I appeared on WCCO Television this morning to discuss some new alcohol drinking limits. The context was a Lancet study that will likely be incorporated into the U.S. Department of Agriculture’s updated Dietary Guidelines
WCCO Television
Consistent with the Lancet study and traditional binge drinking definitions, my current advice regarding consumption is:
Men: Up to 7 drinks per week; no more than 4 drinks per occasion/sitting
Women: Up to 7 drinks per week; no more than 3 drinks per occasion/sitting
Key caveat: These recommendations are for people without a history of addiction. Those with a history of addiction should abstain from alcohol.
I’m scheduled to appear on WCCO 4 News This Morning on Monday, June 22nd, at 5:45 a.m. The subject will be happiness. I’ll be representing Allina Health
We’ll be discussing a recent NORC at the University of Chicago study that found a historic decrease in happiness. NORC has been surveying Americans since 1972 with the following question:
Taken all together, how would you say things are these days—would you say that you are very happy, pretty happy, or not too happy?
Only 14% of people reported feeling “very happy,” which was a sharp drop from the usual run rate. In contrast, 23% of respondents indicated that they are “not too happy.” Both findings are unprecedented (red oval)
Norc at the University of Chicago
Correlation does not imply causation, however, the investigators pursued some provocative Covid-19-related explanations dealing with viral hotspots, loneliness and income. And while George Floyd was not mentioned in NORC’s report, his senseless death on May 25th occurred right in the middle of the survey period. I’d speculate that tragedy and the national reckoning which has followed was also on respondents’ minds
Regardless of the causes, what are some ways to improve happiness?
I generally recommend making peace with the present. This perennial wisdom that has strong, contemporary scientific support. For example, a seminal study by Matthew Killingsworth and Daniel Gilbert tracked happiness in real time using iPhone surveys. They found that people were happiest when their minds weren’t wandering—that is, when they were totally present in the now
In conclusion, a human mind is a wandering mind, and a wandering mind is an unhappy mind. The ability to think about what is not happening is a cognitive achievement that comes at an emotional cost
Present moment awareness is sometimes called mindfulness, a trendy, frequently misunderstood word that I’ve avoided up until now. If you’re intrigued, I suggest snagging a copy of The Power of Now, the classic book by Eckhart Tolle. I often point people to “Wherever You Are, Be There Totally” (section), which starts on Page 82 in Google Books
I’ll try to mention other tips and tricks on the air, and hope to add them to my profile page at Allina Health later this week. ✸
Peder Schweigert, the general manager of Marvel Bar, will also be in studio. He’s been a bartender for 15 years and about four years ago decided to stop drinking alcohol.
I’m occasionally asked if I have a personal history of addiction. I don’t but stopped drinking by my mid-30s before sober curious was a thing (I’m currently a week short of 50, so I’ve been “dry” for at least 15 years).
Some sober curious factoids appear below.
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“Would I be happier without booze? More productive? Would I feel more confident? What would it be like to never have to face another deadline half hungover? Would I be thinner if I didn’t drink? Look younger? Would I have less sex? More sex? Would the sex be better? Would I have anything to talk about at parties? Where would the glamour go? Would people think I was boring? Exactly how boring would I/life become? … I have termed this questioning as getting Sober Curious”
One U.S. Standard Drink contains 14 grams of alcohol. Examples include a 12-ounce can of beer, 5-ounce glass of table wine and 1.5 ounces of a distilled spirit like vodka
Alcohol provides 7 calories per gram. In contrast, carbohydrates (fiber, starch, sugar) and protein provide 4 calories, and fat 9
One 12-ounce bottle of beer provides 145 calories: 98 from alcohol and the rest from carbohydrates and protein
“Hangover symptoms are not just physical; they are cognitive as well. People with hangovers show delayed reaction times and difficulties with attention, concentration, and visual-spatial perception.” Veisalgia—the medical term for hangover—can be traced back tokvies (Norwegian), the “uneasiness following debauchery.” “Hangover is common and underdiagnosed and can have serious physical, psychiatric, and occupational consequences”
The Saint Cloud Timesrecently featured CentraCare Health’s correctional care (“jail medicine”) program. This unique public-private partnership is designed to identify and treat mental illness and addiction while inmates are in custody. We then link them to a special clinic following release to the community for ongoing management. (I serve as the medical director for the program.)
We launched in the Benton County Jail on October 1st, 2017, and in the Stearns County Jail on January 1st, 2o18. As outlined in the article, the early signals are promising: fewer ambulance trips between the jail and hospital, fewer detox admissions and decreased total cost of care.
As far as we know, we’re the only Minnesota counties starting inmates on Suboxone, the medication to treat opioid addiction, while in custody. And, one needs to look far and wide to find other examples nationally.
Providers see inmates in jail and following release to the community. This continuity of care is unprecedented. Health authorities (a statutory term) have historically focused on inmates’ immediate medical needs in jail without regard for the bigger picture. This penny-wise but pound-foolish approach doesn’t resolve some big reasons—mental illness and addiction— for criminal recidivism. Thus the revolving door.
Special thanks to my partners in crime (sorry! couldn’t stop myself):
I was fortunate to be included in both projects. Many thanks to Wes Thomsen and his team for the ongoing collaboration. What’s in the hopper for 2019? §