The body’s endless issues

By Caitlin Kelly

Oh, the joys of the human body!

I started 16/8 intermittent fasting November 1, and am sloooooowly seeing a difference.

I won’t get on a scale until my GP appointment Feb. 27 so I’m working hard — three 45-minute gym sessions a week (cardio and free weights) and hoping to add ice skating or walking or swimming the other day or two. The pool, at our broke and badly-run YMCA, now needs repairs it can’t afford.

But, of course, I got a recent surprise at my oncologist check-up, where they take blood every time — excess iron in my blood, necessitating more tests. I’m hoping it’s “just” a genetic mutation, which occurs in people with my Irish heritage, and which — so utterly bizarrely — might mean regularly getting blood taken out of me.

I’m trying to process how utterly 16th century this feels!

Apparently, the body can’t shed/excrete iron in any other way, which is so odd. How it got there is what we have to examine. I’m sort of hoping this is the reason although — uggggh — the thought of regularly getting a big-ass needle in my arm is not appealing.

Thanks to my DCIS (early stage breast cancer), I already have to take 5mg of Tamoxifen daily for five years; it suppresses estrogen and, initially, the hot flashes were pretty intense, but they’ve calmed down (now 2 years in.)

High blood pressure pills.

A statin for cholesterol.

Generally, I feel great — lots of energy and stamina. I sleep like a champ, at least 8-10 hours a night and I never hesitate to take a “toes-up” as my husband calls them, aka a nap or just a quiet time lying down and staring at the sky.

We eat healthily, most of the time! My weaknesses are cheese, chips and (sue me) sweets. So it’s a constant battle to be “good” and reduce calories, but not feel hangry and annoyed all the time.

I recently hired a nutritionist whose advice was….lengthy!

I need to eat more protein, so am working on that — but excess iron also means eating less red meat. I need to drink a lot of water (already probably drinking 3 cans of soda water, plus tea and coffee.)

The actual fasting, meaning I now can only consume calories between 10:30 a.m. and 6:30 p.m, has gotten easier. Some mornings are easy, but some mean I’m counting the minutes til I can eat!

My father is still super healthy at 91, lucid and living alone.

My late mother had a lot of health issues, some of them terrible luck (multiple cancers), some self-imposed (COPD from smoking, other issues from alcoholism) so I worry about my genetic loading.

In the past, I went to a therapist, but haven’t for a while — I actually worry about her! I know the pandemic has really burned out many mental health workers, so unless it’s some emergency, I figure others need her a lot more right now.

With our small town a Covid hotspot, and super-contagious variants now raging, we are being super careful. I know eight people who have had the disease, luckily all mild (except for 2 people) and none lethal.

It’s a real challenge — even as healthy as Jose and I are — to manage all of this. He uses insulin for T2 diabetes, so we pay a lot of money for comprehensive health insurance. It’s not a place to economize.

I pray for a few more decades of good health.

You never know.

“You’re normal”

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Fragility is humbling and frightening

 

By Caitlin Kelly

It’s been a rough week, slowly recovering from my last radiation treatment — October 15 — and still fighting its cumulative fatigue and insane itchiness on my left breast. I was at my wits’ end, crying in public, (I almost never cry anywhere), just done.

I had a follow-up meeting with the radiation doctor, to be told I’d gained (!?) 10 pounds in six weeks and now needed blood tests to see why. This despite seeing my clothes fit more loosely and gaining compliments on my apparent weight loss.

Our GP, thankfully, saw us an hour later and did the tests; (I’m fine.)

But I started crying in his office, weary of all of it.

I apologized for being a big blubbering baby, ashamed and embarrassed by my inability to control my emotions.

“You’re normal,” he said, calmly and compassionately.

Jose, my husband, sat in the room with us, listening as I absorbed this pretty basic fact.

What, I’m not made of steel?

I’m…vulnerable?

Human?!

Kelly’s tend to be (cough) ambitious and driven; three of us won major national awards in the same month, when I was 41, my younger half-brothers then 31 and 18; I for my writing, they for business skills and for a key scientific discovery, (yes, the youngest!)

We tend to aim high, compete ferociously for as long as it takes, (each of my books, later published by major NYC houses, were rejected 25 times), and usually win, dammit!

We keep our emotions very close to the vest and keep small, tight circles of intimates. I don’t really do acquaintance.

 

Being weak, scared, in pain, exhausted and, even worse, letting others see us in this condition?

 

Terrifying.

I’m slowly getting used to it.

Compassion for my fragility is my new oxygen, as much for myself as the gratitude I feel for that shown to me.

 

 

The only body we have…

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By Caitlin Kelly

 

This is a heartbreaking essay, by a woman writer, about 50 years of hating her own body, from Medium:

 

Sandwiched between two ruthless brothers in a household where verbal cruelty was a competition sport, I was easy game. My parents — the should’ve-been referees — were, instead, the audience. With the rebuttal they should’ve been providing to my brothers’ barrage of relentless brutal nowhere to be found, I had nowhere to go, nowhere to hide. In the void of any contradiction, every harsh word became truth.

Few events will make you as deeply, weepingly grateful for your body’s health and strength than than the loss of some of it — or the potential loss of all of it.

I say this with the hindsight of someone who, before the age of 40, never saw a damn doctor for anything more intense (ouch!) than an annual mammogram and Pap smear. Since then I’ve had both knees “scoped” — i.e. arthroscopy — which removed torn cartilage (the price of decades of squash games, now verboten), a right shoulder repaired (minor) and my left hip fully replaced.

It’s a funny moment when — as I was being wheeled into our local hospital’s OR for my breast lumpectomy in July — the female, Hispanic (so cool!) head of anesthesiology recognized me and vice versa. That’s comforting, but also a bit too much surgery.

I really hit my limits in March 2017 when I arrived at the hospital with chest pain so intense I could barely tolerate the seatbelt worn for only 20 minutes to get to the ER.  Turned out I had a 104 degree temperature and pneumonia I had been ignoring. That meant three days in the hospital on an IV and coughing so hard I thought I might pass out.

I sweated so much I was thrilled to be able to shower there.

I apologized out loud to my exhausted body, the one I’d been abusing and taking so for granted.

Never again!

As someone who came of age during second-wave feminism and in Canada, I never spent a lot of time fussing about my body and how it looked. I like to be stylish and attractive and have always loved fashion. But freaking out about the shape or size of my body?

Nope.

 

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I care most, still, about being healthy, strong and flexible.

I love being able to hit a softball to the outfield and savored my four years being a nationally ranked saber fencer — in my late 30s.  I hope to get back to downhill skiing, horseback riding, hiking.

Social media has made the endless and relentless scrutiny of our bodies even worse than it’s always been — policing our size and shape is such a useful way to distract us from essential issues like the size of our paycheck.

Shaming women for being fat(ter) than someone would prefer us to be (MDs only, thanks) is just another way to undermine us in a culture that demands insane “productivity” and only makes beautiful clothes for women smaller than a size 10 — when the average American woman is now a size 14.

Some of the most “beautiful” women I’ve met — those externally chic and spotless — have been ruthless and unkind.

So my definition of beauty, and human value attached to a body, isn’t only rooted in what we see on the outside.

 

How do you feel about your body?

 

 

View this collection on Medium.com

View this collection on Medium.com

View this collection on Medium.com

View this collection on Medium.com

The power of zzzzzzzzz

By Caitlin Kelly

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Yet another snowstorm!

 

This has been a brutally cold and snowy winter for the Northeastern U.S. and Canada, with millions losing power as trees shatter and fall on power lines. Every week has brought more ice, snow and shoveling of same.

The best bet for anyone who can?

Bed!

Naps!

It’s becoming ever clearer that getting a full, deep night’s sleep is essential to health, mental and physical. 

From the U.S. Dept.of Health and Human Services:

Studies show that a good night’s sleep improves learning. Whether you’re learning math, how to play the piano, how to perfect your golf swing, or how to drive a car, sleep helps enhance your learning and problem-solving skills. Sleep also helps you pay attention, make decisions, and be creative.

Studies also show that sleep deficiency alters activity in some parts of the brain. If you’re sleep deficient, you may have trouble making decisions, solving problems, controlling your emotions and behavior, and coping with change. Sleep deficiency also has been linked to depression, suicide, and risk-taking behavior.

Children and teens who are sleep deficient may have problems getting along with others. They may feel angry and impulsive, have mood swings, feel sad or depressed, or lack motivation. They also may have problems paying attention, and they may get lower grades and feel stressed.

Boy, do I know this firsthand.

The only time I’ve been utterly sleep-deprived — as I’ve never cared for small infants who need multiple night-time feedings — was when I got pneumonia in March 2007 and spent three days in the hospital. It’s a terrible disease that fills your lungs with fluid that you cough up and out, hour after hour after hour.

Some people break ribs from coughing so hard.

All you want to do, and need to do to heal, is sleep. But your poor weary body won’t let you.

 

We need to rest.

We need to sleep.

 

One of my favorite things to do, as I’ve written here before, is to fall asleep by candlelight and to light low candles in the morning’s darkness to slowly and calmly wake up. (As someone who works from home, and with no children or pets to care for, my schedule is very much my own, unlike most people’s.)

The very worst choice is something many of us now do — read on a blue-lit screen of some sort before bed or during the night. It physiologically shocks us back awake, even if we don’t want it.

 

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The sofa beckons…

 

I’ve been napping more this winter than ever before.

Maybe it’s a low-level depression.

Maybe I’m not sleeping as well each night as I need to.

But every afternoon around 3:30, unless I’m fully committed to something else, I snuggle beneath the duvet or a throw, fluff up my pillow, and disappear for an hour or so.

It’s a great luxury, I know, to be able to re-charge my batteries during a workday.

I also know what a bear I am when I don’t get enough zzzzzz’s!

 

How’s your sleep these days?

Do you take and enjoy naps?

Pleasure matters

By Caitlin Kelly

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I was struck recently by a social media post by someone I know who works in a demanding healthcare specialty. She had treated herself to a fantastic day trip to a nearby natural wonder and a gorgeous splurge of a breakfast.

Alone.

What struck me most was the sense this was something, perhaps, to apologize for.

That taking —- making — time to care for herself and her soul was somehow suspect or self-indulgent.

I think being consistently kind to ourselves is essential and something too often overlooked or dismissed as silly, by others and worse, by ourselves. Women are so heavily socialized to take care of everyone else’s needs first and foremost that, when there’s a lack of time or money — and there often is — we get the short end of the stick.

I’m not someone who advocates self-indulgence or hedonism, (and who draws the line?) but I’m absolutely committed to what is now called self care.

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For me that’s everything from playing my beloved vinyl on a Sunday morning to making home-made meals I can enjoy during the week, with my husband and on my own.

I spend real money at our local florist, sometimes as much as $25 a week, to fill our apartment with blooms and greenery, whether fragrant eucalyptus or bright gerbera or the tiny purple orchids that come all the way from Thailand. To me, it’s an investment in daily joy and beauty.

I go to a spin class at the gym to burn calories, manage stress, to enjoy the music and see familiar faces. It offers me a low-key social life and human contact when I work alone at home, now 11 years into that isolating workstyle.

I make play dates with friends, meeting them face to face for a coffee or lunch or a concert or ballet performance, creating memories we can share years later. I went to a fantastic Iron & Wine concert this week at Town Hall with a dear pal and made her spit with laughter over Manhattans at the bar in Grand Central. Priceless!

I love to travel, so am always looking a few weeks and months ahead at where we might be able to afford to go, and for how long. It refreshes me, whether seeing old friends back in Toronto or meeting new ones, as I did this summer in Berlin and Zagreb.

I commit a few hours each week to my favorite television shows. (Poldark!)

And this year — for the first time in my life — I’m driving a brand-new car, a luxury vehicle we’ve leased. Despite my initial trepidation, it is sheer bliss: quiet, beautifully designed, with intelligent and helpful technology. Our other vehicle is 16 years old, dented and scraped and, no matter how much money we drop at the mechanic, always has the check engine light on; freedom from that anxiety alone is a form of self care for me now.

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It can feel weird, even guilt-inducing, to put yourself first, to say no, firmly (and mean it!) to others’ demands on your limited time and energy.

But without adding even the smallest pleasures to our days, and to our lives, we can end up stewing in resentment and self-denial.

No one really benefits from that.

Remember unmediated life?

By Caitlin Kelly

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If my European journey taught me anything — or reminded me more powerfully than ever before — it’s to live, and savor, an unmediated life.

By which I mean, one experienced firsthand, feet-first, immersed in all of it.

Not, as has become normal/affordable/easy for me — and so many of us — a world and its wonders seen and heard only through a screen or scrim, whether social media or explained by the traditional mass media of newspapers, magazines, radio and television.

The soft, smooth cobblestones of Rovinj — a small seaside town in Croatia — were silky beneath my bare feet, the light snaking around corners as the sun moved through the sky, every hour offering a different tableau.

I’d have known none of this without my (grateful!) physical presence.

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Ironically, I follow several cool, adventurous people on Twitter whose lives are devoted to professional exploration, including aviation and wildlife photographers and three archeologists.

I love seeing what they find, but this is also, I realize, a little weird.

I need to go find this stuff myself!

Sadly, it’s now considered normal — starting in infancy — to spend hours consuming others’ visions and impressions and analysis of the world, instead of gathering every sense impression ourselves. (As I write this on our balcony in the early morning, I hear traffic on the bridge, a passing train and birds in the trees. The air is fresh and cool, the sun gilding the balcony’s outer edge.)

Plato’s cave, and our addiction to shadows, pales in the face of this.

I work alone at home in the suburbs of New York, with no kids or pets to distract me. I  work full-time freelance, which means I have no boss or coworkers with whom to share ideas or jokes or talk about our weekends.

Most of my friends here are too busy to actually get together in person, which all combines to create isolation, and so I’ve slipped into the tempting bad habit of feeling connected to the world through consuming social media — instead of socializing face to face.

If I want to actually be with someone, it takes me an hour each way, and up to $25 in train fare or parking fees, to go into Manhattan.

But if I don’t, I’m essentially a self-imposed shut-in, which is  — my six supersocial weeks in Europe reminded me  — a terrible choice for mental health.

My time in Europe, literally, exposed me to hundreds of strangers, some of whom became new friends, like an archeologist and travel blogger and translator, all of whom live in Berlin, all of whom had only been Twitter and blog pals before they became real, corporeal human beings sharing space with me, laughing and joking and hugging hello.

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Zagreb

 

I was also struck by people’s gentleness with me, like the man on the busy, crowded Tube stairs in London, watching me slowly and painfully climb beside him, who asked: “Are you OK?”

People can be perfectly nice on social media, but they’re not beside you.

They’re not — as two young men did — ready to carry your heavy suitcase up (!) three flights of stairs.

In Croatia, I sat for hours in a cafe with three new friends, talking and talking and talking.

 

No one stared into their phones.

No one stared into their laptop.

No one was rushing off to something more important.

 

What we were doing — just being together, enjoying one another’s company and conversation — was more important.

 

 

Are you living life firsthand?

 

 

 

Health care is a right, not a privilege

By Caitlin Kelly

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If you move to the United States from any nation with single-payer government-run healthcare, you might be gobsmacked by what you encounter here.

You’ll learn new words and phrases like:

“pre-existing condition”, “co-pay”, “annual deductible” and “usual and customary.”

If you get a full-time job with benefits, you will be mostly preoccupied with how much medical coverage it offers you and your family, at what cost, and with what amount of deductible — i.e. how much more money you have to shell out after already paying a monthly premium for what is supposed to be full coverage.

It’s a bizarre, byzantine way to handle healthcare, because it puts millions at risk, as anyone following the current, bitter political debates over repealing and replacing the Affordable Care Act, (aka Obamacare), well knows.

If you work full-time for an employer who can afford to offer it, you’ll get health insurance through them, often heavily subsidized.

If not, welcome to free market capitalism!

My husband worked 31 years at The New York Times, as a photographer and photo editor. He retired from there, although we’re both still working. As a retired former staffer, he pays $400 a month for his health insurance. That, we can easily handle.

The company decided to save money by refusing this same subsidy to retirees’ spouses — so I pay $1,400 a month for the same plan. That’s $20,000 pre-tax I have to earn just to avoid medical bankruptcy — the single greatest cause of personal fiscal disaster in the U.S.

I’m a reporter, so as I debated choosing a much cheaper plan I queried the billing managers for two of our physicians. Both said: “Hell, no! If you like what you’ve got, keep it.”

They know better than anyone what a crazy and costly mess you can face if your cheap-o plan doesn’t cover something like — oh, you know –— the anesthesia for your four-hour surgery.

That surprise bill could be high enough to knock you out cold once more.

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My first steps with my new left hip, February 2012.

As an aging jock with orthopedic issues that have required multiple surgeries and a lot of physical therapy — the co-pays alone costing up to $60 a week — not having excellent coverage is a gamble I’m not willing to make.

 

As more and more Americans are forced into the “gig ecomomy”, i.e. self-employment or precarious, poorly-paid contract work, we’re forced into free-market pricing for our most precious possession — our health.

 

Yet I find it almost incomprehensible to read this, in the liberal New York Times:

When Representative Mo Brooks said it was unfair that healthy “people who lead good lives” should have to subsidize the insurance of unhealthier ones who presumably don’t, he bluntly raised an often unspoken question that runs through policy debates in Washington: Who deserves government aid and who does not?

Such proposals can be — and often are — couched in the language of economics, with advocates and critics calculating the efficacy of incentives, returns on investment and long-run savings. As Ben Carson, the Trump administration’s housing secretary, commented last week while touring publicly subsidized housing in Columbus, Ohio, “We are talking about incentivizing those who help themselves.”

But the judgment of who is deserving — as opposed to what is most effective — is at heart a moral one.

In pushing for repeal of the Affordable Care Act last week, Mr. Brooks, an Alabama Republican, suggested that people with pre-existing conditions deserved to pay higher premiums, because they had not “done things the right way.” That could include a cigarette smoker’s lung cancer — or a newborn’s congenital heart disease.

Couching this as “government aid” completely distorts the larger issue — are you really happy living in a country where you’re just fine — but millions of others aren’t?

This kind of self-righteous garbage, the “deserving”, makes me so angry.

Yes, those who live in a single-payer system do pay the costs of treating other people’s cancer (some are smokers!) and diabetes (some are obese!) and people who injure themselves while high or drunk or are torn to pieces by a dangerous, distracted driver.

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No one admires or wants to support stupid, careless behavioral choices.

But I’d rather know that everyone can get good care quickly than smugly snuggle into my personal bubble,  knowing for certain that others live in terror of losing their insurance or access to the drugs and care they need.

I grew up in Canada, to the age of 30, never once seeing or paying a medical bill. Nor have my parents, who still live there, in two different provinces, despite multiple surgeries and, for one, months of big-city hospital care.

I’m no fan of endless taxation. But a vast percentage of the U.S. federal budget goes to defense, waging endless wars against often undefeatable enemies.

And the outrageous rates I pay are giving health insurance executives’ massive salaries. I find that disgusting.

I believe healthcare is a right, not a rare privilege only granted to those who someone decides is “deserving.”

A life, saved

By Caitlin Kelly

CPR CLASS

Jeff is the man wearing the blue checked shirt and vest.

It happened on a suburban September Saturday afternoon.

Our co-ed softball team, who’ve been playing together for 16 years, was in the middle of a game when Jeff, a 61-year-old teacher, ran to first base — and collapsed.

“Don’t be so dramatic!” scoffed Paul, the first-base coach.

He wasn’t.

He was having a heart attack, in the middle of a ball field.

Luckily, one of our team-mates, a physician, was there and immediately knew — and knew how — to start chest compressions.

Police came, and EMTs and a paramedic and took Jeff to a local hospital, where he was placed in a medically induced coma.

He’s fine now.

He’s back to teaching.

He’s back to playing softball.

I wasn’t there that day, but it terrified everyone who witnessed it, helplessly, fearful that our friend would die in front of them.

He could have.

It happens.

So, wanting to be sure we’re prepared should it ever happen again, 28 of us paid $35 apiece to take a two-hour Saturday morning class last weekend to learn how we, too, might be able to save a life if needed.

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(Here’s a link to a video about how to do it.)

It was deeply sobering — you have barely four to six minutes to get someone’s heart pumping again before their brain is damaged.

There’s no time to waste!

You can’t panic.

You can’t want someone else to fix it.

You have to do it, and do it quickly and do it with strength and speed — 120 compressions per minute. You’re mimicking a heartbeat for someone who doesn’t have one.

We each practiced on plastic dummies, both child and adult-sized.

We also learned how to do the Heimlich maneuver, on adults, children, infants and (worst case) even ourselves if we’re ever alone and choking. (Lean hard against a chair back and push down on your diaphragm.)

We also learned how to use and apply the two pads of a defibrillator and how to do so safely.

It was a lot to absorb, physically, intellectually and emotionally.

“No matter what happens, you tried your best,” the instructor cautioned.

Not everyone will survive even the best rescue attempt — unlike a recent local save who needed 25 minutes of CPR to return, literally, from the dead.

After the class, there was a lovely, moving ceremony in the town’s volunteer ambulance garage, with the town mayor and the nine people: EMTs, two police officers and a paramedic whose quick action and excellent skills saved our friend’s life.

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Jeff gave a quick, graceful speech and served us a lemon cake at lunch to celebrate his second life.

If you’ve never learned CPR, I’d urge you to consider doing so.

It’s not as complicated as you’d think and there’s nothing worse than feeling helpless in a life-threatening situation.

(story told with Jeff’s permission!)

Self-care means survival

By Caitlin Kelly

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This is a tough time of year for many of us.

Forget (!) the U.S. election and how weary some now are of constant comment, opinion, raging, crying, etc.

Some families are withdrawing from one another over the holidays to avoid (further) estrangement.

The next six weeks also mean a lot of rushing around, to parties, (for work, for fun, with family), to buy gifts, to attend professional events.

Maybe, on top of all that, you’re looking for work or a new job, or coping with illness or injury.

This time of year can also mean new, fresh heartache; we have friends who recently lost both parents (to a drunk driver); a friend whose husband died this summer; a friend whose husband of many decades died a month ago…each of them facing their first Christmas and New Years as an orphan, a widower and a widow.

 

Taking consistent care of ourselves is crucial to our ability to help nourish and sustain others, whether children, parents, friends, spouses, neighbors.

 

A few ways to nurture yourself:

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Keep fresh flowers or plants in your home

As I’ve written here many times, especially as the trees lose their leaves and color here, every week I buy fresh flowers and keep our houseplants thriving. Even $15 worth of grocery store mums can fill multiple vases and jugs around our apartment.

Flowers are everywhere in our home: bedside, bathroom, dining table, side tables. I recently splurged $27 for three plants at a local nursery, including a pale purple cyclamen and a deep purple African violet.

Silence

We live, most of us, in such a noisy world! Traffic, airplanes overhead, other people’s music and conversations, our children, our pets.

Silence is deeply restorative. Find a place, at home or out in nature, to be alone, silent and still every day.

Pets

Talking to, hanging out with, patting your cat/dog/guinea pig.

Sleep

Since the election, I’m sleeping 9 to 9.5 hours every night, an escape from fear and stress. Self-employment from home allows me to nap as needed. Few escapes are as consistently accessible, free and comforting as a nap or a refreshing night’s sleep.

Meditation or prayer

Making time to intentionally focus on your spiritual health is sustaining. A friend living in another state recently started an on-line group of us to meet for meditation together. It sounds odd, but we were all grateful she thought of it.

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We’re not robots. We all need a hand, a hug and some help!

Friendship

Face to face or on the phone or using FaceTime or Skype only. We really need to see our dearest friends’ faces and hear their laughter (or sighs). None of this online silliness! Get a hug. Give a hug. (In times of stress, ditch/avoid faux friends and competitive types, emotional vampires and frenemies. You need backup!)

Especially with those you’ve known for decades, reminisce about all the great times you’ve had together — and plot some adventures for 2017 to look forward to.

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Candlelight

I keep a scented candle on my bedside table and it’s a soothing, calming final sight before I blow it out at night. It creates a ritual. We also light candles every evening when we eat dinner together ,(no TV blaring, no phones) and that, too, is a ritual that gently slows us down and moves into the evening.

Soft textures

I step onto a cozy bedside sheepskin rug every morning and treasure our woolen throws and blankets to nap under. Whether you wear a silk scarf or a cashmere muffler, or snuggly socks or slippers, keep your body as coddled and comfortable as you can.

Lovely images

We have a large collection of art, design and decorative arts books (all of which can be borrowed from your local library.) Few things are as pleasant as leafing through inspiring bits of beauty. Thanks to the Internet, virtually every museum in the world is now available for browsing.

Even better, get out to a museum or art gallery, sit on a bench and really, really savor a few pieces — sculpture, paintings, pastels, a mask or chariot — slowly and carefully.

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Nature

Get out there! No matter the weather, fresh air and light are a great way to detach from grim thoughts, social media and yet another bloody screen.

Avoid all social media

It’ll wait.

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Looking at art restores and refreshes me. This astonishing life-sized painting of Joan of Arc hangs in a hallway of the Metropolitan Museum of Art in New York City

Music

This is one of my favorites, whether listening to the Sixth Brandenburg Concerto or Erik Satie or the Stones or…Crank up the stereo and sing along as loudly as you dare.

If you’re a musician, what a great way to lose yourself! I so envy — and have been fortunate enough to know several talented amateur musicians — those who can just pick up a flute or violin or harmonica or guitar and delight themselves. (I need to get my guitar out of the basement and start building up my calluses again.)

Attending a concert is a great way to destress. Jose and I recently attended an evening choral performance, all in Finnish, at the Cathedral of St. John the Divine, in upper Manhattan. It was sublime! The echoes!

Play a game

Anything! Gin rummy, Scrabble, Bananagrams, cribbage, bridge, mah jongg. Do a jigsaw puzzle. Borrow your kids’ or grandkids’ Legos and have at it.

Exercise

Yay, endorphins. This has been my preferred method of stress management for decades, whether dance class, spin class, a long walk or playing softball. Especially this time of year, as we all start eating and drinking too much, burning off some of those calories will help.

Spa stuff

Some people hate being touched by strangers. But for some of us, a massage and/or manicure and/or pedicure and/or facial (yes, costly!) can be a great stress-buster. We’re lucky enough to live next door to a very good hotel spa, so I have incentive to work and and save hard for another visit.

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Cooking at the house we rented last year in Ireland

Cook

Only if you enjoy it! Creating something delicious is both focusing and distracting — a stack of muffins, a savory soup or stew, a pile of roast vegetables fills your home with great smells and gives you instant, possibly healthy, gratification.

Vanquishing the body

By Caitlin Kelly

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There’s a woman in my spin class — our spin class — who rarely smiles. Her face is usually set in a mien of unsettling intensity, her eyes always agog at..something.

She is as lean as a whippet, her muscles shorn of all excess fat, all softening curves. She carries a large bottle water with ice cubes in it.

She’s in her 50s, maybe retired or self-employed or doesn’t have to work. She appears to live at the gym, working out for hours.

Culturally, as someone who needs to shed at least 30 pounds, if not more, I should envy her, despising my own excess adipose tissue — a tummy whose additional flesh I can still grab (OMG!), despite three months now of two-day-a-week calorie restriction (750 per day), no alcohol until Friday evening and two to three spin classes a week plus lifting weights.

(I do see a difference in my shape and size now, as do my husband and friends. It’s just sloooooow. This morning in the mirror I saw…shadows in my cheeks. Definition?!)

I’m working it.

She’s working it.

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The day after my left hip replacement….Feb. 2012

Another friend of the blog, a fellow journalist named Caitlin, writes Fit and Feminist — and is now doing (gulp) triathlons.

We’re all headed to the same place eventually, some much faster and more heart-breakingly so, than others.

I live in an apartment building where we own our homes, so I’ve stayed for decades and have gotten to know our neighbors.

It’s also a building with many — most — residents in their 70s, 80s and 90s.

Death stalks our hallways.

But in the past decade, we’ve also lost two lovely men, both mid-life, to brain tumors. One man on our floor died of cancer, at least three women in our building, (those that I know personally), are dealing with it.

It’s deeply sobering — (a fact I spend a lot of time denying!) — to stop and realize how fragile our bodies are, prey to genetic shit-shows we didn’t choose and must face nonetheless; my mother has survived at least four forms of cancer so I’m hyper-vigilant with mammograms, skin checks, Pap smears. I smoked once, for about four months, when I was 14 and am very careful about much alcohol I consume.

The weight I’m working so hard to shed is less for cosmetic reasons than for health.

And yet, life also offers tremendous sensual, shared pleasure in the form of delicious foods and drinks, which (yes, I admit) also include alcohol and sweets.

Some people dismiss this idea — sucking back juice or Soylent — treating food as mere fuel.

Not I. Not ever.

I was in great shape in fall 2014…then spent three weeks in Paris. Ooooohlala.

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I look at young women, and men, in shorts and tank tops on the summer streets, carelessly luxuriating in their unlined, unscathed beauty, and wonder if they’ll look back in a few decades with rue or remorse, or happy memories of having savored it all while it was theirs to savor.

It’s a fine balance, this, between the mortification of the flesh, the discipline and self-denial to keep (or regain) a lean physique — and the slothful joys of long naps, a slice of chocolate cake or pie, hours on the sofa watching terrible television or playing video games instead of lifting weights or running or yoga.

Having worked non-stop to meet a magazine deadline, (the story for Chatelaine, a major Canadian magazine, which I’m really proud of, a medical one of course, is here), I ended up in the hospital, in March 2007, with pneumonia, and spent three days there on an IV, coughing so hard I could barely sleep. Drenched with fever sweat, I staggered into the ward shower, and — out loud, alone — apologized to my poor, aching, weary, worn-out body.

It was not, I finally and belatedly realized, a machine to be run until it smoked for lack of grease in the wheels.

 

Our bodies are the greatest of gifts, to be cherished and held and adored.

 

Until it’s time to leave them behind.

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