Democrat and Chronicle from Rochester, New York on October 20, 2015 · Page C5
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October 20, 2015

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Democrat and Chronicle from Rochester, New York · Page C5

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Rochester, New York
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Tuesday, October 20, 2015
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Page C5
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DemocratandChronicle .com Tuesday,October20,2015 Page5C PEARLS BEFORE SWINESTEPHAN PASTIS FORBETTER OR FOR WORSELYNN JOHNSTON SHOEGARY BROOKINS AND SUSIE MCNELLY REX MORGAN, M.D.WILSON & BEATTY FREDBASSETALEX GRAHAM MARMADUKEBRADANDERSON RUBESLEIGHRUBIN THEFAMILY CIRCUSBILKEANE ZIGGYTOMWILSON & TOMII HEATHCLIFF PETER GALLAGHER JANRICCLASSICSUDOKU INSTRUCTIONS: Complete the grid so that every row, column and 3x3 box contains the numbers 1 through 9 (no repeats). DIFFICULTY RATING: Silver AT LEFT: Answer to yesterday’s puzzle Looking for TV listings? The television grid appears each day on Page 2C. Looking for movie times? Go to DemocratandChronicle.com/section/movies for the latest times. DearDr. Roach: I learned from the American Heart Association’s website that when exercising, one should stay between 50 percent and 85 percent of his or her maximum heart rate. But my cardiologist just shrugged off this warning and said that as long as one is not out of breath, he or she doesn’t have to worry about this “less than 85 percent” formula. It also intrigues me that sometimes we see people in their 70s or even 80s running marathon races. In that case these “reckless people” certainly will exceed their 85 percent MHR. Doesn’t that sound like they are sent on a suicide mission? What’s your take on this? I’m a 75-year-old, always exceeding my 85 percent MHR. — F.R.W. Answer: Guidelines, like the one you mention to keep your heart rate at a percent of maximum, are useful rules of thumb. But, they can’t take into account the large variation from person to person, or even the differences between men and women. I tend to agree with your cardiologist that your own physiology is a better guide: If you are able to speak in full sentences, that’s a safe level of exercise. It’s also worth noting that the usual formula for estimat- ing MHR (220 minus your age) is very rough, and trained older athletes may be much higher. A better formula for women is subtracting your age multiplied by 0.88 from 206, but even this may under estimate female endurance athletes. A treadmill test is the best way to determine true MHR, but most people don’t need it if they follow the physiology rule of backing off exercise intensity when unable to speak in full sentences. As far as racing goes, high- intensity endurance exercise probably does increase the short-term risk for heart attack, at least in middle-aged men. However, proper training certainly reduces heart disease risk, so I would advise high-risk individuals to avoid super-high-intensity workouts or racing. Some are willing to take the risk. DearAmy: My only sister and I have never been close, possibly due to a six-year age difference and by having grown up in an extremely alcohol-fueled and abusive home. In adulthood, we went our separate ways and rarely had contact with one another. Recently she moved to the same city in which I live so I reached out to her to try to rekindle our relationship. During our visit, she con- fided to me about a big decision she and her husband are facing. I cautioned her about rushing into the decision. I learned later, by reading about this conversation on her blog, that she felt I had tried to “shame her” and that I had stuck my nose into her business. I was quite surprised and hurt by her reaction and inter pretation of that conversation. I asked her to refrain from specifically referring to me in her blog posts. I am an extremely private person and find it deeply offensive and disrespectful that she would write something so accusatory about me and publish it for the world to see. She didn’t respect my request. I have given up, as she clearly has no interest in respecting my wishes. I stopped all contact with her (including unfriending her on Facebook). I find it frustrating that she has continued to mention me in a few posts since, by making statements such as “cer tain family members refuse to let things go.” She has referred to me as a bully. Was I wrong to have asked that she not make specific reference to me in her blogs? How could I have handled things differently? — Stonewalled In The Rockies DearStonewalled: We live in an era of social sharing, where people sometimes use social media to wound others — either through outright malice or through thinly veiled references. You asked your sister to stop writing about you, but she thinks that she is writing about her own life. And now, even asking her to stop brings on another mention. Stop reading and reacting. Moving forward, I hope that you each get professional help to cope with the ongoing relational fallout of growing up in a household where boundaries weren’t respected. I interpret her behavior as a symptom of growing up in an alcohol-fueled and abusive home. How you feel is as much a guide as heart rate Sibling relationship is bogged down by blog Send Dr. Keith Roach your medical questions. Write to him at ToYourGoodHealth@med. cornell.edu

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