Hiroaki Nakagawa writes:

        Mr. T thinks that he is "just too young." This thought is one of the most important issues for T to understand right now. Being 39 is not "just too young" but "not too young." For example, the incidence of coronary heart disease in men from 35 to 64 years old is rather high. He also thinks that being sick or healthy has an element of chance. And he thinks he is one of the lucky people. He must understand being sick or healthy has very little do with the element of chance. Many statistics say that "risk factors produce diseases."

        He has many problems to maintain his health. Lack of exercise, heavy smoking, hypertension, atherosclerosis -- these are the most serious problems, because they are risk factors of coronary heart disease. Pain in the neck and upper chest areas is perhaps the first stage of coronary heart disease. It is a bit worrying that his mother died after heart by-pass surgery complicated by hardening of the arteries. Family history of diseases is important to think about.

        T's neck and chest pain will be relieved in the short term, if he quits smoking and overworking. It is easy to say but not easy to do. But if he really wants to relieve his pain, he must stop smoking and stop working so much. This is the only way to relieve his pain, I think. And in the long term, he had better change his attitude. A person of Type A personality tends to overwork. Overworking makes exhaustion. But a person of Type A personality tends to think he does not need to rest. Exhaustion increases more and more. Moreover he can't ever find the time to exercise.

        He is a former marathon racer. Long-distance runners have a greater capacity to dilate their coronary arteries and heart muscle. T's coronary arteries and heart muscle need more blood flow. T had better start running again as soon as possible for his coronary arteries and heart muscles. Regarding health, "appropriate" pessimism is more desirable than "excessive" optimism. I will give this advice to T.

         

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