On the One Year Anniversary of my Heart Attack

So August 26th of this year marked the one year anniversary of my heart attack. I actually haven’t written a blog since the one I wrote about that day. That’s not as significant as it might sound – I have rough drafts for 3 different ones that I started but I’ve been busy with other things and haven’t devoted as much time to writing as I’d like (something I regret quite a bit). But for the anniversary of H-Day I thought it would be good to write an update on what has happened this past year. I don’t think a chronological narrative would make much sense, and besides, I don’t have that great a memory. So I’ll go with more of a stream of consciousness approach.

As you may know I am a high school math teacher. The heart attack happened exactly one week before the start of the 2014-2015 school year. Although many people couldn’t understand how or why I did it, I actually worked right from the first day of school. I certainly could have taken some more time to recover, but I didn’t feel I needed it that badly and the doctor said that if my job didn’t require heavy lifting and I felt okay there was no reason not to work. My reasoning for starting was that it was easier for everyone involved – students wouldn’t have to adjust to a new teacher twice, the school wouldn’t have to scramble to find someone to cover my classes and my colleagues wouldn’t have to worry about teaching more than their own course load. Now, almost a year later, I can say that the decision to start right away was neither good nor bad. If I had waited things would have been just as fine as if I had not. It’s funny how so many decisions in life seem important when they really are trivial. I took things easy at first and let my body tell me when I could ramp up, always erring on the side of caution. For example I took the elevator instead of the stairs for a couple of weeks, and kept my boardwork lower on the board (so as not to raise my right arm too high after the angio) for about a week.

One thing that I learned from my first follow-up with the cardiologist was that I have no “modifiable risk factors” for heart attack. Basically it’s good old genetics. I don’t drink or smoke. I have low cholesterol and low blood pressure. At the time of the heart attack I was overweight but by no means obese. I was keeping fit with heavy weights and regular though limited cardio. This was disturbing news – I mean it would be nice if I could just stop something I was doing and know I was preventing another heart attack, but as the cardiologist said, at least now I know. I had three partially and one fully blocked arteries, and except for one of the partials they were all stented. The one that was not stented is very small and doesn’t supply a large area, so that other arteries nearby can cover what it doesn’t manage. I am on a cholesterol medication that has been shown to prevent plaque buildup in arteries and even to slightly reduce existing plaque. I am hyper-aware of my heart so if anything does deteriorate I will be on it right away. In the meantime I decided to do everything I could do. As soon as I got the green light to resume exercising I began a cardio regimen of 45 minutes, 5 times per week. As of this moment, I have averaged exactly that. I say averaged because there were three weeks where I didn’t manage to get all 5 sessions in, but always compensated in succeeding weeks by adding sessions. Three different vacations didn’t keep me from my cardio. Some people tell me “Hey, you’re on vacation, give yourself a break.” My response is my heart doesn’t know I’m on vacation, there is no such thing as a break.

I also cleaned up my diet. Not that it was that terribly unclean to begin with. But I did eat a lot of red meat (3-4 times per week, sometimes more), and 2-3 times per week allowed myself cheat meals like KFC or Burger King, or just really decadent meals at restaurants. Now I eat only lean red meat, and only 1-2 times every month. I’d say over the past year I’ve probably had red meat about 15 times. My protein mainly comes from white meat chicken, fish, and some vegetarian sources like beans, quinoa, and nuts or nut butters. I eat very little fat, and almost no saturated fat. What fats I do eat come from the fish or chicken, or light salad dressing, which I use extremely sparingly. I don’t measure my food, but I never eat until I am stuffed. That’s also a change from before. For this entire year I have not felt stuffed even once. And I still eat a lot – probably 7-8 times each day. A lot of fruits, berries, vegetables and nuts fill out my diet.

So what the diet and cardio have done is resulted in fat loss. I spent my entire adult life struggling with fat loss – often successfully but not always. Each time the goal was fat loss. Now the goal is not that at all. The cardio and diet are to keep my heart healthy. The fat loss is a side effect, albeit a pleasant one. When I had the heart attack I weighed 225 lbs (down from an all time high of 245). Because I am a hobby bodybuilder that’s not as heavy as it sounds, but I was certainly carrying too much fat by an obvious margin. My weight this this morning was 189. I won’t lie and say that I’m ambivalent about that – I am overjoyed. But it wasn’t and isn’t the goal.

Speaking of exercise I also resumed lifting weights about 6 weeks after H-Day. This was with the doctor’s blessing. At first I kept things very light and let my body tell me when it was ok to go heavier, again always erring on the side of caution. I don’t remember the exact timeline but I’d say after about 3 months I was more or less back to pre-heart attack form. The weights and the fat loss are visually pleasing to me. Here are a few vanity photos of the impact this has had on my look.

IMG_0160 IMG_0683

IMG_0078  IMG_0159

I’d actually like to include a photo I took when I was 245 lbs but my computer is currently deciding I’m not allowed to look through old photos – thanks Windows 10.

The great news is that after the heart attack the cardiologist who saw me at the hospital said my heart was damaged (on a scale of 1 – 4 where 1 is the best, mine was a 2), but on my six-month follow up visit I had managed to return it to a level 1. The words of the cardiologist were “Except for the presence of the stents you have the heart of a healthy, athletic adult male with no sign of trauma.” And that, ladies and gentlemen, mattered profoundly more to me than how I look, although that is what people see.

Whenever you lose a lot of weight, or otherwise significantly change your look to something more aesthetic, people always want to know how you did it. The truth is I did it by having a heart attack. That flicked a switch in my mind that had never been flicked before. I no longer have a choice about eating well and exercising, which can read differently than I mean it. What I mean to say is that I know all to well what a struggle it is to have to make good decisions about healthy eating and exercise. To choose not to have a sundae and opt instead for the fruit salad. For me, now, the sundae is not a choice. Nobody is forcing me not to have it – it has been removed from the list of options by something outside my control. It’s actually pretty liberating. So my answer when people ask how I did it is to say “Well, step 1 is … you don’t want to do step 1.” Because Step 1 was have a heart attack. I didn’t decide to start looking better and then do something about it. I had a heart attack and this is how I am doing my best to prevent a repeat. I will say that I have had the odd dessert here and there. But each time I have done so it’s literally been a tiny forkful (as in just the tip of the fork) so I could taste it. The forkful concept would have seemed ridiculous to me a year ago. Now it is legitimately enough. I don’t have the forkful and then look longingly at the rest, wishing I could have more. The forkful does what I needed – it gives me the taste and that is enough. Once again this is not a choice I am making, or a philosophy I am forcing myself to embrace. It just is the way my brain works now – I didn’t deliberately activate it. If I did I would write a book about how. Another example is that there have been 4 times (no, I’m not counting I just remember them) when I have eaten one french fry at a meal. Because I wanted the taste.

Emotionally/psychologically it would be a lie to say I have not been affected. The day I had the heart attack one of the reasons I didn’t call an ambulance as soon as I should have is because I didn’t want to scare the kids. There’s no way around the fact that when your dad has a heart attack it’s scary. Same goes for my wife. The very last thing I want to do is scare them or have them worry. That said I am now hyper-aware of what is going on in my body, and especially my chest. And guess what? Chest pain happens, and it’s not generally a heart attack. Gas happens (especially because it is a side effect of some of the medication I am on). The pain can cause anxiety. Anxiety can cause chest pain. It’s a hilarity-filled ride. I can’t specifically recall how the heart attack itself felt – I just know it hurt but was not as intense as you’d think. I feel as though if it were happening again I would be sure. But I’m not sure if that’s true. So there are days when I find myself worrying. However with the cardio regimen I’m on I can always reassure myself that I wouldn’t be able to do 45 minutes of intense cardio without accompanying intense pain if I was actually having another heart attack.

On that note, when I started the cardio after the heart attack I was keeping my pulse rate in the 120’s, although my doctor did say I would be able to push it higher as I healed. As of today I usually use my elliptical machine (I have a gym in my basement although it has evolved since that blog about it), and the heart rate monitor I bought shows I’m keeping my heart rate in the 140-150 zone, which I made sure was ok with the cardiologist. Speaking of heart rate, I also take my blood pressure daily, and it stays in the 115/75 zone, with a resting heart rate of around 60 bpm.

One thing I have found recently (as in, the last 5 weeks or so) is that drawing is great therapy. It is extremely calming and does a great job of centering my thoughts. I highly recommend it. Another thing I’d have said if you’d asked me a year ago was that I can’t draw for beans. I never really believed I had any talent in that regard. But I have watched hours of YouTube tutorials and have been drawing every day. The therapeutic aspect can’t be overstated. It turns out when you practice something you also improve. Here is one of my earliest attempts at a portrait and one of my most recent ones. I’m no pro and may never be one, but the improvement is real and that’s only about a month. Therapeutic, fun, and inexpensive – I highly recommend it.

IMG_0442  IMG_1164

Wow. Ok this really has been stream of consciousness style. My writing is usually more organized than that. Ah well. This one wasn’t about writing, more about an anniversary summary. I admit I didn’t proofread that carefully either – forgive the errors. I am always happy to answer questions or offer assistance if I can. Leave me a comment and I will respond.

Thanks for reading,

Rich

Sometimes, the Door Is Down the Hall

Today my blog is about one of the most important things I’ve learned as a teacher, and specifically as a teacher of math. I’m going to start with a story about a kid I tutored for a while, many years ago.

When I was younger and just starting to realize I had a passion for math and for teaching, I firmly believed that anyone could understand math and be good at it. Some people took to it more readily than others, but I was certain that given enough time and effort, every single person could excel.

Then I met Lief (not his real name).

Lief came to me when he was in grade 6, and our first tutoring session was about math questions involving time. The question we worked on was something like “Harry leaves home at 12:05 pm and arrives at his destination at 1:30 pm the same day. How long did the trip take?”. Lief was really struggling with the question, but I knew that I could explain it in such a way that he would not only be able to determine the correct answer he would fully understand how we did it and be able to answer many more similar questions. As my students would say, I have mad skillz when it comes to explaining math.

Boy was I wrong. I spent an hour with Lief and I used all my powers of teaching and explaining to no avail. Strewn about us were diagrams, pictures of clocks, number lines, a watch and even part of a model Volkswagen Beetle (don’t ask me why, I don’t remember). Lief just could not understand what the question was asking and why the answer was 1 hour 25 minutes (see how I threw that in there so you’d know if you got it right? 😉 ). I learned a valuable lesson that day.

Some people just aren’t wired for math. And that’s totally OK of course. Contrary to popular opinion, math is not a critical life skill. Aside from people like me I can’t think of a single person that needs to be able to complete the square of a quadratic function given in standard form in order to determine the coordinates of the vertex of the parabola. Proof? You most likely have no idea what in the world I was talking about there and I bet you do just fine. I know at least that you own some sort of electronic device capable of connecting you to the internet. That says something.

So why is this blog titled “Sometimes, the Door Is Down the Hall”? What am I talking about, you ask? Well you wouldn’t be the first to ask that. Allow me to explain.

Where I live in Ontario, Canada, students attend high school for four years — grades 9 through 12. During that time, in order to be awarded their high school diploma, they must successfully earn three credits in math. For most students, that means a grade 9, grade 10 and grade 11 credit, though some do grade 9, grade 10 and grade 12. It means that math is optional in grade 12, if all you want is a high school diploma. If you want a post-secondary education however, like college or university, you will most often need to take math in all four years of high school, and also be sure to choose the right math courses for your intended post-secondary program.

At each grade, there are choices of which math course to take. There are different paths and they don’t all lead to the same place. For example, a student who intends to study math or science at university will take what’s called “Academic” math in grades 9 and 10, then “University prep” math in grades 11 and 12. Conversely a student who intends to go to college to learn a trade will likely take “Applied” math in grades 9 and 10, then “College prep” math in grade 11 and maybe also in grade 12, depending on the requirements of the college program. Some students take what’s called “Essentials” math in grades 9 and 10, then “Workplace” math in either grade 11 or grade 12. These students are either not planning to attend a post-secondary institution or else are planning to go into a field that has nothing at all to do with math.

Phew! So that was kind of boring to read, right? But if you read it you may have noticed the glaring flaw in the system. A student must decide on a career path in grade 9. When they are 14 years old. Actually they have to pick their grade 9 courses when they are still in grade 8, so they and their parents have to make the call when the student is 13 years old. Who the heck knows what they want to do with their lives at the age of 13? When I was 13 I wanted to look at girls, play video games, eat steak as an afternoon snack and look at girls. And then look at girls. I had absolutely no idea what I wanted to do with my life. As a matter of fact now, at 43, I still don’t know what I want to do with my life (except for the looking at women part — I still do that and am lucky to have a wife that is exceptionally fun to look at). But I do know that I am happy with what I’m doing right now. Maybe that will change, maybe it won’t. But the key to my happiness is that I am doing something I am good at and that in turn makes me good at it. Read that last sentence a few times. It seems confusing but it isn’t. Try doing something you suck at for a long time. Keep telling yourself that you’ll get better if that makes it seem worthwhile. But I think you’ll find out that when you’re not good at something you are miserable doing it and then you are not good at it.

So how does this manifest in high school? Well it may seem obvious that since very few 13 year old kids have any clear idea about what they want to do when they finish high school — let alone as a career — that they choose the option that keeps all the doors open. In Ontario, that means that they will usually choose grade 9 academic math, because if they don’t they are closing the door to a post-secondary program that requires math. They do it again in grade 10, 11 and even in grade 12. I can not begin to count the number of students I have taught who have struggled mightily in math who then sign up for the hardest math course the following year because they don’t want to close doors. I’ll illustrate with an example. Good ol’ Hanz.

You might remember Hanz from “Steer With the Skid”. Hanz is a hard-working kid who does not have a lot of natural ability in math. By not a lot I mean he’s terrible at it. And please, before you object and say nobody who works hard can be terrible at something, look around. Some people are wired to be awesome at certain things and terrible at others. Some kids are born athletes, some are born artists, some are born mathematicians and some are born poets. You can improve your abilities in almost anything but that doesn’t mean you can excel in almost anything. Personally, as hard as I might have trained, I would never have been an Olympic sprinter. My legs are too short and I don’t have the reflexes. I’ve made peace with it.

So back to Hanz. Hanz doesn’t want to close doors, so he takes Calculus in grade 12. Currently in Ontario the course is actually called Calculus and Vectors. It’s the two hardest math topics in high school grouped together in one spectacular ride. Hanz has been miserable in math class ever since grade 9. He works hard, and puts in the time, but the most he can muster are grades in the 60’s, and it eats him up. His hard work is constantly rewarded with what he considers to be mediocre grades. He’s miserable because he’s convinced that he can’t be successful in life unless he’s successful in math and his definition of successful in math is marks in the 90’s, something he’s never been able to do. In trying so hard to keep a door open, Hanz has missed the fact that for him, there is no door marked “math”. He can’t see that if a program requires Calculus and he takes it and earns a 51% he won’t get in anyway. It’s a fruitless exercise. Yet every time I talk about this with Hanz or his dad Franz, they both insist that Hanz has to stay in Calculus so that he can keep his doors open. That’s when I shake my head and say “Sometimes, there is no door. Walk down the hall.”

See, if Hanz could recognize that there is no “math” door for him, he would be compelled to walk down the hall and see what other doors there are. If Hanz would spend more time in situations where he has natural strength, he’d know what those doors are and what lies beyond them, and he’d be so much happier. Unfortunately it’s extremely difficult to convince Hanz of this, and he spends all his energy working at something he was not wired for, spiraling further and further into self-loathing and often depression. I’ve seen it many times. I’m not exaggerating.

Now please, before you go off wondering how I can call myself a math teacher and be so willing to write kids off, understand that’s not what I am saying. I teach all levels of math. I am just as happy teaching someone like Hanz how to plan a family budget and the evils of credit card interest as I am teaching him how to take the derivative of a sinusoidal function that has been composed with the square of a logarithmic function in order to determine the instantaneous rate of change on the curve at the place where it intersects with a given exponential function. I work just as hard either way, and my reward is always Hanz’s success. It just pains me to see kids like Hanz convinced that they will end up “homeless under a bridge” (this is a saying my students have when they decide they are going nowhere in life) if they can’t do the derivative question. Honestly though, how many people can? And why on earth would most people need to? The derivative question is an exercise in abstract thought that is beautiful in its way, and critical for people going into a field where they have to solve high level math or science problems all the time, but it’s not the definition of intelligence or success.

Students like Hanz often ask me what courses they should choose when they are picking for the following year. I always say the same thing.

Me: “What are you good at?”

Student: “Well I’m good at <insert non-math or science discipline here> but that doesn’t get you anywhere so I need to take <insert completely inappropriate math or science course here>.”

Me: “Why would you take something that makes you so miserable?”

Student: “Because I need it to be successful. I need to keep my doors open.”

At that point I generally ask them how they intend to become successful in a field that requires them to be good at something that makes them miserable. They really never have an answer for that. Except for the door thing. My advice then is for them to take courses they enjoy, and that they excel in. Happy people who excel at what they do are always successful. Find one and ask them. You’ll see what I mean.

Thanks for reading,

Rich