Playing the Health Odds

The body has a capacity for resiliency and adaptationdoesn't exercise, watches virtually every soap opera
permitting us to have the measure of health we do.and eats pounds of chocolates every week but yet
But there is a limit to that reserve. Wrong life choiceslooks more trim and fit than you in spite of your tofu
will eventually take their inevitable toll.and jazzercise. Or how about the NBA All-Star who
If every time we did something that would bringeats greasy fast foods, additive-laden soft drinks, and
eventual harm to ourselves, to society or to thecandy bars? Using such logic to justify poor life
environment, we were given a convincing jolt ofchoices is like pointing to people who drive drunk
electric shock, most problems facing humanity wouldhabitually and have done so for decades without ever
be almost instantly solved. But that's not the waygetting in a wreck. Just because people can escape
things are. Other than sticking our hand in a fire orimmediate harm does not mean such a course is wise
falling off a cliff, or similar easy lessons in living, mostand that the odds are not against you.
choices require intelligent foresight, a measure ofHere is an even better rebuttal to this myopic view of
potential consequences perhaps far into the future.life choices. The medical image here is a computed
Therein lies our problem. We like to cheat, are lazy,tomographic scan of the head of an inebriated man
pleasure-for-the-moment driven, too clever with alibisadmitted to the hospital. In the side view, note an
and excuses and particularly good at self-justification.approximately 2" nail embedded in the back part of the
We continue whatever suits our fancy until eventuallyskull. In the front view, see that this nail is in the center
we are sufficiently harmed, or the contrary evidenceof the brain. The patient disclosed that some twelve
becomes so overwhelming that we change due to theyears earlier he had attempted suicide during a
brute force of public opinion.depressive episode, and had used a nail gun directed
Although cigarette smoking, industrial smog, waterbetween the eyes to end his life. Since that time, he
pollution, radiation, toxic gases emitted from modernhas done just fine.
construction materials, and sedentary living are allEverything is a matter of odds. If you can shoot nails
proven to cause harm, even grievous life-threateninginto your brain and survive essentially unscathed, then
harm, they continue because immediate ill effects docertainly you might be able to smoke, lead a sedentary
not occur, or change would mean inconvenience orlife, breathe toxic fumes, be unfit, and eat almost
sacrifice. Then there is Uncle Josh, who is now aanything and possibly escape damage too.
robust ninety-four, and yet has smoked a cigar,For most of us, however, it would be much smarter to
chewed tobacco and swigged whiskey since he wasweigh the odds in our favor and use our brain (minus
sixteen. There is the brother-in-law who works in thenails) to exercise judgment and foresight and make
nuclear plant and has never developed cancer. Theredecisions now that increase the odds for a better,
is the classmate you saw at the recent reunion wholonger, happier life.