Dead Men Write No Code
medium.com
medium.com
Wow. That describes my attitude for the last year or so to a "T". Pushing off "getting healthy" for the "more successful" me that lies ahead. No more of that. I definitely needed to read this article tonight - time to get back to a regular routine and try to live a more maintainable lifestyle!
The Dalai Lama, when asked what surprised him most about humanity, he said:
“Man. Because he sacrifices his health in order to make money. Then he sacrifices money to recuperate his health. And then he is so anxious about the future that he does not enjoy the present; the result being that he does not live in the present or the future; he lives as if he is never going to die, and then dies having never really lived.”
Wow. This if anything will screw you up. 12 hours of work + 8 hours of sleep per day 7 days a week leaves you with 4 hours for commuting, showering, making dinner, doing laundry, working out and relaxing.
Doing eighty hours per week can be wonderfully efficient - for a few weeks. After that you start to get sloppy, and soon you're performing worse than those doing a 40 hour week. Work a not a sprint, and not even a marathon, and more like running around the globe because you like to run.
Work shouldn't even be means to an end of becoming rich, and being rich without a respected job you're proud of is boring and hollow. Unlike prestige, once your income or wealth exceeds the limit where you have to stress about money, having more money won't make your life happier.
And again, never view fats as something to avoid completely. If the fat is of good quality, it is a nutrient and an essential part of the diet.
sorry for not providing any links, i can not find any good english source materials at the moment. PM me if you want to get some more info. keywords: food combinations, chronobiology, glucose reception
The only symptom was a charlie horse feeling in my left leg the next day. No swelling, no redness.
My clot was controversial though, apparently they weren't 100% sure it was a DVT or a clot in the muscle close to the deep vein. We are treating it like is a DVT though. I'll be on blood thinners (Xarelto) for the next 3 months. Already quit smoking, am walking twice daily.
The flight back to Vietnam was a little anxious though.
http://www.ncbi.nlm.nih.gov/pubmed/21981017
I read it when I had access years ago.
For a while, I was working 40+ hours per week at my dayjob and making far less than the median programmer salary in my city. I was paid hourly (so holidays were the worst; no paid time off but not allowed to work), had no benefits, etc.
A lot of articles I read on HN at the time made me feel worse about my situation, because their words of encouragement ("value yourself! demand more! you can't help the people you love if you die!" etc) when filtered through my circumstances ("plead guily to a federal felony" -> immediate permanent disadvantage with any salary or benefits negotiation; you're lucky if anyone, anywhere will even believe they're legally allowed to hire you) made me question whether or not I even valued myself.
I decided that, if the posts on HN and Reddit decrying impostor syndrome and investing time in one's health were at all applicable to me, I clearly must not care if I live or die. So I started downing more and more energy drinks and spending more and more time on side-projects, hoping that one of them would finally become impressive enough to serve as a distraction to prospective employers.
That line of thinking only got derailed when I realized that employment is a sucker's game and consulting is the way to go. None of the messages intended to change my mind had a positive effect, they just made me sad.
All of the "take care of yourself" styled articles made me feel bad but never prompted positive change. The title "Dead Men Write No Code" made me remember the older posts I read and I sort of rolled my eyes expecting the same spiel I've heard a thousand times. I was pleasantly surprised to see a well-written, concise, and on-point warning about symptoms and their possible consequences.
If anyone reading this is in the same sort of situation I was in (working 40+ thankless hours per week and spending all your off-time trying to work on building your own company to get out of your own personal hell), I'm sorry to say I don't have any advice to offer. Every situation is different. Feel free to reach out to me, however, if you need someone to vent to. And if I do have any ideas, I'll let you know.
"working 40+ thankless hours per week and spending all your off-time trying to work on building your own company to get out of your own personal hell"
This was me circa 2006 to 2013. I now have what many would consider a dream job, and even I myself thought it to be one at first. But the truth is even the job you think you will enjoy the most might not end up that (I still am very grateful to be in my position in spite of current challenges though). The line that separates the super successful from the average person is ridiculously thin (hence all the talk of imposter syndrome, here on HN and elsewhere).
I don't have any good advice in this respect either, other than you have to find a way to be happy, whatever that entails. A common notion is that you need to get rich to live the life you want, but this is not necessarily true.
As for the felony, I suppose it depends what it is (I'm not asking you to disclose it). Some things might be harder for an employer to swallow than others. If your felony was hacking into the Pentagon, I'd put that directly on your resume.
Good to have recognized this cultural jedi mind trick for what it is.
It seems to me that the ultimate investments are not in bank accounts but the health and well being of ourselves and those around us. This is built up out of a million near-invislbe things in daily life, that could never be bought later on.
Your post has motivated me to actually stop preparing and start working. Thank you.
I'm not so sure... I tend to think the sedentary lifestyle is revealing some kind of predisposition for them (especially given Gavan's apparent level of fitness and activity).
While I agree that as a culture we need to prioritize our health a lot more, it's a dangerous attitude to claim that "it's better to be safe than sorry". Doing things out of fear and ignorance is not better than making well-educated decisions. In all fairness, there is plenty of evidence to support that apes (that's us) are not meant to sit all day.
http://thehealthcareblog.com/blog/2015/03/08/does-the-aca-ac...
Basic blood work of a preventative-care nature, such as HDL/LDL ratio, triglycerides, etc, is covered. Those are the metrics I was referring to in the parent comment.
Use your ironing board, mine does the job. It goes barely high enough, I put an additional book under the Notebook and now it's the right hight, enough room for Notebook, Lamp and a Book and it's next to my desk so I can easily switch back to it if I want.
Actually it does such a good job, that I don't think I'll buy a standing desk now, good that I don't iron my clothes anyway ;)
"when using a laptop without additional equipment (laptop stand, full sized keyboard and mouse), it is advisable that its use is restricted to spells of 30-40 minutes with significant task breaks between
"A laptop should not be used where a standard DSE [Display Screen Equipment] workstation set up can be reasonably provided" [1]
If you can't buy a monitor you could get a laptop stand ("Bräda") from Ikea, to improve the angle of the display [2]. Or make one.
I don't know of any alternative to a separate keyboard and mouse.
[1] http://www.bradford.gov.uk/hands/documents/New%20Ways%20of%2...
[2] http://www.ikea.com/gb/en/catalog/categories/departments/wor...
You don't need a gym to get a full workout. All I have is a doorway pull-up bar and a yoga mat. I get a full body-weight workout in less than 10 minutes spread over 1 minute breaks through the entire day. And I love long walks.
Grandfathered into "real" testing at 23andMe, I was unsurprised to learn that I have 2.9x the average risk of developing a venous throboembalism (VTE): deep vein thrombosis (DVT) or pulmonary embolism (PE).
I'm only in my late 30s, but I have embarked on a number of lifestyle changes, mostly in the habit category. I use a standing desk at home. I'm sensitive about things like extended sitting, leg-crossing, not moving during flights flights. I use http://breaktimeapp.com when working to remind me to get up for a couple of minutes every 30 minutes.
It's more or less built into the way I behave, which I hope to help as I get older and the risk really accelerates.
I'm "middle-aged" but so far haven't had this happen, despite some extra risk factors - I've been on the Pill for ~20 years and I do sit a lot (I'm a software developer). I'm not a frequent flyer, but I have flown many times and never had a problem. I naturally shift position pretty often when sitting, so I'm not sure if this helps. Or maybe whatever gene is responsible is just there, and hasn't turned on yet. How to stop it from turning on? I don't think anyone knows.
I was surprised to see that OP got a DVT when he walks 1-3 miles every day. That seems far better than what most people do (I try to walk about 2-3 mi per day). I don't see how switching to running could be more preventive.
I'm not a physician and don't even play one on the internet, but if I were a mid-aged woman I would consider an IUD (with or without hormones) as an effective alternative to the pill. Even hormonal IUDs have vastly lower dosages than the pill.
Like the "sitting epidemic," VTEs care more about sustained periods of immobility, regardless of fitness levels. Paradoxically, even though obesity is its own risk factor, seriously atheletic types are highly vulnerable too: higher fitness -> lower heartrate -> slower circulation -> clotting. Sports teams are known to wear compression stockings on flights to combat the issue.
If you're 6x, I'd highly recommend reading about lifestyle changes. Best wishes!
but if I were a mid-aged woman I would consider an IUD (with or without hormones) as an effective alternative to the pill
I take the pill as a treatment for severe dysmenorrhea which did not respond to any other treatments. To my knowledge, regular IUDs do not help with that. When I saw the 23andme results years ago, I didn't know there were any options beside the Pill for dysmenorrhea. I had to make the choice between continuing to hold down a regular job, and accepting the risk. I probably would have been wise to bring up the test results with my doctors, but I have low expectations of them (revolving door treatment). So I just made the decision on my own.
After hunting around, I see there are IUDs that come with hormones that have been known to help with dysmenorrhea: http://www.uptodate.com/contents/long-term-methods-of-birth-... It's something my doctors never mentioned to me.
I'm nearing the time when I should stop taking BCP, so I don't see the point in experimenting with other options, given I've survived till now (IUDs are usually planned to be used for 1+ years). I did find that I had to switch between a few different types of pills before I found one that had the best effect, and doing this for an IUD would be quite a production, if it even worked.
It's interesting to me that I've never had a doctor mention to me risks for DVT at all. Doctors ask for a family history (no history of blood clots in my family). Based on that, I guess they have assumed I do not have a high risk for blood clots.
Here's a relevant quote: https://bedsider.org/features/168-risky-business-2-migraines... "Some types of genetic testing can reveal a predisposition for blood clots or stroke (though it’s not clear if a genetic test that shows this predisposition actually predicts that the condition will develop)."
higher fitness -> lower heartrate -> slower circulation -> clotting
Interestingly, Serena Williams was reported to have DVT (she had a PE although I haven't found a source that said it was definitely from DVT). She had recently had an injury to a foot which required surgery and 18 stitches, and also it happened on a flight...
I am reasonably athletic, but my resting heart rate is about 80 bpm. Maybe that's something that's been helping me.
Aside from genetics, the risk factors for DVT are reportedly: 1) Smoking 2) Birth control pills 3) Hormone replacement therapy with estrogen and progesterone 4) Recent surgery, especially on the legs or belly 5) A long hospital stay involving bed rest 6) Some cancers 7) Pregnancy and childbirth, particularly with C-section 8) Age over 70 9) Obesity http://www.webmd.com/lung/news/20110302/serena-williams-pulm...
Notice they don't even mention travel at webmd....
So if I get off the BCP, avoid surgery, and die before 70, maybe I'll be fine ;)
https://github.com/melling/ErgonomicNotes
We need a Programmer's Health Guide that include exercise, ergonomics, etc.
At 25 I went back to physical therapy, this time for chronic pain in my upper back. Therapy unraveled a whole slew of postural and motor pattern issues, and I've been at it for nearly 2 years now. Additionally, for the past 1.5 years I added workouts with a personal trainer specialized in corrective work.
I've learned a ton. Sitting and using your hands with shoulders internally rotated (typing, writing, etc.) for the majority of your time (from 1st grade through adulthood as a desk worker) is so terrible for you. The good news is that it's possible to completely reverse and become pain-free. The bad news is that it might take a huge amount of effort—but personally, I really enjoy it.
Ergonomics are critical, as well. I have both a Kinesis Advantage keyboard and a motorized sit-stand desk. Moving around (not just sitting, not just standing) is the key.
For some time now I've been meaning to write up a detailed case study of myself; essentially a how-to on how to become and stay healthy as a desk worker. It's good to read that at least 1 person might be interested in such a thing :P
* Muscles typically work in agonist/antagonist pairs. You bend your arm at the elbow, the bicep contracts, and the triceps lengthen. Straighten your arm and your triceps contract while your bicep lengthens.
* When 1 muscle in a pair is overly active, it will shorten and become tight while its antagonist muscle lengthens and becomes weak. This is imbalance. The weaker, lengthened muscle will often develop painful trigger points in protest. This is referred pain.
* To restore balance, you need to strengthen and learn to activate the lengthened muscle while relaxing (inhibiting) the tight muscle.
* Foam roll and stretch the tight muscles, strengthen the weak muscles
--
Upper crossed syndrome is common issue amongst desk workers. See http://www.muscleimbalancesyndromes.com/janda-syndromes/uppe...
For this you would
* Need to develop: scapular stability, scapular retraction, and scapular depression
* Need to inhibit: scapular elevation
* Maintain neutral chin tuck in pretty much all movements.
* ITYW exercises: when doing Ts, focus on squeezing at your mid traps (mid back), with neutral scapular elevation. During Ws, focus on scapular retraction and depression at the same time.
* Wall slides or wall angels
* Band pull-aparts
* Deadlifts
* Farmer carries
* External shoulder rotations
* Face pulls, finishing with external rotation at shoulder
* Rows
* Reverse flyes (palms down for posterior delts, thumbs pointing up for more mid trapezius and other back muscles)
Before doing a heavy lift (like rows), you might do an activation exercise beforehand (Ts and Ws) to focus on activating the muscles you want to work (mid and lower trapezius).
Similarly, if you want to workout your (tight) chest, you ought to do activation work for you back (ITYWs, wall angels) to ensure that your agonist/antagonist pairs "remember" each other and your chest doesn't tighten back up too much.
Hopefully that should give you plenty of material to google with. I'd love to go into further detail (there's plenty more to cover) but I mustn't spend too much time writing comments on HN :)
The other change I did (also to fight me really bad day/night rhythm, was signing up for the local swimmers club. For a small yearly fee you can use the swimming hall before the opening hours. That forces me to get up early and doesn't hurt healthwise.
Dennis Ritchie died at age 70. Heart problems & prostate.
Steve Jobs. Age 56. Pancreatic cancer.
Of course these are just a few. CS is a young field, but by now we should have enough statistics to begin to reveal how a (very) sedentary lifestyle affects lifespan.
Jobs dies from following quack pseusomedicine and ignoring the treatment he needed.
Of course, I'm not saying to be not worried because I certainly was freaking out when I googled my DVT-like symptoms. However, many symptoms tends to lead you the the scariest medical conditions that have those symptoms.
Nonetheless, eat better and move your body more often.
* Treadmills designed for walking run about $1000
* Standing desks with accessories run from $300 - $500
UPDATE: forgot to add that you can probably make these tax deductible as well since it's being used for work
In medicine there an idea of Virchow's_triad [0]. Either there's something wrong with your blood, the blood vessel walls became injured or there is abnormal blood flow.
In young people and even 34 is fairly young. Blood clots aren't all that common. Even in long haul air travel the risk is so much higher in the elderly, obese and those who have had recent surgery.
What I am trying to bring up here is there are other factors that could be at play other than stasis. Could Gavan have bumped his leg into something and not even noticed? Could he have a genetic component that leads to increased clotting? Usually in these cases there is a lot of follow up. Usually the person is put on blood thinners if there's a legitimate cause. Or maybe he really is just so unhealthy that he got a bloodclot all while walking 3 miles a day. I know if I emailed my doctor right now and asked her about this. She would get back to me and tell me that this is a very rare rare case. Usually just getting up to go get a drink every now and then or to go to the bathroom is enough to recalibrate pressure in your lower legs. Many people don't walk 3 miles a day, especially in suburbia. Some do though. I guess I am saying is a lot of people sit a lot. A lot of people don't walk 3 miles per day and something specific to Gavan's physiology may be at play here.
What we can do though is take this as a warning call and thank Gavan for sharing with us. It certainly woke me up a bit more.
* Drink a lot of water.
* Don't eat a lot of sugar.
* Stand when you can. If you have a standing desk. Great.
* Get up and take breaks when you can. Set a reminder. I get up every hour.
* At lunch get out and go for a walk.
* Try to hit the 10k steps per day.
There's also a tool we can use to access the likelihood of DVT. It's the very same tool Primary care doctors will use and it's called the Well's criteria. Here's a interactive calculator http://www.mdcalc.com/wells-criteria-for-dvt/
You should read up on it if interested. There's also the "Primary Care Rule for DVT" http://www.aafp.org/afp/2011/1215/p1417.html
Though for this one you need to have a D-Dimer taken which is a blood test.
And as a minor additional note - my 1-3 miles of walking tends more often towards the low end of that range (especially when I am in a rush to get work done), although I do randomly take longer walks (sometimes as far as 5 miles).
For an anxiety sufferer like ourselves. It can be very hard. I have numbness in my left hand, an odd pain in my back and shortness of breadth. This could be a lot of things. Things I'd rather everybody not mention because I know them well. But if I went to the ER every time these things popped up well at one time in my life I'd live there. The probability suggests that I am fine. The probability suggests that after thousands of trials similar to this of which I ended up fine, I will likely be fine here. There's a chance I will not be but it's a chance I need to take.
Wish you the best :)