“Worse than smoking”

Have you noticed the growing list of things that are worse for us than smoking?

Some make intuitive sense, like obesity.  That’s been linked to “a big increase in chronic health conditions and significantly higher health expenditures [than smoking, heavy drinking, or poverty].”

Drinking excessive amounts of soda might also be worse for you than smoking — but that claim is more of a doctor’s thought exercise than a real scientific study.

Is eating eggs worse than smoking?  That one’s a headline-grabber but based on shaky science: a study that showed correlation, not causation, between egg consumption and subjects’ levels of carotid plaque, and didn’t control for the rest of their diets or how much they exercised.

So participants might have had plaque around their heart because they ate eggs — or because they also ate fast food every day and never exercised, for example.

I’m not obese, don’t drink much soda, and am not too worried about the egg thing.  But I was gutted by three relatively new “worse-than-smoking” claims that cut straight to the heart of our western culture of individualism and overwork.

It turns out sitting all day, job burnout, and loneliness may all be worse for us than smoking.

Today Gawker reported the story of a 24-year-old Ogilvy & Mather employee who dropped dead suddenly of a massive heart attack in the ad agency’s Beijing offices after working extremely long hours for an entire month.

In March, an Israeli study found a strong link between levels of job burnout and coronary heart disease.  From MSN Money:

“Those who were identified as being in the top 20% of the burnout scale were found to have a 79% increased risk of coronary disease,” a press release by Tel Aviv University said.

One of the study’s lead researchers, Dr. Sharon Toker, called the findings alarming, adding they were “more extreme than the researchers had expected — and make burnout a stronger predictor of CHD than many other classical risk factors, including smoking, blood lipid levels and physical activity.”

Toker also warned that job burnout can create a downward health spiral and develop into a chronic condition.

“Sitting is killing you”

A few months ago, the scary infographic Sitting is Killing You made the social media rounds, leading to an upsurge of standing desk sales (including my own) among panicked office-dwellers.

It turns out the 9+ hrs a day most of us spend sitting at desks and on couches is making us fat, ill, and groggy, with every seated hour reducing our life expectancy, you guessed it, more than smoking does.  And going to the gym at the end of a day of sitting only lessens, but doesn’t undo the damage.

Lethal Loneliness

And this week comes a wrenching report from the New Republic Magazine: The Lethality of Loneliness: we now know how it can ravage our body and brain 

Loneliness, it turns out, “not only makes you sick; it can kill you. Emotional isolation is ranked as high a risk factor for mortality as smoking.” From the NR:

A partial list of the physical diseases thought to be caused or exacerbated by loneliness would include Alzheimer’s, obesity, diabetes, high blood pressure, heart disease, neurodegenerative diseases, and even cancer—tumors can metastasize faster in lonely people.

This is not a small problem.  According to the New Republic, as many as 30% of Americans “don’t feel close to people at a given time,”, and more than one out of three adults 45 and over “reported being chronically lonely (meaning they’ve been lonely for a long time).”

Who are the lonely? They’re the outsiders: not just the elderly, but also the poor, the bullied, the different. Surveys confirm that people who feel discriminated against are more likely to feel lonely than those who don’t, even when they don’t fall into the categories above. Women are lonelier than men (though unmarried men are lonelier than unmarried women). African Americans are lonelier than whites (though single African American women are less lonely than Hispanic and white women). The less educated are lonelier than the better educated. The unemployed and the retired are lonelier than the employed.

A key part of feeling lonely is feeling rejected, and that, it turns out, is the most damaging part.

If these studies are true, the implications are brutal: basically, our culture is killing us. 

It’s impossible to check your income out on the Global Rich List and see how absurdly wealthy most of us are compared to the rest of the world, and not wonder: am I as healthy and happy as this incredible (and incredibly unfair) opportunity allows me to be?

We need to spend less time staring at screens, and more time connecting with and being kind to one another.  Preferably out of doors.

In that spirit, I’m going to head outside for a walk with a friend.  And maybe a smoke.

Santa Teresa, Costa Rica: Travel Tips

La Playa Santa Teresa

Matt Thompson and I are back in Toronto after a fabulous two-month work and life retreat in Santa Teresa, Costa Rica. Wanted to share the best insider tips we wished we had known before the trip, for anyone else who’s thinking about traveling to this lovely part of the world.

Google doesn’t know all.

TripAdvisor remains a great resource to get the high-level lay of the land, but most of the best stuff and services in Santa Teresa can’t be found by searching online.

We wasted hours trying to figure out where to buy bikes at the start of our trip, who gave the best massage in town, and how to find a good local chiropractor. We found all those answers and more through a mix of personal recommendations, and the single most useful online resource we found during our trip: the Mal Pais and Santa Teresa Buy and Sell Facebook page.

On it, we sold two bikes within 48 hours, booked the best massage I had in our two months, read a fascinating debate about whether paving the Santa Teresa road would kill or save the community, and found a bunch of great house rentals for half the price of what we were spending.

How to stay at a resort for $15

StefanoFlor Blanca is the most expensive and exclusive resort in town. We started visiting it because it also has the best yoga classes in town, helmed by master teacher Stefano, and once we were there for a few hours … we didn’t want to leave. Matt and I eventually figured out one of the best life-hacks of our trip, which was how to feel like you’re staying at a resort for less than $15 a day.

The recipe: go to Flor Blanca for a yoga class in the morning ($8 per class if you buy a package). Afterwards, slip into the nice bathrooms next to the yoga shala to change into your bathing suit and find one of the lovely lounge chairs by the beach. The wait staff will come by, and the food at the resort is fabulous, but you can get away with as little as ordering a fruit ($3) or mixed smoothie ($6) and lounging for as long as you like.

We spent many happy weekends in exactly this way (and truth be told, probably hundreds of dollars on Flor Blanca meals, massages and cocktails, all of which were totally worthwhile).  Top tip: on our last trip to Flor Blanca, a waitress told us that people who come for yoga classes get a 20% discount at the restaurant afterwards. What! Trying not to think of how much we would have saved had we known that at the start.

The dust is a nightmare.

Dusty leaves by the road. Photo: Robin McKenna.

Dirt roads can be charming, rustic, and hold back development and speeding cars. And they can create a noxious cloud of grit that fills the air, layers houses and trees, and creates an asthma epidemic among local children. In Santa Teresa, both things are true — although personally, after spending two months in the dust I’m firmly in the “pave the f*cker” camp.

If you decide to visit Santa Teresa, the dust will be part of your life, and you’ll need to figure out your coping strategy: getting a rental set back far from the road, renting a car instead of walking or biking, or like us, buying a bunch of surgical masks from the grocery store and trying to wear them whenever we were biking.  But be forewarned: even with a mask, the dust is still pretty brutal.

Costa Rica uses more pesticides per-capita than anywhere else in the world.

I learned this on the website for Barefoot Organics, Santa Teresa’s brand-new organic grocery store, lunch counter and green box program, newly opened in December 2012 and already thriving.

The store looks like a restaurant from the outside, and the intriguingly vague ‘Social Organic Food’ sign by the road somewhat obfuscates the fact that this is a fabulous grocery store and lunch counter, filled with organic meat, cheese, fruits and vegetables. The quality of the meat, produce, cheese and yogurt is outstanding, and the prices are way better than buying organics at home. Stop in and stock up, and say hi to handsome Barefoot co-owner and chef to the stars Jim Kelly while you’re in there.

“Nothing bad can happen while you’re on vacation.”

The locals have a running joke about vacationing tourists wandering blindly into traffic or carried into the sea by riptides with a blissed-out thought bubble over their heads “Costa Rica is so relaxing!”. Matt and I are both cautious worriers by nature, and our mishaps were limited to surfing scrapes, bug bites, and a few ocean scares. But while we were in town, at least three people drowned in drunken late-night ocean swims, and a many others were ambulanced to hospital after serious quad accidents. Be careful out there, folks! It may be paradise, but that doesn’t mean bad things can’t happen.

Restaurants: there’s Koji’s, and there’s everything else.

A quick glance at TripAdvisor’s restaurant reviews will leave you with the impression that there’s three great restaurants vying for the top spot in Santa Teresa. No disrespect to the fine institutions , where we had perfectly good meals in lovely, vibe-y atmospheres, but when it comes to restaurants in Santa Teresa, there’s Koji’s, and everything else.

Based on our two visits there, our dream menu recommendations include: ginger pork, mixed tempura, green salad, and maki rolls of your choice. We had fabulous grilled octopus the first time we went, then the same dish slightly overcooked the next time. I’d say it’s worth the risk.

A few other favourite places to nosh and sip:

Best smoothies: Zula Restaurant. Lovely Israeli joint with nice brochettes and falafel, but the smoothies are what it’s built its well-deserved reputation around.

Best fries: Burger Rancho. The place has a great vibe, always-good music, and excellent fries. But be forewarned: the burgers are surprisingly mediocre, soggy and served on supermarket white buns.

Best place for sunset cocktails: Rocamar.  This beachside lounge has a bevvy of outdoor beanbags, couches and loungers by the ocean, perfect to watch the sunset from while sipping a pina colada.  They host a bonfire party every Sunday night at sundown, with great music, lots of kids running around, and if you’re lucky, some Chinese lanterns lifting off into the star-filled sky.

Best bakery: The Bakery in Playa Carmen by a mile. After awhile, a native Montrealer does pine for a good croissant and espresso-based coffee, and this is the place to find them. More awesomeness includes the brownies, and beautifully slushy lemon iced tea.

Best muesli: Easy to spend $8 on a box of imported granola here, but if you don’t like the fried-sugar style stuff, my favourite muesli can be found in any grocery store: Vitalissimo 10 Frutas; delish.

The myth of “Tico Time.”

We’d often hear people (read: expats) joking about the phenomenon of “Tico Time”, the inability of Costa Ricans to show up on time for appointments. Matt and I never once witnessed this in two month in Costa Rica. Whether surf lessons, massages, yoga classes, taxis, or meeting with people to sell our bikes at the end of the trip, the people we met and did business with were always on time, and often five minutes early.

Could be the product of a tourism-driven economy, where many young Ticos are professionally trained in the sector. Or just old-fashioned good manners.  But Tico time, in our experience, was a myth.

How to tip.

Some restaurants will include a 10% tip with the bill, and some don’t. For those that do, the amount is 10% because that’s the maximum they’re allowed to charge by law; apparently only a portion of that amount ends up going to the servers. Servers REALLY appreciate it when you tip above the 10%, so check carefully to see if the tip’s included, and consider leaving more than 10% either way.

A few last things.

We stayed at several different apartments at Surf Vista Villas over our two months and it can highly recommend it.

For travel within Costa Rica we used Tropical Tours Shuttles and found them friendly, professional and ridiculously punctual.

This is the best and only map of the towns of Santa Teresa and Playa Carmen that we found, and we used it all the time.

Have a great trip!

Tom Wolfe’s A Man in Full: Favourite Passage

A Man in Full - Tom Wolfe

I think Norman Mailer was wrong.  In his 1998 review of Tom Wolfe’s, A Man in Full, he writes, “the tension in reading [it] never quite ceases. Is one encountering a major novel or a major best seller? […] it begins to promise that [Wolfe] is ready to become a great American novelist, and then it loses its air and settles (with all the canniness of a hard-nosed business judgment) for being a Mega-bestseller.

I came to the opposite conclusion — that this actually is a great novel, masquerading as a fun page-turner, after a wonderful third act where the novel’s two major storylines intertwine. Here’s the background to my favourite passage, from the publishers:

The protagonist is Charles Croker, once a college football star, now a late-middle-aged Atlanta conglomerate king whose outsize ego has at last hit up against reality. Charlie has a 29,000-acre quail-shooting plantation, a young and demanding second wife-and a half-empty office complex with a staggering load of debt.
Meanwhile, Conrad Hensley, idealistic young father of two, is laid off from his job at the Croker Global Foods warehouse near Oakland and finds himself spiraling into the lower depths of the American legal system.

At this point in the novel, Conrad has escaped from prison, and after a series of turns has ended up working as a caregiver for a post-operative Charlie Crocker. Crocker is wounded and alone, and facing a major dilemma: whether to betray his best friend to save his real estate empire:

“Whaddaya reading?” His voice was so tired.

“It’s a book called The Stoics, Mr. Crocker.”

“I see… What’s it about?”  […]

“Well,” said the boy, “most philosophers assume that you’re free, you’ve got all these possibilities, and it’s like you can design your own life any way you want.”

The boy hesitated; so Charlie gave him a little encouragement. “Go ahead.”

“The Stoics, they assumed the opposite. They said that in fact you have very few choices. You’re probably trapped in some situation, everything from being under somebody’s thumb to being a slave to disease to actually being in jail. They assumed that in all likelihood you weren’t free.” […]

What stuck in Charlie’s mind was probably trapped in some situation.

“So tell me, do you consider yourself a Stoic?”

“I’m just reading about it,” said Conrad, “but I wish there was somebody around today, somebody you could go to, the way students went to Epictetus. Today people think of Stoics — like, you know, they’re people who grit their teeth and tolerate pain and suffering. But that’s not it at all. What they are is, they’re serene and confident in the face of anything you can throw at them. If you say to a Stoic, ‘Look, you do what I tell you or I’ll kill you,’ he’ll look you in the eye and say, “You do what you have to do, and I’ll do what I have to do — and, by the way, when did I ever tell you I was immortal?”

“And you’d like to be like that?” asked Charlie.

“I — yes.”

Charlie could tell that the boy felt he had already said too much.

“All right,” said Charlie, “let’s suppose somebody is in a dilemma. If he chooses one thing, then he gains something valuable, but he loses something that may be even more valuable. And vice versa. If he chooses the other thing, then it’s the same problem. He gains one thing of value and loses another thing that may be even more valuable. […] So what does your Stoic say about dilemmas?”

There was embarrassment on the boy’s face. He hesitated… then said: “To a Stoic there are no dilemmas. They don’t exist.”

*    *    *

I love this passage because it’s the moment you release this is not just a fun, gossipy novel about power, sex and real estate among the rich of Atlanta (though it’s also that).  It’s also a philosophical study into a one of life’s big questions: whether we can be free within external conditions of un-freedom, even the ones we’ve created for ourselves.

A great read by a great American writer.