High Blood Pressure Quotes

One of the great tragedies of life is that men seldom bridge the gulf between practice and profession, between doing and saying. A persistent schizophrenia leaves so many of us tragically divided against ourselves. On the one hand, we proudly profess certain sublime and noble principles, but on the other hand, we sadly practise the very antithesis of these principles. How often are our lives characterised by a high blood pressure of creeds and an anaemia of deeds! We talk eloquently about our commitment to the principles of Christianity, and yet our lives are saturated with the practices of paganism. We proclaim our devotion to democracy, but we sadly practise the very opposite of the democratic creed. We talk passionately about peace, and at the same time we assiduously prepare for war. We make our fervent pleas for the high road of justice, and then we tread unflinchingly the low road of injustice. This strange dichotomy, this agonising gulf between the ought and the is, represents the tragic theme of man's earthly pilgrimage.

Weight (too much or too little) is a by-product. Weight is what happens when you use food to flatten your life. Even with aching joints, it's not about food. Even with arthritis, diabetes, high blood pressure. It's about your desire to flatten your life. It's about the fact that you've given up without saying so. It's about your belief that it's not possible to live any other way -- and you're using food to act that out without ever having to admit it. (p. 53)

In a massive, long-term study of 17,000 civil servants, an almost unbelievable conclusion emerged: the status of a person's job was more likely to predict their likelihood of a heart attack than obesity, smoking or high blood pressure.

People take ownership of sickness and disease by saying things like MY high blood pressure MY diabetes, MY heart disease, MY depression, MY! MY! MY! Don't own it because it doesn't belong to you!

One way to get high blood pressure is to go mountain climbing over molehills.

Sociologist James House of the University of Michigan declares that emotional isolation is a more dangerous health risk than smoking or high blood pressure, and we now warn everyone about these two!

Let us be dissatisfied until America will no longer have high blood pressure of creeds and an anemia of deeds. Let us be dissatisfied until the tragic walls that separate the outer city of wealth and comfort from the inner city of poverty and despair shall be crushed by the battering rams of the fires of justice. Let us be dissatisfied until they who live on the outskirts of Hope are brought into the metropolis of daily security. Let us be dissatisfied until slums are cast into the junk heap of history and every family will live in a decent, sanitary home. Let us be dissatisfied until the dark yesterdays of segregated schools will be transformed into the bright tomorrows of quality integrated education.

They are skeptical of the rhetoric of addiction as disease, something akin to high blood pressure or diabetes, and I get that. What they're really saying is that they may have partied in high school and college but look at them now. Look how strong-willed they are, how many good choices they've made. They want reassurances. They want to believe that they have been loved enough and have raised their children well enough that the things that I research will never, ever touch their own lives.

70% of the world global deaths are attributable to modifial behavioural risk factors like smoking, physical inactivity and diet. The leading global risks for mortality are high blood pressure 13%, tobacco use 9%, high blood sugar 6%, physical inactivity 6% and obesity 5%. In 2013, an estimated 2.1 billion adults were overweight, compared with 857 million in 1980. There are now more people world-wide, except in sub-Saharan parts of Africa and Asia who are obese, than who are underweight.

He was a red-headed chap, and my experience of the red-headed is that you can always expect high blood pressure from them in times of stress. The first Queen Elizabeth had red hair, and look what she did to Mary Queen of Scots.

Anytime I talk about my work informally, I inevitably encounter someone who wants to know why addicts become addicts. They use words like “will” and “choice,” and they end by saying, “Don’t you think there’s more to it than the brain?” They are skeptical of the rhetoric of addiction as disease, something akin to high blood pressure or diabetes, and I get that. What they’re really saying is that they may have partied in high school and college but look at them now. Look how strong-willed they are, how many good choices they’ve made. They want reassurances. They want to believe that they have been loved enough and have raised their children well enough that the things that I research will never, ever touch their own lives. I understand this impulse. I, too, have spent years creating my little moat of good deeds in an attempt to protect the castle of myself. I don’t want to be dismissed the way that Nana was once dismissed. I know that it’s easier to say Their kind does seem to have a taste for drugs, easier to write all addicts off as bad and weak-willed people, than it is to look closely at the nature of their suffering. I do it too, sometimes. I judge. I walk around with my chest puffed out, making sure hat everyone knows about my Harvard and Stanford degrees, as if those things encapsulate me, and when I do so, I give in to the same facile, lazy thinking that characterizes those who think of addicts as horrible people. It’s just that I’m standing on the other side of the moat. What I can say for certain is that there is no case study in the world that could capture the whole animal of my brother, that could show how smart and kind and generous he was, how much he wanted to get better, how much he wanted to live. Forget for a moment what he looked like on paper, and instead see him as he was in all of his glory, in all of his beauty. It’s true that for years before he died, I would look at his face and think, What a pity, what a waste. But the waste was my own, the waste was what I missed out on whenever I looked at him and saw just his addiction.

Associated with this weight gain are increased risks in adulthood for joint problems, angina, high blood pressure, heart attacks, strokes, type 2 diabetes and, ultimately, premature death. Outside of the human costs, health experts estimate that treating adult obesity-related ailments will cost the American economy nearly $150 billion in 2009.

Excessive consumption of the high amounts of sodium in processed, salty foods can lead to high blood pressure and heart disease, stroke, kidney damage, cancer, weight gain, osteoporosis, and overeating—this list is equally long and alarming.2

Even short commutes stab at your happiness. According to the research,* commuting is associated with an increased risk of obesity, insomnia, stress, neck and back pain, high blood pressure, and other stress-related ills such as heart attacks and depression, and even divorce. But let’s say we ignore the overwhelming evidence that commuting doesn’t do a body good. Pretend it isn’t bad for the environment either. Let

have a Theory. It’s that an awful thing has happened—our cerebellum has not been correctly connected to our brain. This could be the worst mistake in our programming. Someone has made us badly. This is why our model ought to be replaced. If our cerebellum were connected to our brain, we would possess full knowledge of our own anatomy, of what was happening inside our bodies. Oh, we’d say to ourselves, the level of potassium in my blood has fallen. My third cervical vertebra is feeling tension. My blood pressure is low today, I must move about, and yesterday’s egg salad has sent my cholesterol level too high, so I must watch what I eat today.

Profanity is to language as salt is to food. Too much will give you high blood pressure. Too little and it gets really f'ing bland." 

Negative thoughts, one of the leading causes of chronic stress, can lead to headaches, low back pain, insomnia and high blood pressure,

for things like migraine, high or low blood pressure, stomach cramps. I don’t remember exactly, but Bach was the one prescribed most often, especially certain fugues from the Well-Tempered Clavier. Wait, I’ll be back in a minute.

We’re good at addressing specific, individual problems: colon cancer, high blood pressure, arthritic knees. Give us a disease, and we can do something about it. But give us an elderly woman with high blood pressure, arthritic knees, and various other ailments besides—an elderly woman at risk of losing the life she enjoys—and we hardly know what to do and often only make matters worse.

Fight the Light at Night Keep artificial light before bedtime from ruining your sleep. Exposure to light in the hours before you go to sleep suppresses melatonin levels. Lower melatonin levels make it hard to fall asleep, decrease sleep quality, and could even increase the risk of high blood pressure and diabetes.

Food allergy is one of the least diagnosed and most prevalent causes of symptoms, especially depression.

Many chronic symptoms and health conditions—such as fatigue, sleepiness, mood disorders, insomnia, gastroesophageal reflux disease, lipid disorders, high blood pressure, headaches (including migraines), gas, bloating, irritable bowel syndrome, joint inflammation, acne, and difficulty concentrating, to name a few—will improve on a ketogenic diet. Treating lifestyle conditions with lifestyle change such as this can make us a healthier and less drug-dependent country. – Jackie Eberstein

The intense focus on weight loss suggests that obesity must be uniquely deadly, but that’s far from true. Low fitness, smoking, high blood pressure,41 low income,42 and loneliness43 are all better predictors of early death than obesity, when considered individually.

We develop ulcers, high blood pressure, headaches, and other physical problems in part because our stress systems aren’t designed to handle the “dangers” of our brave new world: computer crashes, micromanaging bosses, 12-way conference calls, and long commutes in rush-hour traffic.

Perhaps it is a testament to the power of modern marketing savvy that an obese man with heart disease and high blood pressure became one of the richest snake oil salesmen ever to live, selling a diet that promises to help you lose weight, to keep your heart healthy and to normalize your blood pressure.

Open-plan offices have been found to reduce productivity and impair memory. They’re associated with high staff turnover. They make people sick, hostile, unmotivated, and insecure. Open-plan workers are more likely to suffer from high blood pressure and elevated stress levels and to get the flu; they argue more with their colleagues;

Clearly our current form of medicine will bankrupt us and simultaneously keep the chemical industry the number one money-maker as physicians nurture a nation of drugged zombies.

Profanity in language is like salt in food. Too much will give you high blood pressure. Too little and it gets really f'ing bland.

Profanity is to language like salt is to food. Too much will give you high blood pressure. Too little and it gets really f'ing bland.

He had high blood pressure,” said Molly. “But surely there are things one takes nowadays—some kind of pill. Science is so wonderful.

One nation's common sense is another nation's high blood pressure.

Insufficient sleep is associated with increased risk of obesity, depression, high blood pressure, depressed immune function (which can lead to cancer), and anxiety disorders.

high blood pressure in midlife is strongly linked to the risk of developing Alzheimer’s later in life.

Failing to exhale properly is a common symptom of high blood pressure.

Scientists revealed in 2016 that bees find pollen by picking up electrical signals transmitted by flowers, while a British team has lowered extremely high blood pressure by inserting an electrical wire in the brain to change what is being communicated. Understanding electrical communication is vital to understanding our reality (and health) and it is so simple.

Open-plan offices have been found to reduce productivity and impair memory. They’re associated with high staff turnover. They make people sick, hostile, unmotivated, and insecure. Open-plan workers are more likely to suffer from high blood pressure and elevated stress levels and to get the flu; they argue more with their colleagues; they worry about coworkers eavesdropping on their phone calls and spying on their computer screens. They have fewer personal and confidential conversations with colleagues. They’re often subject to loud and uncontrollable noise, which raises heart rates; releases cortisol, the body’s fight-or-flight “stress” hormone; and makes people socially distant, quick to anger, aggressive, and slow to help others.

Dr. King was called a troublemaker and even a race-baiter 45 years ago as he led the call for a civil rights and economic justice Movement. He called for a Poor People’s Movement to address the glaring realities of poverty even as he loved America enough to say: Let us be dissatisfied until America will no longer have a high blood pressure of creeds and an anemia of deeds.

Do not take Vigilante if you are suffering from high blood pressure, low blood pressure, or normal blood pressure. Consult physician if you experience chest pains, swollen eyelids, elongated ears. . .

Things without all remedy should be without regard. But what you can cure, do so willingly. What ails the human body and soul may be difficult to diagnose, but just as often there is a simple resolution. Black pepper for aching muscles, linden root and yarrow for high blood pressure, feverfew for migraines, ginger for motion sickness, watercress to ease labored breathing, vervain to quiet the pangs of unrequited love.

A mountain of recent data on open-plan offices from many different industries corroborates the results of the games. Open-plan offices have been found to reduce productivity and impair memory. They’re associated with high staff turnover. They make people sick, hostile, unmotivated, and insecure. Open-plan workers are more likely to suffer from high blood pressure and elevated stress levels and to get the flu; they argue more with their colleagues; they worry about coworkers eavesdropping on their phone calls and spying on their computer screens. They have fewer personal and confidential conversations with colleagues. They’re often subject to loud and uncontrollable noise, which raises heart rates; releases cortisol, the body’s fight-or-flight “stress” hormone; and makes people socially distant, quick to anger, aggressive, and slow to help others.

Tanaka’s lab has pioneered new research on swimming’s effects on two of the biggest hallmarks of aging: high blood pressure and arthritis. “Over the last four or five years, a funky thing happened—we realized that the effects of swimming actually surpassed the magnitude of the effects of walking or cycling,” he tells me. “None of us knew that before.” Average reduction in blood pressure after land-based exercise training is five to seven points. Swimming, he found, reduces blood pressure by an average of nine points—in the blood-pressure world, that’s significant. It also decreases arterial stiffness, a condition in which the walls of your arteries become less elastic and add strain to the heart muscle.

The second reason to seek help for your depression is that it can wreak lasting damage on your life. Research shows that the toll depression takes is as great as that of a chronic physical disorder like diabetes, arthritis, or high blood pressure

I thanked her for her offer, not sure if she was offering immediate salvation, relieving me of my high blood pressure; or more general salvation, relieving me of my culture, family members, and the control they exerted over every aspect of my life.

Open-plan offices have been found to reduce productivity and impair memory. They’re associated with high staff turnover. They make people sick, hostile, unmotivated, and insecure. Open-plan workers are more likely to suffer from high blood pressure and elevated stress levels and to get the flu; they argue more with their colleagues; they worry about coworkers eavesdropping on their phone calls and spying on their computer screens. They have fewer personal and confidential conversations with colleagues.

Her sweet smell drove my body higher as I nibbled on the edge of her earlobe. “I’m not stopping you. You plan. I’ll kiss.” Echo turned her head to look at me over her shoulder. My siren became a temptress with that seductive smile on her lips. A mistake on her part. I caressed her cheek and kissed those soft lips. I expected her to shy away. We’d been playing this game for over an hour: she plotted while I teased.Leaving for the summer was important to her and she was important to me. But instead of the quick peck I’d anticipated, she moved her lips against mine. A burning heat warmed my blood. It was a slow kiss at first—all I meant it to be, but then Echo touched me. Her hands on my face, in my hair. And then she angled her body to mine. Warmth, enticing pressure on all the right parts, and Echo’s lips on mine—fireworks. She became my world. Filling my senses so that all I felt and saw and tasted was her. Kisses and touches and whispered words of love and when my hand skimmed down the curve of her waist and paused on the hem of her jeans my body screamed to continue, but my mind knew it was time to stop. With a sigh, I moved my lips once more against hers before shifting and pulling her body to my side. “I’m in love with you.” Echo settled her head in the crook of my arm as her fingertips lazily touched my face. “I know. I love you, too.” “I’m sorry I didn’t say it sooner.” If I had, then maybe we never would have been apart. “It’s okay,” she murmured. “We’re together now and that’s all that matters.” I kissed her forehead and she snuggled closer to me. The world felt strange. For the first time in my life, I wasn’t fighting someone or something. My brothers were safe. Echo knew the truth. Soon, I’d be free from high school and foster care. Hopefully, I’d be admitted on late acceptance to college. Contentment and happiness were unfamiliar emotions, but ones I could learn to live with. “Do you mind?” she asked in a small voice that indicated nerves. “That we’re taking it slow?” “No.” And it was the truth. Everything in her life was in flux and she needed strong, steady and stable. Oddly, she found those three things in me. Who would ever have guessed I’d be the reliable sort? “Besides, taking it slow creates buildup. I like anticipation.” Her body rocked with silent giggles and my lips turned up. I loved making her happy.

Individuals who rate high on the so-called Anxiety Sensitivity Index, or ASI, have a high degree of what's known as interoceptive awareness, meaning they are highly attuned to the inner workings on their bodies, to the beepings and bleatings, the blips and burps, of their physiologies; they are more conscious of their heart rate, blood pressure, digestive burblings, and so forth than other people are.

Open-plan offices have been found to reduce productivity and impair memory. They’re associated with high staff turnover. They make people sick, hostile, unmotivated, and insecure. Open-plan workers are more likely to suffer from high blood pressure and elevated stress levels

The industrial and technological revolutions have made our lives simpler, in terms of what is physically required of us on a daily basis, but they have also made it possible for us to do a whole lot less than we ought to be doing, and we suffer for it. We have become flabby and overweight; our joints and muscles have become stiff from lack of use. We suffer from all sorts of problems related to our lack of physical exercise; it affects us on all levels, causing high blood pressure, increased cholesterol, anxiety, depression, insomnia and the list goes on and on. We know, too, how much better we feel for a bit of exercise. Those “feel-good” hormones lift our spirits, boost self-esteem and improve our overall sense of well-being. It’s a sort of built-in reward system. There’s a reason for that. It’s because we are meant to be active.

I encourage my patients to do what it takes to normalize their blood pressure so they do not require medication. Prescribing medications for high blood pressure has the effect of giving someone a permission slip. Medication has a minimal effect in reducing heart attack occurrence in patients with high blood pressure because it does not remove the underlying problem (atherosclerosis), it just treats the symptom. Patients given medication now falsely believe they are protected, and they continue to follow the same disease-causing lifestyle that led to the problem to begin with, until the inevitable occurs—their first heart attack or stroke. Maybe if high blood pressure medications had never been invented, doctors would have been forced to teach healthful living and nutritional disease causation to their patients. It is possible that many more lives could have been saved.

They said downstairs the Parnate made me black out. It did a blood pressure thing. My mother heard noises upstairs and found me she said down on my side chewing the rug in my room. My room’s shag-carpeted. She said I was on the floor flushed red and all wet like when I was a newborn; she said she thought at first she hallucinated me as a newborn again. On my side all red and wet.' 'A hypertensive crisis will do that. It means your blood pressure was high enough to have killed you. Sertraline in combination with an MAOI2828 will kill you, in enough quantities. And with the toxicity of that much lithium besides, I'd say you're pretty lucky to be here right now.’ 'My mother sometimes thinks she's hallucinating.’ 'Sertraline, by the way, is the Zoloft you kept instead of discarding as instructed when changing medications.’ 'She says I chewed a big hole out of the carpet. But who can say.

If I knew anything about being black in America it was that nothing was guaranteed, you couldn’t count on anything, and all that was certain for most of us was a black death. In my mind, a black death was a slow death, the accumulation of insults, injuries, neglect, second-rate health care, high blood pressure, and stress, no time for self-care, no time to sigh, and, in the end, the inevitable, the erasing of memory. I wanted to write against this, and so I was writing a history of the people I did not want to forget. And I loved it; nothing else mattered, because I was remembering, I was staving off death.

Sociologist James House of the University of Michigan declares that emotional isolation is a more dangerous health risk than smoking or high blood pressure, and we now warn everyone about these two! Perhaps these findings reflect the time-honored saying “Suffering is a given; suffering alone is intolerable.

On the National Sleep Foundation website I read, “In the long term, the clinical consequences of sleep deprivation are associated with numerous, serious medical illnesses, including…high blood pressure, heart attack, heart failure, stroke, psychiatric problems, mental impairment, and poor quality of life.”16

Last month, on a very windy day, I was returning from a lecture I had given to a group in Fort Washington. I was beginning to feel unwell. I was feeling increasing spasms in my legs and back and became anxious as I anticipated a difficult ride back to my office. Making matters worse, I knew I had to travel two of the most treacherous high-speed roads near Philadelphia – the four-lane Schuylkill Expressway and the six-lane Blue Route. You’ve been in my van, so you know how it’s been outfitted with everything I need to drive. But you probably don’t realize that I often drive more slowly than other people. That’s because I have difficulty with body control. I’m especially careful on windy days when the van can be buffeted by sudden gusts. And if I’m having problems with spasms or high blood pressure, I stay way over in the right hand lane and drive well below the speed limit. When I’m driving slowly, people behind me tend to get impatient. They speed up to my car, blow their horns, drive by, stare at me angrily, and show me how long their fingers can get. (I don't understand why some people are so proud of the length of their fingers, but there are many things I don't understand.) Those angry drivers add stress to what already is a stressful experience of driving. On this particular day, I was driving by myself. At first, I drove slowly along back roads. Whenever someone approached, I pulled over and let them pass. But as I neared the Blue Route, I became more frightened. I knew I would be hearing a lot of horns and seeing a lot of those long fingers. And then I did something I had never done in the twenty-four years that I have been driving my van. I decided to put on my flashers. I drove the Blue Route and the Schuylkyll Expressway at 35 miles per hour. Now…Guess what happened? Nothing! No horns and no fingers. But why? When I put on my flashers, I was saying to the other drivers, “I have a problem here – I am vulnerable and doing the best I can.” And everyone understood. Several times, in my rearview mirror I saw drivers who wanted to pass. They couldn’t get around me because of the stream of passing traffic. But instead of honking or tailgating, they waited for the other cars to pass, knowing the driver in front of them was in some way weak. Sam, there is something about vulnerability that elicits compassion. It is in our hard wiring. I see it every day when people help me by holding doors, pouring cream in my coffee, or assist me when I put on my coat. Sometimes I feel sad because from my wheelchair perspective, I see the best in people. But those who appear strong and invulnerably typically are not exposed to the kindness I see daily. Sometimes situations call for us to act strong and brave even when we don't feel that way. But those are a few and far between. More often, there is a better pay-off if you don't pretend you feel strong when you feel weak, or pretend that you are brave when you’re scared. I really believe the world might be a safer place if everyone who felt vulnerable wore flashers that said, “I have a problem and I’m doing the best I can. Please be patient!

Those who believe the worldly life interactions (vyavahaar) to be the real/true; developed high blood pressure, heart attacks and other such ailments. And those who believe it to be false, they became fat. Those living on both the shores, became lost wanderers. Although living the worldly life, ‘we’ are non-attached (vitaraag, the enlightened one).

Well, honey, I’m a sixty-three-year-old fat woman with sore feet, high blood pressure, and the beginnings of diabetes. I know I don’t have all that much time left, and I can either spend it moping and complaining about the things I never got to in life, or I can do something I love and help people along the way. I decided to keep plugging ’til I drop.

Raskind had been treating his war veteran patients with a generic drug called prazosin to manage their high blood pressure. While the drug was somewhat effective for lowering blood pressure in the body, Raskind found it had a far more powerful yet entirely unexpected benefit within the brain: it alleviated the reoccurring nightmares in his PTSD patients.

Today we call this cluster of problems “metabolic syndrome” (or MetSyn), and it is defined in terms of the following five criteria: high blood pressure (>130/85) high triglycerides (>150 mg/dL) low HDL cholesterol (<40 mg/dL in men or <50 mg/dL in women) central adiposity (waist circumference >40 inches in men or >35 in women) elevated fasting glucose (>110 mg/dL)

Open-plan offices have been found to reduce productivity and impair memory. They’re associated with high staff turnover. They make people sick, hostile, unmotivated, and insecure. Open-plan workers are more likely to suffer from high blood pressure and elevated stress levels and to get the flu; they argue more with their colleagues; they worry about coworkers eavesdropping on their phone calls and spying on their computer screens. They have fewer personal and confidential conversations with colleagues. They’re often subject to loud and uncontrollable noise, which raises heart rates; releases cortisol, the body’s fight-or-flight “stress” hormone; and makes people socially distant, quick to anger, aggressive, and slow to help others. Indeed,

Naturally, it causes psychological harm as well; it shouldn’t surprise you that a national survey of 24,000 workers found that men and women with few social ties were two to three times more likely to suffer from major depression than people with strong social bonds.9 When we enjoy strong social support, on the other hand, we can accomplish impressive feats of resilience, and even extend the length of our lives. One study found that people who received emotional support during the six months after a heart attack were three times more likely to survive.10 Another found that participating in a breast cancer support group actually doubled women’s life expectancy post surgery.11 In fact, researchers have found that social support has as much effect on life expectancy as smoking, high blood pressure, obesity, and regular physical activity.12

Jason: That conversation was weird, huh? Jason: For what it’s worth, you truly held your composure. Jason: I wasn’t frightened at all. Jason: Okay, throwing down some honesty. I was a little frightened. Jason: Just a little, nothing like pissing my pants or anything like that. Jason: Did you know you have a pulsing vein in your forehead when you’re angry? Jason: I counted its pulse rate and I think you might have high blood pressure. Jason: I’m not a nurse, I don’t know about blood pressure, but CVS has one of those arm-pressure-checker things. Want me to take you? #WorriedAboutYourHealth Jason: #PulsingVein Jason: #SerpentTongue Jason: ^^ Oh shit that was for Knox. Jason: I wasn’t saying you have a serpent tongue. I’m sure your tongue is normal. Not one ounce of evil in it. Jason: Okay, I was talking about your tongue. Jason: I feel like since you’re not texting back I might be digging myself an even bigger hole than before. Am I right? Jason: I’m going to take your silence as a yes, which in that case, you don’t have a serpent tongue. Love that pulsing vein, and not once was I frightened. There. *Wipes forehead* Glad we cleared that up. Have a good night. #GodBless Jason: P.S. Don’t know why I said God bless, just go with it. #PrayerHands Jason: P.S.S. I’m wearing my flannel jam-jams. I like when they ride up in my crack. #FeelsNice

High blood triglycerides interfere with the function of the hormone leptin, causing you to want to overeat rather than rely on your stored body fat for energy. Possibly one-third of the population is fructose intolerant to some degree, evidenced by digestive symptoms such as flatulence, cramps, bloating, irritable bowel syndrome, and diarrhea. Excessive fructose consumption is also linked to fatigue, insulin resistance, diabetes, and high blood pressure.

If, in recommending that Americans avoid meat, cheese, milk, cream, butter, eggs, and the rest, it turns out that nutrition experts made a mistake, it will have been a monumental one. Measured just by death and disease, and not including the millions of lives derailed by excess weight and obesity, it’s very possible that the course of nutrition advice over the past sixty years has taken an unparalleled toll on human history. It now appears that since 1961, the entire American population has, indeed, been subjected to a mass experiment, and the results have clearly been a failure. Every reliable indicator of good health is worsened by a low-fat diet. Whereas diets high in fat have been shown, again and again, in a large body of clinical trials, to lead to improved measures for heart disease, blood pressure, and diabetes, and are better for weight loss. Moreover, it’s clear that the original case against saturated fats was based on faulty evidence and has, over the last decade, fallen apart. Despite more than two billion dollars in public money spent trying to prove that lowering saturated fat will prevent heart attacks, the diet-heart hypothesis has not held up.

DO YOU HAVE OR HAVE YOU EXPERIENCED IN THE PAST SIX MONTHS . . . — PART A — ■ A feeling you’re constantly racing from one task to the next? ■ Feeling wired yet tired? ■ A struggle calming down before bedtime, or a second wind that keeps you up late? ■ Difficulty falling asleep or disrupted sleep? ■ A feeling of anxiety or nervousness—can’t stop worrying about things beyond your control? ■ A quickness to feel anger or rage—frequent screaming or yelling? ■ Memory lapses or feeling distracted, especially under duress? ■ Sugar cravings (you need “a little something” after each meal, usually of the chocolate variety)? ■ Increased abdominal circumference, greater than 35 inches (the dreaded abdominal fat, or muffin top—not bloating)? ■ Skin conditions such as eczema or thin skin (sometimes physiologically and psychologically)? ■ Bone loss (perhaps your doctor uses scarier terms, such as osteopenia or osteoporosis)? ■ High blood pressure or rapid heartbeat unrelated to those cute red shoes in the store window? ■ High blood sugar (maybe your clinician has mentioned the words prediabetes or even diabetes or insulin resistance)? Shakiness between meals, also known as blood sugar instability? ■ Indigestion, ulcers, or GERD (gastroesophageal reflux disease)? ■ More difficulty recovering from physical injury than in the past? ■ Unexplained pink to purple stretch marks on your belly or back? ■ Irregular menstrual cycles? ■ Decreased fertility?

MR. BONES KNEW THAT WILLY WASN'T LONG FOR THIS WORLD. The cough had been inside him for over six months, and by now there wasn't a chance in hell that he would ever get rid of it. Slowly and inexorably, without once taking a turn for the better, the thing had assumed a life of its own, advancing from a faint, phlegm-filled rattle in the lungs on February third to the wheezy sputum-jigs and gobby convulsions of high summer. All that was bad enough, but in the past two weeks a new tonality had crept into the bronchial music - something tight and flinty and percussive - and the attacks came now so often as to be almost constant. Every time one of them started, Mr. Bones half expected Willy's body to explode from the rockets of pressure bursting agaisnt his rib cage. He figured that blood would be the next step and when that fatal moment finally occurred on Saturday afternoon, it was as if all the angels in heaven had opened their mouths and started to sing. Mr. Bones saw it happen with his own eyes, standing by the edge of the road between Washington and Baltimore as Willy hawked up a few miserable clots of red matter into his handkerchief, and right then and there he knew that every ounce of hope was gone. The smell of death had settled upon Willy G. Christmas, and as surely as the sun was a lamp in the clouds that went off and on everyday, the end was drawing near. What was a poor dog to do? Mr. Bones had been with Willy since his earliest days as a pup, and by now it was next to impossible to imagine a world that did not have his master in it. Every thought, every memory, every particle of the earth and air was saturated with Willy's presence. Habits die hard, and no doubt there's some truth to the adage about old dogs and new tricks, but it was more than just love or devotion that caused Mr. Bones to dread what was coming. It was pure ontological terror. Substract Willy from the world, and the odds were that the world itself would cease to exist.

Despite the odium and widespread condemnation of Donald J. Trump, 45th President of the United States of America, he passed with all the fanfare of a fart in a mesh sack. Medical examiners said it was a thrombotic stroke, likely exacerbated by obesity and high blood pressure. Some said cocaine and opioids had been found in his system, but these reports were never confirmed. Trump was dead, and now it was time to start glossing over his dismal legacy and perpetuating his vision, posthumously, for Making America Great Again...

According to estimates presented by scientists from across the globe at the American Association for the Advancement of Science in 2016, of the fifty-five lakh deaths caused by air pollution in 2013, over half were in India and China. India alone accounted for fourteen lakh of those deaths. Air pollution, scientists say, is the fourth-highest risk factor for death globally, after high blood pressure, poor diet and cigarettes. We can only hope that the dying poor of the tribal regions are at least counted in these statistics.

because studies also show that we women often hold anger in our bodies. Unacknowledged or actively repressed, anger takes its toll on us. Numerous psychological studies have unequivocally shown that women who mask, externalize, or project their anger are at greater risk for anxiety, nervousness, tension, panic attacks, and depression. A growing number of clinical studies have linked suppressed anger to serious medical conditions such as high blood pressure, heart disease, gastrointestinal disorders, and the development of certain cancers.

When Franklin D. Roosevelt signed the Social Security Act in 1935, old age was defined as sixty-five years, yet estimated life expectancy in the United States at the time was sixty-one years for males and sixty-four years for females.62 A senior citizen today, however, can expect to live eighteen to twenty years longer. The downside is that he or she also should expect to die more slowly. The two most common causes of death in 1935 America were respiratory diseases (pneumonia and influenza) and infectious diarrhea, both of which kill rapidly. In contrast, the two most common causes of death in 2007 America were heart disease and cancer (each accounted for about 25 percent of total deaths). Some heart attack victims die within minutes or hours, but most elderly people with heart disease survive for years while coping with complications such as high blood pressure, congestive heart failure, general weakness, and peripheral vascular disease. Many cancer patients also remain alive for several years following their diagnosis because of chemo-therapy, radiation, surgery, and other treatments. In addition, many of the other leading causes of death today are chronic illnesses such as asthma, Alzheimer’s, type 2 diabetes, and kidney disease, and there has been an upsurge in the occurrence of nonfatal but chronic illnesses such as osteoarthritis, gout, dementia, and hearing loss.63 Altogether, the growing prevalence of chronic illness among middle-aged and elderly individuals is contributing to a health-care crisis because the children born during the post–World War II baby boom are now entering old age, and an unprecedented percentage of them are suffering from lingering, disabling, and costly diseases. The term epidemiologists coined for this phenomenon is the “extension of morbidity.

Krieger took the first scientific step by partnering with physician Stephen Sidney to specifically measure research participants’ exposure to racial discrimination and test its association with high blood pressure. Instead of treating race as a biological risk factor, as was typical in epidemiological research, Krieger zoomed in on racism as a cause of disease and developed a fledgling methodology to measure its health impact directly. Her findings, published in the American Journal of Public Health in 1996, were the first to show that experiencing racial discrimination raises the risk of high blood pressure.

WARNING: Before commencing any program of sustained physical inactivity, consult your physician. Sedentary living doubles the likelihood of stroke and coronary artery disease, making it as risky as smoking, high cholesterol, or high blood pressure. If unaccustomed to sitting for extended periods, you may experience weak muscles, low bone density, high cholesterol, hyperglycaemia, a rapid resting heart rate, mental decline, mood disorders, and obesity. Start slowly and increase inactivity gradually. If you experience drowsiness, difficulty in concentration, or craving for stimulation, discontinue inactivity immediately.:-)

Our culture is not unacquainted with the idea of food as a spiritually loaded commodity. We're just particular about which spiritual arguments we'll accept as valid for declining certain foods. Generally unacceptable reasons: environmental destruction, energy waste, the poisoning of workers. Acceptable: it's prohibited by a holy text. Set down a platter of country ham in front of a rabbi, an imam, and a Buddhist monk, and you may have just conjured three different visions of damnation. Guests with high blood pressure may add a fourth. Is it such a stretch, then, to make moral choices about food based on the global consequences of its production and transport?

Therapeutic fasting accelerates the healing process and allows the body to recover from serious disease in a dramatically short period of time. In my practice I have seen fasting eliminate lupus and arthritis, remove chronic skin conditions such as psoriasis and eczema, heal the digestive tract in patients with ulcerative colitis and Crohn’s disease, and quickly eliminate cardiovascular diseases such as high blood pressure and angina. In these cases the recoveries were permanent: fasting enabled longtime disease sufferers to unchain themselves from their multiple toxic drugs and even eliminate the need for surgery, which was recommended to some of them as their only solution.

We must not take everything on our own shoulders; if we did, our successors would have nothing to do but to sleep. We must leave them some problems to solve, and the means with which to solve them—namely, a mighty Army and a mighty Air Force ; and the Army must be taught that, if some cowardly crew of politicians should come to power, then it is the Army's duty to intervene—as the Army in Japan did. As a general principle, I think that a peace which lasts for more than twenty-five years is harmful to a nation. Peoples, like individuals, sometimes need regenerating by a little bloodletting. Our ancestors fought duels. Next came the barber and his bleeding-cups—and now we have the safety razor ! Nobody in the Middle Ages suffered from high blood-pressure—their constant brawls were ample safeguard against it; and in Upper Bavaria they practised the custom of Sunday bloodletting. Now, thanks to the safety razor, the world's bloodpressure is rising. It fills me with shame when I think that I have lost more blood shaving than on the field of battle.

Consider this scenario: A man gets a stomachache after each meal. To “treat” this problem, he takes (either by prescription or by self-medication) some antacid or other nostrum. Then he gets a headache (which may or may not be a side effect of the stomach medication); to “treat” the headache he takes aspirin, which further irritates his stomach. Three years later he develops an ulcer, for which he takes another medication, plus large amounts of milk and cream (although an outmoded treatment, it is still being used today). Meanwhile, he is still taking antacids for his indigestion and eating the same way he always had. Eventually, he has an operation to remove his ulcer. He continues with his high-dairy diet. Soon thereafter he develops arteriosclerosis and high blood pressure and begins to take antihypertensive medication. The side effects of the latter include headaches, dizziness, drowsiness, diarrhea, slow heart rate, mental confusion, hallucinations, weight gain, and impotence. When his wife leaves him for a younger man, he takes antidepressants and sleeping pills. He has a heart attack and undergoes an operation to repair a heart valve. Painkillers keep him going as he slowly recuperates. A year or two later, he finds himself with an irreversible neurological disease such as ALS or Alzheimer’s, and he wonders what could have gone wrong. All that’s left for him to do is wait to die, which he can do in a nursing home, drugged into complaisance and painlessness.

I really think the problem with our healthcare system narrows down to incomplete evaluation. If you have pain, you are given a pill; high blood pressure—pill; high cholesterol—pill; ADD—pill. This is what I call duct-tape therapy. There is very little discovery of underlying causes to these problems. If it were HEALTHcare it would work; but it’s disease care. There’s hardly any prevention or food therapy. Even worse is the lazy diagnosis—you know, “You’re getting older now and you have to accept the fact that these things come with age.” Or, “It’s your genetics; you have the fat gene.” Or, “You’re African American and at risk for ____, so take these pills the rest of your life.” Everything is heavy on treatment but very light on prevention or evaluation to find the real cause.

This should have stopped the schizophrenogenic voodoo right in its tracks. High blood pressure can be lessened with a drug that blocks a receptor for a different type of neurotransmitter, and you conclude that a core problem was too much of that neurotransmitter. But schizophrenic symptoms can be lessened with a drug that blocks dopamine receptors, and you still conclude that the core problem is toxic mothering. Remarkably, that’s what psychiatry’s psychoanalytic ruling class concluded. After fighting the introduction of the medications tooth and nail in America and eventually losing, they came up with an accommodation: neuroleptics weren’t doing anything to the core problems of schizophrenia; they just sedated patients enough so that it is easier to psychodynamically make progress with them about the scars from how they were mothered. The psychoanalytic scumbags even developed a sneering, pejorative term for families (i.e., mothers) of schizophrenic patients who tried to dodge responsibility by believing that it was a brain disease: dissociative-organic types. The influential 1958 book Social Class and Mental Illness: A Community Study (John Wiley), by the Viennese psychiatrist Frederick Redlich, who chaired Yale’s psychiatry department for seventeen years, and the Yale sociologist August Hollingshead, explained it all. Dissociative-organic types were typically lower-class, less educated people, for whom “It’s a biochemical disorder” was akin to still believing in the evil eye, an easy, erroneous explanation for those not intelligent enough to understand Freud. Schizophrenia was still caused by lousy parenting, and nothing was to change in the mainstream for decades.

Forbes cost of living extremely well index (CLEWI) An amazing thing I came across while researching the question of just what it is that very very rich people do with their money. As Forbes says, the CLEWI is to the very rich what the CPI is to “ordinary people.” There are forty items on it, and they are hilarious, though perhaps you shouldn’t show them to your left-wing aunt if she’s suffering from high blood pressure: Russian sable fur coats from Bloomingdale’s, shirts from Turnbull and Asser, Gucci loafers, handmade John Lobb shoes, a year at Groton boarding school, a yacht, a horse, a pool, a Learjet, a Roller, a case of Dom Perignon, forty-five minutes at a psychiatrist’s on the Upper East Side (!), an hour’s estate planning with a lawyer, and, amusingly/annoyingly, a year at Harvard.36 In 2012, the CLEWI went up 2.6 percent but the CPI went up only 1.4 percent.

blood sugar values go down, blood pressure drops, chronic pain decreases or disappears, lipid profiles improve, inflammatory markers improve, energy increases, weight decreases, sleep is improved, IBS [irritable bowel syndrome] symptoms are lessened, etc. Medication is adjusted downward, or even eliminated, which reduces the side-effects for patients and the costs to society. The results we achieve with our patients are impressive and durable.

Open-plan offices have been found to reduce productivity and impair memory. They’re associated with high staff turnover. They make people sick, hostile, unmotivated, and insecure. Open-plan workers are more likely to suffer from high blood pressure and elevated stress levels and to get the flu; they argue more with their colleagues; they worry about coworkers eavesdropping on their phone calls and spying on their computer screens. They have fewer personal and confidential conversations with colleagues. They’re often subject to loud and uncontrollable noise, which raises heart rates; releases cortisol, the body’s fight-or-flight “stress” hormone; and makes people socially distant, quick to anger, aggressive, and slow to help others. Indeed, excessive stimulation seems to impede learning: a recent study found that people learn better after a quiet stroll through the woods than after a noisy walk down a city street.

These genetic malfunctions are unlikely to produce schizophrenia in an individual unless they are stimulated by environmental conditions. By far the most causative environmental factor is stress, especially during gestation in the womb, early childhood, and adolescence—stages in which the brain is continually reshaping itself, and thus vulnerable to disruption. Stress can take the form of a person's enduring sustained anger, fear, or anxiety, or a combination of these. Stress works its damage by prompting an oversupply of cortisol, the normally life sustaining “stress hormone” that converts high energy glycogen to glucose in liver and in muscle tissue. Yet when it is called upon to contain a rush of glycogen, cortisol can transform itself into “Public Enemy Number One,” as one health advocate put it. The steroid hormone swells to flood levels and triggers weight gain, high blood pressure, heart disease, damage to the immune system, and an overflow of cholesterol. Stress is likely a trigger for schizophrenia.

God caught Day’s falling body before he was able to hit the floor. He dropped to his knees with his lover in his arms and held him close. “Breathe, Leo.” God coaxed while rubbing Day’s cheek. He felt Day take in a few quick breaths before he opened his eyes and stared up at him. God closed his eyes and pressed their foreheads together, not wanting to see what Day was saying. “If he had killed you, I would’ve swallowed my own gun. There’s no life without you,” God whispered just for Day to hear. He felt Day grab onto his neck, holding him close. “Let the paramedics take a look at him, Detective Godfrey.” God raised his head at his captain’s order and slowly lowered Day’s head while he moved back to let them tend to his partner. God watched them closely while they took a few quick vitals before placing him on the stretcher. One of them turned to look at God and his captain. God stepped forward. “His blood pressure’s high and pulse is erratic, so we're going to take him to the hospital to be monitored. He’ll be at St. Mary’s.” “I’m riding with him,” God demanded. “I’m sorry sir, but regulations don’t allow that.” The thin guy answered him as the other paramedic wheeled his man away. God bared his teeth right before he felt a hand come down hard on his shoulder. “Let them do their jobs, because you still have one to do too, Detective. Is that going to be a problem?” His captain leveled a hard stare on him. God paused for a second, then gave a quick jerk of his head and turned in the opposite direction that his love had gone. God walked through the hangar aware of the many eyes that were on him. He just wanted to finish his job so he could go home.    

1) Levophed—a common blood pressure medication. Used to be called “leave ’em dead” because people used it for the sickest of the sick in sepsis and those patients still frequently died, but it has now come back into favor. We were maxed. 2) Vasopressin—another BP med. Not titratable. Left on normal dose. 3) Phenylephrine, aka Neo, from its brand name, Neosynephrine—another BP med—maxed. Pharmacy was mixing higher concentrations of this for us, so that we could give it in less fluid volume for the patient’s sake. 4) Sodium Bicarb—also high-concentrated dose for fluid reasons—given to attempt to combat patient’s acidosis. 5) Fentanyl—pain control—not maxed. 6) Versed—an amnesiac—hopefully makes you “less aware” of WTF is happening to you. Also not maxed, because they were also on…. 7) Nimbex—a paralytic we give to patients to make them “ride the vent” so that they don’t fight it and can save energy, as the vent does the work of breathing for them. 8) Heparin—blood thinner, to reduce the clotting that covid can cause. 9) Amiodarone—heart med, stops arrhythmias. 10) Insulin—which requires hourly insulin checks to titrate effectively. Unfortunately, many covid patients are also on steroids, which means their blood sugars fluctuate all over the place.

After a series of promotions—store manager at twenty-two, regional manager at twenty-four, director at twenty-seven—I was a fast-track career man, a personage of sorts. If I worked really hard, and if everything happened exactly like it was supposed to, then I could be a vice president by thirty-two, a senior vice president by thirty-five or forty, and a C-level executive—CFO, COO, CEO—by forty-five or fifty, followed of course by the golden parachute. I’d have it made then! I’d just have to be miserable for a few more years, to drudge through the corporate politics and bureaucracy I knew so well. Just keep climbing and don't look down. Misery, of course, encourages others to pull up a chair and stay a while. And so, five years ago, I convinced my best friend Ryan to join me on the ladder, even showed him the first rung. The ascent is exhilarating to rookies. They see limitless potential and endless possibilities, allured by the promise of bigger paychecks and sophisticated titles. What’s not to like? He too climbed the ladder, maneuvering each step with lapidary precision, becoming one of the top salespeople—and later, top sales managers—in the entire company.10 And now here we are, submerged in fluorescent light, young and ostensibly successful. A few years ago, a mentor of mine, a successful businessman named Karl, said to me, “You shouldn’t ask a man who earns twenty thousand dollars a year how to make a hundred thousand.” Perhaps this apothegm holds true for discontented men and happiness, as well. All these guys I emulate—the men I most want to be like, the VPs and executives—aren’t happy. In fact, they’re miserable.  Don’t get me wrong, they aren’t bad people, but their careers have changed them, altered them physically and emotionally: they explode with anger over insignificant inconveniences; they are overweight and out of shape; they scowl with furrowed brows and complain constantly as if the world is conspiring against them, or they feign sham optimism which fools no one; they are on their second or third or fourth(!) marriages; and they almost all seem lonely. Utterly alone in a sea of yes-men and women. Don’t even get me started on their health issues.  I’m talking serious health issues: obesity, gout, cancer, heart attacks, high blood pressure, you name it. These guys are plagued with every ailment associated with stress and anxiety. Some even wear it as a morbid badge of honor, as if it’s noble or courageous or something. A coworker, a good friend of mine on a similar trajectory, recently had his first heart attack—at age thirty.  But I’m the exception, right?

It is unsurprising that social isolation or loneliness have been strongly associated with depression,18 suicide,19 anxiety,20 insomnia,21 fear and the perception of threat.22 It’s more surprising to discover the range of physical illnesses that they can cause or exacerbate. Dementia,23 altered brain function,24 high blood pressure, heart disease and strokes,25 lowered resistance to viruses,26 even accidents,27 are all more common among chronically lonely people. One study suggests that loneliness has a comparable impact on physical health to smoking fifteen cigarettes a day.28 The doctrine has also helped to create what some people describe as a spiritual void: when human life is conceived as a series of transactions, when relationships are recast in purely functional terms, when personal gain counts for everything and pro-social values for nothing, the sense of meaning and purpose is sucked from our lives. We find ourselves in a state of alienation, of anomie, an experience of dislocation that extends beyond the more immediate determinants of mental health. Our psychological and economic welfare depends on our connection with others. Of all the fantasies human beings entertain, the idea that we can go it alone is the most absurd, and perhaps the most dangerous. We stand together or we fall apart.

Simple markers can show us “check engine” alerts. A most basic and accessible way to see if you have a reasonable level of metabolic health is by checking five markers that are almost always tested and tracked at your annual checkup: blood sugar, triglycerides, high-density lipoprotein (HDL) cholesterol, blood pressure, and waist circumference. When these markers fall into an optimal range, in the absence of medication—see Chapter 4 for exact specifications—you can deduce that your cellular energy production is doing OK. Typically, you will feel vibrant, healthy, and pain-free. These feelings, too, should tell you that your body has Good Energy, the foundation of general good health.

Some diseases, such as HIV/AIDS, have slid down the list, but among the diseases whose incidence has increased the most over the past generation is chronic kidney disease. The number of deaths has doubled.14 This has been blamed on our “meat-sweet” diet.15 Excess table sugar and high-fructose corn syrup consumption is associated with increased blood pressure and uric acid levels, both of which can damage the kidney. The saturated fat, trans fat, and cholesterol found in animal products and junk food are also associated with impaired kidney function, and meat protein increases the acid load to the kidneys, boosting ammonia production and potentially damaging our sensitive kidney cells.16 This is why a restriction of protein intake is often recommended to chronic kidney disease patients to

Well, here’s the thing. When you have spent your entire life so far – childhood and adulthood – feeling as though you’re continually circling the plug hole of not coping, you end up wanting to make sense of it. It really isn’t so hard to understand. When you’ve made multiple attempts to pull yourself together, and to tamp down your own experience of the world, but it’s still painfully evident that you’re different from the people around you; when that difference, or the process of trying to ignore it, frequently makes you sick; when you realise it will probably shorten your life because you drink too much to cope, or your blood pressure runs high, or you wonder how many more times you can withstand the feeling of crashing out of the mainstream world and falling through the cracks; then you might just begin to think that it would be convenient to name the thing that’s made everything so bloody hard.

Harvard University biologist David Haig has spent the last few years systematically debunking the notion that the relationship between a mother and her unborn child is anything like the rose-tinted idyll that one usually finds on the glossy covers of maternity magazines. In fact, it is anything but. Pre-eclampsia, a condition of dangerously high blood pressure in pregnant women, is brutally kick-started by nothing short of a foetal coup d’état. It begins with the placenta invading the maternal bloodstream and initiating what, in anyone’s book, is a ruthless biological heist – an in utero sting operation to draw out vital nutrients. And I’m not just talking about baby Gordon Gekkos here – I’m talking about all of us. The curtain-raiser is well known to obstetricians. The foetus begins by injecting a crucial protein into the mother’s circulation which forces her to drive more blood, and therefore more nourishment, into the relatively low-pressure placenta. It’s a scam, pure and simple, which poses a significant and immediate risk to the mother’s life. ‘The bastard!’ says Andy. ‘Shall we get some olives?’ ‘And it’s by no means the only one,’ I continue. In another embryonic Ponzi scheme, foetal release of placental lactogen counteracts the effect of maternal insulin thereby increasing the mother’s blood sugar level and providing an excess for the foetus’s own benefit. ‘A bowl of the citrus and chilli and a bowl of the sweet pepper and basil,’ Andy says to the waiter. Then he peers at me over the menu. ‘So basically what you’re saying then is this: forget the Gaddafis and the Husseins. When it comes to chemical warfare it’s the unborn child that’s top dog!’ ‘Well they definitely nick stuff that isn’t theirs,’ I say. ‘And they don’t give a damn about the consequences.’ Andy smiles. ‘So in other words they’re psychopaths!’ he says. BABY

Flow is an extremely potent response to external events and requires an extraordinary set of signals. The process includes dopamine, which does more than tune signal-to-noise ratios. Emotionally, we feel dopamine as engagement, excitement, creativity, and a desire to investigate and make meaning out of the world. Evolutionarily, it serves a similar function. Human beings are hardwired for exploration, hardwired to push the envelope: dopamine is largely responsible for that wiring. This neurochemical is released whenever we take a risk or encounter something novel. It rewards exploratory behavior. It also helps us survive that behavior. By increasing attention, information flow, and pattern recognition in the brain, and heart rate, blood pressure, and muscle firing timing in the body, dopamine serves as a formidable skill-booster as well. Norepinephrine provides another boost. In the body, it speeds up heart rate, muscle tension, and respiration, and triggers glucose release so we have more energy. In the brain, norepinephrine increases arousal, attention, neural efficiency, and emotional control. In flow, it keeps us locked on target, holding distractions at bay. And as a pleasure-inducer, if dopamine’s drug analog is cocaine, norepinephrine’s is speed, which means this enhancement comes with a hell of a high. Endorphins, our third flow conspirator, also come with a hell of a high. These natural “endogenous” (meaning naturally internal to the body) opiates relieve pain and produce pleasure much like “exogenous” (externally added to the body) opiates like heroin. Potent too. The most commonly produced endorphin is 100 times more powerful than medical morphine. The next neurotransmitter is anandamide, which takes its name from the Sanskrit word for “bliss”—and for good reason. Anandamide is an endogenous cannabinoid, and similarly feels like the psychoactive effect found in marijuana. Known to show up in exercise-induced flow states (and suspected in other kinds), this chemical elevates mood, relieves pain, dilates blood vessels and bronchial tubes (aiding respiration), and amplifies lateral thinking (our ability to link disparate ideas together). More critically, anandamide also inhibits our ability to feel fear, even, possibly, according to research done at Duke, facilitates the extinction of long-term fear memories. Lastly, at the tail end of a flow state, it also appears (more research needs to be done) that the brain releases serotonin, the neurochemical now associated with SSRIs like Prozac. “It’s a molecule involved in helping people cope with adversity,” Oxford University’s Philip Cowen told the New York Times, “to not lose it, to keep going and try to sort everything out.” In flow, serotonin is partly responsible for the afterglow effect, and thus the cause of some confusion. “A lot of people associate serotonin directly with flow,” says high performance psychologist Michael Gervais, “but that’s backward. By the time the serotonin has arrived the state has already happened. It’s a signal things are coming to an end, not just beginning.” These five chemicals are flow’s mighty cocktail. Alone, each packs a punch, together a wallop.

Over time, the active verbs of the Shema-recite, walk, talk, lie down, rise, bind, fix, write, all in the service of love-become too much for us to imagine, let alone perform. Our search for superpowers has created many of the most pressing problems of our time. The defining mental activity of our time is scrolling Our capacities of attention, memory, and concentration are diminishing; to compensate, we toggle back and forth between infinite feeds of news, posts, images, episodes - taking shallow hits of trivia, humor, and outrage to make up for the depths of learning, joy, and genuine lament that now feel beyond our reach. The defining illness of our time is metabolic syndrome, the chronic combination of high weight, high cholesterol, high blood pressure, and high blood sugar that is the hallmark of an inactive life. Our strength is atrophying and our waistline expanding, and to compensate, we turn to the superpowers of the supermarket with the aisles of salt and fat convincing our bodies’ reward systems, one bite at a time, that we have never been better in our life. The defining emotional challenge of our time is anxiety, the fear of what might be instead of the courageous pursuit of what could be. Once, we lived with allness of heart, with a boldness of quest that was too in love with the good to call off the pursuit when we encountered risk. Now we live as voyeurs, pursuing shadowy vestiges of what we desire from behind the one-way mirror of a screen, invulnerable but alone. And, of course, the soul is the plane of human ex- istence that our technological age neglects most of all. Jesus asked whether it was worth gaining the whole world at the cost of losing one's soul. But in the era of superpowers, we have not only lost a great deal of our souls-we have lost much of the world as well. We are rarely overwhelmed by wind or rain or snow. We rarely see, let alone name, the stars. We have lost the sense that we are both at home and on a pilgrimage in the vast, mysterious cosmos, anchored in a rich reality beyond ourselves. We have lost our souls without even gaining the world. So it is no wonder that the defining condition of our time is a sense of loneliness and alienation. For if human flourishing requires us to love with all our hearts, souls, minds, and strength, what happens When nothing in our lives develops those capacities? With what, exactly, will we love?

Army studies indicate that if a wounded soldier arrives alive at a combat support hospital where surgeons and nurses can treat him, the chances of his surviving are extremely high—greater than 90 percent. “Surviving,” of course, doesn’t necessarily entail keeping arms or legs or retaining the ability to function independently back home. The leading cause of preventable death on the battlefield is bleeding. Having a leg blown off by an IED, for instance, can be fatal if quick steps are not taken to control the blood loss. Even deadlier is internal bleeding, a problem for which medics generally don’t have a good answer. A soldier who is bleeding internally needs to be evacuated and delivered to a surgeon immediately if he is to have any hope of survival. The second-leading cause of preventable death is something called tension pneumothorax. If a bullet punctures a soldier’s lung, air can leak from that hole into the “pleural space,” or cavity outside the lungs. That air can build up and eventually interfere with the functioning of the heart. This can be a relatively simple problem to correct: a medic can simply stick a big needle in the soldier’s chest to relieve the pressure in the pleural space.

The biology of potential illness arises early in life. The brain’s stress-response mechanisms are programmed by experiences beginning in infancy, and so are the implicit, unconscious memories that govern our attitudes and behaviours toward ourselves, others and the world. Cancer, multiple sclerosis, rheumatoid arthritis and the other conditions we examined are not abrupt new developments in adult life, but culminations of lifelong processes. The human interactions and biological imprinting that shaped these processes took place in periods of our life for which we may have no conscious recall. Emotionally unsatisfying child-parent interaction is a theme running through the one hundred or so detailed interviews I conducted for this book. These patients suffer from a broadly disparate range of illnesses, but the common threads in their stories are early loss or early relationships that were profoundly unfulfilling emotionally. Early childhood emotional deprivation in the histories of adults with serious illness is also verified by an impressive number of investigations reported in the medical and psychological literature. In an Italian study, women with genital cancers were reported to have felt less close to their parents than healthy controls. They were also less demonstrative emotionally. A large European study compared 357 cancer patients with 330 controls. The women with cancer were much less likely than controls to recall their childhood homes with positive feelings. As many as 40 per cent of cancer patients had suffered the death of a parent before the age of seventeen—a ratio of parental loss two and a half times as great as had been suffered by the controls. The thirty-year follow-up of Johns Hopkins medical students was previously quoted. Those graduates whose initial interviews in medical school had revealed lower than normal childhood closeness with their parents were particularly at risk. By midlife they were more likely to commit suicide or develop mental illness, or to suffer from high blood pressure, coronary heart disease or cancer. In a similar study, Harvard undergraduates were interviewed about their perception of parental caring. Thirty-five years later these subjects’ health status was reviewed. By midlife only a quarter of the students who had reported highly positive perceptions of parental caring were sick. By comparison, almost 90 per cent of those who regarded their parental emotional nurturing negatively were ill. “Simple and straightforward ratings of feelings of being loved are significantly related to health status,” the researchers concluded.

I was settin’ at this restaurant When the waiter came up and said, “What do you want?” I looked at the menu—it looked so nice Till he said, “Let me give you a little advice.” He said, “Spaghetti and potatoes got too much starch, Pork chops and sausage are bad for your heart. There's hormones in chicken and beef and veal, Bowl of ravioli is a dead man’s meal. Bread's got preservatives, there's nitrites in ham, Artificial coloring in jellies and jam. Stay away from doughnuts, run away from pie, Pepperoni pizza is a sure way to die. Sugar’s gonna rot your teeth and make you put on weight, Artificial sweetener’s got cyclamates. Eggs are high cholesterol, too much fat in cheese, Coffee ruins your kidneys and so do teas. Fish got too much mercury, red meat is poison, Salt's gonna send your blood pressure risin’. Hot dogs and bologna got deadly red dyes, Vegetables and fruits are sprayed with pesticides.” So I said, “What can I eat that's gonna make me last?” He said, “A small drink of water in a sterilized glass.” And then he stopped and he thought for a minute, And said, “Never mind the water—there’s carcinogens in it.” So I got up from the table and walked out in the street, Realizin’ there was absolutely nothing I could eat. So I haven't eaten for a month and I don't feel too fine, But I know that I'll be healthy for a long, long time.

There’s an additional depressing reason why stress fosters aggression—because it reduces stress. Shock a rat and its glucocorticoid levels and blood pressure rise; with enough shocks, it’s at risk for a “stress” ulcer. Various things can buffer the rat during shocks—running on a running wheel, eating, gnawing on wood in frustration. But a particularly effective buffer is for the rat to bite another rat. Stress-induced (aka frustration-induced) displacement aggression is ubiquitous in various species. Among baboons, for example, nearly half of aggression is this type—a high-ranking male loses a fight and chases a subadult male, who promptly bites a female, who then lunges at an infant. My research shows that within the same dominance rank, the more a baboon tends to displace aggression after losing a fight, the lower his glucocorticoid levels.78 Humans excel at stress-induced displacement aggression—consider how economic downturns increase rates of spousal and child abuse. Or consider a study of family violence and pro football. If the local team unexpectedly loses, spousal/partner violence by men increases 10 percent soon afterward (with no increase when the team won or was expected to lose). And as the stakes get higher, the pattern is exacerbated: a 13 percent increase after upsets when the team was in playoff contention, a 20 percent increase when the upset is by a rival.79

Marcelina loved that miniscule, precise moment when the needle entered her face. It was silver; it was pure. It was the violence that healed, the violation that brought perfection. There was no pain, never any pain, only a sense of the most delicate of penetrations, like a mosquito exquisitely sipping blood, a precision piece of human technology slipping between the gross tissues and cells of her flesh. She could see the needle out of the corner of her eye; in the foreshortened reality of the ultra-close-up it was like the stem of a steel flower. The latex-gloved hand that held the syringe was as vast as the creating hand of God: Marcelina had watched it swim across her field of vision, seeking its spot, so close, so thrillingly, dangerously close to her naked eyeball. And then the gentle stab. Always she closed her eyes as the fingers applied pressure to the plunger. She wanted to feel the poison entering her flesh, imagine it whipping the bloated, slack, lazy cells into panic, the washes of immune response chemicals as they realized they were under toxic attack; the blessed inflammation, the swelling of the wrinkled, lined skin into smoothness, tightness, beauty, youth. Marcelina Hoffman was well on her way to becoming a Botox junkie. Such a simple treat; the beauty salon was on the same block as Canal Quatro. Marcelina had pioneered the lunch-hour face lift to such an extent that Lisandra had appropriated it as the premise for an entire series. Whore. But the joy began in the lobby with Luesa the receptionist in her high-collared white dress saying “Good afternoon, Senhora Hoffman,” and the smell of the beautiful chemicals and the scented candles, the lightness and smell of the beautiful chemicals and the scented candles, the lightness and brightness of the frosted glass panels and the bare wood floor and the cream-on-white cotton wall hangings, the New Age music that she scorned anywhere else (Tropicalismo hippy-shit) but here told her, “you’re wonderful, you’re special, you’re robed in light, the universe loves you, all you have to do is reach out your hand and take anything you desire.” Eyes closed, lying flat on the reclining chair, she felt her work-weary crow’s-feet smoothed away, the young, energizing tautness of her skin. Two years before she had been to New York on the Real Sex in the City production and had been struck by how the ianqui women styled themselves out of personal empowerment and not, as a carioca would have done, because it was her duty before a scrutinizing, judgmental city. An alien creed: thousand-dollar shoes but no pedicure. But she had brought back one mantra among her shopping bags, an enlightenment she had stolen from a Jennifer Aniston cosmetics ad. She whispered it to herself now, in the warm, jasmine-and vetiver-scented sanctuary as the botulin toxins diffused through her skin. Because I’m worth it.

Now, with all seven of these chakras revolving in the right direction with no blockages whatsoever, your kundalini would not be able to help itself from rising into that state of bliss, which it perceives above. Ultimately then, as one gets ready for kundalini awakening, the goal is to help those chakras clear, open, and align. Kundalini will respond with the greatest ease of motion accomplished and will demonstrate how well it knows what to do. As you begin to work through these chakras blockages or energetic reversals, you may find that those struggles look something like this. Blockages for the root chakra may look like low energy, general fear, persistent exhaustion, identity crisis, feeling isolated from the environment, eating disorders, general lack or erratic appetite, blatant materialism, difficulty saving money, or overall constant health problems. For the sacral chakra, blockages or reversals may look like lack of creativity, lack of inspiration, low or no motivation, low or no sexual appetite, feelings of insignificance, feelings of being unloved, feelings of being unaccepted, feelings of being outcasted, inability to care for oneself or persistent and recurrent problems of relationship with one's intimate partners. Blockages may look like identity crises or deficits for the solar plexus chakra, low self-esteem, low or no self-esteem, digestive problems, food intolerance, poor motivation, persistent weakness, constant nausea, anxiety disorders, liver disorder or disease, repeated illnesses, loss of core strength, lack of overall energy, recurrent depression with little relief, feelings of betrayal, For the chakra of the heart, reversals and blockages may seem like the inability to love oneself or others, the inability to put others first, the inability to put oneself first, the inability to overcome a problem ex, constant grudges, confidence issues, social anxiety or intense shyness, the failure to express emotions in a healthy way, problems of commitment, constant procrastination, intense anxiety For the throat chakra, blockages might seem like oversharing, inability to speak truthfully, failure to communicate with others, severe laryngitis, sore throats, respiratory or airway constraints, asthma, anemia, excessive exhaustion, inability to find the right words, paralyzing fear of confusion, nervousness in public situations, sometimes extreme dizziness, physical submissiveness, verba. For the third eye chakra, blockages or reversals might seem like a lack of direction in life, increasingly intense feelings of boredom or stagnation, migraines, insomnia, eye or vision problems, depression, high blood pressure, inability to remember one's dreams, constant and jarring flashbacks, closed-mindedness, fear, history of mental disorders, and history of addiction. For the crown chakra, blockages may look like feelings of envy, extreme sadness, need for superiority over others, self-destructive behaviors, history of addiction, generally harmful habits, dissociations from the physical plane, inability to make even the easiest decisions, persistent exhaustion, terrible migraines, hair loss, anemia, cerebral confusion, poor mental control, lack of intellect.

It may seem paradoxical to claim that stress, a physiological mechanism vital to life, is a cause of illness. To resolve this apparent contradiction, we must differentiate between acute stress and chronic stress. Acute stress is the immediate, short-term body response to threat. Chronic stress is activation of the stress mechanisms over long periods of time when a person is exposed to stressors that cannot be escaped either because she does not recognize them or because she has no control over them. Discharges of nervous system, hormonal output and immune changes constitute the flight-or-fight reactions that help us survive immediate danger. These biological responses are adaptive in the emergencies for which nature designed them. But the same stress responses, triggered chronically and without resolution, produce harm and even permanent damage. Chronically high cortisol levels destroy tissue. Chronically elevated adrenalin levels raise the blood pressure and damage the heart. There is extensive documentation of the inhibiting effect of chronic stress on the immune system. In one study, the activity of immune cells called natural killer (NK) cells were compared in two groups: spousal caregivers of people with Alzheimer’s disease, and age- and health-matched controls. NK cells are front-line troops in the fight against infections and against cancer, having the capacity to attack invading micro-organisms and to destroy cells with malignant mutations. The NK cell functioning of the caregivers was significantly suppressed, even in those whose spouses had died as long as three years previously. The caregivers who reported lower levels of social support also showed the greatest depression in immune activity — just as the loneliest medical students had the most impaired immune systems under the stress of examinations. Another study of caregivers assessed the efficacy of immunization against influenza. In this study 80 per cent among the non-stressed control group developed immunity against the virus, but only 20 per cent of the Alzheimer caregivers were able to do so. The stress of unremitting caregiving inhibited the immune system and left people susceptible to influenza. Research has also shown stress-related delays in tissue repair. The wounds of Alzheimer caregivers took an average of nine days longer to heal than those of controls. Higher levels of stress cause higher cortisol output via the HPA axis, and cortisol inhibits the activity of the inflammatory cells involved in wound healing. Dental students had a wound deliberately inflicted on their hard palates while they were facing immunology exams and again during vacation. In all of them the wound healed more quickly in the summer. Under stress, their white blood cells produced less of a substance essential to healing. The oft-observed relationship between stress, impaired immunity and illness has given rise to the concept of “diseases of adaptation,” a phrase of Hans Selye’s. The flight-or-fight response, it is argued, was indispensable in an era when early human beings had to confront a natural world of predators and other dangers. In civilized society, however, the flight-fight reaction is triggered in situations where it is neither necessary nor helpful, since we no longer face the same mortal threats to existence. The body’s physiological stress mechanisms are often triggered inappropriately, leading to disease. There is another way to look at it. The flight-or-fight alarm reaction exists today for the same purpose evolution originally assigned to it: to enable us to survive. What has happened is that we have lost touch with the gut feelings designed to be our warning system. The body mounts a stress response, but the mind is unaware of the threat. We keep ourselves in physiologically stressful situations, with only a dim awareness of distress or no awareness at all.

The doctor gave him a look of sympathy. “We won’t have a choice. If left untreated, both mother and child could die. The only cure for eclampsia is delivery of the baby. We’re doing tests to determine the lung maturity of the baby. At thirty-four weeks’ gestation, the child has a very good chance of survival without complications.” Ryan dug a hand into his hair and closed his eyes. He’d done this to her. She should have been cherished and pampered during her entire pregnancy. She should have been waited on hand and foot. Instead she’d been forced to work a physically demanding job under unimaginable stress. And once he’d brought her back, she’d been subjected to scorn and hostility and endless emotional distress. Was it any wonder she wanted to wash her hands of him and his family? “Will…will Kelly be all right? Will she recover from this?” He didn’t realize he held his breath until his chest began to burn. He let it out slowly and forced himself to relax his hands. “She’s gravely ill. Her blood pressure is extremely high. She could seize again or suffer a stroke. Neither is good for her or the baby. We’re doing everything we can to bring her blood pressure down and we’re monitoring the baby for signs of stress. We’re prepared to take the baby if the condition of either mother or child deteriorates. It’s important she remain calm and not be stressed in any way. Even if we’re able to bring down her blood pressure and put off the delivery until closer to her due date, she’ll be on strict bed rest for the remainder of her pregnancy.” “I understand,” Ryan said quietly. “Can I see her now?” “You can go in but she must remain calm. Don’t do or say anything to upset her.” Ryan nodded and turned to walk the few steps to Kelly’s room. He paused at the door, afraid to go in. What if his mere presence upset her? His hand rested on the handle and he leaned forward, pressing his forehead to the surface. He closed his eyes as grief and regret—so much regret—swamped him.

The traditional hospital practice of excluding parents ignored the importance of attachment relationships as regulators of the child’s emotions, behaviour and physiology. The child’s biological status would be vastly different under the circumstances of parental presence or absence. Her neurochemical output, the electrical activity in her brain’s emotional centres, her heart rate, blood pressure and the serum levels of the various hormones related to stress would all vary significantly. Life is possible only within certain well-defined limits, internal or external. We can no more survive, say, high sugar levels in our bloodstream than we can withstand high levels of radiation emanating from a nuclear explosion. The role of self-regulation, whether emotional or physical, may be likened to that of a thermostat ensuring that the temperature in a home remains constant despite the extremes of weather conditions outside. When the environment becomes too cold, the heating system is switched on. If the air becomes overheated, the air conditioner begins to work. In the animal kingdom, self-regulation is illustrated by the capacity of the warm-blooded creature to exist in a broad range of environments. It can survive more extreme variations of hot and cold without either chilling or overheating than can a coldblooded species. The latter is restricted to a much narrower range of habitats because it does not have the capacity to self-regulate the internal environment. Children and infant animals have virtually no capacity for biological self-regulation; their internal biological states—heart rates, hormone levels, nervous system activity — depend completely on their relationships with caregiving grown-ups. Emotions such as love, fear or anger serve the needs of protecting the self while maintaining essential relationships with parents and other caregivers. Psychological stress is whatever threatens the young creature’s perception of a safe relationship with the adults, because any disruption in the relationship will cause turbulence in the internal milieu. Emotional and social relationships remain important biological influences beyond childhood. “Independent self-regulation may not exist even in adulthood,” Dr. Myron Hofer, then of the Departments of Psychiatry and Neuroscience at Albert Einstein College of Medicine in New York, wrote in 1984. “Social interactions may continue to play an important role in the everyday regulation of internal biologic systems throughout life.” Our biological response to environmental challenge is profoundly influenced by the context and by the set of relationships that connect us with other human beings. As one prominent researcher has expressed it most aptly, “Adaptation does not occur wholly within the individual.” Human beings as a species did not evolve as solitary creatures but as social animals whose survival was contingent on powerful emotional connections with family and tribe. Social and emotional connections are an integral part of our neurological and chemical makeup. We all know this from the daily experience of dramatic physiological shifts in our bodies as we interact with others. “You’ve burnt the toast again,” evokes markedly different bodily responses from us, depending on whether it is shouted in anger or said with a smile. When one considers our evolutionary history and the scientific evidence at hand, it is absurd even to imagine that health and disease could ever be understood in isolation from our psychoemotional networks. “The basic premise is that, like other social animals, human physiologic homeostasis and ultimate health status are influenced not only by the physical environment but also by the social environment.” From such a biopsychosocial perspective, individual biology, psychological functioning and interpersonal and social relationships work together, each influencing the other.