bb Albert Provocateur: February 2010

Albert Provocateur

Monday, February 22, 2010

My Review of Bones 2 Bike

Originally submitted at saris.com

Performance. Art.

  • Injection-molded arms and legs are the strongest on the market.
  • Built with 100% recyclable,non-rusting materials.
  • Ratcheting anti-sway straps secure and stabilize bikes.
  • Arc-based design fits over most spoilers,and separates bikes on diff...


Bones 2 is not perfect, but close!

By Albert the Mad Doctor from El Paso, Texas on 2/22/2010

 

4out of 5

Pros: Lightweight, Easy To Install, Attractive Design, Durable

Cons: Straps need reinforcing

Best Uses: Casual Riding, Road Biking

Describe Yourself: Casual/ Recreational

I love my Bones 2, but I wish it could hold 3, instead of 2, bicycles and the installation straps were more rugged and reinforced. Thank you.

(legalese)

Sunday, February 21, 2010

Murphy's Melodrama

Are we masters of our fates, or is Murphy’s Law, that everything than can go wrong will go wrong, set in stone and beyond our mere mortal minds to break? How many times in our lives have we heard or pronounced, “If only I had…”? Many of us feel jinxed, doomed, or otherwise fated to fail. We drink and smoke to excess, eat like there’s no tomorrow, burn the midnight oil for no good reason, and abuse the physiologic machinery lent to us by the Divine with the justification that we are failures anyway, so we might as well buckle up for the ride and enjoy ourselves. Some of us remember our fathers saying, “You will never amount to anything,” and that verbal flaying has remained with us for our entire lives. If only we could think positively and place our minds over matter, we might reap dividends for both our health and wealth, not to mention a good dose of inner tranquility. Positive thinking can not only help us to reverse and write off Murphy’s Law as an old witch’s tale, but also avoid missteps like traveling up snowy slopes in Ruidoso, New Mexico without snow tires, four-wheel drive, or chains, driving all night to Dallas, Texas without sleeping the day or night before (as practiced by the author of this piece), and other forms of personal lunacy that have become the gold standard for those of us who feel destined to fail anyway, good for nothing, or shackled by Murphy’s legacy.

Never underestimate the power of positive thinking on one’s health. Studies have shown that optimistic coronary artery bypass surgery patients not only recover more quickly, but also have fewer complications after surgery than those with a gloomier outlook on life. Optimism is a healing resource every bit as powerful as the myriad of capsules, tablets, injections, potions, and elixirs promulgated by pill pushers in white, the pharmaceutical industry’s juggernaut, and your friendly neighborhood pharmacists, often more concerned with the ring of cash registers than renewing old acquaintances to the tune of, “Hello, I’m not here to buy anything.” Let’s face it, medical outcomes can, indeed, be influenced by mental and emotional expectations. It doesn’t take an advanced degree to figure that one out. Just think of the placebo effect, or the fact that some drugs or treatments with no proven medical benefits, except for a patient’s belief that they will help, have been found to provide satisfactory relief for any number of medical problems. That is not to say that placebos are medical marvels, magic bullets, or gold standards. When we are really sick, we need real medicines and procedures, but positive thinking is an important adjunct that should not be left out of medicine cabinets and little black bags. While no one really understands why a positive attitude can go far to speeding up recovery from surgery or helping to cope with serious illnesses such as cancer, diabetes, heart disease, or AIDS, the answer may lie in the mind’s power over the immune system. Studies of healthy first-year law students have found that those who are optimistic about the upcoming year and maintain such optimism through mid-semester, not only have more immune cells but better functioning immune cells than their pessimistic counterparts. So, an organic basis for positive thinking actually does exist. Pessimism, on the other hand, has been found to boost levels of destructive stress hormones in the bloodstream.

While we can’t change the circumstances of our lives, we can certainly change our attitudes toward them. Pain can be used for good. Life-threatening and incapacitating illnesses such as AIDS, cancer, emphysema, heart attack, or liver cirrhosis, to name a few, can be thought of as “gifts,” with very little stretching of the imagination. Those conditions can even empower us, by removing the blinders that hinder us from valuing each day, appreciating moments, getting priorities straight, and successfully reaching goals we never thought possible. The loss of a breast to breast cancer, the loss of a high-powered job due to a disabling illness, or the loss of mobility and perceived freedom due to age or a crippling disorder can be looked upon with despair and fatalism, as we cry in our beer, conclude that we are no good and have been singled out for suffering, fail to see a silver lining, or abandon all hope. On the other hand, “being sick” can be viewed as an opportunity to reach out and grab for all that is distinctly human, and all those missed possibilities we have swept under life’s carpet because we were simply too busy or too tired to view them in the light of reason. So, while the exchange of a breast for less energy devoted to cultivating the perfect body, the exchange of a job for free reign to pursue interests and hobbies, or the exchange of mobility for the freedom to pursue deeper passions may hardly seem fair at the moment of immediate impact, a step backward and pause for reflection will most assuredly convince us of the contrary.

The philosophy of making the best of what we’ve got might not have saved Air Force Capt. Edward A. Murphy, an aerospace engineer at Edwards Air Force Base in California in 1949 for whom the law was named, and who died one dark evening in 1990, while hitchhiking to a gas station, when his car ran out of gas and he was struck from behind by a British tourist who was driving on the wrong side of the road. Even though he was facing traffic and wearing white, Capt. Murphy’s fate was sealed. Not so, however, for the men participating in a 2008 study conducted at the University of Rochester Medical Center, in whom it was found that their belief that they were at lower-than-average risk for cardiovascular disease actually resulted in their experiencing a three times lower incidence of death from heart attacks and strokes.

So, as Murphy rests in peace, those of us still around may do so also.

ã 2010, Albert M. Balesh, M.D. All rights reserved.

From the Heart

You’ve eaten too much. You’ve promised to never do it again. This year is going to be different. You’ve made your New Year’s resolution. You think you are indestructible, that life will go on whatever your excesses, and then, “Wam, bam, thank you, Ma’am,” a sinking feeling from the heart tells you that even the best laid plans have expiration dates. That pressure on the chest, pain in the jaw radiating down the left arm, or air hunger spells “I told you so,” as you hover above your body and make that journey toward the white light. If only you’d listened, if only bran muffins had trumped jelly rolls, if only that primordial spark and DNA imprint in your genes had coded for an unconscious “Forbidden” sign to modify dangerous behavior, you’d still be around to give away the bride, watch the Super Bowl, or engage in that harmless mischief that puts smiles on faces and separates homo sapiens from a vast evolutionary assortment of biped, quadruped, finned, and slithering creatures who, while knowing no better, perhaps live fuller lives. Gut a lowly lizard on the evolutionary scale, and you’ll find cardiac machinery similar to your own, minus the plaqued arteries, scarred endocardium, and enlarged cardiac chambers. Plumbers in white may be able to intervene on your cracked chest, but wouldn’t an ounce of prevention have preempted painful coronary bypass surgery, polyethylene tubes running into places you never thought existed, an apothecary’s delight as you fork out the thousands of dollars necessary to keep a sinking heart afloat, and the charade attached to the “I feel better than ever,” when the grim realization sets in that your thoracic “little engine that could,” cannot?

You’ve heard the drill before, that keeping your weight down, increasing physical activity, banning those nightly excursions to the neighborhood Seven Eleven for smokes, and taming your high blood pressure and cholesterol will assuredly add years and quality to your life. Now, however, come the scare tactics. Each year about 1.1 million Americans suffer heart attacks, and, sadly to say, 500,000 do not survive them. Let’s keep this train of thought going. While twenty-five percent of Americans over age 50 have at least two risk factors for heart attack, such as high blood pressure, increased cholesterol, or elevated blood sugar, only 10 percent of all Americans have all risk factors under control. The stark mismatch, reality of the matter, and increasing body count have not bred behavior modification. This is especially troubling when the medical literature has provided a “silver lining,” and, namely, that while a 50-year-old man with no risk factors has only a 5 percent chance over the next 45 years of ever having a heart attack, just one risk factor increases the likelihood of a family visit to the undertaker to 50 percent. Women should not be left out of the equation either, as their chances of having a heart attack over the same time period increase from 8 to 38 percent, depending on the presence of none or just one risk factor, respectively. Numbers are numbers, however, and human nature precludes teaching “an old dog new tricks.” It takes a leap of faith to practice what is preached here.

So, what are you going to do about it? Are you going to finally heed a message that you know to be true, or are you going to continue to play dumb? The platitude that, “I know this is bad for me, but I don’t want to live forever,” just doesn’t cut it here, especially when the Grim Reaper may not come for you, but instead leave you physically maimed and a financial and emotional burden to your family. You need to shoot for still more, easy to remember and attain, numbers, instead of shooting yourself in the foot, or worse. So-called bad cholesterol, or LDL cholesterol, should be kept under 100, blood pressure below 120/80, and blood sugar after fasting between 70 and 130. Then, again, you knew that! Losing weight will make those numbers more “palatable,” and kicking the “cancer stick” or cigarette habit will undoubtedly lower your blood pressure, raise the level of HDL (good) cholesterol, and reverse or halt the damage already done to your blood vessels. Even if you’ve been smoking for years, kicking cigarettes to the curb will help your heart. Studies have shown that smoking cessation not only cuts heart attack risk by half within one year, but also nearly reduces it to the level of a nonsmoker within 15 years. Add 30 minutes of moderate exercise, such as brisk walking, most days of the week to the mix, and you have a prescription for a new lease on life that will promote healthy heart function, while at the same time cutting those high financial costs of blood protein CRP tests, heart scans, and drugs to drive down cholesterol. Laboratories, drug companies, and morticians will hate you for it, but they certainly won’t go hungry without your business.

Taking to heart this message from the heart may mend a broken heart in more ways than one!

ã 2010, Albert M. Balesh, M.D. All rights reserved.