Gay doctor...

[Dominus]

[Quoted Post: Removed]

You are invoking unexpected acts of God for future planning. This is an absurd argument to make because hear me out. It is entirely possible that an asteroid could hit the earth tomorrow and kill us all. Therefore, we should all be gluttons right now and gain 500 pounds. Let me go and get some drugs. Heck, let me kidnap and rape that hot guy at the gym.

You know how absurd that sounds every time someone invokes the "you could die any moment so why be careful with your life anyway?" argument?

The fact of the matter is because of modern medical science, someone could be kept on life support for years and years. So, it's not living that last 20 years of your life that's the issue anymore. It's about the quality of life I am looking at.

I fully recognize there are things one cannot help. Like genetics. A car plowing into us. An asteroid hitting the earth. Trump getting reelected. Etc. But there are real things that can be helped. Like doing our best to upkeep our health.

I was reading an article the other day. Interview with an end of life care nurse. Her job is to take care of people on their death bed. And at one point she said the universal thing that everyone on their death bed say is they wish they had appreciated their health more. Not they wish they gained more weight from 500 to 600 pounds.

 

[belamyi]

You are invoking unexpected acts of God for future planning. This is an absurd argument to make because hear me out.

Only following your "absurd" claim that one can "add" 20 years to one's life through "healthy living".

The rest we do not need do discuss: it can easily be agreed, and still boils down to and meets that one is not able to ADD, but one seems perfectly able not to SUBSTRACT, which is what those terminal patients pointed to.

 

[me203]

As for genetics, there are doctors who will say that genetics loads the gun, but lifestyle is what pulls the trigger. Admittedly, there may be times when genetics could doom one, no matter what. But, at the same time, there are a lot of people with a genetic tendency towards some problem and decide "I'll get ____ anyway, so I might as well live it up on a diet of ice cream!!!!!"

 

[KaraBulut]

...Years ago I had a complete physical by a Doc who had me get completely naked and then put on a gown. It included a prostate check and a visual checkover of my skin for any anomalies, etc.
That would never happen now.

Different doctors were trained in different methods. Most US schools now train physical assessment with the patient stripped down to the underwear and with a gown until the exam begins.

What is examined changes slightly based upon age.

I've been surprised that a lot of men reach their twenties without a genital exam and that their pediatrician didn't talk to them about doing testicular self-exams. I've also been surprised how many older men don't get skin checks, which if done properly requires looking at places that the patient cannot see themselves. I also see a lot of physicals written up with the genitourinary section "deferred" which usually means that the physician didn't want to do it.

I'm not sure what happened in the OP's case. Scheduling a physical with a physician is always a roll of the dice because many physicians don't like doing them. You'll get a better physical scheduling with a PA, a nurse practitioner or an occupational medicine specialist because they do them more often.

 

[Dominus]

Only following your "absurd" claim that one can "add" 20 years to one's life through "healthy living".

The rest we do not need do discuss: it can easily be agreed, and still boils down to and meets that one is not able to ADD, but one seems perfectly able not to SUBSTRACT, which is what those terminal patients pointed to.

How about this. Healthy living may not guarantee a higher quality in the last 20 years of your life, but it sure as hell is giving yourself the best chances to one.

 

[rareboy]

Different doctors were trained in different methods. Most US schools now train physical assessment with the patient stripped down to the underwear and with a gown until the exam begins.

What is examined changes slightly based upon age.

I've been surprised that a lot of men reach their twenties without a genital exam and that their pediatrician didn't talk to them about doing testicular self-exams. I've also been surprised how many older men don't get skin checks, which if done properly requires looking at places that the patient cannot see themselves. I also see a lot of physicals written up with the genitourinary section "deferred" which usually means that the physician didn't want to do it.

I'm not sure what happened in the OP's case. Scheduling a physical with a physician is always a roll of the dice because many physicians don't like doing them. You'll get a better physical scheduling with a PA, a nurse practitioner or an occupational medicine specialist because they do them more often.

I agree. The most complete physicals are the ones where insurance may be involved, although as a homo with implanted IVC filters and coagulopathy it has been 35 years since I could get supplementary life insurance And now, fuck them, we don't need it, so I saved a fortune.

I would also say that I am not a fan of wide scans of health risks.

I have had to sit and listen while my doc told me about the high risk of chronic leukemia (my sister got the same info at around the same time) and for other markers for diseases prevalent in our demo.

Turns out...nothing came of it nearly 20 years on. So I am happy to march my ass into the Doc's when something seems to be astray and starting from what I, as an expert in consultation with Dr. Google thinks might be happening.

 

[belamyi]

How about this. Healthy living may not guarantee a higher quality in the last 20 years of your life, but it sure as hell is giving yourself the best chances to one.

That was not what you said and I was contesting: you did not talk about bettering 20 years of living, but adding out of nowhere 20 years to one's existence.

 

[rareboy]

That was not what you said and I was contesting: you did not talk about bettering 20 years of living, but adding out of nowhere 20 years to one's existence.

Which just does not usually happen.

Except in some circumstances now where inherited genetic defects are treated and manageable.

My Brother-in-law had bowel cancer...like his father and other family members had died from. But all these years on, it was diagnosed and treated and this year it is 2o years behind him and still not recurrent.

I have a blood disorder (Niorthern European genetics) that goes back a number of generations and presented for me when I was 32. I would have certainly died. And did. But did not. It has been monitored and managed, now with Rivoroxiban instead of LMWH or rat poison for over 30 years.

Now I am watching my uncle with Alzheimer disease. He is managed and has leved 3 years longer now than the average male over 75 with AD. Although he has lived with it for nearly 8 years now.

So yeah, you can sometimes cheat death. But it is so incredibly rare.

 

[belamyi]

Which just does not usually happen.

Except in some circumstances now where inherited genetic defects are treated and manageable.

My Brother-in-law had bowel cancer...like his father and other family members had died from. But all these years on, it was diagnosed and treated and this year it is 2o years behind him and still not recurrent.

I have a blood disorder (Niorthern European genetics) that goes back a number of generations and presented for me when I was 32. I would have certainly died. And did. But did not. It has been monitored and managed, now with Rivoroxiban instead of LMWH or rat poison for over 30 years.

Now I am watching my uncle with Alzheimer disease. He is managed and has leved 3 years longer now than the average male over 75 with AD. Although he has lived with it for nearly 8 years now.

So yeah, you can sometimes cheat death. But it is so incredibly rare.

Still that was not done with push-ups, carb-free diet and doctor groping.

 

[belamyi]

So yeah, you can sometimes cheat death. But it is so incredibly rare.

That is one's impression, and ultimately keeps meeting what I said: fully developing one's destiny, whether it is suffering a mortal accident or profiting from medicine to its extremest efforts.

 

[Dominus]

That was not what you said and I was contesting: you did not talk about bettering 20 years of living, but adding out of nowhere 20 years to one's existence.

I misspoke. I did not literally mean adding 20 more years to our existence.

How about this. Let me clear it up.

How you exist in the last 20 years of your life is very largely depending on how you treat your body right now. You want to be on life support machines the last 20 years of your life? You want to be pulling an oxygen tank around? Or do you want to be able to walk around and do your own things with your own hands?

 

[belamyi]

I misspoke.

Thank you, that's it

 

[Dominus]

Still that was not done with push-ups, carb-free diet and doctor groping.

Still that was not done with push-ups, carb-free diet and doctor groping.

I feel like my words have been misinterpreted because what I said is not popular.

Considering the fact that over 70% of the population is overweight and obese, I can see how those of us who still advocate for healthy living are now the hated ones.

And health at every size seems to be catching on to the mainstream nowadays.

 

[belamyi]

How you exist in the last 20 years of your life is very largely depending on how you treat your body right now. You want to be on life support machines the last 20 years of your life? You want to be pulling an oxygen tank around? Or do you want to be able to walk around and do your own things with your own hands?

You can not be sure you will not end up on life support anyway. Just say you gave yourself the opportunity of not falling into that, not that you actively did something to avoid something you admit it might not happen under any circumstance.

 

[belamyi]

I feel like my words have been misinterpreted because what I said is not popular.

Considering the fact that over 70% of the population is overweight and obese, I can see how those of us who still advocate for healthy living are now the hated ones.

And health at every size seems to be catching on to the mainstream nowadays.

I guess it's the "throwing-to-your-face" attitude, even if unwillingly so: it's like going around saying that you are going to save yourself for eternal life because you are good, do good, think good, pray a lot and have steadfast faith.
One may agree and do exactly what you do without going "oh, that one let himself go and has rotten teeth at 40; I do my healthy routine, so I'm going to be saved by the God of Health".

You do not actually even need to do, you only need to be thought of, anyway: some would just joke just like I tease htem about their tastes, but some genuinely take me for a snobbish one because posting Telemann or whatever is not in the book of mainstream popularity is considered more pretentious and snobbish than quoting techno, Tutone or the Rollings, or going geeky about cars, serial killers and sport competition records.

 

[Dominus]

You can not be sure you will not end up on life support anyway. Just say you gave yourself the opportunity of not falling into that, not that you actively did something to avoid something you admit it might not happen under any circumstance.

Well, it's like the difference between driving sober and driving drunk. Is a drunk driver always going to crash and kill someone? Is a sober driver always going to get home safely? The answer to both is obviously no.

Same with healthy living. Is a person living a healthy lifestyle going to never have a heart attack? Is a 500 lb person always going to die early? The answer is again obviously no to both. But...

You fill in the rest.

I get it. Not very popular of me to state the obvious. I've met alcoholics before. They all said roughly the same thing. That they are better drivers drunk than most sober people. And since I'm Asian I'm a very bad driver sober. Imagine if 70% of society are alcoholics. All of a sudden advocating for sober lifestyle is now snobbish and unpopular.

 

[peeonme]

I see part of this as a question of quality of life rather than how long one might live. Staying active will make life more enjoyable. Being able to do chores without getting "winded" or even being able to tie one's shoes in a comfortable fashion, getting up from a chair, taking a brisk walk all mean a lot.
You don't have to be a gym rat or a health freak to stay in decent condition. However, you can be certain of one thing, your body will age. Muscle mass will fade away, joints will wear out, it's just a part of life.

I feel as though I do okay for being 72, a large part of that is attributable to my early teen years where I was forced to run and exercise. It put a foundation in place where I was able to be far more active than most guys at my age well into my 40's. Even in my 50's I could outrun most younger people, then joint pain set in and I had to slow down some, the body does wear out.

 

[belamyi]

Well, it's like the difference between driving sober and driving drunk. Is a drunk driver always going to crash and kill someone? Is a sober driver always going to get home safely? The answer to both is obviously no.

Same with healthy living. Is a person living a healthy lifestyle going to never have a heart attack? Is a 500 lb person always going to die early? The answer is again obviously no to both. But...

You fill in the rest.

I get it. Not very popular of me to state the obvious. I've met alcoholics before. They all said roughly the same thing. That they are better drivers drunk than most sober people. And since I'm Asian I'm a very bad driver sober. Imagine if 70% of society are alcoholics. All of a sudden advocating for sober lifestyle is now snobbish and unpopular.

So we agree that leading a healthy lifestyle is advisable, but most people hate discussing it like they mean what they say.
And that one can not "add" years to one's life or "choose" one's destiny.

 

[belamyi]

^ "As if they meant what they say when they seem to agree in advocating for a healthy lifestyle".

Healthy lifestyle is like classic books praised by people never having read nor intending to ever read them, 'fashion icons' extolled by people displaying the exact opposite fashion choices, and so on...

 

[lockeroomguy]

As for genetics, there are doctors who will say that genetics loads the gun, but lifestyle is what pulls the trigger. Admittedly, there may be times when genetics could doom one, no matter what. But, at the same time, there are a lot of people with a genetic tendency towards some problem and decide "I'll get ____ anyway, so I might as well live it up on a diet of ice cream!!!!!"

Very well said.