If you want a good newsletter, you should check out Arnold Schwarzenegger’s newsletter. I signed up a few months back and have thoroughly enjoyed each update. I find him such a fascinating and inspiring person, not just from his bodybuilding work, his acting career, or even his time in politics, but above all because he strikes me as a fundamentally decent person.
He made two interrelated observations in the latest issue that stuck out for me. A significant portion of the email dealt with his clarifying and elaborating on his viral “screw your freedoms” moment during an interview talking about why people should get their vaccines. In his expanded comments, he urges his readers to pay attention to the motivations of people trying to give them advice, and discard those opinions which are not in your best interest (including his own). By this, he means fitness influencers and politicians, whose motivations are clicks and ad revenue in the former, as well as outrage, donations, and votes in the latter. When it comes to your health, these people are not giving advice based on your own health and wellbeing.
The second related comment is that if you can’t trust government or social media, who should you trust? To that, he says you should trust your doctor because your doctor took an oath to protect you. Your doctor is paid with only one expectation in return – the promotion of your wellbeing and health.
Talk to your doctor, not people who don’t have your health as their main responsibility. The Instagram and Facebook accounts you follow that give information on vaccines are not concerned about your health. They are concerned with getting more followers and making money.
I have seen way too many stories about people who listened to politicized information about the vaccine instead of their doctors, and then changed their minds when it was too late.
At the end of the day, everyone has to make their own decision about getting vaccinated. But if I can inspire even a few of you or your friends or family to avoid another one of these tragic stories that tore families apart, I want to do it.
He urges us to trust the experts and take wisdom from their experience. When presented with advice, we should ask ourselves what the advice-giver gets in return for our compliance. Do they benefit from our participation? What do we lose by their gain? These are important checks that we should make when deciding what’s in our best interest.
I’ve been neglecting to care for my body these last few months of the pandemic. Last year I was progressing well with exercising on the elliptical, however I had to pause my challenge when my son was born. I didn’t have a good contingency plan in place, and so the whole running challenge fell by the wayside. Other than walks with the dog, I haven’t been intentionally setting out to move my body in some time.
One thing I’ve learned about myself and exercising is that injecting novelty into the process can be enough to spur on some change in my behaviours, such as the time I shopped my way to the gym. As a similar approach, I purchased an exercise program from the creators of a YouTube channel I follow – Buff Dudes. Brothers Brandon and Hudson put out great content and the idea of doing exercises at home with minimal equipment like exercise bands seemed like an interesting way to attempt exercise (without facing the humiliation of not being able to do proper pushups). I purchased some inexpensive bands online and ordered a copy of the workout plan.
I tried the first workout Thursday of last week, and attempted to stay humble by going through the routine with the lightest resistance band in the package. Somehow even the lightest band proved too much for my sedentary body and I suffered from D.O.M.S all weekend. I cursed my inactivity and reflected fondly on my days of regularly going to the gym and lifting waaaaay more weight without the same soreness nagging me days later.
Having recovered, I’ll be trying day 2 tomorrow, and hoping to suffer a little less in my recovery.
Here is my round-up list for the week ending on July 24th:
💭Reflection – Books as Monuments – Ryan Holiday (Instagram)
Last week Ryan shared the following post:
I have a vague recollection of when Madison Holleran died by suicide in 2014, though less about her as a person and more because of the conversation it sparked around mental health and how social media can portray a perfect life despite the hidden struggles of the person. I’ve yet to read this book, however as I was reflecting on this post I realized that this isn’t a book about a famous person, but it still stands as a monument to a life. That felt like a weird mental juxtaposition against the conversation going on about monuments in general and what we choose to remember. During a recent conversation with my grandmother, she was showing me photos of friends from her past that have since passed away. For nearly every person on the planet, your legacy extends only as far as your genes and the living memories of those who knew you. And yet, sometimes we pulp trees into paper and create a monument that will be read in the future. Monuments are not accidental – it’s a reflection of what we choose to remember. Madison’s life was tragically cut short, but at least she remains more than a fragile memory.
There is a lot of misinformation around the effects of wearing a mask. Here is a good quick summary. tldr: it prevents the wearer from spreading germs and it does not prevent one from breathing adequately. I’ve demonstrated this for myself by donning a non-surgical mask for the last two weeks of running on the elliptical. To date, in the 30 masked-miles I’ve run (roughly 3.5-hours of exertion), I have yet to have any symptoms related to hypoxia.
Two paragraphs stood out in this post that resonated with me:
By all accounts, COVID-19 is a ridiculously bad time to graduate. It isn’t just a bizarre year from the perspective of the job market. Graduates who have a job will face an unusual first year as part of the workforce. With organizations and the people generally unprepared and dealing with multiple stressors, they’re unlikely to get the training that they need on the job.
These are moments when you realize how big a role dumb luck plays in any professional success we enjoy. It is so easy to attribute things that are going well to our smarts and hard work. But, there’s so much more to any success than that.
Reading this made me reflect on my own career to this point. I finished my undergrad in 2009, the year after the 2008 economic downturn. I was fortunate to be accepted into grad school, where I stretched a 1-year program into a 3-year experience by the time I finished writing my thesis. That put me into the formal job market at the tail end of 2012, four full years after the markets took a dive. I was lucky to enter the working world while the economy was rebounding, and I didn’t have to face the same setbacks and struggles that many of my cohort felt (that is, had I not did my 5th year “victory lap” in high school, I would have finished undergrad a year earlier with my secondary school classmates). In this, I was very fortunate that my choices became opportunities of timing, and something worth keeping in mind as context.
Last week, I hit a new milestone in my ongoing fitness journey. Since the start of the year, I’ve been following an exercise regiment that is having me progressively adding distance to weekly targets that I run on our elliptical at home. I plan to post a more in-depth explanation of how and why I set the system up in the future, but the main gist is that for each week of the new year, I add one mile on the distance I have to cover for the week. As of writing, I’m in week 22 of the year, which means I will be running 22 miles this week.
On Friday, I still had just over 10 miles that I needed to cover to hit my target for the week. I had initially planned on running half on Friday and half on Saturday. As I started my run, I felt that I was in a good groove, and decided to run more than half the distance for the session. Five miles turned to six, then seven. Around the eighth mile, I figured I could easily go the full ten to close off the week.
Then I had another thought. When we first purchased the elliptical, I thought it might be a good goal to try and run a half-marathon. The furthest I ran on the machine was 10 miles, so it wouldn’t be much to go the extra three. With me being so close to the target, why not?
The hardest mile was probably going from mile ten to mile eleven. The display on the machine only shows three digits, so 9.99 miles became 10.0, meaning it took longer to see progress getting counted.
A mantra started to form at the top of each mile – “just one more mile; you can do it.” This was something I learned from my army cadet days. During a particularly hard summer, I felt extremely dispirited with having to last six-weeks on a challenging leadership course. I learned to focus less on the whole six-weeks and instead focus on just getting through to the next day. It’s a lesson I’ve carried with me and try to apply anytime I’m faced with a seemingly insurmountable task.
Instead of running 13.1 miles, I focused myself to just completing the next mile. And when I finished that mile, I focused on the next; then the next.
Ten miles gave way to eleven, then twelve, and finally thirteen.
Running a half-marathon on an elliptical isn’t the greatest of achievements. However, it was an excellent application of focus and drive that affirmed to me that a.) I’ve come a long way since January; and b.) progress is made by focusing on the next goal, not the end goal.
Last week, I discussed how important exercise has become in helping to regulate my mood while I stay safe at home. I wanted to share a quick second observation I’ve noticed for exercising. When I first started my challenge for the year, I told myself that I just had to make small commitments to keep the progress going. I started the challenge very light – just 1 mile in the first week. It was easy to manage and commit to. Each week adds a mile, which is a doable amount: 2 miles in week 2, 3 miles in week 3, etc.
I am in week 17 now, and it’s forcing me to run consecutive days. While I’m not running distances that really necessitate me to need recovery days, there are inevitably days where I wake up and my body feels stiff and my joints feel like I’m full of sand. It’s a lot harder to tell myself that if I just commit to one mile, I can easily do the rest. That trick no longer works on me.
But I’ve realized something different that really helps me. I’ve noticed that no matter how I feel physically (assuming I’m not ill), if I can stick it out until the end of the second mile, I know I can do the run. There is something that happens between the first and second mile where the stiffness goes away. It’s likely the official warm-up period, but by mile-two I hit my stride, my breath falls into cadence, and I’m able to easily keep my target pace.
Understanding the magic of the second mile doesn’t make it psychologically easier to get on with the run (my mind still loves to procrastinate when I know I’m about to spend 45-minutes sweating), but it does let me know that physically I’m up to the task. The resolution sets in and I get to work.
Participating in physical distancing has given me some time to reflect. From the relative stillness of being home everyday, I have had a chance to think about my daily experiences without the distractions that comes from what used to be my normal routine. I’d like to share some of these reflections as they clarify in my mind under the banner of Quarentine Reflections.
First, I’ve had a personal realization recently concerning exercise. I have attempted to cultivate the habit of exercising for some time, going back severalyearsonthisblogalone. While I haven’t written about it yet for 2020, I started an exercise routine in January that I can happily report that I’ve maintained til the present. I’ll write about the routine in the future, but for now I’m sticking to the schedule and putting in my time.
Normally when I exercise, it’s something I try to fit into my busy days. Often it takes the form of a run in the morning before work: I try to squeeze in a run on our elliptical at home, then rush to shower and get to work without being too late. While at work, I remain somewhat distracted from paying attention to my body’s cues, so I don’t think too much about how I feel the rest of the day aside from the feeling of accomplishment that comes from knocking off a run early in your day.
But with physical distancing in effect, things are quieter. I am still working, but from at home. There is no context switching that happens in my mind that shifts gears from home to work. There are no coworkers to socialize with when I don’t feel like being productive. The lack of shift in my brain has create a scenario where I am able to sit with my thoughts for longer periods of time.
In these stretches of time, I’ve noticed that regular exercising noticably boosts my mood for the rest of the day. This isn’t a unique experience; it’s often touted as a benefit of exercising (once you get over the newbie hump of bodily pain). But while working in the office, I rarely noticed the affective change that exercise gave me. Usually, it was a cognitive change that came from mentally congratulating myself for exercising (or the social benefits that came from being that guy in the office who tells people that he got in a workout that morning – sadly, I am also that kind of person…).
I didn’t notice this benefit at first. When we first started working from home, I kept up my regular runs during the week as a way of imposing some sort of routine on my now drifting life. But last week I noticed a few days early in the week where I felt really crummy. I have a few forms of reflection that I engage with at the moment – I rate my mood in my notebook out of 10, I vlog a personal diary during the week, and I’ve taken up a form of morning pages to capture my internal monologue. In all three areas, I had noticed that I was feeling down and unmotivated. The day after I first logged the down mood, I exercised, and later that afternoon I did my check-in and noticed that my mood was a lot higher compared to the previous day. Nothing had materially changed about my day – I didn’t sleep more, my diet was consistent, and I hadn’t been any more productive in my tasks at work. The only big change over the previous day is that I had gotten a few miles in on the elliptical.
In looking back over the last month, I think I have spotted a trend. For days where I had the lowest mood, I did not exercise in the morning. On days where I exercised, I had higher mood levels. This isn’t to say that exercise is the only thing that correlates with an increase in my mood – there are plenty of days (e.g. weekends) where I feel fine but don’t exercise. However, it would seem reasonable to assert that there is a close connection with exercising and an overall improvement in my mood.
I plan to continue to follow my exercise routine, and I hope to set aside time in the near future to document it here or in a vlog format. But for now, it appears that I’ve found a more intrinsic reason to continue to exercise beyond vanity. Not only does exercise help me look better, but I feel better when I commit to the schedule.
This week, I want to pause to celebrate some of my friends who I find really inspiring. I don’t get a chance to see these folks much in person anymore as we’ve all moved on with our lives. They came into my life through various avenues – a childhood friend (C), high school (Sh), community work (K), and two I met through working at the bar (Sa and Y) – and yet thanks to technology and one of the few positive benefits of social media, I get to be a passive viewer as they live out their lives.
The concept of fitness is fraught with some terrible associations about what it means to be or look healthy. I don’t look to these friends because they embody some ideal of fitness, but for a more important reason. I admire them because they are consistent and dedicated, which is something I struggle with from time to time. Every day that I scroll through my feed, one or more of my friends are sharing the fitness part of their lives by showing up and putting in their time towards their goals.
“C”, for instance, is killer with her cardio and puts my runs to shame. “Sh” is in the gym almost every morning before I am conscious enough to roll out of bed. “K” has logged so many days of running on the trail, riding on her bike, and hours on the mat that she could stop all activity and I doubt I’d still catch up in my lifetime. “Y” is an absolute beast of a man and can deadlift two of me, but is one of the nicest guys I’ve had the privilege of working with. And “Sa,” who I’ve been fortunate to train with, is there, everyday, training his students in athletics and the martial arts.
These aren’t perfect people. Each of them has had their ups and downs, and has struggled in battle with their own personal demons. It’s not the “fitness” that makes me proud of their work, it’s because they inspire me to show up and not get discouraged.
To my friends – I see you. I see all of your hard work. I appreciate how honest you are. And I applaud that you all seem to do what you do for good, noble reasons. You aren’t vain and aren’t doing it for the attention. You are doing it for you, to live your best lives. To challenge yourself and to focus your energies.
In the ethics of conducting research with human participants, there is the concept of “informed consent.” At its foundation, informed consent is the process of communicating a sufficient amount of information about a research project to a prospective participant so that the prospect is able to decide whether they want to consent to being a participant in a study. There is a lot of nuance that can go into selecting what gets communicated because you have a lot of necessary information that needs be shared but you don’t want to share so much information that the participant is overwhelmed by the volume of information.
When I review research ethics applications, I am privy to a lot of information about the project. In the course of reviewing the project, I have to make judgement calls about what should be included in the informed consent letters that participants read. It would be counter-productive if the participant had to read all the documentation I am required to read when reviewing an application, so we use certain best practices and principles to decide what information gets communicated as a standard, and what is left in the application.
There is, of course, some challenges that we must confront in this process. As I said, when reviewing a research project, you have to balance the needs of the project with the needs of a participant. All research, by virtue of exploring the unknown, carries with it an element of risk. When you involve humans in a research project, you are asking them to shoulder some of the risk in the name of progress. Our job as researchers and reviewers is to anticpate risk and mitigate it where possible. We are stewards of the well-being of the participants, and we use our experience and expertise to protect the particpants.
This means that one challenge is communicating risk to participants and helping them understand the implications of the risks of the research. In many instances, the participants are well aware of risks posed to their normal, every-day lived experiences and how the research intersects with it. The patient living with a medical condition is aware of their pain or suffering, and can appreciate risks associated with medical interventions. A person living in poverty is acutely aware of what it means to live in poverty, and understands that discussing their experiences can be psychologically and emotionally difficult. Our jobs (as reviewers and researchers) is to ensure that the participant is made aware of the risk, mitigate it as much as we can without compromising the integrity of the research program, and to contextualize the risk so that the participant can make choices for themselves without coercion.
The concept of informed consent is hugely important, arguably the most important component of research projects involving humans as participants. It is an acknowledgement that people are ends in themselves, not a means to furthering knowledge or the researcher’s private or professional goals. Indeed, without a respect for the autonomy of the participant, research projects are likely to not be moved into action even when research funds are available.
All of this is a preamble to discuss the anger I felt when I read a recent CBC report on how anti-vaxxer advocates are using the concept of informed consent as a dog-whistle to their adherents, and are using informed consent as a way of both furthering their awareness and raising money with well-meaning politicians and the public.
In fairness, I can see the chain of reasoning at play that tries to connect informed consent with concerns about vaccines. For instance, in the article there is a photo of supporters of a vaccine choice group with a banner that reads “If there is a risk there must be a choice.” This sentiment is entirely consistent with the principles of informed consent. The problem with this application is that the risk is not being communicated and understood properly within context, and instead fear, misinformation, and conspiracies that lead to paternalistic paranoia are short-cutting the conversation. Further, the incentive structures that are borne out of the economics of our medical system are doing little to address these fears. Because so little money is flowing from the government to the medical system, doctors are forced to maximize the number of patients they see in a day just to ensure enough money is coming into the practice to pay for space, equipment, staff, insurance, and supplies. Rather than seeking quality face-to-face time with a patient, doctors have to make a choice to limit patient time to just focus on a chief complaint and address questions as efficiently as they can.
I don’t think it’s all the doctor’s fault either. I think we as patients, or more specifically we as a society, have a terrible grasp of medical and scientific literacy. I don’t have a strong opinion about what the root cause of this is, but some combination of underfunded schooling, rapid technological innovation, growing income disparities, entertainment pacification, a lack of mental health support, increasingly complex life systems, and precarious economic living in the average household are all influencing the poor grasp people have about what makes the world around us work. Rather than being the case that we are hyper-specialized in our worldviews, I think it’s the case that “life” is too complex for the average person to invest time into understanding. Let’s be clear, it is not the case that the average person isn’t smart enough to grasp it (even if sometimes my frustration with people leads me to this conclusion). Instead, I think that people are pulled in so many directions that they don’t have the time or economic freedom to deal with things that don’t immediately pay off for them. People are so fixated on just making it day-to-day and trying not to fall behind that it becomes a luxury to have the leisure time to devote to these kinds of activities.
What this results in, then, is the perfect storm of ignorance and fear that congeals into a tribal call to rebel against the paternalism of a system that is ironically also too cash-strapped to allow the flexibility to educate people on the nature of risk. People don’t have the time and ability to educate themselves, and doctors don’t have the time to share their experiences and knowledge with their patients.
Within this gap, opportunistic charlatans and sophists thrive to capitalize on people’s fears to push their own agendas. This is why bad actors like the disgraced former doctor Andrew Wakefield and movement leader Del Bigtree are able to charge fees to profit from speaking at anti-vaccination events. I’m not saying a person who spreads a message should do it for free. What I am saying is that they are able to turn a personal profit by preying on people’s fears while doing little to investigate the thing they claim to worry about.
We must find a way to communicate two simultaneous truths:
There is an inherent risk in everything; bad stuff happens to good people, and you can do everything right and still lose. Nevertheless, the risks involved when it comes to vaccines are worth shouldering because of the net good that comes from it and the risks themselves are vanishingly small.
In the 22 years since Wakefield published his study and the 16 years since its retraction, there has not been any peer-reviewed credible evidence that supports many of the claims given by the anti-vaxx movement. The movement is predicated on fears people have of the probability of something bad happening to them or their loved ones. The motivation behind the fear is legitimate, but the object of the fear is a bogeyman that hides behind whatever shadows it can find as more and more light is cast on this area.
The anti-vaxx ideology knows it cannot address head-on the mounting scientific evidence that discredits its premise, and so it instead focuses on a different avenue of attack.
This bears repeating: the anti-vaxx ideology cannot debate or refute the scientific evidence about vaccination. We know vaccines work. We know how they work; we know why they work. We understand the probabilities of the risk; we know the type and magnitudes of the risks. These things are known to us. Anti-vaxx belief is a deliberate falsehood when it denies any of what we know.
Because of this, the anti-vaxx ideology is shifting to speak to those deep fears we have of the unknown, and instead of dealing with the facts of medicine, it is sinking its claws into the deep desire we have for freedom and autonomy. It shortcuts our rational experience and appeals to the fears evolution has given us to grapples with the unknown – the knee-jerk rejection of things we don’t understand.
Informed consent as a concept is the latest victim of anti-vaxx’s contagion. It’s seeping in and corrupting it from the inside, turning the very principle of self-directed autonomy against a person’s self-interest. It doesn’t cast doubt by calling the science into question. Instead, it casts doubt precisely because the average person doesn’t understand the science, and so that unknown becomes scary to us and we reject or avoid what brings us fear.
Anti-vaxx ideology is a memetic virus. In our society’s wealth, luxury, and tech-enabled friction-free lives, we have allowed this dangerous idea to gain strength. By ignoring it and ridiculing it until now, we have come to a point where it threatens to disrupt social homeostasis. Unless we do something to change the conditions we find ourselves in – unless we are willing to do the hard work – I fear that this ideology is going to replicate at a rate that we can’t stop. It will reach a critical mass, infect enough people, and threaten to undo all the hard work achieved in the past. We have already seen the evidence of this as once-eradicated diseases are popping up in our communities. The immunity and innoculations have weakened. Let’s hope those walls don’t break.
As the year is winding down, I (like many others) am beginning the process of looking over the year that was and weighing in on how things went. While I ideally would have set goals for myself for 2019, truthfully I am terrible on the follow-through and I ended up setting something more akin to an “intention.” For instance, over the last two years, I had set as a New Year’s resolution to 1.) stop being late for things, 2.) keep exercising, and 3.) start making better eye contact when talking to people.
In reality, I’m still late for everything (but at least I track it), I stopped exercising a while ago (I’m disheartened no one called me out about it on social media), and I still feel my eye contact at work is spotty at best.
Last year though, instead of creating a quarterly goal for myself, I set a grand focus or theme for the year. I had tried setting quarterly themes for myself a few years ago, but I found that I wasn’t making progress during the quarter through poor goal management on my part, so I simplified and decided to work on one thing for the year.
At the start of 2019, I decided I would place greater emphasis on my health. I kept it fairly broad in its application, but I did brainstorm a number of concrete areas I could work on, such as weight loss, lowering my blood pressure, regularly attending the gym, better nutrition.
I think the fact that I kept things open-ended was a main reason why I feel like I didn’t accomplish this focus as well as I had wanted to. Had I set specific goals with realistic action items, I might have made better progress.
That’s not to say I haven’t “lived healthier.” For instance, I have:
experimented with intermittent fasting all throughout the year which did help to keep my overall weight regulated.
finally got a family doctor after having been dropped from my doctor when she closed her practice a decade ago.
went in for my first physical in a long time and had blood work done to check-in on how my body is doing.
been weighing myself and measuring blood pressure more frequently, though still haphazardly.
experimented with app-based meditation; I found the experience interesting and meriting further exploration, but I haven’t carved out the time to dedicate to it.
while on my honeymoon I hiked up Mt. Vesuvio and did a roundtrip on the Path of the God hike (nearly 20km and 200 flights of stairs registered on my Fitbit for the day).
began tracking things like my down/depressed days, headaches, and time with family and friends in addition to my sleep tracker.
visited my optometrist for a check-up.
two regular visits to the dentist.
cut down on the amount of junk food I take in my lunches at work to essentially zero.
While these aren’t quantified victories, there are worthwhile achievements to celebrate. As I look to the new year, one lesson I can draw is that limiting my one thing for the year is a good way to focus my attention, but if I want to make any tangible progress (e.g. weight loss on the scale), I would still need to set proper SMART goals and create an action plan that requires me to carve out time intentionally.