆

Recommended by:

Author:  Atul Gawande

Genre:   Non Fiction, Health, Medicine, Science, Memoir, Essays

273 pages, published April 3, 2007

Reading Format:  Audiobook on Overdrive

Summary

In Better, surgeon and author Atul Gawande explores different aspects of medical care (hygiene, obstetrics, medical malpractice, battlefield surgical tents in Iraq, doctor assisted administration of the death penalty, the treatment of polio in India) and explores how to bring improvements to different systems.

Quotes 

“Better is possible. It does not take genius. It takes diligence. It takes moral clarity. It takes ingenuity. And above all, it takes a willingness to try.”

 

“People underestimate the importance of dilligence as a virtue. No doubt it has something to do with how supremely mundane it seems. It is defined as “the constant and earnest effort to accomplish what is undertaken.”… Understood, however, as the prerequisite of great accomplishment, diligence stands as one of the most difficult challenges facing any group of people who take on tasks of risk and consequence. It sets a high, seemingly impossible, expectation for performance and human behavior.”

 

“The seemingly easiest and most sensible rule for a doctor to follow is: Always Fight. Always look for what more you could do.”

 

“We are used to thinking of doctoring as a solitary, intellectual task. But making medicine go right is less often like making a difficult diagnosis than like making sure everyone washes their hands.”

 

“The hardest question for anyone who takes responsibility for what he or she does is, What if I turn out to be average?”

 

“Doctors quickly learn that how much they make has little to do with how good they are. It largely depends on how they handle the business side of their practice.”

 

“Indeed, the scientific effort to improve performance in medicine—an effort that at present gets only a miniscule portion of scientific budgets—can arguably save more lives in the next decade than bench science, more lives than research on the genome, stem cell therapy, cancer vaccines, and all the other laboratory work we hear about in the news.”

 

“Ingenuity is often misunderstood. It is not a matter of superior intelligence but of character. It demands more than anything a willingness to recognize failure, to not paper over the cracks, and to change. It arises from deliberate, even obsessive, reflection on failure and a constant searching for new solutions.”

“We always hope for the easy fix: the one simple change that will erase a problem in a stroke. But few things in life work this way. Instead, success requires making a hundred small steps go right – one after the other, no slipups, no goofs, everyone pitching in.”

 

“Human birth…is a solution to an evolutionary problem: how a mammal can walk upright, which requires a small, fixed, bony pelvis, and also possess a large brain, which entails a baby whose head is too big to fit through that small pelvis…in a sense, all human mothers give birth prematurely. Other mammals are born mature enough to walk and seek food within hours; our newborns are small and helpless for months.”

 

“Betterment is perpetual labor. The world is chaotic, disorganized, and vexing, and medicine is nowhere spared that reality. To complicate matters, we in medicine are also only human ourselves. We are distractible, weak, and given to our own concerns. Yet still, to live as a doctor is to live so that one’s life is bound up in others’ and in science and in the messy, complicated connection between the two It is to live a life of responsibility. The question then, is not whether one accepts the responsibility. Just by doing this work, one has. The question is, having accepted the responsibility, how one does such work well.”

 

My Take

I always think the mark of a good non fiction book is how much I learned from reading it.  Well, I learned a lot about modern medicine after reading Better.   It also didn’t hurt that Atul Gawande (author of Being Mortal) is a talented writer with something to say.

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460. Together: The Healing Power of Human Connection in a Sometimes Lonely World

Rating:  ☆☆☆1/2

Recommended by:

Author:   Vivek Murthy

Genre:   Non Fiction, Health, Psychology, Self Improvement, Public Policy

352 pages, published April 28, 2020

Reading Format:  Book

Summary

In Together, former Surgeon General Vivek Murthy argues that loneliness is at the root of our current mental health and drug abuse crisis’s.  In response, he advocates social and community connection as a cure for loneliness.

Quotes 

“Like thousands of others, we survived the storm and the many dark days that followed because of the kindness of strangers who brought food, water, and comfort’.”

 

“To be real is to be vulnerable.”

 

“Intimate, or emotional, loneliness is the longing for a close confidante or intimate partner—someone with whom you share a deep mutual bond of affection and trust. Relational, or social, loneliness is the yearning for quality friendships and social companionship and support. Collective loneliness is the hunger for a network or community of people who share your sense of purpose and interests. These three dimensions together reflect the full range of high-quality social connections that humans need in order to thrive. The lack of relationships in any of these dimensions can make us lonely, which helps to explain why we may have a supportive marriage yet still feel lonely for friends and community.”

 

“Solitude, paradoxically, protects against loneliness.”

 

“What often matters is not the quantity or frequency of social contact but the quality of our connections and how we feel about them.”

 

“loneliness overlaps with and is often inherited with anxiety disorders or depression.”

 

“Loneliness is the subjective feeling that you’re lacking the social connections you need. It can feel like being stranded, abandoned, or cut off from the people with whom you belong—even if you’re surrounded by other people. What’s missing when you’re lonely is the feeling of closeness, trust, and the affection of genuine friends, loved ones, and community.”

 

“we need to more deeply appreciate the relationship between loneliness, social connection, and physical and emotional health.”

 

“Most of us are interacting with lonely people all the time, even if we don’t realize it.”

 

“We all need to know that we matter and that we are loved.”

 

“Call it a clan, call it a network, call it a tribe, call it a family. Whatever you call it, whoever you are, you need one. You need one because you are human.”

 

“John Cacioppo helped us understand an additional way loneliness causes mental and physical exhaustion: it takes a toll on the quality of sleep. When we’re profoundly lonely, we tend to sleep lightly and rouse often, just as our ancestors did to prevent being overtaken by wolves or enemies.”

 

“When we become chronically lonely, most of us are inclined to withdraw, whether we mean to or not.”

 

My Take

I enjoyed reading Together and wholeheartedly agree with its message.  As illustrated in real time by the Covid pandemic, human beings are social creatures and we suffer when our opportunities for social interaction are diminished.

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455. The Unwinding of the Miracle: A Memoir of Life, Death, and Everything That Comes After

Rating:  ☆☆☆☆1/2

Recommended by:  Frank and Lisanne

Author:   Julie Yip-Williams

Genre:   Non Fiction, Memoir, Health

315 pages, published January 8, 2019

Reading Format:  Audio Book on Overdrive

Summary

In her late 30’s, young mother and accomplished attorney Julie Yip Williams receives a terminal diagnosis of colon cancer.  In a very personal blog, she chronicled her story.  She wrote about her early childhood in Vietnam where her grandmother wanted her euthanized because she was born legally blind, her emigration to the United States where her sight was restored, her time at Williams and Harvard Law School and her incredible love for her husband and two girls.  She also writes about forgiveness and the importance of living life to the fullest while learning to accept death.

Quotes 

“Walk through the fire and you will emerge on the other end, whole and stronger. I promise. You will ultimately find truth and beauty and wisdom and peace. You will understand that nothing lasts forever, not pain, or joy. You will understand that joy cannot exist without sadness. Relief cannot exist without pain. Compassion cannot exist without cruelty. Courage cannot exist without fear. Hope cannot exist without despair. Wisdom cannot exist without suffering. Gratitude cannot exist without deprivation. Paradoxes abound in this life. Living is an exercise in navigating within them.”

 

“Live while you’re living, friends.”

 

“Believe what you need to believe in order to find comfort and peace with the inevitable fate that is common to every living thing on this planet. Death awaits us all; one can choose to run in fear from it or one can face it head-on with thoughtfulness, and from that thoughtfulness peace and serenity.”

 

“I think God is beyond what my little, limited, human brain can fathom. But, perhaps, something my limitless soul can just being to grasp in my moments of utmost clarity.”

 

“Dying has taught me a great deal about living—about facing hard truths consciously, about embracing the suffering as well as the joy.”

 

“Live a life worth living. Live thoroughly and completely, thoughtfully, gratefully, courageously, and wisely. Live!”

 

“Life is not fair. You would be foolish to expect fairness, at least when it comes to matters of life and death, matters outside the scope of the law, matters that cannot be engineered or manipulated by human effort, matters that are distinctly the domain of God or luck or fate or some other unknowable, incomprehensible force.”

 

“It is in the acceptance of truth that real wisdom and peace come. It is in the acceptance of truth that real living begins. Conversely, avoidance of truth is the denial of life.”

 

“The worth of a person’s life lies not in the number of years lived; rather it rests on how well that person has absorbed the lessons of that life, how well that person has come to understand and distill the multiple, messy aspects of the human experience.”

 

“Well, I’m here to play the game, and I choose not to live or die by what the odds-makers say. I choose not to put faith in percentages that were assembled by some anonymous researcher looking at a bunch of impersonal data points. Instead, I choose to put faith in me, in my body, mind, and spirit. In those parts of me that are already so practiced in the art of defying the odds.”

 

“For me, raging and raging like a wild, irrational beast, denying one’s own mortality, clinging to delusion and false hopes, pursuing treatment at the cost of living in the moment, sacrificing one’s quality of life for the sake of quantity, none of this is graceful or dignified, and all of it denies us our contemplative and evolved humanity; such acts do not cultivate an invincible spirit; such acts are not testaments to inner strength and fortitude. For me, true inner strength lies in facing death with serenity, in recognizing that death is not the enemy but simply an inevitable part of life.”

 

“I believe, as I have always believed, that in honesty — a brutal yet kind and thoughtful honesty — we ultimately find not vulnerability, shame, and disgrace, but liberation, healing, and wholeness.”

 

“So much of life’s hardship becomes more bearable when you are able to build and lean on a network of loyalty, support, and love, and gather around you people…who will stand by you and help you. But the thing is you have to let them in; you have to let them see the heartache, pain, and vulnerability, and not cloak those things in a shameful darkness,

and then you have to let those people who care about you help you.”

 

“These are the times in life when we feel almost more than we are capable of feeling. These are the moments when—paradoxically, as we are closest to death—we are most painfully and vividly alive.”

 

“Similarly, there comes a time when one must recognize the futility of continuing the personal physical fight against cancer, when chemo is no longer a desirable option, when one should begin the process of saying goodbye and understand that death is not the enemy, but merely the next part of life. Determining that time is a deliberation that each of us must make with her own heart and soul. This is what Kathryn has done; she respects the force of nature acting on her body and has no delusions about somehow still overcoming; she made the cogent decision to evacuate ahead of the hurricane. To me, she has won her war against cancer so valiantly fought in the nonphysical realm.”

 

My Take

I was really moved by this beautifully written book.  Julie Yip Williams writes with such authenticity, love, and compassion about facing her own death with dignity, courage and acceptance.  She also is such a strong advocate for living your life to the fullest, taking risks, not being ruled by fear, and loving with the fullest heart your can.  Sage advice well taken.

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364. The New Health Rules: Simple Changes to Achieve Whole-Body Wellness

Rating:  ☆☆1/2

Recommended by:

Author:   Frank Lipman, M.D.

Genre:  Non Fiction, Health, Nutrition, Self Improvement

224 pages, published December 13, 2016

Reading Format:  Audio Book on Hoopla

Summary

The New Health Rules contains succinct tips on how to be a healthy person, covering categories from nutrition to exercise to stress reduction.

Quotes 

“Make your default mode one of generosity. It’s a nice way to live, and it’s contagious.”

 

“avocado—score it, spritz with lemon or olive oil, sprinkle with salt and cumin, and eat it like a grapefruit.”

 

“If you have a sweet tooth and you’re making a concerted effort to get yourself off sugar, take a supplement called glutamine when you have a craving (1,000 milligrams every four to six hours as needed).”

 

“Alcohol is liquid sugar. It’s more depleting than restorative. To feel your best, you shouldn’t be having alcohol every day, even red wine.”

 

“Eat grass-fed meat, wild-caught fish, greens, nuts, a bit of fruit—and no other carbs—for a month and see how you feel.”

 

“Lunch should be the largest meal—packed with protein, good fats, and vegetables.”

 

“If You Learn Only One Yoga Pose . . . . . . let it be supta baddha konasana.”

 

“Raw sugar and brown sugar have a better public image but are just as problematic as the white stuff. Cut it out.”

 

“If you’re on a statin drug like Lipitor to lower your cholesterol, you may know there’s controversy surrounding these meds. Here’s clarity: Lowering cholesterol does not, it turns out, prevent heart attacks and strokes. We’ve been sold a bill of goods. The big deal about this is that millions of people are on statins unnecessarily, and statins cause diabetes, liver damage, nervous system problems, muscle weakness, and more. Talk to your doctor about possibly getting off statins.” 

My Take

While there is lots of good advice in The New Health Rules, a pithy, informative book, I’ve heard about 90% of it before and I’m not sure about the other 10%.  Worth reading if you don’t keep up on nutrition news and are looking for guidance on how to eat.

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294. The First 1,000 Days: A Crucial Time for Mothers and Children—And the World

Rating:  ☆☆☆1/2

Recommended by:  Darla Schueth

Author:   Roger Thurow

Genre:  Non Fiction, Health, Environment, Food, Public Policy

282 pages, published March 3, 2016

Reading Format:  Book

Summary

The First 1,000 Days refers to the time period of pregnancy and a child’s first two years of life.  During this crucial time, whether or not a pregnant woman and her baby receive proper nutrition, medical care and hygiene can have an enormous impact on the rest of that child’s life, and in turn the social and economic health of the nation in which the child is born.  Author Roger Thurow explores various aspects of this global issue by profiling poor women and children in Uganda, Guatemala, India and Chicago.  Great progress has been made, but as The First 1,000 Days poignantly illustrates, there is still a long way to go.

Quotes 

“The time of your pregnancy and first two years of life will determine the health of your child, the ability to learn in school, to perform a future job. This is the time the brain grows the most.”

 

“Your child can achieve great things.” 

My Take

The First 1,000 Days is a well researched, compelling read.  It is heartbreaking to read about the abject poverty suffered by many people in the world, especially women and babies.  Reading this book really made me appreciate how good we have it in the United States.  Our lives are truly golden. The encouraging news is that progress is being made on several fronts to improve the global health of children.  Access to better nutrition and health care has improved and is continuing to improve.  Hopefully, the next decade will see a dramatic reduction in infant mortality and stunting.

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293. The Nature Fix: Why Nature Makes Us Happier, Healthier, and More Creative

Rating:  ☆☆☆

Recommended by:   Alli Angulo

Author:   Florence Williams

Genre:  Non Fiction, Science, Psychology, Health, Environment

304 pages, published October 20, 2005

Reading Format:  Audio Book

Summary

In The Nature Fix, Florence Williams investigates the science behind nature’s positive effects on the brain.  In her quest to discover the beneficial impact of nature, Williams’s research takes her to Korea, Finland, and California.  She discovers that the natural world has incredible powers to improve health, promote reflection and innovation, and strengthen our relationships.

Quotes 

“Annie Dillard once said, how we spend our days is how we spend our lives.”

 

“Here are some of the essential take-homes: we all need nearby nature: we benefit cognitively and psychologically from having trees, bodies of water, and green spaces just to look at; we should be smarter about landscaping our schools, hospitals, workplaces and neighborhoods so everyone gains. We need quick incursions to natural areas that engage our senses. Everyone needs access to clean, quiet and safe natural refuges in a city. Short exposures to nature can make us less aggressive, more creative, more civic minded and healthier overall. For warding off depression, lets go with the Finnish recommendation of five hours a month in nature, minimum. But as the poets, neuroscientists and river runners have shown us, we also at times need longer, deeper immersions into wild spaces to recover from severe distress, to imagine our futures and to be our best civilized selves.”

 

“We don’t experience natural environments enough to realize how restored they can make us feel, nor are we aware that studies also show they make us healthier, more creative, more empathetic and more apt to engage with the world and with each other. Nature, it turns out, is good for civilization.”

 

“We don’t experience natural environments enough to realize how restored they can make us feel, nor are we aware that studies also show they make us healthier, more creative, more empathetic and more apt to engage with the world and with each other. Nature, it turns out, is good for civilization.”

 

“Beginning in the early 1980s, Stephen and Rachel Kaplan at the University of Michigan noticed that psychological distress was often related to mental fatigue. They speculated that our constant daily treadmill of tasks was wearing out our frontal lobes.”

 

“people are happiest when they are well enmeshed in community and friendships, have their basic survival needs met, and keep their minds stimulated and engaged, often in the service of some sort of cause larger than themselves.”

 

“Among his dozens of influential studies are those showing that exercise causes new brain cells to grow, especially in areas related to memory, executive function and spatial perception. Before Kramer’s work, no one really believed physical activity could lead to such clear and important effects. Now people everywhere are routinely told that exercise is the single best way to prevent aging-related cognitive decline. Kramer’s studies helped change the way the profession”

 

“The difference in joy respondents felt in urban versus natural settings (especially coastal environments) was greater than the difference they experienced from being alone versus being with friends, and about the same as doing favored activities like singing and sports versus not doing those things. Yet, remarkably, the respondents, like me, were rarely caught outside. Ninety-three percent of the time, they were either indoors or in vehicles.”

 

“The idea of solvitur ambulando (in walking it will be solved) has been around since St. Augustine, but well before that Aristotle thought and taught while walking the open-air parapets of the Lyceum. It has long been believed that walking in restorative settings could lead not only to physical vigor but to mental clarity and even bursts of genius, inspiration (with its etymology in breathing) and overall sanity. As French academic Frederic Gros writes in A Philosophy of Walking, it’s simply “the best way to go more slowly than any other method that has ever been found.” Jefferson walked to clear his mind, while Thoreau and Nietzsche, like Aristotle, walked to think. “All truly great thoughts are conceived while walking,” wrote Nietzsche in Twilight of the Idols. And Rousseau wrote in Confessions, “I can only meditate when I am walking. When I stop, I cease to think; my mind only works with my legs.” 

My Take

The Nature Fix confirmed something that I have long suspected to be true.  There are significant psychic and physical benefits to spending time in nature and the absence of time in the great outdoors can have deleterious effects on human beings.  And the more time spent outside, the better.  Not groundbreaking, but a good reminder to spend time in nature every day.

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275. Food Rules: An Eater’s Manual

Rating:  ☆☆☆1/2

Recommended by:  Jackie Funk

Author:   Michael Pollan

Genre:  Non Fiction, Food, Health, Science, Nutrition

152 pages, published December 29, 2010

Reading Format:  Book

Summary

The title of Food Rules describes its content perfectly.  In this short book Michael Pollan, the author of many best-selling books on food (including The Omnivore’s Dilemma and In Defense of Food; both of which I read and enjoyed) offers the reader practical advice on what to eat and what not to eat.  His main advice is to “eat food, mostly plants, not too much.”  The book elaborates on each part of this guidance with enough explanation to understand the reason behind the recommendation.

Quotes 

“Populations eating a remarkably wide range of traditional diets generally don’t suffer from these chronic diseases. These diets run the gamut from ones very high in fat (the Inuit in Greenland subsist largely on seal blubber) to ones high in carbohydrate (Central American Indians subsist largely on maize and beans) to ones very high in protein (Masai tribesmen in Africa subsist chiefly on cattle blood, meat and milk), to cite three rather extreme examples. But much the same holds true for more mixed traditional diets. What this suggests is that there is no single ideal human diet but that the human omnivore is exquisitely adapted to a wide range of different foods and a variety of different diets. Except, that is, for one: the relatively new (in evolutionary terms) Western diet that that most of us now are eating. What an extraordinary achievement for a civilization: to have developed the one diet that reliably makes its people sick!”

 

“Not everyone can afford to eat well in America, which is a literal shame, but most of us can: Americans spend less than 10 percent of their income on food, less than the citizens of any other nation.”

 

“Don’t eat anything your great-grandmother wouldn’t recognize as food.”

 

“As grandmothers used to say, ‘Better to pay the grocer than the doctor”

 

“The whiter the bread, the sooner you’ll be dead.”

 

“Use the apple test. If you’re not hungry enough to eat an apple, you’re not hungry.”

 

“If it came from a plant, eat it; if it was made in a plant, don’t. .”

 

“…There’s a lot of money in the Western diet. The more you process any food, the more profitable it becomes. The healthcare industry makes more money treating chronic diseases (which account for three quarters of the $2 trillion plus we spend each year on health care in this country) than preventing them. ”

 

“For a product to carry a health claim on its package, it must first have a package, so right off the bat it’s more likely to be processed rather than a whole food.”

 

“The healthiest food in the supermarket – the fresh produce- doesn’t boast about its healthfulness, because the growers don’t have budget or packaging. Don’t take the silence of the yams as a sign they have nothing valuable to say about your health.”

 

“Be the kind of person who takes supplements — then skip the supplements.”

 

“Eating what stands on one leg [mushrooms and plant foods] is better than eating what stands on two legs [fowl], which is better than eating what stands on four legs [cows, pigs, and other mammals].”

 

“Leave something on your plate… ‘Better to go to waste than to waist”

 

“Human beings ate well and kept themselves healthy for millennia before nutritional science came along to tell us how to do it; it is entirely possible to eat healthily without knowing what an anti-oxidant is.”

 

“So don’t drink your sweets, and remember: There is no such thing as a healthy soda.”

 

“The banquet is in the first bite.”

 

“For as you go on, you’ll be getting more calories, but not necessarily more pleasure.”

 

“So: Ask yourself not, Am I full? but, Is my hunger gone? That moment will arrive several bites sooner.” 

My Take

Having read and enjoyed two previous books by Michael Pollan, I was looking forward to this mini-book which distilled his eating philosophy into small, bite-sized, easily remembered chunks.  I was not disappointed.  Food Rules offers a lot of pithy, common-sense advice in response to the age old question:  What should I eat?  While I’m still following the low-carb recommendation of Gary Taubes (author of Why We Get Fat), I am intentionally eating more vegetables and some fruit after being reminded of their healthful properties.

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255. Why We Get Fat: And What to Do About It

Rating:  ☆☆☆☆

Recommended by:   Gretchen Rubin

Author:   Gary Taubes

Genre:  Non Fiction, Health, Nutrition, Science, Self Improvement, Food

272 pages, published December 28, 2010

Reading Format:  Book

 

Summary

The title tells it all.  This a non-fiction book in which science writer Gary Taubes investigates and reports why we get fat.  Taubes argues, and empirically supports, that our diet’s overemphasis on certain kinds of carbohydrates (mostly sugars and starches), not fats and not excess calories, has led directly to our country’s obesity epidemic.  Taubes reveals the bad nutritional science of the last century, none more damaging or misguided than the “calories-in, calories-out” model of why we get fat, and the good science that has been ignored, especially regarding insulin’s regulation of our fat tissue. He also answers the most persistent questions: Why are some people thin and others fat? What roles do exercise and genetics play in our weight? What foods should we eat, and what foods should we avoid?

 

Quotes 

“We don’t get fat because we overeat; we overeat because we’re getting fat.”

 

“The simple answer as to why we get fat is that carbohydrates make us so; protein and fat do not.”

 

“In other words, the science itself makes clear that hormones, enzymes, and growth factors regulate our fat tissue, just as they do everything else in the human body, and that we do not get fat because we overeat; we get fat because the carbohydrates in our diet make us fat. The science tells us that obesity is ultimately the result of a hormonal imbalance, not a caloric one—specifically, the stimulation of insulin secretion caused by eating easily digestible, carbohydrate-rich foods: refined carbohydrates, including flour and cereal grains, starchy vegetables such as potatoes, and sugars, like sucrose (table sugar) and high-fructose corn syrup. These carbohydrates literally make us fat, and by driving us to accumulate fat, they make us hungrier and they make us sedentary.  This is the fundamental reality of why we fatten, and if we’re to get lean and stay lean we’ll have to understand and accept it, and, perhaps more important, our doctors are going to have to understand and acknowledge it, too.”

 

“Of all the dangerous ideas that health officials could have embraced while trying to understand why we get fat, they would have been hard-pressed to find one ultimately more damaging than calories-in/calories-out. That it reinforces what appears to be so obvious – obesity as the penalty for gluttony and sloth – is what makes it so alluring. But it’s misleading and misconceived on so many levels that it’s hard to imagine how it survived unscathed and virtually unchallenged for the last fifty years. It has done incalculable harm. Not only is this thinking at least partly responsible for the ever-growing numbers of obese and overweight in the world – while directing attention away from the real reasons we get fat – but it has served to reinforce the perception that those who get fat have no one to blame but themselves. That eating less invariably fails as a cure for obesity is rarely perceived as the single most important reason to make us question our assumptions, as Hilde Bruch suggested half a century ago. Rather, it is taken as still more evidence that the overweight and obese are incapable of following a diet and eating in moderation. And it put the blame for their physical condition squarely on their behavior, which couldn’t be further from the truth.”

 

“It may be easier to believe that we remain lean because we’re virtuous and we get fat because we’re not, but the evidence simply says otherwise. Virtue has little more to with our weight than our height. When we grow taller, it’s hormones and enzymes that are promoting growth, and we consume more calories than we expend as a result. Growth is the cause – increased appetite and decreased energy expenditure (gluttony and sloth) are the effects. When we grow fatter, the same is true as well.”

 

“Researchers have reported that the brain and central nervous system actually run more efficiently on ketones than they do on glucose.”

 

“Any diet can be made healthy or at least healthier—from vegan to meat-heavy—if the high-glycemic-index carbohydrates and sugars are removed, or reduced significantly.”

 

“The obvious question is, what are the “conditions to which presumably we are genetically adapted”? As it turns out, what Donaldson assumed in 1919 is still the conventional wisdom today: our genes were effectively shaped by the two and a half million years during which our ancestors lived as hunters and gatherers prior to the introduction of agriculture twelve thousand years ago. This is a period of time known as the Paleolithic era or, less technically, as the Stone Age, because it begins with the development of the first stone tools. It constitutes more than 99.5 percent of human history—more than a hundred thousand generations of humanity living as hunter-gatherers, compared with the six hundred succeeding generations of farmers or the ten generations that have lived in the industrial age.

It’s not controversial to say that the agricultural period—the last .5 percent of the history of our species—has had little significant effect on our genetic makeup. What is significant is what we ate during the two and a half million years that preceded agriculture—the Paleolithic era. The question can never be answered definitively, because this era, after all, preceded human record-keeping. The best we can do is what nutritional anthropologists began doing in the mid-1980s—use modern-day hunter-gatherer societies as surrogates for our Stone Age ancestors.”

 

My Take

When Gretchen Rubin (author of The Happiness Project and my personal guru) mentioned that after reading this book she was hit with a lightning bolt moment and changed her eating habits dramatically to extremely low carb, I was very interested to see what Taubes had to say.  Following his recommendations, I have been on a ketogenic (high fat and protein, very low carb) diet for several weeks.  After a few months, I’ll report back if it works.

 

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241. The Blue Zones of Happiness: A Blueprint for a Better Life

Rating:  ☆☆☆☆

Recommended by:

Author:  Dan Buettner

Genre:  Non-Fiction, Happiness, Self Improvement, Public Policy, Health

253 pages, published October 3, 2017

Reading Format:  Book

 

Summary 

Having previously explored the Blue Zones of the world (those places around the world where people live the longest lives), author and researcher Dan Buettner turns his focus to the world’s happiest places (with in-depth analysis of particular types of happiness in three different locations, Costa Rica (joy and lightheartedness), Denmark (community and purpose) and Singapore (satisfaction and accomplishment) and provides a blue print for applying lessons from these countries to improve our own communities and our lives.

 

Quotes 

“I wake up in the morning and I see that flower, with the dew on its petals, and at the way it’s folding out, and it makes me happy, she said. It’s important to focus on the things in the here and now, I think. In a month, the flower will be shriveled and you will miss its beauty if you don’t make the effort to do it now. Your life, eventually, is the same way.”

 

“knowing your sense of purpose is worth up to seven years of extra life expectancy.”

 

“Eat your vegetables, have a positive outlook, be kind to people, and smile – Kamada Nakasato, 102-y/o-female fr. Okinawa”

 

“Wine @ 5. People in all Blue Zones (even some Adventists) drink alcohol moderately and regularly. Moderate drinkers outlive nondrinkers. The trick is to drink one to two glasses per day with friends and/or with food. And no, you can’t save up all week and have 14 drinks on Saturday.”

 

“Drink without getting drunk

Love without suffering jealousy

Eat without overindulging

Never argue

And once in a while, with great discretion, misbehave”

 

“Gratitude always comes into play; research shows that people are happier if they are grateful for the positive things in their lives, rather than worrying about what might be missing.”

 

“In places where women have achieved gender equality, for instance, men tend to be happier than women. And in places where women are still not treated equally, women are often happier than men. Other studies have shown that, despite the popular belief that nobody wants to get older, most people actually get happier after a certain age.”

 

“WHAT CAN ADD ON MORE GOOD YEARS? Robert Kane: Rather than exercising for the sake of exercising, try to make changes to your lifestyle. Ride a bicycle instead of driving. Walk to the store instead of driving. Use the stairs instead of the elevator. Build that into your lifestyle. The chances are that you will sustain that behavior for a much longer time. And the name of the game here is sustaining. These things that we try—usually after some cataclysmic event has occurred, and we now want to ward off what seems to be the more perceptible threat of dying—don’t hold up over the long haul. We find all sorts of reasons not to do it. The second thing I’d tell you is don’t take up smoking. The biggest threat to improving our lifestyles has been cigarette smoking. That trumps everything else. Once you’re a nonsmoker, I would try to get you to learn to develop a moderate lifestyle in regard to your weight to build into your daily routine enough exercise to keep you going.”

 

“And as we shall see in forthcoming chapters, purpose and love are essential ingredients in all Blue Zone recipes for longevity.”

 

My Take

As a long time student of happiness, I was interested in reading this book.  It’s approach was to focus on three geographic locations known for high happiness levels:  Costa Rica, Denmark and Singapore.  The author discusses how joy, purpose, accomplishment and community are essential aspects of happiness and then shows how these qualities are present in those countries.  Interestingly, there is a chapter that explores the happiest place in the United States:  Boulder, Colorado.  I live in Boulder and agree that it is indeed a very happy place.  There is a tremendous sense of community here and lots of natural beauty and opportunities for outdoor activities.  A quick and engrossing read.