Monday, January 27, 2020

Three non-fiction bestsellers

Three impactful bestsellers all came in concomitantly from my library request list in the last two weeks and are worth a mention as tasteful food for thought in this Chinese New Year of the Rat.  

Talking to Strangers:  What we should know about the people we don’t know [how our interactions with strangers often go wrong] – Malcolm Gladwell

This is another Gladwellian foray into the maze running behind curious human behavior.  This book is apropos now 
when the world feels irretrievably polarized as it tries to examine ways we misinterpret or fail to communicate with one another, especially strangers.  It begins with death of Sarah Bland after an undeserved traffic stop spirals out of control, extends to those of numerous unarmed African Americans in police encounters and traverses all the way to blind spots at the root of historical tragedies.  How did Fidel Castro fool the CIA for a generation? Why did Neville Chamberlain think he could trust Adolf Hitler?  Why are campus sexual assaults on the rise?  Then onto wide-ranging front-page incidents involving the deceptions of Bernie Madoff, the trial of Amanda Knox, and the child-abuse scandal involving coach Jerry Sandusky.

Gladwell argues that the flawed tools and strategies we use to make sense of people we don't know invites misunderstanding and conflict with profound unintended consequences.  
One of the misperceptions is that we autonomically default to is taking strangers at their word so-called ‘default to truth’ which was at the heart of a CIA double agent, sexual abuse of gymnasts and the unwarranted trust of Hitler.  He explains other types of miscommunications, especially when strangers’ actions that do not conform to accepted norms (“transparency”) and when a failure to recognize a connection between behavior and external factors (“coupling” or context) allows us to radically misinterpret the intended action.

At times the book felt a little too facile, too sensational, but it did explain why the overextension of police policy of geographical profiling and using incidental (tail light) infractions to stop ‘suspicious’ citizens (with the hope of finding contraband) led to unfortunate interactions that resulted in too many unwarranted deaths.  Sobering.
Life span:  Why we age – and why we don’t have to.  David Sinclair PhD

When I first saw this title, I thought it must the hyperbole of the fountain of youth.  But, after reading it, I learned a lot about mechanisms and treatment of aging (especially sirtuin system), some of which … could be life changing now!  Dr. Sinclair is an eminent Harvard geneticist who studies aging and is a strong proponent of studying aging as a disease, that is the core malfunction that underlies specific diseases – cardiovascular, metabolic (diabetes), cancer and neurodegeneration (Alzheimer’s).  He maintains that if we fully understand the aging process, we will be able to circumvent or substantially delay many of the known diseases and experience a markedly enhanced quality of life.  It seemed fanciful at first glance, but he is quite convincing.  

Indeed, many of the key mechanisms have already been elucidated by his and other laboratories – in worms and rodents – and can extend lifespan by 5-20%.  The main one is the ancient sirtuin protein that toggles back and forth between fertility vs. repairing damage.  Resveratrol (red grapes/wine yea!) and nicotinamide mononucleotide stimulate sirtuin and delays aging – the latter even restores fertility in aged mice (grandma become new ma?).  Rapamycin inhibits mTOR (even given at the end of life) in simple cells and metformin activates AMPK (mimicking fasting) with reduced dementia, CV disease, cancer and frailty in 41,000 humans!  A second is epigenetic reprogramming – the Yamanaka (Nobelist) factors – which in simple systems can reverse cellular aging as if hitting a reset button.  BUT, as of yet there is no definitive evidence that these will work in us and long-term side effects are yet unknown.  But as we speak, human trials have just started but may be years to conclusion.  

Dr. Sinclair to his credit, discusses the demographic, nutritional, climatic, social and moral implications of these momentous possibilities.  He and others project that our grandchildren will on average live to 100 years and that people will have 3 careers, a main one, plus two others lasting until the age of 90.  Accordingly, I’m aspiring to be a 90 sprightly Walmart greeter!  I also much appreciated the extent to which he gave credit to others in the field and especially his laboratory post-docs.

Lastly, despite the unknown, he has hedged his bet and reveals what he is doing to improve his own odds of aging gracefully.  He emphasizes lifestyle modification – intermittent fasting, low protein, plant >animal protein, exercise and sleep which we have discussed.  All grandma’s advice.  But he also takes metformin, resveratrol (100s glasses of red wine worth/day) and nicotinamide mononucleotide, an active metabolite of vitamin B6.  

This was fascinating and thought provoking and for me a life changer to find what is known and what one can do potentially do now for oneself.  And I’m going to hedge my bet as well.

Range: Why generalists triumph in a specialized world.  David Epstein (sportswriter)

What's the most effective path to success?  Epstein begins with Tiger’s terrible twos when he already knew he was going to become a golfer and after racking up hour after hour of deliberate practice he outpaced everyone without such a head start.  It turns out, even among elite athletes, early specialization and focus is the exception not the rule.

Having exposure to multiple sports, multiple types of creative arts, multiple academic disciplines, multiple jobs appears to help in several ways.  It allows the child to trial and find a match, it provides a breadth of background which informs unique problems, and it allows the problem solver to draw analogies from a wide range of experiences.  For example, too often it is I have a hammer and there is a nail therefore I … yet the stent-hammering cardiologist continues on despite the equivalent outcome of conservative treatment.  In fact, grit may be overvalued in many who simply change instruments, fields, or jobs due in truth to trying to find a better match rather than from lack of persistence.  So, while experts argue that anyone who wants to excel in a sport, an instrument, or a field should start early, focus intensely, and practice deliberately, data suggests otherwise.

At first, I thought Epstein, an award-winning sportswriter, was selecting data, perhaps even outliers.  But as he reviewed life stories and group analyses of top achievers, he discovered that early specialization is the exception and broad exposure is more the rule.  In domain after domain, from elite (Roger Federer) athletes to artists (Van Gogh), musicians and composers, inventors (of Nintendo, glitter, Apple), forecasters, scientists and Nobel Laureates (Cajal), this pattern seems to hold true.  In a complex and rapidly evolving world, generalists, who typically find their path later than earlier, rather than specialists solve/discover/invent the big and difficult ones. By balancing different interests, they appear to be more mentally agile and more able to make connections (analogies) across fields that narrow specialists cannot see.  The most impactful inventors and Nobelists often cross domains rather than plunge into a single area alone.

This book is one of the most insightful books about learning that ever I’ve read and is relevant to our kids, especially grand kids, teachers, professors … mid-career change.  For our grand kids, having to figure out the hidden rule rather than simply memorizing the short cut, failing a test, quitting a sport or instrument and taking up another appears to be in the long-run the best way to learn.  I realized belatedly how my dilettante-ism (interest in humanities – religion, psychology, medical anthropology) enabled me to delve into grey areas of functional mind-body GI disorders, develop diversity curriculum and understand Asian American medical students.  I came to view Ben’s 7-year walk-about differently as an experimental, matching and maturing phase in which his sociology studies, experience with underserved, goal of social justice, and humanities coalesced into his unique career path.

Wednesday, January 8, 2020

a NY's or Chinese NY's post

When I reviewed my favorite memories of our condo overlooking the Milwaukee River – moving water soothing– I realized that Teri’s aesthetics and ergonomics (kitchen) were fully realized, something you who visited well appreciated.  Then, I realized that I had lived there longer by myself than with Teri – time slips away quietly and quickly.  

In January I downsized to one room of furniture and one 10x10’ storage and am renting temporarily in Madison to be close to my best friend Steve and mentor/friend Memée and their extended families.  A warm homecoming after 33 years away.

Over the past three years, a seasonal travel tempo has been established – so even while travelling 70% of the time, I am in a familiar and comforting rhythm.  Winter relief is a tour abroad (Kenya/Tanzania/ Netherlands), followed by Asia Week in NYC plus another spring break (DC and Vancouver).  May brings an annual reunion road trip through Iowa City (birthplace), Columbia MO, Lawrence KS (parents burial place).  July-Oct in Vancouver are consumed by daily Chen Tai Chi study/practice.  The fall season includes talks at the APAMSA and NASPGHAN conferences (+ Japan), an OSU football game (2 this year), a Tai Chi trip boot camp in Vancouver, topped off with Thanksgiving and Christmas alternating between Mendham and Denver.  The consistent joys in these journeys are family, old and new friends, great food and conversations, and sightseeing (art).


Highlights?  Ngorongoro Crater and the Serengeti with Steve’s extended family where we saw the free range Big 9 and learned abundantly about natural order, competition, evolution, survival, human incursion and the devastating effects of tropical infections and colonialism.  Interesting fact, Indian Asians comprise 7% of Kenyans yet control 60% of the economy not unlike the Chinese diaspora throughout SE Asia.  ‘Touching’ a Yuan Dynasty (1360s) Chao Mengfu painting in the Freer Gallery storage in DC about which father wrote a monograph.  White water rafting/camping for 5 days on the last undammed, pristine Salmon River in ID with Rachel’s family as she described ‘seeing nature through an 8 and 6 year-old eyes’ and as John captured ‘completely unplugged and totally connected to family and nature’.  And, little FLORA running and calling me Yeye (male-side grandpa). 
Rachel, John, Jack and Naomi continue to prosper in Mendham NJ, Rachel cooking instructing and catering and has the most organized household.  John is with a new generic pharma company and fortunately can work remotely.  Jack is thoughtful, warm and math savvy whereas whereas Naomi is now a speedster and soccer savvy.  Ben, Theresa, Flora (plus one coming) remain in Denver for another 1½ year, Ben completing his fellowship/master’s focusing on gun violence while Theresa works remotely at a Bay Area start-up.  Flora is a truly Montessori 16 month-old who feeds herself with a fork, and is verbal, signing and exacting about what she wants (and does not).




I feel fortunate to continue rich cultural experiences through traveling, art museums and galleries, artists, art historians, curators, eclectic reading (new high of 60 books) and series (Bosch, Mrs. Maisel).  I highly recommend Boon Joon Ho’s Parasite (Golden Globe foreign film winner) a complex comedy, thriller, tragedy and disquieting commentary on social inequity.  I continue to transform my self through Tai Chi (new muscle memory, improved proprioception & BP control), intermittent fasting, increased plant protein/less animal protein, antioxidants and mitochondrial supplements.  And I just began the ‘interesting’ process of internet dating after 45+ years.  


May we all share a healthy and fulfilling 2020 despite our aches and pains and the inhospitable atmospheric and geopolitical climate.  It is indeed wonderful to remain mobile in mind, body and of course bowels – my specific GI perspective.