Paleo-Stressing: Acute v. Chronic Stress

"What happened to the good ole days when I ate you people--not lived in your cages?"

“What happened to the good ole days when I ate you people–not lived in your cages?”

Paleolithic dieting is all the rage these days. I’m no expert on the paleo-diet, but–as I understand it–this refers to the practice of eating the foods consumed by our pre-agrarian ancestors. The idea is that if one consumes the foods that our species is evolutionarily-optimized to eating, one will be healthier.  Whether one believes in the merits of the paleo-diet or not on the whole, it’s hard to argue that one wouldn’t be better off eating less highly-processed and highly-refined foods and more things that look like food at a glance.

 

Our diet isn’t all that has changed since the days of our pre-agrarian ancestors. Modernity has brought with it an entirely new way of experiencing stress. Eliminating or reducing stress is a common topic of discussion, but not all stress is created equal. There’s a necessary form of stress, a stress that makes one better, stronger, faster, and smarter. We don’t want to willy-nilly eliminate stress; we want to reduce the wrong type of stress.

 

Our ancestors—like animals–experienced brief periods of intense stress (e.g. saber-tooth tiger attacks), followed by longer periods in which they were free of deadlines, carpools, and after-school activities. Now, no one likes to have a saber-tooth tiger stalking them. It’s unpleasant. Modern humanity has gone to great lengths to eliminate those short bursts of terror, but not without cost. (If you don’t believe me read Robert Sapolsky’s Why Zebras Don’t Get Ulcers.)

 

Whether or not you believe that eliminating acute instances of terrifying stress is bad for mankind, it’s hard to argue that modernity’s leveling process didn’t eliminate stress, but instead resulted in a chronic stress on a smaller scale. People today have impossibly long daily to-do lists, and they have to accept trade-offs between work, family, and personal development.

 

It’s true that you don’t get eaten by a giant cat when you drop the ball, but life is so packed diverse events that one may feel like one is dropping some ball constantly. If your boss thinks you’re a model employee, then your kids are probably going to need therapy. If you have a contented home life, your boss may have his or her eyes open for someone who can give the firm consistently 70+ hour work weeks. If you feel you’re doing alright on both the work and family front, your body and / or mind is probably a train wreck.

 

Chronic [mini] stress may feel better than acute [catastrophic] stress, but it takes its tolls in various ways. First, with our sympathetic nervous system (fight-or-flight reaction) constantly engaged our body’s power to heal itself is reduced. When the parasympathetic nervous system is engaged, the body devotes resources to long-term goals like getting healthier, but in stress mode activities not relevant to immediate survival shut down. This is a great system if you have periodic life and death stress, but is not so good if you’re under constant stress.

 

Second, chronic stress reduces sleep, and sleep is essential to one’s mental and physical well-being. There are a wide variety of symptoms associated with sleep deprivation such as forgetfulness, decreased concentration, decreased alertness, reduced reasoning ability, diminished problem-solving capacity, and depression—all of which can diminish our physical health through accidents, ailments, suicide attempts, and lack of energy for exercise.

 

Third, chronic stress can make one fat, with all the health issues that result. Some people use food as a coping mechanism. Other people eat too fast or choose their food poorly because of time constraints or because they are not mindful of eating as their monkey minds churn at a mile a minute. Then there is the more convoluted and complex issue of cortisol–a hormone released under stress that is linked to weight gain in at least some cases. Even if you don’t have a problem on the calorie intake side, the stressed individual may not do so well on the calorie burning side—either because of a lack of time to exercise or a lack of energy.

 

Modern humans are uniquely suited to chronic stress because we are the only species that achieves the same physiological stress response by remembering and obsessing about a stressful event as experiencing it. Abandoning the modern approach to living isn’t an option most are willing to entertain; but there are ways to combat chronic stress.

 

Move – Meditate – Mindfully Breath: The bad news is you’ve got to shoehorn these activities into your schedule daily (or at least several times a week.) The good news is that they don’t need to take up a lot of your day. There are a number of systems that address all three components in one handy package such as Qi Gong, Yoga, and some martial arts. I don’t think it matters so much which one chooses as how one goes about one’s practice.

 

Movement strengthens and strategically stresses the body, but it also increases one’s bodily awareness so that one becomes aware of how stress is manifesting itself in one’s body. Meditation teaches one how to live in the present moment, and it trains one to recognize the seeds of negative thought and emotion earlier so that one can counter-act them. Obviously, breathing is essential to life, but learning to be aware of one’s breathing patterns and to “manually override” the breath patterns associated with harmful emotional states is a beneficial skill.

 

Massage / Bodywork: Whether self-administered or other-administered (the latter allowing greater distressing–particularly if the masseuse is skilled) massage is an activity, like movement, that can help one become aware of where one is physically holding one’s stress. These physical manifestations of stress can exacerbate the whole experience of stress. One should take time periodically to have bodywork done. A day rarely goes by in which I don’t work on my own neck, shoulders, head, or face, and I occasionally get professional Thai Yoga Bodywork done.

 

The Places that Scare You: Force yourself to go someplace (not necessarily literally a “place”) that scares you once in a while. This needn’t be skydiving or hand-gliding—but it could be. It may be a martial arts class in which one has to put on the gloves occasionally and go at it. It may be joining Tostmasters and having to give a speech in front of a crowd. It may be traveling to some backwater where you don’t know the language, but you want to learn. This is a very personal issue. (i.e. A Type-A personality he-man may not find that skydiving is outside his comfort zone. If so, sorry, skydiving doesn’t count, he may need to learn ballroom dancing, or something else that truly takes him outside being comfortable.) KEY POINT: The problem with hiding from all stressors is that it doesn’t result in a stress-free life, what happens is that smaller and smaller stressors loom bigger and bigger in one’s mind. Which brings us to…

 

Perspective:  One must put life’s challenges in perspective. Each person’s problems are important to them, and I don’t want to diminish anyone’s problems, but—come on—you’re not going to be eaten by a freaking saber-tooth tiger.

BOOK REVIEW: The Science of Yoga by William Broad

The Science of Yoga: The Risks and the RewardsThe Science of Yoga: The Risks and the Rewards by William J. Broad

My rating: 3 of 5 stars

I brought a great deal of interest and enthusiasm towards this subject as I began reading this book. As I proceeded to read, my feelings about The Science of Yoga became much more mixed. At its best, the book shows the state of scientific research on yoga and crushes myths that are deeply ingrained, and it points out risks of which yogis and yoginis should take notice. At its worst, it is sensationalism run-amok–suggesting hugely expensive solutions to issues that are either relatively small problems or that the author fails to prove are really problems at all. Put more simply, at its best it’s outstanding, but at its worst it’s tripe. What I will say about this book is the same thing that its author says about yoga, which is that—on balance—it does more good than harm.

The book is arranged into seven chapters, each of which discusses the scientific research on a different dimension of controversial beliefs about yoga. These include the historic claims of supernatural yogic abilities, the issue of whether yoga increases cardiovascular health, the role of yoga in mental health and well-being, the safety of practicing yoga, the role of yoga in healing, the sexual claims of yogis, and whether yoga enhances creativity. It is written in a scholarly format, heavily end-noted and with bibliographic citations. There is front matter giving information about key people, time lines, and yoga styles in outline form.

In an afterword, Broad points out that this has been his most controversial book to date. I can see why, but, to be fair, I’m sure much of the criticism is unfairly based on a failure to read the book or a desire for the author to treat many of yoga’s mythical aspects as science (as many of its practitioners do.) The former problem was exacerbated by the fact that a single chapter excerpt was published in the New York Times as a teaser for the book. Designed to spark controversy (always good for readership), it was one of the most negative of chapters—the one dealing with yoga injuries. Some who took umbrage probably didn’t realize that Broad is a yoga practitioner, and that there are chapters that are overwhelmingly positive on yoga (e.g. the chapter on “mood” which deals with yoga’s influence on psychology has mostly great things to say about the discipline.) While all of the chapters combine a mix of good and bad news, one comes away from some of them seeing a positive picture of yoga and others with a negative one. In the first half of the book it seems as though chapters may have been arranged to alternate positive and negative dimensions.

Of course, there will also be people who are outraged because of the discussions of the debunking of the con games of their beloved yogis, or for a failure to discuss the critical importance of things like Chakra fluffing. It should be noted that Broad doesn’t deride or mock such spiritual beliefs, he more or less ignores them beyond the occasional off-hand mention—as one would expect in a book about science.

My primary criticism with The Science of Yoga is a common one consideration of problem-solving utilizing public policy (not just with respect to yoga), which is to become so impassioned about a problem that you lose all sight of cost-benefit considerations or the negative feedback effects incentivized by your “solutions.” The problems about which Broad gets so exercised as to suggest an overhaul of yoga as we know it, largely fall into two categories. First, there are problems that are exceedingly rare but catastrophic for in individual involved. This is exemplified by the apparent heightened incidence of strokes among individuals engaged in certain inversions (e.g. a shoulder stand in which the neck is under compression.)

In an interesting turn away from science, Broad makes assumptions in the face of lack of evidence about the incidence of stroke in yoga practitioners. He assumes that yogis have at least the same incidence of stroke due to vertebral artery injury as the general population because of inversions and other yogic activities that put pressure on blood vessels in the neck. He does make clear that it’s just a guess, but one could equally well speculate that those who practice yoga suffer a diminished rate of such strokes because of greater flexibility and strength in the neck. (For the most part the human body is an anti-fragile system, i.e. it grows stronger when subjected to stresses—up to a point—than when shielded from stresses.) While he does call for increased study of the issue, he’s also simultaneously calling for expensive reforms. In essence, he’s calling for a solution before awaiting the evidence that there’s actually a real problem. Stroke is the 800 pound gorilla of the risks the Broad writes about in terms of damage, and so it’s not surprising that he paints the risk in ominous terms. He criticizes the Yoga Journal for dismissing it as a “minuscule number of cases”, but even taking his estimate of 300 (and realizing it could be much lower and is compared to 800,000 cases of stroke per year in the US according to the CDC) “minuscule” does not sound that out of line in a country of 314 million people.

Second, there is the issue of bad information being spread by yoga teachers and authors either because they don’t know any better or because they have an incentive to deceive. This is exemplified by the widespread notion that yoga (and particularly pranayama— breathing exercises) increases one’s cardiovascular fitness. Is it wrong? Yes, but it’s not clear that this propagation of bad information has hurt anybody. That may sound harsh, but—think about it–many people lead long and fruitful lives believing things that aren’t true. Now you may say, “Yes, but people who believe the Earth is flat can’t get hurt believing that, but yoga practitioners can be hurt by wrong information.” I would agree that some wrong information could be damaging, but consider the example given, which–I might add–is one of the main thrusts of Broad’s book. If it were the case that many people got fat because they thought yoga would help their cardio when instead it decreased their metabolism (as the evidence suggests it does), then no one would believe the myth. The idea wouldn’t have the strong hold that it does. What happens more often is that people either lose weight because they stress and eat less or they stay the same—either way they haven’t been hurt any more by bad information. Even if someone came to yoga to lose weight and gained some, they will abandon yoga and go to Zumba or Taebo with greater flexibility and probably a diminished risk of injury for having done yoga.

By spreading information about the risks and the state of scientific understanding of them Broad is doing good work. However, he goes on to suggest that we need lots of bureaucrats to monitor and license yoga and that we need much more rigorous requirements for yoga teachers than the 200 or 500 hour Yoga Alliance certifications that currently exist (or the teaching certificates issued by the gurus or teacher trainers of various styles of yoga), and herein lies two problems. It’s not clear that a problem exists to merit such an expensive solution.

First of all, many of the worst cases that he points out were people engaged in questionable practices on their own. I’m sorry for my frankness, but you can’t regulate stupid out of existence. There was one kid who sat for hours in Vajrasana (sitting on haunches), one who fell asleep in a forward bend, and another who had a stroke after holding a shoulder stand on a hard surface for hours. Now, my experience may not be as extensive as others, but I’ve attended yoga classes in the US, India, and Thailand. I’ve had teachers tell me to hold a pose for 5 deep breaths. I’ve even had teachers tell me to hold a pose for 10 deep breaths. No teacher has ever said to me, “Hold that pose for four hours or until you have a stroke, whichever comes first.” Even teachers with a couple hundred hours of instruction and a couple hundred more of experience don’t—as a rule—give patently stupid advice. (To the degree that there are rare exceptions, thinking that no teacher would ever again give a piece of bad advice if they just all had PhDs is a little presumptuous.)

The major problem with Broad’s suggestion of a need to overhaul the system and install bureaucratic gatekeepers and overseers and to make teachers jump through vastly more educational hoops is that it increases the cost of doing yoga with a teacher. Now, I know that yoga is associated with relatively affluent people, but—believe it or not–there are yoga practitioners who aren’t SUV-driving, Abercrombie&Fitch-wearing, maid-hiring suburbanites. If the monthly cost of attending yoga class goes from tens of dollars to hundreds of dollars because every yoga teacher has to have a PhD in Kinesiology and every studio has to comply with the extensive regulations and licensing fees of the newly formed Department of Yoga Management, then many people who are happy with the level of instruction they are currently getting are going to be emulating books and videos and injury rates could actually go up.

Another example of a “problem” that is not definitively shown to be a problem is Broad’s extensive criticism of an author of a popular book on yoga (i.e. Larry Payne) for using a Ph.D. designation that was from a southern Californian diploma-mill. While there is something objectionable about putting a PhD behind one’s name that wasn’t justly earned, it’s not at all clear that this was a problem. One expects to hear how Larry Payne left a pile of wrecked souls in his wake. However, while Broad devotes pages to ridiculing Payne for putting PhD after his name, the few mentions of the Payne’s interactions with others suggest that he helped them get healthier (e.g. Dr. Ursatine) and that he furthered the state of his professional field. The implication being that the credential matters vastly more than the individual’s experience and diligence. Interestingly, Dr. Fishman (for whom Broad has nothing but kind words—presumably because he holds an MD) is quoted as speaking glowingly about Payne and his contributions to the field.

Another example of sensationalism can be seen in the chapter on sexuality. While we would expect this chapter to be entirely about the claims of yoga being able to enhance one’s sex life, a fair amount of it is devoted to pointing out instances of lecherousness among yogis. I’m not saying that it’s bad to point out bad behavior of gurus in terms of harassing or molesting their female students, but unless there’s some evidence that this inclination is tied the sexual practices of yoga, this would seem to be the wrong venue for the discussion. In other words, if yogis are no more lecherous on the whole than other teachers or coaches, then it would seem that mention of this issue is just to titillate. If yogis are uncontrollable horn-dogs because of yogic practices, then fine, but you’ve got to establish that there’s evidence for that somehow.

Overall, I’d recommend that individuals interested in the scientific literature on yoga read this book. It provides a good overview of the literature, and is well-cited. The books weakness comes from insisting that a large number of mole hills are really the Himalayas. These mole hills can be addressed with education, but can never be eliminated. Suggesting we upend the apple cart to produce “solutions” to marginal problems is ridiculous. We may think a world in which there was never another fatal traffic accident would be nice, but I assure you we would not want to live in the world in which all the actions were taken necessary to achieve said goal. If one compares the extrapolated estimates of hospital visits for yoga injuries, they are really quite few and we have no reason to believe that the vast majority aren’t life-threatening or permanently disabling.

For me it would have been a great book if it laid out the risks and rewards, and suggested caution. Of course, then it probably wouldn’t have gotten any more attention than the many books that already exist on the subject of yoga injuries, so maybe some good can come of Broad’s implication that going to the yoga studio is akin to storming the beaches at Normandy and that we need to stop the horrors or yoga practice.

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DAILY PHOTO: Eyespot Mimicry: or, Evolution Only Gets One So Far

Taken in January of 2014

Taken in January of 2014 in Bangalore, India.

I’ve seen butterflies and moths that had patterns evolved to mimic the eyes of other animals at a butterfly house in a botanical gardens, but this is the first time I’ve seen it in the wild–which is to say in the stairwell of our central Bangalore apartment building. This moth thought the perfect place to exploit its owl-like eyes and “feather pattern” would be on the white marble floor inside a building. Evolution only gets one so far.

Tradition v. Modernity in Fitness and Movement Arts

 

TheScienceofYoga_BroadOne of my favorite professors (and I had a lot of them) was in the Religious Studies department of Indiana University in Indianapolis (IUPUI.) Among the lessons he taught us were the various forms of fallacious reasoning applicable to the discipline. He did so in a way that was both erudite and folksy, often in a humorous way.

 

 

 

While I don’t remember the formal names he gave these concepts or their technical definitions, I do remember the more colorful variations. One was the “firstist-is-bestist” fallacy in which it’s assumed that the old ways are inherently superior because bad ideas die out, and young ideas are at least as likely to be crap as not. This is sometimes called “appeal to tradition.” Over a sufficiently long time horizon this assumption may prove true (i.e. the time horizon beyond which Keynes warned we’d all be dead), but we know that wrong ideas can live on for centuries.

 

 

 

Another was the “outhouse” fallacy, which says that because pre-modern man didn’t have indoor plumbing they must have been complete idiots, and we should assume newer is better. This is sometimes called the “appeal to modernity.”  While there is some advantage to having access to the compiled knowledge of history, this doesn’t keep people from coming up with idiotic ideas regularly.

 

 

 

What made me think about these conflicting fallacies is that I’ve been reading a lot about the science of yoga–and other systems of movement–lately. Specifically, I was reading The Science of Yoga by William Broad. During the 20th century, yoga went from not giving a whit about science to trying to show that it wasn’t at all at odds with science–if not that it was grounded in science. (Note: this statement could be applied to many of the old ways—e.g. religions—which sought to prove themselves consistent with scientific evidence out of fear that–in the age of rationality–to be inconsistent with scientific observation would be death to old beliefs.) While the hucksters and con men seeking to bilk people out of money through shows of yoga “magic” have lost power (though some still exist and prey on the gullible regularly), this isn’t to say that science has yet won the day entirely.

 

 

 

Chapter two of Broad’s book discusses the findings of the scientific community on whether yoga has any merit as aerobic exercise. (The consensus is that it doesn’t.) Now, one would think that the whole yoga community would be pleased that academia has for the most part shown that yoga has a range of positive benefits that make it a worthwhile endeavor when practiced safely and conscientiously, but some have been unwilling to accept that yoga isn’t excellent cardio on top of all its unambiguous benefits. The established consensus is being ignored and a single seriously flawed study (small sample size, no control group, and—while peer-reviewed—the author was the journal editor) is cited, that one—of course—suggests that yoga meets all one’s cardio needs.

 

 

 

It’s easy to follow the incentives. For example, if one runs a yoga studio one would like to be able to say that yoga is a panacea for all of a person’s health needs. People are busy and lazy, and if someone else can sell them a silver bullet then they’ll lose business.  If one gives the matter thought, it becomes hard to imagine an exercise panacea. Consider a list of health goals that includes reduced stress, improved balance, greater flexibility, more strength, and enhanced cardiovascular capacity. One should see that some of these goals are at odds with each other. The first three goals—at which yoga excels–require holding a static position for a time while engaging in deep and controlled breathing. The fourth goal, strength enhancement, (which yoga achieves only in a limited way) requires repeated alternation of stressing and relaxing a muscle. And cardio, the fifth goal,–for which yoga is less than helpful–requires rapid and sustained motion so as to cause the heart to be stressed.

 

 

 

Of course, individuals have tried to rectify yoga’s cardio deficit by creating yoga styles that add speed and repetition. If one does five sun salutations per minute for 45 minutes, then—congratulations–you are now getting cardio and strength building. Unfortunately, you are now losing out on the first three goals of stress reduction, balance enhancement, and flexibility improvement. Those three things requiring holding poses while engaging in relaxed and controlled breathing. So the question is whether one is happy having sacrificed the benefits yoga does better than everything else in a desire to have yoga gain benefits that other exercise systems probably still do better.

 

 

 

The old systems of movement and exercise, be it yoga or chi kung, have shown themselves to have merit. However, the mechanisms by which that merit is achieved (or the nature of the merit) are often not what the system’s mythology suggests. There’s no need to fear science, but one should be ready to embrace what is shown true and set aside what is shown to be false.

 

 

 

On the other hand, this modern idea that we can have our cake and eat it too by throwing together disparate systems, which often have conflicting goals and modes of operation, needs to be reevaluated. All of these fads have been created where someone crams together tai chi and yoga or yoga and jazz dance or Zen meditation and parkour and they think they have the ultimate system based on a more complete picture of modernity, and what they’ve got is a muddle.

 

 

 

What we need is the tested merit of tradition without its voodoo, and the compiled knowledge of modernity without its hubris.

 

Antifragility and First World Diseases

Antifragility

TheWildLifeofOurBodiesI was sitting at an outdoor cafe as I thought about how to write this post. I’d just finished reading chapter 5 of the Rob Dunn book entitled The Wild Life of Our Bodiesand was reflecting upon how interesting it was to be reading two books whose central premise–in broad brush strokes–was the same. As I was ruminating, a family of four–a couple and their two daughters, an infant and a preschooler/kindergartener–came and sat down at an adjacent table.

For a while the preternaturally-cute infant crawled around on the table top, but as the mother became concerned that the wriggly little child might fall or spill scalding coffee, she eventually set the child down. The child proceeded to crawl around on the ground–ground on which one could easily imagine pigeons trolling for crumbs. [Full-disclosure: I didn’t actually see any pigeons, or even any noticeable filth on the ground for that matter, and–while this is India–it was a major coffee chain attached to the side of a popular up-scale shopping mall, and so that particular ground was probably at least hosed down daily.] The child crawled on all-fours, except that she had the plastic number placard which told the waitress where to bring the order in one of her hands, and she would alternate between dragging it across the ground and–when she got tired of crawling–she would roll onto her rump and pop a corner of the placard into her mouth.

If reading the preceding scene made you a bit queasy, you should be reading one [or both] of books mentioned above. Doing so gave me a totally different perspective on this event. There was a point when I–like many–would have assumed the little girl would get some sort of ailment and that her parents would pay in lost sleep for letting the kid crawl on the ground in an urban public space, but I’m now more inclined to think that probably nothing will happen, and she could–theoretically–end up better off for the wear. I’m not advocating wallowing in filth, but I have come to see biological stressors in a new light. I wouldn’t go so far as to advocate letting a child crawl around sticking things in his or her mouth that have been on the ground at a cafe, but it would no longer surprise me to hear that this child lived a healthier life than children of germophobic (properly “mysophobic”) first-world moms who are about one cookie-off-the-kitchen-floor from forcing their children to live in a bubble.

The reader may be wondering two things: 1.) how these books could mitigate one’s queasiness, and 2.) what the books even have in common. If  you’re familiar with Nassim Nicholas Taleb, it’s likely you associate him with criticisms of the misuse of statistical methods, and the failure to understand under what conditions the usefulness of these methods break down. While Taleb does consider a wide range of examples in his popular books Black Swan,  Fooled by Randomness, and–most recently and most relevantly–Antifragilethe world of business is where Taleb’s background lies and where much of his discussion is centered. The Dunn book, one the other hand, fits squarely in the domain of biology and medicine.

Both of these books take as their core idea that there are systems that must face constant and occasionally serious challenges to grow stronger, and that the removal of these challenges can have adverse and sometimes dire consequences. Taleb looks at such systems in a broad and general sense, and coins a term, “antifragile”, to describe such systems. A system is antifragile if it gets stronger (i.e. in some way better) when subjected to stresses. This shouldn’t be confused with robustness, which is being indifferent to stressors. Robust systems can take or leave stressors, but antifragile systems need them or they become weakened. Dunn’s book deals with a specific example of an antifragile system, our guts. The biologist suggests that our war on parasites and germs has created a whole raft of problems never before seen. It’s probably not a new idea to most readers, as there are ongoing arguments about the risks of our antibacterial frenzy.

While first-world dwellers tend to take a superior view of those poor third-worlders and their myriad ailments–a number of which have been stamped out in the developed world–Westerners may not even be aware that there are a number of ailments that exist almost exclusively in the first world. Increasing evidence is developing that certain forms of diabetes and allergies are linked to “clean living.”  Interestingly, while one might readily imagine how a digestive tract ailment like Crohn’s Disease is tied to insufficiently populated digestive ecosystem, there’s reason to believe that diverse issues such as autism and anxiety disorders may also be linked to loss of internal predators and the imbalances their loss causes.

It’s not entirely a coincidence that I’m reading these books concurrently. I’ve been interested in the issue in a broad sense as of late. How does the craving of comfort weaken a population? What are the risks of indiscriminately weeding the stressors out of one’s life? (As seems to be a major objective of modernity.)  Of course, stressors are not eliminated, but instead stressors that are relatively feeble may become the 800 lb. gorilla of stressors.

BOOK REVIEW: Inventing Iron Man by E. Paul Zehr

Inventing Iron Man: The Possibility of a Human MachineInventing Iron Man: The Possibility of a Human Machine by E. Paul Zehr

My rating: 4 of 5 stars

Amazon page

As the title suggests, this book examines whether Iron Man could exist in the real world. As with Michio Kaku’s book Physics of the Impossible, answering the question involves defining the various meanings of “impossible.”

One way to parse the question is, “Is Iron Man possible today given the existing state of technology?” In and of itself, this question is of limited interest because the answer is, “no.” There’s certainly a demand, and so if Iron Man could exist given current technology, he probably would. That’s not to say it isn’t interesting to learn about what technologies are holding us back and where the cutting edge of relevant technologies lies—both of which are addressed by the book.

Still, a more interesting inquiry is, “Will Iron Man ever be reality given the physical laws that we know to govern the universe?” While more intriguing, it’s also a harder question to definitively answer. It’s impossible to foresee all the technological developments that might come along to answer the seemingly insurmountable challenges (e.g. Tony Stark’s inevitable Traumatic Brain Injury (TBI).) The book deals with the critical question of what challenges would have to be overcome for Iron Man to be reality.

As Zehr suggests, the appeal of Iron Man is that he’s considered to be among superheroes for the common man. Like Batman, the sufficiently bright and diligent nerd may fantasize that, “That could be me.” You or I can’t be Superman or Wolverine, but given enough money, smarts, and training we could be Batman, or—even better—pilot the Iron Man suit. Put in this light, the book may seem like just another frivolous attempt to capitalize on the popularity of superheroes to sell books. However, there’s actually a great deal of food for thought packed in the book. Like others, I read the book because its title is Inventing Iron Man and not Neuro-motor control of a self-propelled armor system or some other suitably scholarly title.

Dr. Zehr has the bona fides to delve into this topic. He is a Professor who investigates questions of how the nervous system controls movement. That subject may not constitute the sum total of critical concerns, but it’s one of the most important challenges. For Iron Man to move the way he does in the movies and comic books, Tony Stark’s impulses to move have to be transmitted seamlessly to the servo-motors that move the suit. From dodging Col. Rhodes’ (i.e. War Machine’s) punches to ducking RPGs, Stark can’t be quick enough if he has to manually steer the device. Then, of course, there’s the issue of feedback. Any neophyte meditator who’s had his or her foot fall sound asleep will know how difficult it is to walk surefootedly when one can’t feel anything through one’s foot.

[Iron Man 3 spoiler commentary in this paragraph.] One of the most damning challenges for making Iron Man a reality is the high probability of severe concussions. Let’s say you make the suit out of a material that is virtually indestructible? This may be possible. However, the pilot’s mushy brain is still sloshing around inside that impenetrable armor. One can remotely pilot the suit in order to negate this (as has been done in the comic books and the third movie), but—at that point—is it still Iron Man? I know from a writer’s perspective it’s a lot harder to maintain tension if there’s nothing human on the line. In the third movie about 30 autonomously piloted suits get wiped out and the viewer doesn’t care—the only source of tension is that Tony Stark is without armor half the time.

Some of the most interesting discussions are about where the current state of the art lies with respect to: a.) direct mind control over mechanical systems; b.) a “flying suit”; and c.) robotic movement enhancers. Zehr conducts interviews with those engineers and technologists involved in such technologies, and finds out where we are presently. Letter “a” above seems to be the least developed of the three technologies, but they are all active lines of research.

I enjoyed this book and found it interesting. I think anyone who is interested in the state of technology and its limits will find it a nice pop-sci introduction to the subject. The use of superheroes as a pedagogic device may be overdone, but it continues to work because we are fascinated by the edge of possibility, and that’s what superheroes represent.

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BOOK REVIEW: Mind Over Medicine by Lissa Rankin

Mind Over Medicine: Scientific Proof That You Can Heal YourselfMind Over Medicine: Scientific Proof That You Can Heal Yourself by Lissa Rankin

My rating: 4 of 5 stars

Amazon page

This book is one of many that challenge the conventional approach to medical care in which a patient is a passive character who just goes to the doctor and does (or ingests) whatever the doc tells them to. In the vein of works by Deepak Chopra and Bernie Siegal, this book is written by medical doctor who has different beliefs on healing. So what’s the niche of Mind Over Medicine, given that there are already a number of prominent medical doctors preaching the same message? That message is that your body is a healing machine and will do MOST (not ALL, none of these individuals advocates abandoning modern medical science) of the heavy lifting of healing, if you create the right conditions. Rankin presents results from scientific studies as the thrust of her book. I’m not really that familiar with Siegal, but you’ll find Rankin’s work a great deal less spiritual and more scientific than the works of Deepak Chopra.

There’s a lot of scientific interest in understanding why some people experience spontaneous remissions from the most lethal of ailments while others succumb to diseases that most people weather with ease. While many people will chalk it up to divine will or chakra nudging or having one’s demons expunged, these aren’t satisfying answers for the scientifically minded individual. However, neither is the extreme skeptic’s suggestion that these are just randomly distributed flukes of nature—and it’s a waste of time to try to explain the outliers. The latter being unsatisfying because phenomena like the placebo effect are well documented.

So what conclusion does Rankin draw from the scientific literature. As suggested earlier, the conclusion is that the body is extremely good at healing what ails it, but it has to be in the right mode to have this healing take place. What’s the right mode? It has to be in relaxed mode, or, in scientific parlance, the parasympathetic system must be engaged. The problem is that when a person is under stress, the body switches into a fight or flight mode. Humanity hasn’t really come to grips with the fact that work deadlines, fears about ailments, or fears that our spouse may be cheating aren’t really the same as our ancestor’s experience of being chased by a saber-tooth tiger. When that ancestor was being chased by a tiger, his or her body shut down everything that wasn’t germane to immediate survival (e.g. digestion is interrupted, blood isn’t evenly distributed but goes to lungs and skeletal muscles, etc.) The tiger chase is over shortly, and the body returns doing its regular at-rest functions (e.g. digesting, healing, etc.) However, if we let our stressors kick us into that immediate survival mode–and just having a disease can be stressing enough in itself–then our healing can be severely or completely curtailed.

Can faith healing, karma cleansing, chakra fluffing, or sugar pills contribute to healing? Sure, but not in the way that the faithful thinks. These systems–each of which has proponents who’ll swear they witnessed first-hand the power of faith or magic or invisible energy (and they are probably not lying)–work because the person who firmly believes in these therapies is able to relax and let their bodies can do what they do.

Does this mean that those who don’t believe in religion or cosmic energy manipulation are out of luck? No. You just skip the middleman and engage in activities such as meditation, yoga, tai chi, or breathing exercises that allow you to put the body in a relaxed state. Secular meditation works just fine if practiced consistently, and particularly if one confronts, addresses, and eliminates the long-terms stressors in one’s life.

At the heart of the book is a discussion about how to go about performing one’s own diagnosis and writing one’s own prescription. As I mentioned earlier, this isn’t about cutting the doctor out. In this case one is diagnosing one’s stressors and prescribing activities to eliminate them. This doesn’t mean one should pass up medical treatment or doctor’s advice. However, it may entail switching doctors if you have a doctor that firmly believes you are incapable of getting better—you don’t need any doubts about your body’s ability to do its thing being foist upon you.

I’d highly recommend this book for scientifically-minded individuals interested in learning how they can help their bodies get into a state conducive to healing.

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BOOK REVIEW: Auschwitz by Miklos Nyiszli

Auschwitz: A Doctor's Eyewitness AccountAuschwitz: A Doctor’s Eyewitness Account by Miklós Nyiszli

My rating: 5 of 5 stars

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Auschwitz is the account of a Jewish medical doctor who performed autopsies at the crematoria of Auschwitz at the behest of the infamous Dr. Mengele. It’s gut-wrenching reading. One is constantly reminded of the words of another famous Holocaust chronicler, Viktor Frankl, who said, “We who have come back, by the aid of many lucky chances or miracles – whatever one may choose to call them – we know: the best of us did not return.” That’s a sad fact with which Dr. Nyiszli had to live. Nyiszli lent his expertise to many despicable acts in the process of surviving, and it’s to his credit that he had the courage to write this work. He was the only one who could have told much of this story, and it’s a story that he felt the world must know–even if it meant rehashing the nightmare scenario of his life during the holocaust years, even if he was not always to be seen at his most virtuous.

While Nyiszli was a man of science who tried to stick to the objective task of conducting autopsies, his results were routinely perverted to support Nazi pseudo-science—the pseudo-science used by Nazis to justify elimination of the Jews and other despised classes of humanity. Nyiszli stayed alive first-and-foremost because Dr. Mengele valued Nyiszli’s expertise, and perhaps the credibility that expertise offered to the Nazi’s insane attempts to emulate science.

Sometimes by just answering basic scientific questions, Nyiszli was contributing to the advancement of dire atrocities. There’s no better example than when Mengele asked Nyiszli how one could obtain a skeleton from a corpse. These skeletons displayed deformities, and were thus to be sent to the Kaiser Wilhelm Institute for Anthropology, Human Heredity, and Eugenics to support the absurd assertion that Jews were genetically degrading. Of course, as Nyiszli points out the disease these two people were afflicted with was no less common among blond-haired, blue-eyed Aryans than it was among the Jewish people. At any rate this resulted in two corpses (made corpses by force, not nature) being boiled to remove the skeletons so they could be sent to an institute as pseudo-evidence.

Nyiszli’s forthcomingness is astounding. Nyiszli performed many objectionable actions at the behest of Mengele, but it’s clear he couldn’t have survived disobeying the Nazi doctor. However, there were also times when Nyiszli acted on his own in a way that was, arguably, detestable. After Auschwitz was abandoned, Nyiszli used his former position–and Mengele name-dropping)-to cut in line to get into an encampment (essentially a refugee camp) so he could get a shower and food for the night when others were left out in the cold.

I don’t mean to make Nyiszli look evil. He did many virtuous things in the process of surviving as well. This included sneaking medical supplies from the crematoria infirmary (where there was abundance) to barracks infirmaries (where there was a dire shortage.) He did his best to save those he could. It’s to Nyiszli’s credit that he shows us a complete picture. One expects such a book to be distorted when it comes to the author, but Nyiszli’s book seems honest.

This is an important book as it lets us peer into one of the darkest hours of humanity, and gaze upon a terribleness that would have been lost to posterity. The book gives a chilling account of what it must have been like to be in the gas chambers, told by someone who saw the aftermath in person. Nyiszli saw the piles of bodies reaching to the ceiling—dog piles in which the weakest were trapped on the bottom as the strongest tried to climb over women and children to get a gulp of good air. (Another proof of Frankl’s thesis.) Nyiszli also describes how one little girl, in a freak occurrence, managed to survive the chambers owing to an air pocket, only to have the SS finish the execution by cruder means.

I think everybody should read this book, but I’ll offer a warning that it’s not for the faint of heart. One has to keep righteous rage in check to just get through the book. However, to ignore this wicked moment in history is to fail to see the traps humanity is capable of falling into through simple refusal to do the right thing or a willingness to try to feel better about oneself by casting aspersions on those with slightly different physical features.

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Chi: The Power of What Isn’t

Every morning I start my day with chi kung (a.k.a. qi gong), and many days I do tai chi (tai qi.) For those who are unfamiliar, chi is usually defined as “life force” or “life energy.” However, defining chi is neither simple nor will one find a consensus agreement. Some say chi is  “breath,” at which point its existence becomes a much less controversial, but also less explicative, concept. Others would say that chi is much more broadly dispersed than the “living” so “life force” is an understated definition.

Chi Kung are exercises combining breathing, movement, meditation, visualization, and self-massage that are used to keep one healthy. Because yoga also contains these components (e.g. breathing, movement, and meditation; though with very different specifics) some have even been known to call chi kung “Taoist yoga.” The idea behind these exercises is that chi is lost through living (some activities more than others), and can become blocked in the channels through which it is believed to move. Various exercises are used to replenish and ensure healthy circulation of the chi. Tai chi is a series of martial arts forms that are also considered to have the effect of replenishing and / or enhancing chi.

Two questions may leap to mind, especially among those who know me as a skeptic. First, do you believe in chi–despite the lack of evidence that it exists? (When I mention this lack of evidence, I am obviously not defining chi as breath or bodily fluids, in which case the most rabid skeptic would have to acknowledge its existence. However, then an entirely different set of questions is raised about the vast and complicated nature of chi kung exercises needed to circulate oxygen, which travels through blood vessels and not through channels or meridians. In other words, there’s no reason not to abandon a lot of the Traditional Chinese Medicine (TCM) / Taoist conceptions of health if one considers a narrow definition of chi.) Second, if you don’t have any reason to believe that chi is a real thing, why bother with the exercises?

First, no, I don’t believe in chi as a substance or physical entity in the way that your average Taoist priest does. I don’t mock or ridicule those who do, and I acknowledge it could always turn out that they were right and I was wrong and that my current state of ignorance combined with an incorrect deference to Occam’s Razor led me astray.

However, I have a pretty high standard for believing a person, place, or thing exists. I need to be able to observe it.  If I can’t perceive it directly, but there is some indirect sign it exists, then that indirect sign needs to be the simplest possible explanation I can imagine given my current state of knowledge. (Yes, I realize that Occam’s Razor isn’t a law, it can always be that an unlikely explanation is the correct explanation. I also know the raft of indirect signs of chi, and, yes, I’m saying I can imagine simpler explanations than an energy source that is immeasurable but powerful enough have bodily effects.) While I don’t believe in chi (or meridians, or the yet undiscovered organ called the “triple heater”) as physical things, I do believe in conceptual chi which is an object of visualization.

Moving on to the second question, I practice these exercises because they make me healthier.

This, of course, raises another question, “How can these exercises be effective if chi is not real?”

Now I have to go Socratic on my hypothetical questioner. The Socratic dialogue goes like this:

S: Have you ever been to a scary movie?

A: Of course, I have. What kind of a troll has never seen a scary movie?

S: I’m Socrates. I’ll ask the damned questions around here, thank you very kindly.

So while you were watching said movies, did you ever get startled? That is, did your pulse ever pound a bit harder; did you ever take a gasping breath; did your hands ever grip the armrest with white knuckles; or did you ever get butterflies in your stomach?

A: Of course, that’s part of the horror movie watching experience.

S: So, then, you were under the impression that the events you were watching were actually happening, and that the killer might come out into the theater after you at any moment?

A: No, of course not. Don’t be absurd!

S: And yet this thing that was not real–that was just symbolic or conceptual–had actual physiological effects?

[At this point Socrates breaks into his superiority dance.]

I think visualizing chi flow has positive benefits both mentally and physically. The mental benefits may be clear. The physical benefits result from putting oneself in the moment and conducting activities (deep breathing and movement) that help one de-stress. This process of de-stressing helps one to be healthier. Does it matter that one does the exercises as they have been handed down from ancient China? Probably not, but I believe that trial and error (even without complete information about anatomy and physiology) yield some impressive results. Of course, there are many other systems (e.g. yoga) that can work equal wonders using an approach that is quite different in its detail. (I also don’t believe in Chakras, but can imagine great benefits from behaving as if they exist.)

MindOverMedicineI just started reading a book by a medical doctor named Lissa Rankin. Rankin’s book, entitled Mind Over Medicine, presents evidence from a large body of scientific literature suggesting the mind often plays a major role in wellness by way of mechanisms that aren’t yet fully understood, but which defy the traditional view of Western medicine.

Rankin was intrigued by the vast number of anecdotal cases of what doctors call “spontaneous remissions.” Spontaneous remissions are when a patient becomes healthy in a way that defies explanation (i.e. they had no treatment, they had insufficient treatment, and they had an illness for with the body’s immune system is normally believed incapable of doing the job on its own.) She wasn’t satisfied with these one-off stories involving placebos, fake surgeries, busted radiology equipment, faith healing, etc, but rather wanted to see what the scientific literature contained by way of scientific double-blind studies on the subject.

She found there was evidence to support mind over matter when it came to illness, and that there was a fledgling explanatory literature. She also learned that while there was a large database of spontaneous remissions, there had not yet been an attempt to determine whether there were common characteristics of those who showed the “placebo effect” (getting well while being in the placebo group of a double-blind study) or other spontaneous remissions.

My point is that there is good reason for skeptics to consider that there may be a lot more to health and well-being than our current paradigm suggests.

BOOK REVIEW: The Einstein Theory of Relativity by H.A. Lorentz

The Einstein Theory Of RelativityThe Einstein Theory Of Relativity by Hendrik Antoon Lorentz

My rating: 3 of 5 stars

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It’s hard to complain about this book because: a.) it’s a free kindle book, b.) the author was brilliant, a Nobel Laureate, and a man whose work contributed to the discoveries of Einstein, and c.) it’s a very short book, clocking in at about 60 pages, and so it’s not a huge time investment–though for most it will be a bigger time investment than its page count would suggest.

All that being said, I’ll be upfront and tell you that his work is the product of a different era and doesn’t establish its audience clearly.

Science writing, particularly on subjects as arcane as relativity, is a challenge. One has to pick an audience and carefully write for that audience. If ones audience is broad (i.e. not well-trained in science), this means one has to accept a lot less precision in exchange for clarity. In other words, one has to write like Brian Greene or Michio Kaku do in their popular works. On the other hand, if you want to write for technical people, you should probably feel free to show your math and sling the technical jargon.

This book tries to walk a middle ground. It doesn’t lay the subject out in clear, simple, and entertaining analogies. (With the exception of a moving car analogy early on that gets bogged down.) However, there’re no equations or highly technical and jargon-suffused discussions. (Though the section on deflection of light does get into measurements and is bit technical.)

So the question the reader needs to ask themselves–provided they haven’t had physics since high school or their freshman year of college–is whether they are willing and able to grind through reading that will require them to think hard the whole way. One doesn’t need a big science vocabulary, and you aren’t asked to ponder any equations, but you do have to noodle out what the author is saying to get value out of the reading. As I implied earlier, this book (pamphlet) took me considerably longer to read than 60 pages normally would–and I read a fair amount of popular science works.

Of course, given that it’s free, it’s worth a try if you have a Kindle. If nothing else, you should come away with some basics– such as what differentiates special from general relativity. If you don’t like the book you can always buy a Greene or Kaku book to explain the subject in a more palatable fashion.

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