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'....Like the cases we hear about of a perfectly fit runner who jogs regularly and does all the right things who drops down dead ...' Really, do you have any figures and statistics on that? Personally I have never known any fit runner who droped dead.
There is the anti-fitness and anti-running favourite Jim Fixx who died nearly 30 years ago aged, 52 yet is still cited as an example of a 'healthy' person dropping dead. Most people who mention Jim Fixx know little or nothing about him of course '... Fixx started running in 1967 at age 35. He weighed 240 pounds (110 kg) and smoked two packs of cigarettes per day. ...'. was it running that killed him ???
It is likely that by losing weight and giving up the smokes Jim Fixx improved and extended (his father died aged 43) his life. In the years since the death of Jim Fixx a lot more is known about fitness in general and running in particular, we no longer see distance athletes at the Olympics staggering to the line.
There is also more knowledge on heart disease so it is likely that Jim Fixx would have had tests available to him that might have uncovered health problems and he may have had treatment. People today who have heart surgery are no longer told to rest, they are encouraged to exercise. In fact after most surgery these days you are kicked out of bed as soon as possible to get moving, rest can kill you.
As for ‘luck’ I don’t accept we are helpless slaves to luck, we have an influence on many factors in our life. There are, of course, laws of probability and statistics, so not every baby will be born healthy and some will die.
There are other events, earthquakes, plane crashes, terrorism ... are democratic in the sense they kill the rich and poor, fit and unfit, thin or fat without discrimination.
There are dangers around us just from living, 13 cyclists have been killed on Victorian roads over the last 2 years.
Some types of death make news, partly because they are unusual or rare, more common forms of death don’t make headlines and, despite the dangers and numbers tend to be less noticed. Unhealthy people will often make the comment ‘oh well I have to die of something’ what a stupid approach to life and death, we all have to die at sometime of something, I cannot see how that fact is a justification or excuse for crazy lifestyles.
I accept the risk of early death as part of life, but, for the most part, we can improve our chances of a healthy life. Health is not the same topic as medical problems, there is a lot of chat on here about medical problems, there is little or none about health.
While doctors play a part in health I do not delegate my choices to third parties, in my experience few GP’s know much about fitness, if they do its not their job to tell people what to do. Patients are paying customers, doctors don’t want arguments, aggression or complaints against them, so I think many take the line of least resistance and just give people what they want.
I think doctors have become enablers in many ways. Recently someone I know (he is only 40) who is at least 40kgs overweight was being sent off to be fitted for a sleep apnoea machine. He has no plans to work to improve his condition by losing weight and getting fitter, why bother when there is a machine.
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