Doing fun things with old people

The world is ageing fast. Every day, 10,000 American baby boomers turn 65. Figuring out what to do with them (/us 1) is something we need to think about. Better yet if it can increase well-being across the world.

Photo by Janosch Lino on Unsplash

A recent Economist article described how some university campuses in the United States are building retirement homes. I hope they will forgive me quoting large parts of their article.

Most residents are having a ball. They get a university pass, which allows them to attend the same classes and cultural events as students, but with the distinct benefit of not having to take exams. Golf buggies can drive them around the sprawling campus, though many are still fit enough to mountain bike.

In their dorms, four restaurants serve better food than college grub and amenities include an art studio, a pool and gym, and a games room. Only the second floor feels institutional, with a memory-care centre and rooms for residents who need round-the-clock attention

This is part of a wider trend. An estimated 85 colleges in America are affiliated with some form of senior living. The idea sprang from two college presidents who wanted to retire on campus in the 1980s. Today, universities from Central Florida to Iowa State to Stanford offer senior-living arrangements. Andrew Carle, at Georgetown University, estimates that as many as 20,000 older Americans live like this

Bill Gates—not that one, but an 80-year-old former newspaper editor—moved to [one of these communities] with his wife, who has a PhD in chemistry, two years ago. They have made friends with residents but also, to their surprise, with younger students. “Being among young people is really invigorating,” says Mr Gates. At “pizza and a slice of future”, a discussion group about AI with pizza served halfway through, one of the topics was whether a lifespan of 200 or 250 years would be desirable. “The 20-year-olds were enthusiastic,” he reflects, but those in their 70s and 80s “had some reservations”, he chuckles.

When I saw this, I thought it was a downpayment on heaven. Being in community, attending lectures and discussion groups, surrounded by young people … oh man … what a fantastic way to spend your life’s teatime.

I heard another example from the UK. Our church used to run a day centre for the elderly. I heard of a similar day centre that had combined with a toddler group. So instead of the elderly looking at each across a circle of high-backed chairs, the elderly were looking at each other across a circle of high-backed chairs over a space filled with toddlers doing toddlery things. I can’t imagine how this wouldn’t be fun, perhaps even for all concerned.

Old people are changing. But the picture I have had of them so far in the UK is people on the edge of things, and unbelievably lonely, and deprived of the things that really matter, namely purpose and people. How astonishing and lovely it could be if they were folded back into new forms of extended families and communities; such healing, such wholeness.

Simple

Am in the midst of a book that my son bought me, lamenting ultra-processed food (UPF). Not news for many, I suppose, but an intriguing read for me. UPF is food that contains ingredients that you wouldn’t find in an ordinary kitchen. It’s put in to make products cheaper, longer lasting, easier; food designed for the poor.

I’m not sure I quite buy the idea that Big Food is evil like Big Tobacco (but I might be wrong). While Big Food makes a profit for shareholders, a lot of the shareholders who are thus enriched are poor people with pension funds, not the uber wealthy. And I think the scientists behind UPF were doing their best to make interesting and enjoyable food available to the masses. I’m sure I could, given a few changes of path, have become a food technologist myself with altruistic aims, spending my life on a good thing, not needing to channel my inner Cruella d’Eville.

But there are problems. Because UPF isn’t food, though it may have been once, it isn’t (so the argument goes) suited for human consumption. Obesity and many diseases follow in its train, and it targets the poor and nestles among those who struggle to make ends meet. (Or as Terry Pratchett described a maker of dodgy sausages, struggling ‘to make ends meat’.)

There are problems with this kind of book. How many books have been published over the years promising to be the definitive answer to the problems of good diet? Many. How many were backed by research? Many. How many have fallen out fashion? All of them. What will people think of this theory in 10 or 20 years? We shall see.

And yet the book’s appeal to make and cook food out of simple ingredients that belong in a kitchen, rather than engineered substances that are developed in a factory or delivered by a tanker, is appealing. Today I made a tomato soup for my grandchildren from just four ingredients (tinned tomatoes, an onion, chicken stock, and a wedge of butter. I deployed a slow cooker and a blender.) I make my own granola from honey, a neutral oil like sunflower oil, and oats, adding nuts, seeds and dried fruit and no funny stuff. I make my own bread on the same principles.

Better and deeper: I want to be simple before God. I love the description of bread back in the Old Testament, the bread for offerings: finest flour and the oil of squeezed olives: simple, simple. Pure, actually, because simple. That’s how I want to be before God, finest flour and oil mixed into a cake, not a packaged, complex, looks-good-but-isn’t convenience food.

If it’s not ‘all in the mind’ quite a lot is.

Gavin Francis’ book Recovery — GP’s take on the neglected art of convalescence –:

has a brilliant example of what good, or harm, our minds can do as part of our well-being; worth quoting. Francis talks about two middle-aged men who ‘a few weeks apart both suffered a cardiac arrest and collapsed, ostensibly dead, but who were successfully resuscitated with electric shocks. Both were then fitted with portable electronic defibrillators …[that were] about the shape and size of a matchbox’. If either man collapsed again, ‘the portable defibrillator would sense the change and shock the heart back into a healthy rhythm.’

‘For one of the men, the intimate experience of the proximity of death, the fragility of life and his new reliance on the implanted defibrillator was utterly traumatic. He began to suffer panic attacks and fiddled ceaselessly with the swelling beneath his collarbone. He couldn’t find a way to stop fretting that it might fail. At the time of his cardiac arrest he had been working as an administrator but he found himself unable to go on working. He was afraid to be alone, and his nights became a torment of insomnia.

‘For the other man, the almost identical experience of collapse and then resurrection became an epiphany of gratitude. His new life was a gift, he said, for by rights he should now be dead, and all the tedious, niggling irritations that once troubled him seemed to dissolve. It was enough to be able to breathe this air, walk on this earth, see his grandchildren. He had always lived modestly, but now began to emjoy sumptuous meals, fine wine, and booked holidays to places he would never before have considered visiting.

‘He had died, but then he lived again, and that new life into which he was born seemed one of richness, tenderness and gratitude.’

Why electricity is just as good as miracles

Feels better already. (This is a photo of Singapore by lee junda on Unsplash)

Again I’m writing about healing, partly because I’m living it, partly because what I picked up from many years as a Christian now seems so wrong and there is so much rethinking to do.

I’m still rethinking, and I’m still breathing, both of which I feel are important.

The last few weeks: we bought a disabled buggy, a wonderful little thing, and took it on holiday. (It folds into the car.) We were with our daughter and son-in-law and grandchildren and there was much walking on the prom and the cliff-tops, all of it now painless and easy. Nor was anyone needed to push me around in a wheelchair. And I could give the kids rides. So now in God’s riches I have an electric bike for longer journeys around Cambridge and an electric buggy for when I am with others.

Then yesterday I took the train down to my specialist heart centre in London where they retuned the pacemaker in my chest. A week or so before that, after phone calls from me, I had downloaded the pacemaker data and sent it to the hospital via a piece of kit that lives under our bed. The hospital looked at it and called me in and did the necessary reprogramming. Amazing. It is early days for this treatment but I feel less breathless and my wife tells me I am no longer blue to look at. Those guys at the hospital (both female guys as it happened) don’t just measure your ECG; they modify it and tweak it. They don’t take an ECG lying down. They press buttons and see what happens. Such fun!

This techno-assistance, though, seems a far cry from the New Testament where the Lord Jesus or the apostles did their stuff and immediate physical transformation appears to have happened. My electric buggy and the retuning of the extraordinary electronics that supply my heartbeat seem a different order of a thing to that. Why can’t (as Naaman asked) a prophet just wave his hands over me and make me well? Does this techno-medical intervention really count as ‘healing’ at all? Or is it a second-best solution for those whose lives are so cold and lacking in faith and zeal that the real healing stuff never happens to them? What is healing after all?

The New Testament contains hints that what I have heard doctors call the ‘psycho-social’ parts of healing are important, just as are the physical deliverance parts. Ten lepers were cleansed: only one came back to say thank you. Was there a lingering psycho-social unhealing among the healed lepers? Body fine, head in wrong place. Demons are driven out of the Gaderene demoniac. He is seen sitting clothed and in his right mind. But Jesus tells him to go home to his family, rather than joining the band of disciples. Is that to complete his healing? To address the pyscho-social roots of what got him in such a state in the first place? As it is, Mark records that the former demoniac takes up a speaking ministry in the Ten Towns, and Mark is silent over whether or not that was what Jesus really intended for the man. Interesting.

Then I watch friends, with a cancer diagnosis say, put their lives on hold until the treatment is completed. I observe, I think, I might be wrong (I hope I am), that they are putting all their eggs in the physical healing basket. Zap the cancer, go back to the life we had before. Nothing else matters.

I am so not so sure that this is right. (Of course I have to allow for the fact that I am sitting in my garden, at my ease, contented, writing this, not suffering some medical emergency or hospitalization which would indeed require a lot of effort and focus.)

But still. I am coming to believe more and more that healing is life today, bread today, thriving today and that it is entirely God’s business how he delivers that. All good gifts come down from the Father of lights who does not change as the shifting shadows: buggies, pacemakers, holidays, instant miraculous physical transformations, play, vocation, nice food, people you love and good relationships with God and others.

I am coming to believe more and more that healing is life today, bread today, thriving today and that it is entirely God’s business how he delivers that.

Of course, you have to qualify that idea. There are seasons of emergency actions, long wintry paths of mourning, times of brute endurance of the deeply unpleasant. It’s hard to speak of ‘thriving today’ in the face of those. But still. Healing is thriving. Healing is enjoying our lives, nourished by God’s daily bread, despite everything, in these ramshackle tents of ours, before they are replaced for good with the eternal mansions of glory.

How the Japanese live long and prosper

‘Keep busy and see friends, even over a drink or two’

The view from Yamanashi is pretty good too (credit: Pixabay)

Fascinating Economist article about Japanese efforts not just to live long but to live well, long.

(As a subtext the Economist in recent months has come to see Japan as a harbinger of all our futures and rather than being an economy to fix, they are an economy to watch as they tackle problems that many developed nations will face in coming days.)

They mention some novel ideas: a step counter on your phone that gives you discounts in shops related to how many steps you do. But then they focus on a district called Yamanashi, ‘a bucolic prefecture at the foot of Mt Fuji’ that is one of the top two prefectures for healthy life expectancy. They say this about it:

Helping people stay healthy, rather than simply alive, involves looking at broader social and environmental considerations. Jobs are essential. Working longer keeps people physically and mentally active, but also keeps them connected to others. Yamanashi has the second-highest elderly-employment rate in the country.

Social networks—the real-world kind—play a big role, too. Strong ties with friends, family and neighbours make for better mental health, more active lifestyles and better support. Investments such as upgrading cultural facilities or creating mobile libraries to serve remote communities may not appear to be health-related, but can benefit public health, says Kondo Naoki of the University of Tokyo.

In Yamanashi, many public-health specialists point to mujin, traditional local microcredit associations which have evolved into something more like social clubs. Members chip in funds for regular gatherings, often over noodles and sake (some prefer tea or mah-jong). Mr Kondo’s longterm studies have found that those who participate actively in mujin stay healthier for longer, even when controlling for wealth and other variables. The group activity offers a sense of purpose, and also acts as an informal safety mechanism, with other members noticing when someone is absent or looking worse than the previous month. “Being lonely is most detrimental to health,” says Nagasaki Kotaro, Yamanashi’s governor, who recently started offering subsidies for mujin. The secret to a healthy life, then, is similar to a happy one: keeping busy and regularly seeing friends, even over a drink or two

Economist, February 4 2022

It’s lovely they get to the same conclusions as I did in Bread: networking and vocation being the very stuff of life. Makes me think there might be something in them.

Another review

OK, I get that it may not excite you all that much but it’s just lovely for me. I do appreciate Netgalley, putting early editions of books in the hands of reviewers who don’t know or owe the authors of the book. More than all the gatekeepers in the world – agents, publishers, booksellers — actual readers are the people you want to hear from:

I raad this book as a Christian, and someone who has had to come to terms with chronic illness changing their ability to be “successful” and “productive” in the traditional sense. Initially, it wasn’t the book I expected. I didn’t realise that it is the second in a series and I was expecting to read more about the author’s personal experience and faith during his recovery after his coma. Whilst it does mention this, the book focuses in a more objective way on key elements that we lose or rediscover in a different form when we experience a life change. I have to admit to wondering for a while where this book was taking me. I am immensely glad I kept going, because from the fourth chapter, Making, this book really sings for me. It opens up the scope of the term “vocation” in a way that is both exciting and affirming, and exhorts us not to “die with your music inside you.” I highlighted almost that entire chapter! Although many years a Christian, I came found new and thought-provoking ideas in the following chapter, Believing (don’t panic, no heresy!). This is where the author really brings all the previous chapters together. The loose link to the experiences of convalescence and dealing with a significant change in life becomes much more concrete. I’m excited to read more of Glenn Myer’s books and have already bought one. Although it took me a while to get into this book, I feel he has wise and important things to say on life in general and the combination of life, faith and vocation in particular.

Lisa C., Netgalley

A little bit more Bread

Sorry if you are a regular reader and already Breaded out. My book (to be published Feb 19 2022) is on Netgalley, which is a site where reviewers and early editions of books meet, and I’ve seen a couple of reviews. It does something nice inside me when if I see people are finding the book helpful.

Here’s one of them:

I just finished the book Bread by Glenn Meyers in one day. Like everyone else in the human race, I am in the midst of an existential awakening. Through the fears, doubts, pain, and damaging health implications of these times, I find the author’s experiences and ultimate wisdom helpful. What I liked most is his ability to face his circumstances without fear but with reality that leads to humility, wisdom, and strength. I especially liked the questions he includes to evaluate one’s life. The answers help put everything in proper perspective. One day at a time, one step at a time, even through pain, we move to who and what we were always meant to be.

Another Advanced Review Copy reader (a friend this time) wrote to say that his wife and he

have both read your book and talked about it more than we have talked about any other except perhaps the Bible … I have never read such an authentic account … think it should be required reading for anyone trying for a caring profession.

So this is great.

You can still — for a few more days — download the free Advanced Review Copy here. Thanks to those of you who already have.

Or you can join Netgalley and read it here:

Or even you can open your creaking wallet and pre-order here:

The joys of decline

Not something many people like to talk about

I have supplied copies of the pre-publication edition of my book Bread to about 40 people by now, and some have come back with comments. At one point my book talks about ‘doing small things well’ even if ‘big things have collapsed all around you’ (p 39 of the draft).

Both my suppliers-of-comments applied that idea helpfully to aging and decline. I hadn’t thought of that. In my book I’d applied it to failure and shattered hopes. Perhaps I should start thinking about decline: certainly I notice that on walks that I have taken for thirty years, formerly with our dog, and now alone, lots of extra hills and slopes have apparently been fitted. I couldn’t probably manage a dog now though that is strictly speaking a health issue rather than age in my case.

The fun part about decline, my correspondents tell me, lies precisely in doing small things well even when big things have slipped out of one’s grasp. How wonderful, when declining, to aim to be the sort of person who lifts the spirits of everyone who they meet. How wonderful to be joyful, kind, giving, happy, even as the body seizes up.

And you meet people like that. For them the downward slope to physical dissolution is rather overtaken by the upward slope towards the glory of God.

A fine thing to aspire to, as the night falls.

You can still download a free pre-publication copy of Bread just here:

And a reminder: I do welcome comments, via the comment section here, and I especially welcome honest reviews. To do those, go to your favourite review site (Amazon, for example) and just share a few honeyed words about what you think. Readers are smart: be honest about the deficiencies; it won’t necessarily stop them buying the book. I think you may have to wait till after publication day on Feb 19 2022 to paste in your honeyed words.

A Christmas present for you. Well, sort of.

I finally got my book Bread up on the main internet bookshops for pre-order, before its publication on February 19 2022. That’s so I can c0llect orders and reviews.

I can also offer both of you faithful and patient blog readers a free copy. Let me say that again in upper case with two exclamation marks:

A FREE COPY!!

Publishers call these things ARCs or Advanced Review Copies. I’d love you to have one and then if at all possible leave an honest review somewhere (like on the sites where it is offered for pre-publication). Reviews, as you know, are a currency of the Internet.

Even if you don’t feel up to reviewing it, please help yourself anyway. I’m very fond of this book and would love you to see more than the brief extracts I’ve already shared.

I will also very much welcome any comments and criticisms you may have. My wife was the first reader of the ARC and has already pointed out one or two risqué jokes that I will take out of the edition that finally appears on Feb 19, as well as other mistakes and inappropriateness. So if you want the version with risqué jokes and inappropriateness included, now’s your only chance.

Do share this with anyone you think would like it. I’ve set a download limit of 500 on the number of ARCs that can be issued and the offer all ends on Feb 18.

Knowing your doctor well keeps you well as well

Look at this from Private Eye‘s wonderful ‘MD’ (aka Dr Phil Hammond) (15-28 October 2021 p 8)

The model of general practice – trying to manage multiple complex risks and needs in very brief encounters – has long been unsafe and unsustainable. You have 10 minutes to help an 80-year-old woman who is arthritic, breathless, recently bereaved and on 12 tablets. It takes three of those minutes to walk her from waiting room to consulting room.She wants to talk about her late husband; you want to ensure her breathlessness was not a red flag for a life-threatening condition or a side effect of the pills you have prescribed.

It takes another three minutes to undress her and get her up on the couch to be examined. And yet her main reason for coming was loneliness.

….

A study of Norwegian health records, published in the British Journal of General Practice, found that — compared with a one-year patient-GP relationship — those who had had the same doctor for between two and three years were about 13 percent less likely to need out-of-hours care, 12 percent less likely to be admitted to hospital, and 8 percent less likely to die that year. After 15 years, the figures were 30 percent, 28 percent and 25 percent.

Healthcare depends crucially on relationships, and staff knowing and understanding you.

Imagine a GP being resourced enough to combine a vocation as a doctor with the time and stability to develop relationships with patients. Vocation and relationships … just like in a book I recently wrote, which I may have occasionally mentioned in this blog. And which is still ‘forthcoming’…