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June 2, 2006

It's all about common sense

Art Hister's new book is a witty guide to better aging for men.
PAT JOHNSON

Midlife Man: A Not-so-threatening Guide to Health and Sex for Man at his Peak
By Art Hister, MD
Greystone Books, Vancouver, 2006.
249 pages. $22.95


Dr. Art Hister, the Vancouver physician and radio host, has revised his book about male health seven years after his initial edition explored the awakening of an over-50 man to the challenges and opportunities presented by advancing age. Now, from the vantage point of a physician nearing 60, Hister offers an updated handbook for the healthy man who wants to stay that way.

Hister's humorous, offbeat style, which is chatty in a radio host kind of way, is an emphatically optimistic reflection on male maturity.

The epigram to the introduction engaged me immediately. The author quotes Ogden Nash: "middle age is when you're sitting at home on a Saturday night and the telephone rings and you hope that it is not for you."

The period between the two editions of the book, Hister writes, has seen substantial medical advances. When the first edition came out, Viagra was not quite a household word. Advances in prostate health have also been significant. Alas, nobody has been able to improve much on the bifocal.

Hister addresses the reality that many men simply don't pay attention to their health. Women, who are reminded monthly, if not more frequently, about their physiology, tend to be more attuned to changes in their bodies than are men. Hister, perhaps at the behest of his publisher's marketing department, makes a specific appeal early in the book to women readers. Indeed, Hister's book seems premised on the idea that he is preaching to the difficult-to-convert – trying to convince healthy men that their well-being depends, to apply metaphors, on maintaining the vehicle before the engine seizes up.

Though Hister makes the case effectively that middle age and older can be truly the best years of our lives, he does a brilliant send-up of the conceits of younger men.

"A guy in his 30s is still under the illusion that he will undoubtedly realize all those conquering dreams he has, that his magnificent talents will indeed be acknowledged one day and that he will assuredly rise considerably higher in the employment pecking order, that he will sans doubt be able to retire before he is an old geezer of 60, that even in his 60s, he will still be making love to his spouse (her or him) several times a night – every night – on the kitchen counter (which, by the way, is why I never accept dinner invitations from young friends, although my wife says that's more because they never invite me; she may be right, but I wouldn't go anyway), that his kids (many still sperm 'n' eggs) will unquestionably grow up to play for both the Yankees and the symphony, and that if he has the time and the will, he might one day allow his name to be entered as a candidate for a head of state or, even better, head of the NBA or NFL (but never of the NHL – not worth the headaches)."

Presumably hoping to maintain his audience, Hister launches quite quickly (Chapter 3) into the issue that is most likely to keep a man's attention: sex. Hister's metaphor of male physiology as a high-rise elevator is both apt and amusing.

Happily, he says, "that's usually the way it goes in the early years: up and down, up and down, on demand, when in demand, zipping rapidly between floors to deliver its cargo to the luxurious upstairs suites and requiring minimal maintenance, not even any regular lubrication. But even the most pampered and well-maintained elevator can sometimes get stuck between floors."

Hister goes into some detail about prostate health, a challenge that almost all men eventually face. He addresses one of the most common fears – Alzheimer's – which he notes, is and will continue to be a serious issue for the aged but, with rare genetic exceptions, is not a major factor for people at midlife. Diabetes, on the other hand, is.

"Weight gain and sedentary lifestyle ... stand out as chief risk factors," he writes. "In fact, some experts now refer to the rise in diabetes cases that are associated with obesity as the 'diabesity' epidemic. Thus, nine of 10 newly diagnosed American diabetics in 2003 were overweight."

For good health, eating good meals has no substitute, he says.

"I don't believe in pushing supplements, because I just can see that in a world that has given us cashews and canteloupe and cauliflower and Camembert, that God or Darwin never intended us to swallow a bunch of capsules every day instead of eating enough of the real stuff the capsules are intended to mimic.... So, even if supplements do a bit of good, and that's a big if for most of them, taking vitamins E and C and beta-carotene and ginseng and lecithin and garlic capsules every day is never going to do you as much good as getting enough exercise and following a healthy, well-balanced diet that contains large dollops of all those vitamins and other good things."

Hister also confirms my suspicions about echinacea.

"Nearly every good study has concluded that the study subjects who took placebo got over their cold in seven days, while the study subjects who took echinacea felt better in about a week. Case closed."

Hister's "Plan B" – the harder work involved in becoming healthy – may be tougher to do, but is not difficult to understand. Controlling weight, getting some exercise, keeping an active mind, getting appropriate sleep and not smoking are things we all know we should be doing, but their implementation is sometimes imprecise.

While Hister's book contains some sobering advice to carefree aging men, it is overwhelmingly optimistic and ends on this positive note: "A British study concluded that people the world over are plagued with guilt about smoking, eating, alcohol use and exercise, and that that guilt is producing lots of stress. So, folks, accept this absolution from this expert on guilt: don't feel guilty. It's not worth it. And besides, you're doing your best. Now enjoy your life. And buy my other books."


Pat Johnson is editor of MVOX Multicultural Digest, www.mvox.ca.

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