Posts Tagged Obesity

Too Fit To Run

I ran my first (and probably last) marathon in October last year. About a month later I started getting heart palpitations. I have always thrown the odd palpitation and been assessed several times by cardiologists, as I have a family history of heart disease. No matter how many times they make me run up the vertical treadmill they have always failed to kill me.

However, the sporadic nature of these palpitations changed rather dramatically just before Christmas. Now I was getting them every day for most of the day. If you have never had a palpitation the feeling is quite hard to describe. It is a bit like a cross between having butterflies in your chest and going down a roller coaster or hitting a massive air pocket, only it is happening all the time. If I take my pulse I can feel the missed beats and irregularities that correlate with the butterflies. It is amazing that my heart can be bouncing around like that without producing any symptoms.

These particular palpitations went away with exercise, which seemed like a good excuse to run, run, run. Thanks to the shorter waiting times, because of my private health insurance, I only had to wait three months to see a cardiologist.

When I finally did darken his door he just waved the palpitations away as being inconsequential, because there were no accompanying symptoms. No exercise intolerance. No shortness of breath. No chest pain. Not completely inconsequential, however, because he warned me off any future marathons. 15 km was okay, 42.2 km was not. Apparently that amount of cardiac stress for that long tends to cause myocardial fibrosis, or scarring, which can then lead to potentially fatal arrhythmias (http://running.competitor.com/2012/06/news/how-much-running-is-bad-for-your-heart_54331, http://www.mayoclinicproceedings.org/article/S0025-6196(12)00473-9/abstract). Happy news.

And he stuck a 24 hour monitor on me just to see what my heart was getting up to when no one was watching. Not much, it seems. While I am asleep, so is my heart. My sleeping heart rate dropped to as low as 27 beats per minute (60-80 is average) with up to six seconds between beats. Apparently this means I am either fit or have severe conduction issues that will need a pacemaker to sort out. Ironically the only way to decide is to make me unfit and see if anything changes.

So for the next six weeks I have been banned from running. He wanted to ban me from doing anything at all but I convinced him to let me keep going to the gym as long as I didn’t “do anything silly” as he put it. That’s two races I now have to miss, including chasing a historic steam train into the hills.

I must admit to having mixed feelings about the marathon ban. I wasn’t too sure if I wanted to put myself through all that training again anyway. However, the complete running ban is something different altogether. I can already feel my fast (and slow) twitch fibres getting twitchy.

And how confident can you be in the prognostications of a fat cardiologist? Isn’t obesity one of the key risk factors for heart disease? I half expected him to light up a Marlboro and start chewing on a lard sandwich.

Still, for the moment at least, the running ban is irrelevant as I smashed my back escaping from Eddie’s headlock at last Monday’s Krav Maga session. I have so much pain in my right thigh (referred presumably from my spine) and have taken so many different analgesics that even typing is a challenge at the moment.

The unbelievable irony of all this has not escaped me. Everything I read, see, and hear tells me to go out and exercise. Be active and I will live to 156. Having taken that advice I am now being told that I am too active, and possibly too fit and that I need to spend the next month sitting on the couch watching television. This could get very ugly before it is over.

Dr. F. Bunny

 

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Turning Japanese

I have just returned from two fantastic weeks in the Land of the Rising Sun. This being my first trip I was struck by the country’s unique ability to embrace both the old and the new. The people were all incredibly friendly, polite, law abiding and helpful. Compared with Australia, Japanese society seemed very structured with a long list of social conventions that regulate people’s daily lives. While this may appear restrictive once I had deciphered the system I found knowing what was expected in various situations to be oddly relaxing. It was probably just my German background enjoying the predictability of it all. The old joke about why the German crossed the road (The little man is green now. It’s allowed) is equally applicable to the Japanese. People formed orderly queues on railway platforms to board the trains, the doors of which always lined up with the carriage numbers marked on the ground. The trains were insanely punctual and reliable. People did not eat in public. Shoes were removed before entering temples, restaurants, homes, castles and sumo rings, which is a very common sense way of not tracking dirt everywhere. If you do decide to visit Japan do not, under any circumstances, wear a pair of lace up hiking boots.

Given that the majority of Japanese claim no personal religion they have presumably decided on their social conventions all by themselves, producing a set of guidelines that work for them. Considering their extremely low crime rate, compared with many devoutly religious countries, it certainly seems to be working for them. Japan does, however, have two major religions and, interestingly, most people profess to follow both.

Shintoism is Japan’s own home grown religion. It has no major prophet and no all-consuming deity. In fact there are eight million deities or spirits as all animate and inanimate objects contain a kami or spiritual essence. It is not necessary to swear allegiance and forsake all others to be Shinto. Anyone who practices Shinto rituals is counted as belonging to the religion. The Japanese have also imported Buddhism and see no contradiction in following both this religion and Shintoism, picking the best bits from each. It is refreshing to see religion working for the people instead of the other way round. Most people celebrate birth events according to the Shinto way but use Buddhist rituals for funeral arrangements. According to what one Japanese person told me the Shinto afterlife is not as appealing as the Buddhist nirvana. There are no Shinto cemeteries. Cremation is a Buddhist ritual. I was told that Shintoists believe the spirit returns to the earth and bodies were either thrown in the river or left on a hillside, presumably for scavengers to dispose of. I can feel myself becoming more Shinto all the time.

As a member of one of the world’s fattest countries it struck me how few overweight Japanese there are. This should come as no surprise as the Japanese consume virtually no bread products and no chocolate. In fact almost none of the places we ate at featured a dessert menu. Dairy products were also all but absent from the diet, which is probably sensible too as we appear to be the only species that drinks the milk of another well into adulthood (apart from my wife’s border collie who used to zip into the milking shed of any farm she visited, in order to clean up the spilled milk). Foods are minimally processed with a strong emphasis on raw foods including fish. I did enjoy my sashimi but I will be worming myself as soon as I get the chance. We cooked many of our restaurant meals ourselves much to my son’s indignation who felt that, as we were having a night out, the least the restaurant staff could do was to cook it for us. We made our own sukiyaki, which featured melt in the mouth Hida beef, that I’m sure was not particularly healthy given the reason for the meat’s flavour and tenderness was its intense marbling. We also concocted our own chankonabe, a stew containing seafood, chicken, vegetables, rice and egg designed to bulk up the sumos, and our own okonomiyaki, a type of savoury pancake filled with whatever takes your fancy. It was also good to see the Japanese making the most of local produce consuming a wide variety of unrecognisable mountain vegetables, as they called them. I found the fern to be quite tasty but I don’t think I will miss the lotus root. Our diet does not seem to be nearly as varied as theirs. All of this no doubt contributes to the fact that the Japanese now have the highest life expectancy in the world.

And the best part? Tips are neither given nor expected. Politeness and good service are an expected part of the culture.

Dr. F. Bunny

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