Making It To 120: Great News and a Barrel of Laughs at the Doctor's Office.

"Hey," said Rich at tennis the other day, "they found your baby picture." He handed me the cover of the May issue of National Geographic featuring a baby with the headline, "This Baby Will Live To Be 120."

Having just celebrated my 75th birthday on May 2, was Rich really telling me that my dream of making it to 120 is just that?

"You know, Rich," I said, putting my face and the cover side by side, "that's definitely me. I was wondering when somebody would come up with a baby picture of me. You have to admit, I was one cute little baby."

"Oh, definitely," Rich said.

I  showed the cover to the two other guys, Jim and Marty. Both scurried onto the tennis court. They weren't interested in my baby picture. Grrrr.

I went out on the court and took it out on the poor tennis balls.

At the top of this page, I do talk about making it to 120 (and the impossible odds against it) so, first chance, I got myself a copy of the May issue of National Geographic. The cover story by science writer Stephen S. Hall is entitled, "New Clues to a Long Life." The intro says: "You want to live to 120? And stay healthy? Genetic discoveries could make that wish come true."

Genes. Hmm. All of my attention, I have to admit, has focused on the usual suspects against leading a long, healthy, and happy life: high cholesterol, high blood pressure, smoking, obesity, lack of exercise. Of these, only high cholesterol has been a problem for me.

For the high cholesterol, my VA primary care doctor prescribed a statin (simvastatin) for me and I took the tablets for some months and then stopped. I just didn't like the idea. I told her that I wanted to try to lower my cholesterol through a major change of diet. She was skeptical, but open to seeing what I could do.

Though I have a sweet tooth, I cut out sweets like sherbet,cake and cookies. For breakfast, I replaced buttered toast with organic oatmeal sprinkled with milled flax seed, plus an orange. I cut my portions and stopped eating between meals. Over six months, I lost nearly 20 pounds.

At my November appointment, my total cholesterol was down significantly, but the LDL, the bad stuff, was way too high at 146. "It's going in the right direction," I said. "Give me another six months."

She went along. And for the next six months, I kept the same regimen except that I didn't starve myself the way I did before. I didn't need to lose any more weight. But I continued cutting out most  sweets and kept to a low-calorie diet.

Six months later, this May 14, having taken a blood test a few days before, I showed up for my scheduled appointment with my skeptical, "show me" VA primary care doctor. A visit to the doctor is normally serious. After all, what is at stake here is your health and sometimes your very life. Doctors and their staff are used to patients with serious health issues and worried faces. Very often they have to deliver bad news.

But my doctor's visit was actually a lot of fun. I was smiling -- and even joking -- the whole time. It started with the doctor's assistant giving me the preliminary. As she checked my body temp, heart rate, and blood pressure she kept saying, "Wow."

"You're how old?" she asked.

"I turned 75 on May 2."

"You know, when I went out to meet you, I was looking for an old man. And then I saw you bounding up to me. I thought there was a mistake."

"No, really."

"I hope you don't mind if I double-check. When were you born?"

"May 2, 1938."

She checked my personal data on the computer.

"You're right. Sorry, but those numbers are just surprising for your age."

"When are you going to stop talking about my age? I'm a young guy, for God's sakes."

She giggled. "Yes, you are."

When she was finished, in walked my all-business primary care doctor whose prescription for statins I had dared challenge. She had said that statins were a must to get my cholesterol down. I had said they weren't. And I told her that I was going to stop taking them and try to get my cholesterol down on my own. The difference, though certainly unusual, was completely civilized and even friendly.

The doctor gave me a quick "hi" and with a smile sat down at the computer. "I have something I have to take care of," she said. "Be right with you."

Those old days are long gone when doctors and patients had considerable face-to-face interaction.  But within a few minutes, she was checking my numbers that her assistant had gotten. At each -- heart rate, temperature, blood pressure, pulse rate, and body temp -- she said "perfect."

She sat back in her chair and said, "Excellent. I wish I had such numbers."

Then came the big moment: the results of the latest blood test and my cholesterol count. She looked surprised. She leaned forward for a closer look. "It's down," she said. "Within normal range. With those numbers, I would not prescribe a statin for you. Would you like me to unprescribe the statin?"

"Yes, please."

I won. My LDL fell from 146 to 129. My total cholesterol fell from 244 to 188. Without a statin, that's within normal, low cardiovascular risk range. Excuse me while I give myself a little pat on the back.

My doctor was not quite sure what to make of this 75-year-old making his own health care decisions and, worse, being right. "I have to do something for you," she said. "What can I do for you?"

"Nothing. I think I'm good to go."

"How about a  shingles vaccine shot? You know if you get shingles, the pain is just awful and lasts for weeks. Outside it costs a hundred bucks. Here it's free."

To make my doctor feel better, I got a shingles shot.

And now, according to the National Geographic story, must I take living a long, healthy life to the next level -- based on new discoveries about genes?

Of course, I do know that good genes help. I figured I must have decent ones since I am the oldest of five siblings, all of whom will have reached 70 when the youngest, my brother Reggie, turns 70 next year.

When Reggie was five, I taught him to swim at the local swimming pool. He used to hang onto my neck for dear life. On his 70th, I can't wait to say, "Happy Birthday, old man! Welcome to old age!"

The National Geographic story is about "how our genes harbor many secrets to a long and healthy life" and how scientists are beginning to uncover them. While not finding anybody who has made it to 120, the story pictures and briefly describes several who have made it to the big 100.

But no one is anywhere near 120. The National Geographic story is an interesting account of the headlong race to find genetic keys. We will get there, but later rather than sooner. For those of us living now, the genetic studies are devilishly complex and elusive and progressing in baby steps.They are in a far too early stage to help you and me reach super old age.

Sorry, but if you want to make it to 120, you are pretty much on your own. But, you know what, just as I went out on my own to dramatically lower my cholesterol, I think we can do the same in greatly increasing our lifespan on this earth.

Job one is to avoid or at least control the chronic diseases such as high blood pressure, coronary artery disease, and diabetes. If we can do that -- and I have -- the next big hurdle is in lifestyle. We need to adopt a healthy lifestyle, both physically and emotionally. I have done that too. At least I think so. Anybody out there with good lifestyle ideas I might have missed, I'm all ears.

So long and keep moving.

                 
                                     Amazon E-Books by George Pollock

"State Kid: Hero of Literacy" is fiction based on his real-life experiences growing up in foster homes; "Last Laughs," is the true story of how five foster kids (he and four younger siblings) found their way in life and each other. "Killers: Surprises in a Maximum Security Prison," is the story of his being locked up for 23 hours with killers in a maximum security prison; "I, Cadaver" is about his postmortem adventures and mischief in the anatomy lab at UMass Medical School. “A Beautiful Story” demonstrates the art and process of creative writing as a 16-year-old boy goes all out to write a story that literally saves his life; "A Long, Happy, Healthy Life," is about how to live the title every day; and "Unlove Story," Writing anonymously as "Elvis," a husband, dumped after 38 years of marriage, lets it all out on love, marriage, life, everything. A guy doing this? It's unheard of.

 
For the Nook:

A Beautiful Story
A Long, Happy, Healthy Life
I, Cadaver
Killers

Statins Begone! Cholesterol Fall! Can I Lower My Cholesterol On My Own?

A little bottle of statin tablets arrived in my mailbox early this past June. It had been ordered by my new VA primary care doctor. I was annoyed.

Don't get me wrong. The doctor is good, very good, and I'm glad to have her. But I thought my taking a statin for my moderately high cholesterol was just under discussion.

I don't like the idea of taking a statin. I have a problem with taking any drug unless it is absolutely necessary -- to save my life, for example.

I'm a young man -- only 74. Cholesterol aside, I'm in robust good health. Doesn't my going-strong body have disease-fighting resources better than any statin?

But at the urging of my doctors, I have been taking a statin, simvastatin, off and on for a few years. I take the tablets and my total cholesterol plummets. I go off them and my cholesterol elevates.

In other words, when it comes to taking my statins, it's been good boy-bad boy. When I get scared, I do what the doctors say and take my medicine. When I haven't had a blood test in a while -- and no cholesterol report to scare me -- I just enjoy life and forget about cholesterol and daily statin tablets.

And now when this new bottle arrives, my first impulse is to be a good boy. Oh well, I thought, doctor's orders. Here I go again, swallowing pills against all my own natural instincts because the doctor says so. I took the bottle out of its little box and put it on the kitchen counter. I would start the pills in the morning.

The next morning, I reached for the bottle, took out the prescribed two tablets, and filled a glass with water. But I couldn't swallow the tablets. That's when the annoyance set in. The inside of  a bad boy's head snapped and crackled with rebellious sparks:

I did not agree to this. This was just under discussion. The doctor can't decide something as important as this on her own. That's for ME to decide.

I decided then and there to reduce my cholesterol on my own. This was something I had never attempted to do. The thought had never even entered my mind.

My next appointment with my doctor was five months away, on November 8. I made up my mind to show up with a big surprise: lower cholesterol, reduced on my own -- and maybe deliver a little lesson from patient to doctor.

Or was I delusional, way too into myself?

But my research into statins gave me encouragement, especially the findings of John A. McDougall, M.D. He is a physician and nutrition expert who has practiced medicine for 40 years. He says that
there is no more conventional wisdom than the fact that high cholesterol is best treated with statins. He says that so many physicians believe this that "we may as well put statins in the water."

He says that the typical well-treated patient in our "advanced society" is "fat, sick, and overmedicated." He contends that cholesterol-lowering drugs are over-promoted and that medical and pharmaceutical businesses "brag all the way to the bank about improvements of their customers' risk factors (incidental numbers forced to lower values by drugs)."

Dr. McDougall is not against statins across the board. He prescribes statins for very high-risk patients, such as those with a history of heart disease or stroke. His problem is that today's drug approach to disease is to treat the signs of disease, or risk factors, instead of the underlying cause. He says that high cholesterol is a risk factor, not a disease, and it is caused primarily by the high-fat Western diet.

Dr. McDougall says that the cholesterol molecules in the bloodstream are in themselves relatively non-toxic. He says that he has never seen anyone die of high cholesterol and suggests that neither has any other doctor.

According to Dr. McDougall:

"If cholesterol, itself, were the problem, then their predictive value for heart attacks and strokes would be close to 100% -- high cholesterol would always mean sick arteries. However, I know many people with cholesterol levels over 300 mg/dl, with perfectly clean arteries --and just the opposite, people with levels below 170 mg/dl who have suffered a major heart attack. Furthermore, when the arteries of patients taking statins are studied over time, regression of the underlying disease, atherosclerosis, occurs in only a minority of patients, even if cholesterol drops profoundly under the influence of powerful medications.

"The underlying truth is: there is a strong correlation between the richness of a person's diet (reflected by cholesterol and saturated fat content of the food choices) and the level of cholesterol found in that person's blood. The richer the diet, the higher the blood cholesterol. The association continues: the higher the cholesterol in the blood, the more likely the disease will happen -- such as heart attacks, strokes, and a variety of cancers. The real culprit is the rich diet -- the elevated cholesterol is, more or less, a secondary finding."

Dr. David G. Williams, a specialist in natural healing, declares flatly that lowering your cholesterol will not help you avoid heart disease. Instead of trying to lower cholesterol, he uses and builds upon the body's innate healing capabilities.

Dr. Williams supports this approach by citing three statistical facts: 1) More than 60% of all heart attacks occur in people with normal cholesterol levels; 2) The majority of people with high cholesterol never suffer heart attacks; 3) Half of all heart attack victims have none of the standard risk factors (ie. smoking, obesity, genetics, high cholesterol.

I don't smoke and I never have. I'm not obese. Since I have made it to 74 and am the oldest of five siblings (all of whom will be in their 70's in 18 months), I must have pretty good genes. From my research, it seems to me that even if I don't lower my cholesterol, it's not going to kill me. 

So why take a statin? 

But if I could lower my cholesterol by changing my diet, why not?  I would be covering all bases and could be on my way to making it to age 120. (Wouldn't it be funny if I really did?)

Every morning for the next five months, I looked at the unopened bottle of simvastatin and went on with my own self-prescribed regimen for reducing my overall cholesterol from the 239 it was on May 25. The acceptable range is 0 to 199.

I dramatically altered my diet. I have a sweet tooth.  I love ice cream, sherbet, chocolate, cakes, apple pie, muffins. I no longer ate them. With my wife Barbara's agreement -- she too was working to lower her cholesterol by changing her diet -- they were banned from the house. Also banned were cheese and red meat.

When I want to relax, I like nothing better than going to Dunkin Donuts and reading The New York Times or The New Yorker while sipping coffee and enjoying a big, delicious blueberry muffin. I stopped that, cold turkey, though I still dropped by Dunkin for a black coffee (no sugar) and a read.

Because I am physically active -- playing tennis three or four times a week, walking briskly up and down our steep hill, and lugging heavy fieldstone rocks to build stone walls -- I had assumed I could eat to my heart's content. Now I cut my portions, often in half. I ate one piece of raisin toast instead of two (no butter), half an orange, and carefully removed all skin from chicken.

At first, I was nonstop hungry and miserable. I don't know how many times I thought of going to Dunkin's for a plump, warmed-up, heavenly sweet blueberry muffin. But I didn't go, not once.  Whenever I got the urge, which was regularly, I called upon my one best weapon against giving in: impulse control.

When Dunkin called, I pressed the impulse control button and got this stern message:

No! If you go there, if you eat the muffin, it will be gone in no time and you will feel awful. But if you resist, the urge will pass and you'll feel great. Awful or great, which do you want in the next hour?

The first few weeks were the hardest. Soon, the more I resisted the impulse to eat those blueberry muffins, the easier it became. I must emphasize easier, not easy. But my new, careful way of eating gradually became a way of life.

Weeks passed, then months. On November 8, I went for my appointment at the VA with my primary care doctor. An assistant giving me the standard weigh-in, was surprised. "Wow," she said. "Is this right? In May you were 188. Now you are 170. You lost 18 pounds!"

The new skinny me is at right.

"It's right," I said. "I changed my diet to lower my cholesterol. I'm going to surprise the doctor."

"She will be," the assistant said, "she will be. Congratulations."

"How are you doing?" the doctor asked when I entered her office.

"Well, I've been a good boy and a bad boy."

"How is that?"

"First the good. I've changed my diet to try to lower my cholesterol. Since my last visit, I've lost 18
pounds." I pulled up my sweater. "See, no more belly."

"Very good." She pulled me up on her computer. "Yes, I see that, from 188 to 170. Well done."

"Now the bad. I haven't been taking the statins that you sent me. We didn't really discuss it and I wanted to see what I could do on my own.  I'd like to take another blood test to see if my cholesterol is down.  If it is, then maybe I don't have to take a statin."

"I'll order it right away. When can you come in?" No talk-down lecture. No hurt feelings. No questions. Actually, she was almost an eager accomplice to a patient's taking charge of his own health care.

"Tomorrow morning," I said.

She tapped on the computer. "Tomorrow morning, November 9, it is," she said.

"Great. Thank you, doctor. What if I succeed in lowering my cholesterol and don't have to take the statin?"

"Well, maybe you could help me. I have high cholesterol."

"Really?"

"Yes, really."

"Well, maybe next time, we'll change places. You sit here and I'll sit there with your white coat and stethoscope and tell you how to lower your cholesterol. Deal?"

She smiled. "Deal."

My total cholesterol dropped from 239 to 199, no longer marked with the big H for high. The LDL (lousy stuff) fell from 180 to 146, though still above the reference range of 120.

I'm going to try to lower that LDL even further, on my own, without a statin. I'm looking into adding  omega 3 supplements to my diet, for example. In taking charge of managing my cholesterol levels, I'm just getting started.

I can't wait for my next appointment. I used to dream about being a doctor -- and here I am with my first patient. I just know I'm going to help my doctor lower her cholesterol.

So long and keep moving.

NOTE: George Pollock's novel, State Kid: Hero of Literacy is now available as an E-book on Amazon (Kindle) and Barnes & Noble ( Nook). Billy Stone was a foster child. He ran away from abuse.  He went to juvenile prison. He went up from there.  And he did it his way. Through the power of the written word.

Amazon E-Books by George Pollock

"State Kid: Hero of Literacy" is fiction based on his real-life experiences growing up in foster homes; "Last Laughs," is the true story of how five foster kids (he and four younger siblings) found their way in life and each other. "Killers: Surprises in a Maximum Security Prison," is the story of his being locked up for 23 hours with killers in a maximum security prison; "I, Cadaver" is about his postmortem adventures and mischief in the anatomy lab at UMass Medical School. “A Beautiful Story” demonstrates the art and process of creative writing as a 16-year-old boy goes all out to write a story that literally saves his life; "A Long, Happy, Healthy Life," is about how to live the title every day; and "Unlove Story," Writing anonymously as "Elvis," a husband, dumped after 38 years of marriage, lets it all out on love, marriage, life, everything. A guy doing this? It's unheard of.

For the Nook:

A Beautiful Story
A Long, Happy, Healthy Life
I, Cadaver
Killers
State Kid
Unlove Story

Clogged Arteries: Why is Bill Clinton Bugging Me About My High Cholesterol?

For a couple of years now, Bill Clinton has been stalking me. Every time I forget that I have a mortal body and feel good about life, the former president pops into my head wagging a finger and saying, "So you think it can't happen to you? Better think again, my complacent friend."

Bill Clinton has reason to be nagging people like me. Nearly two years ago, he was happily going about his business of being a popular and much sought after former president, as well as indulging in his taste for fast food. He was young, only 58, and was at the top of his game jetting around the globe advising world leaders on the great issues of our time.
Impeachment and Monica Lewinsky were dim memories. Life was a dream; that is, until it suddenly became a nightmare; until one day, without warning, death knocked on his door. On September 2, 2004, while resting at his Chappaqua, N.Y. home, he experienced chest pains and shortness of breath.

He checked himself in at the Westchester County Medical Center where an angiogram showed that he had nearly complete blockage in four coronary arteries. He was quickly transferred to New York Presbyterian Hospital/Columbia where he had successful quadruple heart bypass surgery to reroute the blood flow to his heart.

During the highly invasive four-hour operation, the former President's chestbone was sawed open and his heart was stopped for 73 minutes. During this time, Mr. Clinton was put on a heart-lung machine which kept his blood flowing and his heart oxygenated. Surgeons led by Dr. Craig R. Smith took blood vessels from his chest and left leg and sewed them into arteries feeding his heart, bypassing the blockages.

Though he was relatively young, physically active, and had had the benefits of eight years of top-flight presidential medical care, he was, in coronary terms, on the edge of a cliff -- and about to plunge to his death.

His arrival there was not as sudden as it seemed. For the past several months, he had been experiencing chest pain and shortness of breath. He blamed them on acid reflux and irregular exercise grabbed between long flights, airports, and speaking engagements.

For years, he had cheerfully gone along indulging his love of fast food, jogging regularly, acing stress tests, and carrying extra weight. Leaving the White House in January, 2001, Mr. Clinton had a total cholesterol count of 233 and a “bad” cholesterol count of 177. He began his new life as a private citizen by taking a statin drug, Zocor from Merck, to lower his cholesterol. His cholesterol dropped to normal levels.

After awhile, feeling good and his mind on other things, such as writing a bestselling book, he stopped taking the drug. About six months before entering the hospital, he went on a modified low-carb, low-fat South Beach diet and had slimmed down. However, the better diet and weight loss “was not enough to reverse years and years of unhealthy living,”said Dr. Christopher Cannon of Brigham and Women's Hospital in Boston.

By the time the former President presented himself at the Westchester County Medical Center, four of five arteries to the heart were dangerously choked with plaque. Unknown to himself or his doctors, he was a medical time bomb. Dr. Allan Schwartz, chief of cardiology at Columbia-Presbyterian, said: “There was a substantial likelihood that he would have had a substantial heart attack in the near future.”

Mr. Clinton was lucky. He sought medical care literally in the nick of time. Many people are not so lucky. Heart disease is the number one killer in the U.S. Every year 1.6 million Americans have a heart attack and half die.

Heart disease is a silent and invisible scourge that does its deadly work over many years. Often there are no symptoms at all. The first symptom is frequently the last. Or if there are symptoms, they are attributed to things like heartburn or acid reflux, as was the case with Bill Clinton.

High cholesterol? It is easy to put it out of your mind when you feel great and you're eating the way you always have and you're doing everything you have always been doing. That's how it has been for me for years.

Sure my cholesterol was higher than my doctors said it should be. But so what? I felt great. Don't bother me with that cholesterol crap! It's important to note that I had that attitude while not being exactly sure what cholesterol is.

This is how the National Institutes of Health describes cholesterol:

Cholesterol is a waxy, fat-like substance that occurs naturally in all parts of the body and that your body needs to function normally. It is present in cell walls or membranes everywhere in the body, including the brain, nerves, muscle, skin, liver, intestines, and heart. Your body uses cholesterol to produce many hormones, vitamin D, and the bile acids that help to digest fat. It takes only a small amount of cholesterol in the blood to meet these needs. If you have too much cholesterol in your bloodstream, the excess is deposited in arteries, including the coronary arteries, where it contributes to the narrowing and blockages that cause the signs and symptoms of heart disease.

To learn more about cholesterol, a good place to start is the NIH Home Page.

Now that I know a little about cholesterol and this latest blood test has got my attention, Bill Clinton is really getting in my face. My total cholesterol was 233, exactly what his was when he left the White House and, on the advice of a top-flight medical team, went on Zocor. My doctors are saying that it's time I did the same. It would seem to be a no-brainer.

Many older folks, such as me, were middle-aged before they ever heard the word “cholesterol.” Some of us old fogies find it hard to take seriously something that we can't see or touch. There are so many other things to worry about, such as paying the bills and holding your own on the tennis court.

Because of this mindset, many people either don't worry enough about their high cholesterol to do anything about it, or, if they begin taking a cholesterol-lowering drug, they stop. Mr. Clinton stopped taking his Zocor and some heart specialists say that this was almost a fatal mistake. They say that if he had continued taking the drug, he might have been able to stop the disease from spreading.

Dr. Cannon said, “Had he been on a statin medication, with much lower cholesterol levels, that might have prevented his developing these severe blockages.”

Mr. Clinton has resumed taking a statin drug, though which one has not been disclosed. An endorsement contract in the works?

Meanwhile, Mr. Clinton recovered nicely and seven weeks after his bypass surgery he was back out on the campaign trail. A week before the 2004 election, he appeared with John Kerry in Love Park in downtown Philadelphia, looking thinner and sounding slightly hoarse.

But his spirits were buoyed by an enthusiastic welcome. “If this isn't good for my heart, I don't know what is,” he told the cheering crowd. Mr. Clinton went on to log thousands of miles campaigning for Mr. Kerry.

However, about a year ago, on March 10, 2005, Mr. Clinton was in the hospital again. This time, he had follow-up surgery to remove scar tissue and fluid from his left chest cavity, residual effects of his open-heart surgery.

In retrospect, Mr. Clinton was at high risk for a heart attack. He had high blood pressure, high cholesterol, a history of heart disease on his mother's side, and years of a fatty diet. His exercise and belated weight loss had served only to push these these risk factors into the background and to camouflage a massive build-up of plaque over many years, causing a 90% blockage in four coronary arteries and a virtual sentence of imminent death.

In view of Mr. Clinton's experience, should I -- eight years older, with the exact same total cholesterol, similarly asymptomatic -- learn from his experience and take the damn Zocor? Should I stop bashing the authors of the new cholesterol guidelines urging more aggressive use of statins and just take a proven medicine that could save my life?

So what if the authors of the guidelines are on the take from the drug companies? Why worry about something as pointy-headed as conflict of interest, when the statins are known to work? Why worry about possible longterm side effects when there is perhaps a better chance that taking a statin may avoid a heart attack now or in the very near future?
I called my sister, Marion, a retired nurse who was once Director of Nursing Care at a large Boston-area hospital and is today a hospice volunteer. I gave her my cholesterol numbers and my whole spiel about not wanting to go on a statin unless I absolutely have to.
First of all, she said that the "bad" cholesterol of 169 was "not good, not good at all" and that I had to get it down. "But I have already tried diet and exercise,"I said. "I can't eat any better, I don't need to lose any more weight, and I already exercise like a maniac; I can't exercise any more. No matter what I do, my cholesterol stays where it is -- high."
"About fifteen percent of the population have bodies that produce too much cholesterol, regardless of diet or lifestyle. No matter how much they exercise or how few fat colories they consume, the body still produces more cholesterol that it needs. You may be in that population. Which means that you don't have much choice but to go on a statin."
I gave her my spiel about side effects, conflict of interest among those pushing the statin drugs, the lack of longterm studies. "You know, George," she said. "You're an informed health-services consumer. That's good. But you don't want to be a foolish health-services consumer. Whether you have build-up now or not, you need to prevent future build-up. You need to think prevention and that's what a statin will help you do."

Marion's giving me a good talking-to, on top of the close call that Mr. Clinton had has me rethinking. Am I being pig-headed about avoiding a statin drug? What if my coronary arteries are already hopelessly clogged as Bill Clinton's were? What if the glogging is getting worse? There is no way to tell, short of an angiogram.

This was the test that Bill Clinton was given, in which a dye was inserted into the bloodstream from the groin to the heart, revealing blockages. The only trouble is that the angiogram is not given to people without symptoms. In fact, there is no good test for people without symptoms, though work is being done on using multidetecting CT scans for heart disease that yield much more detail and information than angiograms and are much cheaper, $700 instead of $4000. Unfortunately, these scans are unreliable and expose the patient to large doses of radiation.

If I asked for an angiogram, would Dr. Donna Santora or Dr. Marelli say “sure” and order one? The answer is no because neither the VA nor the private health care system work that way. You get the angiogram when you are in the hospital at death's door, as Bill Clinton was (and as I may be for all I know). Or you get it if you survive the heart attack.

So what I have decided to do is figure out a way to get myself tested for blockage, even though I do not have symptoms. All I know is that I have a total cholesterol count of 233 and, ask Bill Clinton and my sister Marion, this is not good. But I do not know if I have serious blockage as he did.

I also know that cholesterol-build-up is chronic, slowly progressing, and cumulative. It is associated with a narrowing of the arteries (stenosis) and blood clotting (thrombus) that rapidly slows or halts blood flow that carries life-sustaining oxygen.

With four of his five arteries to his heart blocked, Bill Clinton's heart was strangling from lack of oxygen. The same thing may be happening with me and I am now going to find out if it is. No more complacency for me.

I'll let you know what I find out.

Thank you, Bill Clinton. And now that I am getting off my duff and doing something about my cholesterol, would you please stop bothering me? And, yes, I'll consider Zocor.

So long and keep moving.

 E-Books by George Pollock

"State Kid: Hero of Literacy" is fiction based on his  real-life experiences  growing up in foster homes; "Last Laughs," is the true story of how five foster kids (he and four younger siblings) found their way in life and each other. "Killers: Surprises in a Maximum Security Prison," is the story of the author being locked up for 23 hours with killers in a maximum security prison;  "I, Cadaver" is about the author's postmortem adventures and mischief in the anatomy lab at UMass Medical School. “A Beautiful Story” demonstrates the art and process of creative writing as a 16-year-old boy goes all out to write a story good enough to get him into an exclusive college -- on full scholarship; and "A Long, Happy, Healthy Life," which is about how to live the title every single day.