Friday, June 27, 2008

Live shorter and still prosper

Recently released life expectancy figures for 2006 show a new record high in the United States; 78.1 years of age. While much of the rise in life expectancy during US history is attributed to advances in childhood medicine and better public sanitation, more recent upward trends point at the “miracles of modern medicine” giving people the tools needed to treat diseases associated with aging. On the surface this looks like great news; yea! We’re living longer. But life expectancy figures measure only age and do not take into account the physical condition of people on the upper ends of the age spectrum and the quality of life that they lead. There is a fine line between saving a life and artificially prolonging one. What are we sacrificing to tack on a few extra years at the end of our lives?

How do we define life? Is it simply a beating heart or is it the ability to think, enjoy, love, worship, or laugh? Some argue that life is so precious that all means should be taken to keep a person breathing. This mindset keeps people fighting for the physical lives of their family when the person and everything they cherished about their life is already gone. We lose focus of what makes a life, things like happiness and joy, and instead trudge through existence just breathing, not living. As one of our nation’s greatest leaders, Abraham Lincoln, once said; “And in the end, it's not the years in your life that count. It's the life in your years.” The wisdom and power of those words from centuries past are timeless.

This shift towards unhappiness is characterized in movies and television as an unavoidable rite of passage to old age. Ever wonder why people often turn into bitter “curmudgeons?” Perhaps it is because they are told they cannot eat, drink, or do anything that actually made them enjoy life in the first place! Maybe they didn't grow up dreaming about living their last decades in a nursing home where the highlight of their day is penny bingo after their chopped liver lunch. I feel for the sick, the old and the dying who are told they can’t have something they really want because it is bad for their health or because the doctor said so. Battle old age all you want, it is always going to win. If someone makes it 80, 90, or 100 years old they should be rewarded with all the red meat, fried chicken, and booze they want. Watch your diet when you’re young and it actually matters, by 90 who the hell cares? If dying wishes include an ice cream sundae it is really not the time to be worrying about glucose readings; have your cake and eat it too, literally. I have a verbal pact (which I guess will be written here now) with my husband; if I cannot eat, talk, laugh or kiss him, my favorite things in the world to do, then please just pull the plug.

The United States leads the world in the amount of money spent on healthcare in a person’s final year of life. Doctors are in the business of saving lives, and this includes performing “medical heroics” that all too often extend a person’s calendar years with little consideration to the kind of life the person can lead afterwards. People with long-term, debilitating, incurable illnesses are given a battery of surgeries, medicines and procedures to keep them alive but are so rarely reminded that the choice to continue fighting is ultimately theirs and their families. Sometimes years pass where a person is alive but without any signs of life, and with medical advances this is going to happen more and more frequently.

When it comes to heroics, the only thing more courageous than choosing to battle a disease is the courage it takes to realize the disease won and concede the fight. After people decide to stop medical treatments and take a chance with whatever comes after this world, doctors, with their lifesaving possibilities behind them, often step aside and let the end of life experts take charge; nurses. Hospice and Palliative nurses deliver physical, psychosocial, emotional, and spiritual care to the terminally ill and their families. These Nurses prepare patients and their families for the final days through education, comfort, and compassion. I can think of no other career path that requires such opposing capabilities; the strength to watch people die and the compassion to help them and their families through the pain and loss. I consider myself incredibly blessed to work with nurses almost everyday, women and men who teach very valuable lessons on navigating the rivers of life (if you are willing to listen!). The work they do serves as a reminder of lessons learned from family and friends who made the most of their time on earth; live life to the fullest, enjoy every day, and to take better care of yourself when you’re young so the years added are actually healthy ones.


This is dedicated to my Father-in-law John, who realized he was losing his battle against kidney failure and said enough; living out his last days in the comfort and care of a hospice nurse team. Thank you to the nurses who took care of him, who have ever cared for me and my family, and who I am blessed to have as friends and co-workers; you are truly special people for choosing a profession that requires so much skill and compassion.


Thursday, June 26, 2008

Quote of the Week

Walking takes longer... than any other known form of locomotion except crawling. Thus it stretches time and prolongs life. Life is already too short to waste on speed.
- Edward Abbey, "Walking"
Bonus Quote
What really helps motivate me to walk are my dogs, who are my best pals. They keep you honest about walking because when it's time to go, you can't disappoint those little faces.
- Wendie Malick

Wednesday, June 25, 2008

Our Daily Walk

Every diet, every gym, every workout infomercial comes with a “CYA” warning, alerting consumers to consult with a doctor before starting a new diet or exercise routine. If you actually consult with a doctor they will encourage a slow start to a new program, often promoting the adoption of a daily walk. When I began to work with doctors and coaches on finding a maintainable way to get to, and stay at, a healthy weight they quickly started dolling out praises on the power of a good walk. Since exercise is synonymous in my head with sweat and pain, walking is not an activity I approach with the same fervor of an aerobics class. I considered tackling this issue as a byproduct of my years as an exercise bulimic, a condition that causes people to over-exercise in an effort to burn every calorie they consume. However, upon analysis it became apparent that my attitude that walking is not really exercise was not a problem but actually quite healthy. By viewing walking as just an activity and not exercise, I was less likely to abuse it. Still, there are so many people who share my “walk is not exercise” mindset and forego this healthy activity in lieu of more strenuous workouts, but this attitude is easily fixed with the addition of a furry friend.

Each morning starts with the same routine, performed with such uniform precision that even a German engineer would be proud. After rolling from bed and visiting the bathroom, I reach for a pair of jeans and just the sound of the fabric hitting my toes wakes Luna and Solei, my two dogs, from their deep slumber. All it takes is the quiet noises of getting dressed to alert them of the start of a new day. Each morning this same pattern is repeated, shortly followed by the phrase “wanna go for a walk?” The dogs immediately jump and cry and run and bark in eager anticipation of a walk around the neighborhood. The only thing that gets the dogs more excited then going for a w-a-l-k is going "buh bye car." I try to think if there are any phrases that would evoke the same level of excitement as these two do for my pups and the only thing that comes close is “wanna go for Dairy Queen?” Sad to say even that doesn’t have me running, crying or barking nearly as much as the dogs.

The benefits of our daily walk go well beyond exercise. We have a little saying in our house, “A tired puppy is a good puppy,” and this mantra is supported by America’s favorite Dog Person, Cesar Milan (aka the Dog Whisperer). The daily walk started not for my own exercise needs, but when Luna was a puppy and the only way to knock the “Schnoodle 500” zoomie energy out of her was with a good, long walk. That was nearly 4 years ago and she, and her little sister, still requires a fair amount of exercise to ensure our furniture is not destroyed out of “when are Mom and Dad coming home from work?” boredom. For those having issues with a destructive dog, my two are living proof that a tired dog won’t chew your shoes.

Before getting a dog the only neighbors I knew were those immediately around us. Exploring your neighborhood on foot allows opportunities for striking up conversation, actually getting to know the people you share a zip code with. Having a dog amplifies the experience as they make acquaintance with the rear ends of other neighborhood dogs. This method of meeting people does come with a funny issue; no one actually knows me by my real name and instead refers to be as Luna and Solei’s Mom. That’s okay, because I am just as guilty of calling people Monte, Lady, Freya, Sam and Buddy’s parents. Because of the walk, and the dogs, people are friendly, wave and say hi, the kind of interaction with neighbors that many people lack these days.

Walking through my neighborhood also reminds me that as much as I hate Minnesota (my biggest search term hit on the site, I should include it in every post), I love my quaint area that somehow sits only miles from downtown. In a couple of mile loop we pass ponds, a golf course, and a creek. We share our path with deer that stop and stare at us on our walk, like we are some strange animal, unnatural in their habitat. In the fall the ground crunches from the leaves of hundreds of oak and elm trees. The lushness spring blooms makes it nearly impossible to see what awaits around the next corner. The scenery never gets old and I am in constant awe at the neighborhood that is more like a nature preserve.

People often ask me why I walk the dogs every morning when I have a large, fenced in back yard. My retort is the walk is just as much for me as it is for them. Just as the daily walk is not exercise in my head, it is also not a chore. Beginning each day with a walk is calming, therapeutic, and relaxing. Unless the rain is of biblical proportions or temperature bone crushing, the show goes on. I cannot make a job or life change that would prohibit this daily ritual; walking my neighborhood with two leashes in hand has become just as much a part of the day as brushing my teeth and enjoying a cup of coffee. My coworkers seem so frazzled every morning, starting their days with kiddie carpool mix-ups, daycare horror stories, long commutes, fights over breakfast, or early conference calls. Missing the walk throws me completely off my rails and has repercussions on my work and personal performance; it is a non-negotiable part of my day. I’m a better employee, a better neighbor, a better pet-parent, overall a better person because of this time to myself; getting a little exercise on top of all that is just icing on the cake.

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