Not quite six months ago I wrote a post called Trying to Flatten My Personal Downslope from Aging that was intended to motivate me to stick with a regime of not drinking alcohol, this to reverse the situation with my liver, which was diagnosed with stage 2 of Fibrosis. This Friday I have a blood test and the following Monday I have a Fibroscan, which together should give a good picture of how my liver is doing now. I am writing this post before knowing the results from those tests, but with the knowledge that I stuck to the regime and, in addition, for the last several months I also stopped taking Tylenol, the pain medicine I had been taking regularly to deal with my arthritis. Apparently, it too can cause liver damage. I want to give a recap of the experience, but also some reflection on how it compared to my behavior in adolescence as well as some forecast for how it will impact my behavior from here on out.
I've had issues with impulsive behavior for as long as I can remember. When I was a kid my mother, who grew up in Germany, called me a fresser. It was an apt description as I ate a lot and ate very quickly, including indulging in many snacks that I should have avoided. Much later, when in mid-career and campus learning technology was getting the better of me, where I had no other way to relieve the stress, I drank too much. There is a relationship between drinking alcohol and overeating and during this period my weight ballooned. This happened after I stopped jogging, because my knees went out, and I didn't find an alternative form of exercise to balance me both physically and emotionally. Nowadays I go for long walks and that really helps. But it didn't occur to me then that walking might be the answer.
As I am rather thoughtful about many other matters, it may at first seem puzzling that I have this issue with impulsivity. I have subsequently reconciled myself to this duality with the following observation. When my creativity can find a focus for its expression I get absorbed in that and find the experience enjoyable. However, when I am angry and/or frustrated, the thoughtful part of me is stymied and it is then that I get impulsive, with the eating and drinking serving as some kind of compensation, unhealthful though they are, for those negative feelings. It is why nowadays I try to avoid situations that predictably would upset me. So, for example, I spend much less time reading the newspaper than I used to do, though I haven't eliminated the habit entirely.
I believe there to be a genetic component to all of this. When my younger son was four or five, the folks at daycare recommended that he be tested by a psychologist, who found he was mildly autistic, along the lines of Asperger's Syndrome. When I did a Google search on that and read about it I said to myself - this is my mother. Indeed, I've come to realize that I have some of the symptoms, while others didn't manifest, and still others I learned to suppress as a teenager. Further, my mother had the disposition herself to be a fresser and my sister has that as well. Plus, my dad was a type-1 diabetic and I believe there is some correlation between diabetes in the parent and obesity in the child. Here I want to say that the genetic explanations produce inclinations only. Impulses can be controlled. Alas, I didn't learn to do so when I was a teenager. I went on a diet near the end of 10th grade, which was facilitated by some medication, perhaps an amphetamine of some sort though I can't recall that now. While the diet worked, when the medication stopped I put the weight back on. It was only much later, after graduating from college, where I was able to lose weight without the aid of medication and keep it off, more or less, for about 20 years, when I was just getting started with learning technology on the administration end.
The tail end of my earlier post can be thought of us a plan for impulse control, based on finding non-alcoholic alternatives that I could persist with also on going to sleep earlier than I had been doing as a "nudge" toward impulse control. Regarding the latter, I stuck with that assiduously. As to the former, while I did utilize a variety of substitutes for alcoholic beverages, what I ended up doing changed over time. First, let me report that non-alcoholic bourbon is dreadful and while holding a drink in your favorite glass has its merits, this is no way to wean yourself off of the good stuff. Next, I had previously given up drinking sparkling water, reasoning that since I seem to have excess gas in my gut I didn't need to consume sparkling water as well. But I was having non-alcoholic beer, Coors Edge in my case. It was okay but not really a substitute for the dark beer I used to favor. (Recently I wrote this rhyme, to emphasize the point.) And it started to seem like needless calories, which is why my wife won't drink it. So I went back to buying La Croix, although my favorite flavor in the past, Mixed Berry, no longer seems to be available. I also started to have, on occasion, diet tonic water, a different taste and another reason to use a good glass for drinking. I can report that the Schweppes version is much better than the store brand, but when the name brand is not available you go with what is.
There is another aspect to impulse control that I hadn't considered in my earlier post and it goes as much toward eating as it does toward drinking. This is about planning what will be consumed. In the language of the decision making I learned in graduated school, this is a rolling plan, on a meal by meal basis, a snack by snack basis, and a drink by drink basis. And it is made somewhat in advance an hour or two before the event, not written down but done in my head. I am compulsive in planning this way, especially since as a retired person I am time abundant, so don't need to have my attention elsewhere. And the planning itself isn't very time consuming, as the choices to be made come from within a limited set of alternatives. The point is to reduce spontaneity from the consumption process. It does that although it's not perfect. Sometimes I will tell myself - I'm still hungry or I want a treat now. For the latter I try to restrict myself to sensible alternatives, IQBars or Go Macro Bars, though I will have a sweet treat that my wife buys now and then. Yet even with this deviation, there is far more control in my food and drink consumption than there used to be.
Let me turn to how I think about these matters moving forward. First, there will be a bit of celebration Monday evening and maybe Tuesday evening as well, regardless of how the test results turn out. There will be a bit of deferred Halloween candy, I'm thinking of a small package of M&Ms with peanuts, after which there will be some dark beer and then maybe some good whiskey. This is to celebrate that I stuck with the regime for the full six months and learned that it was within me to do so. After that, however, I expect to go back to the straight and narrow, with perhaps one or two nights a month as celebration, but not more than that. Here is why.
Two weeks ago I had rather severe pain in my right hip. I suffer from lumbar radiculitis and sacroiliitis and it was acting up. But last week the pain went away and it has stayed away since then. I don't know why this happened but I conjecture the following. I have also have been diagnosed with a tortuous colon, which makes me prone toward constipation. I have verified that there is a correlation between the pain from sacroilliitis and constipation, so if I can do things to control the latter I end up helping myself out with the former. Not drinking alcohol lessens the chance of constipation, as does keeping my weight under control. Since I'm into rhyme, I really wish it were - no gain, no pain. But I'll content myself merely with making this more likely and then dealing with it at the time, when the pain does return. I will try not to drink for pain relief. I've been able to do that these last six months, so I know it's possible.
There is one way this cuts against the grain. I get up frequently during the night to go to the bathroom. Recently, it's about once every two hours. Alcohol dehydrates you, so should lessen the frequency. The getting up part itself is not so bad. The issue is whether I can go back to sleep after I'm done. Recently I've been finding that's getting more difficult to do, especially after the third or fourth time. (I usually go to sleep by 8 PM.) I do take Melatonin, which I've been doing for a while. Maybe it's time to stop with that. But would I get to sleep at all without it? I'm going to wait a while before I experiment with that.
Let me make one other point and then close. While doing the pre-writing for this post I was wondering about the impact of something cataclysmic happening on my decision making, whether that were to my own health or the situation in the community where I reside. I didn't get very far with this. I suppose the underlying issue is whether I felt a sense of agency in addressing the situation. But as to what would bring about that sense of agency, I'm not sure. On the flip side, I'm making more mental errors these days than I used to. Yet most if not all of them have been uncovered immediately and so far none have caused irredeemable damage. I'm hoping the decline that way is very gradual. When that ceases to be the case, all bets are off.
