Saturday, June 28, 2008

Table Of Contents

The table is inscribed below the most recent posts.

Table Of Contents

Christianity and Life Style

Christianity and Life Style
Lois Beasley sent me an email in December of 2007 asking me to speak at her Sunday school Teammates Class. On 1 June 2008 I did speak at that class. What I am writing is not exactly what I said there, but my speaking there has led me to write this article.
I had not really thought that my life style had any relationship to religion, but it may be hard for a person to ascertain what motives govern his behavior. Some years ago I led the services at Cloud’s Bend Methodist and Depew’s Chapel at the request of one of my women patients. She was the wife of a Methodist minister who had those two churches. My topic was “Stewards of the Body.” It was mostly about how we should have healthy habits of eating, not smoking and not using alcohol in a harmful way. I don’t recall all that I said, but one can get the idea. Two years later a man came up to me in a grocery store and said, “Aren’t you Dr. Bales?” I admitted that I was and he asked, “Didn’t you speak at Cloud’s Bend two years ago?” I admitted that also whereupon he said, “I went home and quit smoking.”
I used a text from Corinthians that went like this, “Know ye not that your body is the Temple of God. Will you defile the Temple.” The other one was the Parable of the Talents. The talents involved were money (a gold talent was worth about $15,000). The talents I spoke about are personality assets. I interpret these verses to suggest that we should take good care of our bodies as being a temple of God and that we should make use of our talents (personal not monetary) the very best that we can. I don’t know that my view that I should always do the very best that I could in anything that I was involved with comes from this.
Of course, I feel sure that my views are shaped by the examples I saw in my family. My father was meticulous in his dress and grooming. He had been a bookkeeper before he became a Ford dealer. My mother had been a school teacher before she married (and again after my father died in 1932). She was very meticulous and systematic and wanted everything just so. All four grandparents were hard workers and extremely square. By square I mean honest and truthful. The Bales were all Baptists and the Weesners were all Methodists. My mother was a stronger Methodist than my father was a Baptist so I suppose that is why I am a Methodist.
I grew up in Centenary Methodist Church in Morristown. It was a Northern Methodist Church. Julie grew up in First Methodist Church in Memphis. It was a Southern Methodist Church. The Northern and Southern branches of the Methodist church merged in 1939. The First Church and Broad Street Church in Kingsport merged in 1969.
When we came to Kingsport in 1952 and were looking for a church, Frances Wiley, the wife of the senior pastor at Broad Street, Ned Wiley, brought us a cake. Ned’s father had been district superintendent in Morristown and knew of me and my family from that. I thought, “If the preacher’s wife brings me a cake , that’s the church for me!”
Lest anyone think that I take too much credit for my being old (86) and healthy I note that luck and heredity have a lot to do with it. One’s heredity has a “luck of the draw” about it when the chromosomes split and reconnect there is a random element about it. I was lucky not to inherit any disabling or lethal diseases such as high blood pressure, diabetes, cancer or a lipid disorder. I got my build through my grandmother Weesner; she had five tall lean brothers. I am taller than any of my male ancestors and have lived more years already than any of them. Some wag said that a good way to live long is to pick out long-lived ancestors. They are not ancestors, but are relatives. My father’s older sister lived to be 98. My mother’s youngest brother still lives-he is 96. People say I look like him.
Another element that I think has helped me is that I received a lot of loving attention from my parents, my grandparents and my extended family-even by the in-laws. This has given me emotional capital that I will never be able to use up. I think this has contributed to my good health and my survival and I am very grateful for it. So many do not get the positive reenforcement and unconditional acceptance.
Events have an element about them that some would attribute to luck. For example, I was in a head on car crash in 1953. Two cars were totaled and two passengers in the other car died. I walked away from the wreck. I had a whiplash to my neck and two broken ribs-minor considering the circumstances. Another example is that I was taken into the Army in October 1942 and remained in it one way or another until June 1949. However, I was never in harm’s way.
Elements of life style include spirit, mind and body. I am not consciously that much into spiritual matters. Any religion I have is with a small “r.” However, I do attend Sunday school and church regularly and have for many years. When our son Don was a boy, he told me one day, “Daddy, I think that I will be a doctor.” “Is that so? Why is that?” “If doctors have to make rounds, they don’t have to go to church.” I changed my habits after that. Julie and I have been members of the Philosophy Class ever since our senior minister, John Rustin, started it in 1968. Pat Hogan, an Episcopalian psychiatrist, who used to attend it regularly called it, “An Intellectual Oasis.” However, it was both intellectual and sometimes religious. However, if you think about it, any human activity has or should have a religious component or relationship.
I get inspirational and religious emails from time to time. I read them, but they are not exactly on my wave length.
It has been reported that people who attend church regularly are healthier and happier than those who do not. However, church goers are just as likely to get divorced as the unchurched. Religious people are said to be more likely to have children. The white people in the U.S. are not even replacing themselves-it takes 2.1 births per female of child bearing age to do that.
Although I do not believe that the Almighty will change the rules of nature because I or others ask for it, I still pray each Sunday for ever increasing circles of people-starting with me and Julie and then our children, their spouses and our grandchildren, then proceeding on our extended families, then all the groups that I belong to-Sunday School Class, gym and swim people, KACL, my email list, Great Decisions people, all the Methodists, Christians, Jews, Muslims, Buddhists, Hindus, Shintos and all the rest of the six billion on this planet. Then all of our armed service people, especially those in Iraq and Afghanistan, and then a group of individuals who have special and difficult problems. I include the executive, legislative and judicial branches of government-Federal, state, county and city-also the police, the firefighters and the Emergency Medical Technicians and all those who serve us. Those who know that I am praying for them may get some social and psychological benefit and it may help me to know that I am thinking and caring about others.
As to life style and the mind, I became a student at about age five when my mother got a set of books, “Journeys Through Bookland.” I took to school like a duck takes to water and it is told on me that I came home from the first grade one day and told my mother, “It’s true that your school days are the happiest days of your life!” How’s that for a statement by a six year old boy?
I am still a student and still a reader. After I retired I began taking six week courses in the spring and fall with the Kingsport Institute for Continued Learning. This was for retirees-no text books, no exams, no homework and no credit-just learning. The faculty was volunteer, but we have a wealth of knowledgeable people in this town as well as the faculty from East Tennessee State University. In the fall of 1997 right after I retired I took seven courses-two hours a week fo six weeks. We don’t take as many recently. I think I have at least a dozen loose leaf note books full of notes. Sometimes I even review them.
We have also attended the eight week Great Decisions seminar in late winter each year. This is sponsored by the Foreign Policy Association.
In 2000 I got a computer that could go online. I had one to use as word processor before that. I have written several science fiction novelettes-eight of them completed. Also three children’s stories and one western. None of them have been published and may never be, but they have been written. I have also written a memoir and am continuing it as a journal. It now has more than a thousand pages. When I told Pat Hogan I was doing this, he asked, “Who would want to read it?” I said, “Well, maybe my children or grandchildren might want to read it some day.” Then I said, “With friends like you, I don’t need any enemies.”
The computer has been a great boon to me. I thought that I might be bored or lost after I retired (not really). I really like being a doctor and I especially liked being an internist. It suited my abilities and inclinations perfectly. At 75 I was reluctant to retire, but wanted to quit while I was still at the top of my game. I still dream about doctoring, but the dreams are never that good-I can’t get the lab reports, the nurse won’t come help me, the waiting room is full of sick people and I can’t get to them quickly enough and, worst of all, the women won’t take their clothes off.
I have my own web page and have seventy-nine articles on it. Now if I want to look up something, I have access to the world of information-much quicker, more up to date and easier than a dictionary or encyclopedia. I get the headlines from the New York Times, the Washington Post daily and the titles from the New England Journal of Medicine.
About the only things medical are going to the Rodeo (Retired old doctors eating out) lunch on Mondays and sometimes to the cancer conference at Holston Valley Hospital on Fridays. This lets me keep my mind in medicine a little.
I go to the Kingsport Public Library almost daily. I especially like to get what I call “Big Books.” These are tall, wide and sometimes thick books with lots of pictures on a wide variety of subjects-animal species, bridges, canals, lakes, rivers, parks, mountains, countries. I don’t read all the text, but I do look at all the images and read the captions. Julie has really enjoyed these also.
Now to the body and life style. I was not and am not athletically talented, but I was able to make the high school football and basketball team and was on the track team. I didn’t get a letter in track. To do so one must place in a meet and I never did. The legendary Morristown coach, W.G. (Petie Siler) used to cite me to his later players for my determination and hard work. I played intramural basketball at Harvard, also in the Army in Germany on our hospital team (1947 and 1948), and early in my residency at Ford Hospital (1949, 1950). I took up golf about 1957, but was never either avid or good.
In 1962 I began doing the exercise routine of the President’s Council on Physical Fitness and have continued until now. In my 50's I took up running and was in several 10 K competitions. Never was that good-did get third once for my age group men.
I took up bicycling and learned to ride with no hands at age 55. I also learned to do the butterfly (sorta) that year. Never got good at it. Now when I try it, it makes my low back hurt so I don’t do it.
After I retired I began going to the senior center gym and using the strength machines and the weights. I am not built for weight lifting, but the muscles I have are very toned. I also began swimming laps in 1997. They let us seniors swim at the Dobyns-Bennett High School pool and at the Legion pool in the summer. In 2000 at the coaxing of Joan Wilder, I began swimming competitively in the senior games. This included the district, the state and the national games.
In 2001 I went to Baton Rouge and got one Bronze for the breaststroke, in 2003 I got two Bronze for two breaststroke events at Newport News. In 2005 I got no medals at Pittsburgh. At Louisville in 2007 I got a gold , a silver, a bronze, a fourth and a fifth.
I took a course on Yoga and one on Karate. I later found a yoga program that I liked better and also found a Tai Chi program that I liked. I do both of these almost daily.
I also do pectoralis push-ups. I was up to 270, but in 2005 I had a left wrist fracture and the most that I have done since is 170. I do 350 abdominal crunches and 100 reverse crunches. I have some other exercises that I do, including pull-ups and chin-ups on a tree limb in our back yard.
At the class I demonstated quite a few of my physical activities including some high kicks.
I see a dental hygienist twice a year. I have always had a personal physician (fortunately haven’t had much need of one). I have a physical once a year and a short visit in between. I do not try to treat or diagnose myself. “The man who treats himself has a fool for his physician.”
Many years ago, maybe thirty, I had squamous cell carcinoma removed from the dorsal surface of to my left hand. After that, I began to try to avoid exposure of my skin to the sun between ten and three, especially when I went to the beach or to an outside pool. That is why I prefer to swim at an inside pool. Another reason is that the water is warmer. Ih these later years I have taken to wearing a hat. Men don’t wear hats much anymore. One Sunday Mike Boggan commented about my Pendleton hat saying, “I wouldn’t have a hat that had more character than I did.” When I told our son Don what Mike had said, “There’s no hat that could have more character than you.” Sun exposure is associated with all three common skin neoplasms: squamous cell, basal cell and, the worst of all, melanoma-and sun screen does not prevent melanoma.
My immunizations are up to date: Tetanus-diphtheria, pneumonia, and shingles. I had Hepatitis B vaccine back while I was practicing. I had Hepatitis A in 1948 so presumably am immune to it. I have an influenza shot every fall. I have had a colonoscopy. It is one of the few “preventive” procedures that really prevents. Removal of a polyp can prevent the development of a colon cancer..
After Ancel Key’s research about cholesterol back in the early 50's, I began trying to avoid foods containing cholesterol. When the information about animal fats came out, I began cutting down on animal fats. I have never smoked or used recreational illegal drugs and have never been a problem drinker. I have tried to avoid all high risk behavior I have tried to use reason to alleviate stress.
Donald W. Bales, 2 June 2008

"Golden Boy"

As you will see, this was not written by me, but I thought that it should be on my web page.
A friend of mine, Louis Moore, gave this title to an article that appeared in the Times-News on 23 September 2007.
Dr. Donald Bales, 85, who recently won three medals and two ribbons in swimming competitions at the National Senior Games, credits heredity, luck and lifestyle for his longevity.
Going for the gold
85-year-old retired doctor wins three medals, two ribbons in swimming at the National Senior Games
By NATHAN BAKER nbaker@timesnews.net
When describing Kingsport resident Dr. Donald Bales, a number of words come to mind. Outspoken, methodical and intelligent are among the many you could choose. Some words that would not be suited for this retired octogenarian are broken down, inactive or, least of all, lazy.
The 85-year-old Bales recently won three medals and two ribbons in swimming competitions at the National Senior Games, the Olympics for a more mature section of the athletic community.
The National Senior Games are held biennially in a venue suited to hold the 12,000 qualified 50 and older athletes and the 20,000 spectators that come to be a part of the 800 scheduled events.
This year, the games were held in the Kentucky Exposition Center and the University of Louisville in Louisville, Ky.
“There’s always a big crowd at the nationals, and it’s always interesting,” Bales said. “It’s a friendly, nice atmosphere. You almost never meet anybody who goes to the games that’s nasty.”
To make it to the national level, Bales had to qualify at both the district and state levels, something he said would be more difficult if he had more competition.
“One thing about district and state is that sometimes there wouldn’t be anybody else in my age group,” Bales said, smiling. “I guess if you can’t out swim ’em, outlive ’em.”
All jokes aside, Bales’ performance in the pool is quite an accomplishment. He has attained state records for the 100-yard breaststroke in the 75 to 79 age group, and also for the 50- and 100-yard breaststroke in the 80 to 84 age group.
This year, in his age group, he won a gold medal in the 50-yard breaststroke, a silver in the 50-yard backstroke and a bronze in the 100-yard backstroke.
When added to the previous medals he won at all levels since he began competing in 2000, Bales has 55 gold medals, five silver and four bronze.
Always a modest man, the retired doctor refuses to put his awards on display, preferring to keep them in a bowl on top of the piano in his family
room.
“Somebody said I ought to get a board and hang them, but that just seemed a little bit vain,” he said.
Bales’ competitive spirit originated in high school in his hometown of Morristown, Tenn. There, he was a minor athlete on the basketball, track and football teams.
Regrettably, Bales’ athletic interests took a back burner when he began building his medical career.
When he was in his 40's, the President’’s Council on Physical Fitness inspired Bales to take up an active lifestyle again through a recommended exercise routine.
Bales then became an avid jogger until the pains in his arches told him it was time to try something new. So he switched to cycling and swimming.
After retiring from his practice in June 1997, Bales took up swimming at the indoor pool at Dobyns-Bennett High School. Fellow Kingsport Senior Center board member, Joan Wilder, coached him to swim competitively, and he took to it like a fish to-well, water.
Bales said he outlasted his contemporaries because of a critical mixture of three factors.
“A lot of people who were born the year I was are dead in the graveyard, in a nursing home, in a wheelchair or they don’’t know what they had for breakfast,” he said. “Time has been kind to this old man. I attribute my longevity to three things: heredity, luck and lifestyle.””
He’s had a full 85 years, but Bales said he’s only shooting for 15 more.
“I took one of those longevity tests that said my actual age was 68 and my life span will be 107,” he said. “I’d only counted on 100, if I make it past there, I’ll have to reexamine the situation.”
It’s been said that behind all great men is a supportive woman, and Bales is no different.
His wife of 62 years, Julia, goes along with him to his countless swimming competitions to act as a cheering section.
“Some of the luck that I had was picking my profession,”” Bales said. “Another was picking my wife. Two the the most important things in life have turned out really well for me.”
Together, the Bales’s have four children who inherited their father’s proclivity for healthy living.
“They’’re all lean, they’re all in superb physical condition, none of them smoke, none of them drink, and none of them are on drugs,” Bales said. “When I turned 70, they wrote a list for me called ‘70 Things I Learned From Daddy.’ One of them was lifestyle.”
In the off-season, Bales continues to train, with no immediate end in sight to his swimming career.
“I hope I can make it until I reach the 95 and older age group, then I won’’t have any competition, and I’ll win a bunch of gold medals,” he said, with a smile.
Whether he makes it that for or not, you can be sure that in whatever he does, Bales will always be going for the gold.

Going for the gold
*Perhaps I was a minor athlete in track-I never placed in a meet (that was the criterion for getting a letter in track), but I considered myself to be and I think the coach and my teammates considered me to be a major athlete in basketball (I was the center), and, especially, in football. I was right end on offense in my senior year and weak-side linebacker on defense (center both ways in the sophomore and junior years). DWB

Monday, June 2, 2008

Christianity and Life Style

Christianity and Life Style
Lois Beasley sent me an email in December of 2007 asking me to speak at her Sunday school Teammates Class. On 1 June 2008 I did speak at that class. What I am writing is not exactly what I said there, but my speaking there has led me to write this article.
I had not really thought that my life style had any relationship to religion, but it may be hard for a person to ascertain what motives govern one’s behavior. Some years ago I led the services at Cloud’s Bend Methodist and Depew’s Chapel at the request of one of my women patients. She was the wife of a Methodist minister who had those two churches. My topic was “Stewards of the Body.” It was mostly about how we should have healthy habits of eating, not smoking and not using alcohol in a harmful way. I don’t recall all that I said, but one can get the idea. Two years later a man came up to me in a grocery store and said, “Aren’t you Dr. Bales?” I admitted that I was and he asked, “Didn’t you speak at Cloud’s Bend two years ago?” I admitted that also whereupon he said, “I went home and quit smoking.”
I used a text from Corinthians that went like this, “Know ye not that your body is the Temple of God. Will you defile the Temple.” The other one was the Parable of the Talents. The talents involved were money (a gold talent was worth about $15,000). The talents I spoke about are personality assets. I interpret these verses to suggest that we should take good care of our bodies as being a temple of God and that we should make use of our talents (personal not monetary) the very best that we can. I don’t know that my view that I should always do the very best that I could in anything that I was involved with comes from this.
Of course, I feel sure that my views are shaped by the examples I saw in my family. My father was meticulous in his dress and grooming. He had been a bookkeeper before he became a Ford dealer. My mother had been a school teacher before she married (and again after my father died in 1932). She was very meticulous and systematic and wanted everything just so. All four grandparents were hard workers and extremely square. By square I mean honest and truthful. The Bales were all Baptists and the Weesners were all Methodists. My mother was a stronger Methodist than my father was a Baptist so I suppose that is why I am a Methodist.
I grew up in Centenary Methodist Church in Morristown. It was a Northern Methodist Church. Julie grew up in First Methodist Church in Memphis. It was Southern Methodist. These churches merged in 1939 and First Church and Broad Street Church in Kingsport merged in 1969.
When we came to Kingsport in 1952 and were looking for a church, Frances Wiley, the wife of the senior pastor at Broad Street, Ned Wiley, brought us a cake. Ned’s father has been district superintendent in Morristown and knew of me and my family from that. I thought, “If the preacher’s wife brings me a cake , that’s the church for me!”
Lest anyone think that I take too much credit for my being old (86) and healthy I note the luck and heredity have a lot to do with it. One’s heredity has a “luck of the draw” about it when the chromosomes split and reconnect there is a random element about it. I was lucky not to inherit any disabling or lethal diseases such as high blood pressure, diabetes, cancer or a lipd disorder. I got my build through my grandmother Weesner, she had five tall lean brothers. I am taller than any of my male ancestors and have lived more years already than any of them. Some wag said that a good way to live long is to pick out long-lived ancestors. They are not ancestors, but are relatives. My father’s older sister lived to be 98. My mother’s youngest brother still lives-he is 96. People say I look like him.
Another element that I think has helped me is that I received a lot of loving attention from my parents, my grandparents and my extended family-even by the in-laws. This has given me emotional capital that I will never be able to use up. I think this has contributed to my good health and my survival and I am very grateful for it. So many do not get the positive reenforcement and unconditional acceptance.
Events have an element about them that some would attribute to luck. For example, I was in a head on car crash in 1953. Two cars were totaled and two passengers in the other car died. I walked away from the wreck. I had a whiplash to my neck and two broken ribs-minor considering the circumstances. Another example is that I was taken into the Army in October 1942 and remained in it one way or another until June 1949. However, I was never in harm’s way.
Elements of life style include spirit, mind and body. I am not consciously that much into spiritual matters. Any religion I have is with a small “r.” However, I do attend Sunday school and church regularly and have for many years. When our son Don was a boy, he told me one day, “Daddy, I think that I will be a doctor.” “Is that so. Why is that.” “If doctors have to make rounds, they don’t have to go to church.” I changed my habits after that. Julie and I have been members of the Philosophy Class ever since our senior minister, John Rustin, started it in 1968. Pat Hogan, an Episcopalian psychiatrist, who used to attend it regularly called it, “An Intellectual Oasis.” However, it was both intellectual and sometimes religious. However, if you think about it, any human activity has or should have a religious component or relationship.
I get inspirational and religious emails from time to time. I read them, but they are not exactly on my wave length.
It has been reported that people who attend church regularly are healthier and happier than those who do not. However, church goers are just as likely to get divorced as the unchurched. Religious people are said to be more likely to have children. The white people in the U.S. are not even replacing themselves-it takes 2.1 births per female of child bearing age to do that.
Although I do not believe that the Almighty will change the rules of nature because I or others ask for it, I still pray each Sunday for ever increasing circles of people-starting with me and Julie and then our children, their spouses and our grandchildren, then proceeding on our extended families, then all the groups that I belong to-Sunday School Class, gym and swim people, Kingsport Alliance for Continued Learning, my email list, Great Decisions people, all the Methodists, Christians, Jews, Muslims, Buddhists, Hindus, Shintos and all the rest of the six billion on this planet. Then all of our armed service people, especially those in Iraq and Afghanistan, and then a group of individuals who have special and difficult problems. I include the executive, legislative and judicial branches of government-Federal, state, county and city-also the police, the firefighters and the EMT’s and all those who serve us. Those who know that I am praying for them may get some social and psychological benefit and it may help me to know that I am thinking and caring about others.
As to life style and the mind, I became a student at about age five when my mother got set of books, “Journeys Through Book Land.” I took to school like a duck takes to water and it is told on me that I came home from the first grade one and told my mother, “It’s true that your school days are the happiest days of your life!” How’s that for a statement by a six year old boy?
I am still a student and still a reader. After I retired I began taking six week courses in the spring and fall with the Kingsport Institute for Continued Learning. This was for retirees-no text books, no exams, no homework and no credit-just learning. The faculty was volunteer, but we have a wealth of knowledgeable people in this town as well as the faculty from East Tennessee State University. In the fall of 1997 right after I retired I took seven courses-two hours a week fo six weeks. We don’t take as many recently. I think I have at least a dozen loose leaf note books full of notes. Sometimes I even review them.
We have also attended the eight week Great Decisions seminar in late winter each year. This is sponsored by the Foreign Policy Association.
In 2000 I got a computer that could go online. I had one to use as word processor before that. I have written several science fiction novelettes-eight of them completed. Also three children’s stories and one western. None of them have been published and may never will be, but they have been written. I have also written a memoir and am continuing it as a journal. It now has more than a thousand pages. When I told Pat Hogan I was doing this, he asked, “Who would want to read it?” I said, “Well, maybe my children or grandchildren might want to read it some day.” Then I said, “With friends like you, I don’t need any enemies.”
The computer has been a great boon to me. I thought that I might be bored or lost after I retired (not really). I really like being a doctor and I especially liked being an internist. It suited my abilities and inclinations perfectly. At 75 I was reluctant to retire, but wanted to quit while I was still at the top of my game. I still dream about doctoring, but the dreams are never that good-I can’t get the lab reports, the nurse won’t come help me, the waiting is full of sick people and Ic can’t get to them quickly enough and, worse of all, the women won’t take their clothes off.
I have my own web page and have seventy-nine articles on it. Now if I want to look up something, I have access to the world of information-much quicker, more up to date and easier than a dictionary or encyclopedia. I get the headlines from the New York Times, the Washington Post daily and the titles from the New England Journal of Medicine.
About the only things medical are going to the Rodeo (Retired old doctors eating out) lunch on Mondays and sometimes to the cancer conference at Holston Valley Hospital on Fridays. This lets me keep my mind in medicine a little.
I go to the Kingsport Public Library almost daily. I especially like to get what I call “Big Books.” These are tall, wide and sometimes thick books with lots of pictures on a wide variety of subjects-animal species, bridges, canals, lakes, rivers, parks, mountains, countries. I don’t read all the text, but I do look at all the images and read the captions. Julie has really enjoyed these also.
Now to the body and life style. I was not and am not athletically talented, but I was able to make the high school football and basketball team and was on the track team. I didn’t get letter in track. To do so one must place in a meet and I never did. The legendary Morristown coach, W.G. (Petie Siler) used to cite me to his later players for my determination and hard work. I played intramural basketball at Harvard, also in the Army in Germany on our hospital team (1947 and 1948), and early in my residency at Ford Hospital (1949, 1950). I took up golf about 1957, but was never either avid or good.
In 1962 I began doing the exercise routine of the President’s Council on Physical Fitness and have continued until now. In my 50's I took up running and was in several 10 K competitions. Never was that good-did get third once for my age group men.
I took up bicycling and learned to ride with no hands at age 55. I also learned to do the butterfly (sorta) that year. Never got good at it. Now when I try if, it makes my low back hurt so I don’t do it.
After I retired I began going to the senior center gym and using the strength machines and the weights. I am not built for weigh lifting, but the muscles I have are very toned. I also began swimming laps in 1997. They let us seniors swim at the Dobyns-Bennett High School pool and at the Legion pool in the summer. In 2000 at the coaxing of Joan Wilder, I began swimming competitively in the senior games. This included the district, the state and the nationl games.
In 2001 I went to Baton Rouge and got one Bronze for the breaststroke, in 2003 I got two Bronze for two breaststroke events at Newport News. In 2005 I got no medals at Pittsburgh. At Louisville in 2007 I got a gold , a silver, a bronze, a fourth and a fifth.
I took a course on Yoga and one on Karate. I later found a yoga program that I liked better and also found a Tai Chi program that I liked. I do both of these almost daily.
I also do pectoralis push-ups. I was up to 270, but in 2005 I had a left wrist fracture and the msot that I have done since is 170. I do 350 abdominal crunches and 100 reverse crunches. I have some other exercises that I do, including pull-ups and chin-ups on a tree limb in our back yard.
At the class I demonstrated quite a few of my physical activities including some high kicks.
I see a dental hygienist twice a year. I have always had a personal physician (fortunately haven’t had much need of one). I have a physical once a year and a short visit in between. I do not try to treat of diagnose myself. “The man who treats himself has a fool for his physician.”
My immunizations are up to date: Tetanus-diphtheria, I have had two pneumonia shots, B hepatitis vaccine, shingles vaccine and I have a flu shot every fall. I have had a colonoscopy.
After Ancel Key’s research about cholesterol back in the early 50's, I began avoiding cholesterol. When the information about animal fats came out, I began cutting down on animal fats. I have never smoked or used recreational illegal drugs and have never been a problem drinker. I ahve tried to avoid all high risk behavior I have tried to use reason to alleviate stress.
Donald W. Bales, 2 June 2008

Monday, March 24, 2008

My email address

dwbalessr@embarqmail.com
Comments on any item are welcome.

Sunday, February 10, 2008

My Training Experiences

I read an article about residency training in "Pharos," the Alpha Omega Alpha magazine. AOA is the Phi Beta Kappa for medical students. It spoke of the long hours house officers have to be on duty. Of all the people in the world, doctors (in charge of training programs) should know best that prolonged wakefulness and lack of sleep could lead even the best trained and most motivated doctor to make avoidable mistakes. This provoked me to write this and send it to the author of the article.
79. Training experiences
My internship and residency experience
When I graduated from medical school in March 1946, I thought that I wanted to be a thoracic surgeon-based more on my admiration of Duane Carr, a Memphis thoracic surgeon, than on my talents and inclination.
I chose Henry Ford Hospital for a rotating internship majoring in surgery. My work (training) schedule was as follows: Two of us interns would be assigned to a floor. One would be in the operating room assisting (far down the line). When the operating schedule for the assigned room was over, the intern could go home. We did not receive quarters or food, but did receive a stipend in lieu of maintenance. Since I was married, this worked out very well. At first I received $150 a month, but this was soon raised to $170. We had no children and my wife had a full time job.
The floor intern took care of the patients (under supervision of residents and a full time paid staff). This intern had the responsibility for working up (examining) patients admitted that afternoon for surgery the next day. When these tasks were done, the intern could go home.
We had night residents-one on medicine and one on surgery. These doctors went on duty at 10:30 and off the next morning at 7. Since we did not have charity patients (except the children from the Michigan Children’s Service (Protestant) and St. Vincent de Paul (Catholic) orphans, we did not have a big emergency service as so many charity hospitals did.
My internship was for fifteen months due to the end of the nine-nine-plan that was in use during World War II.
I then had obligated service with the Army due to my having been in medical school on the Army Specialized Training Program. After twenty months as a medical officer at the 130th Station Hospital in Heidelberg, I returned to Ford Hospital. During my army service I had decided that I really wanted to be a physician rather than a surgeon.
Medical residents were assigned two months stints on various services. Ford Hospital had sub-specialists even back then. Cardiac, Respiratory, Metabolic, Gastro-Enterology, Preventive Medicine, Rheumatology, Pediatric Cardiology (Mason Sones had his training there), Allergy, several General Medicine sections and New Patient Group (where patients new to the Ford system had a complete physical), Neurology and Psychiatry.
I spent two years rotating and then I was appointed one of five assistant resident physicians. We supervised the interns and took call every five evenings from 5 until 11 after which we could go home. In this position I was paid the princely sum or $400. That was a lot for those days and the dollar had a lot more purchasing power than it has now. My wife continued to work until she had our first child in October 1950.
So enlightened treatment of house officers began long ago. I felt that I had a superior training and was well equipped to practice internal medicine. Back then in this town, Kingsport, Tennessee, internists did all the medical consulting work Later on I was involved with training the first crop of interns associated with the medical school established in Johnson City (twenty miles from here)-the Quillen School of Medicine of East Tennessee State University.
Later on I helped with the instruction of the medical residents.
As to working hours in training, eighty hours is plenty. There are only a hundred and sixty-eight hours in a week. Of all the people who should know better than to have someone awake and working for thirty-six hours straight, it should be doctors. Training should not be an ordeal or trial by fire. Doctors should have a life-not that I am not in favor of doctors being dedicated to the care of their patients. During the earlier years of my time in Kingsport, I was working about seventy hours a week.
I reluctantly retired at age seventy-five. The onset of “subspecialitis” and the invasion of medicine by lawyers, insurance people, government regulations and business men took much of the fun out of it.
Donald W. Bales, M. D. AOA of Tennessee.

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