Spectator Life

The world's richest man – who, beyond Tesla and Space X, is known for naming his first child X AEA-12 – generated more headlines this week, when he announced on the American television show Saturday Night Live that he has Asperger syndrome. ‘I know I sometimes say or post strange things, but that’s just how my brain works,' he explained. Asperger syndrome, first described in 1944 by the Austrian paediatrician Hans Asperger, is a lifelong condition that is part of the autistic spectrum. As a child, Hans Asperger appears to have exhibited some features of the very condition named after him, such as remoteness and talent in language.

As the Covid vaccination continues to roll out across the country with impressive speed and daily numbers of cases continue to steadily fall, the allure of the gradual release of lockdown restrictions into the sunlit uplands of something resembling a more normal existence grows stronger by the day. Unfortunately for many people – latest estimates suggest up to 200,000 in the UK – the long term effects of having been infected with the virus continue.

'I don’t wear a headband. If you want to, you can!' says karate World Champion Jordan Thomas. 'Don’t disillusion me, Jordan!' I bark, perhaps a little aggressively. I’ve watched three seasons of Cobra Kai in a week and I am all about a karate headband / floppy fringe combo. Kick-ass comedy drama Cobra Kai is a spin-off of ’80s classic The Karate Kid. Resurrecting the original actors, it follows underdog Daniel LaRusso (now 'chopping prices' and 'kicking the competition' as the owner of a successful car dealership) and his high school nemesis, sneering country club bully Johnny Lawrence (now knocking back beer for breakfast).

It remains the case that for most people free NHS tests are only available for those taking part in pilot schemes, who have been asked to have one by health professionals, or in people or families showing symptoms of the virus. This means that some people are now looking to private providers to get tested before seeing loved ones and although many such providers are offering tests for a fee now, how do you know which are high quality and which should be avoided? For a start, always look for a home test kit that is CE-marked as this shows it meets the European standards for medical testing and is also approved for sale in the UK – do not use any test without this approval mark.

The text below is the basis of a talk given by Christopher Snowdon, head of lifestyle economics at the Institute of Economic Affairs, at the Spectator annual health debate 2016. The debate was entitled: ‘Can we trust health advice?’ Before answering the question of whether we can trust health advice we must first ask: ‘Which health advice?’ It varies so much over time and between countries. In 1979, the government advised men to drink no more than 56 units of alcohol a week. This was later reduced to 36 units, then 28 units and then 21 units. Last month, the Chief Medical Officer reduced it once again, this time to 14 units.

In As You Like It, Shakespeare suggested that there were seven ages of man. Sadly, he himself didn’t experience all of them; he shuffled off this mortal coil at the age of only 52, precisely 400 years ago. You could also say that the human male has seven sexual ages, marked by a gradual decline in activity. But can we stress that word ‘gradual?’ The fall-off over several decades really is very slow. Even some doctors don’t appreciate this. Only recently one of us acted as an expert witness in support of a man who had wrongly been told by a surgeon that ‘males can’t expect erections after the age of 40’. So let us look at these seven sexual ages. The future may be brighter than you think… 1.

“Wire your booze cabinet up to the mains so you can’t get into it!” says Jason Fox, the former Royal Marine Commando and Special Forces Sergeant who’s best known for barking orders on Channel 4’s SAS: Who Dares Wins. With wine o’clock starting earlier each day for many of us, as we crawl the walls in isolation, I’ve asked Jason for his take on lockdown drinking. “It’s not the answer really. It’s great fun and I enjoy having a drink, but I won’t allow myself to drink all day. It doesn’t make you feel better about yourself.

Difficult facts can be conveyed in a sensitive, non-judgemental and compassionate manner; indeed, this describes the daily practise of medicine. When obesity rears its head, however, a significant number of my colleagues in the health professions display a cognitive dissonance and determination to deprive patients of the unvarnished facts that they would not dare hide with conditions such as cancer. Prioritising their own “feelings”, they patronise the obese by taking offence on their behalf, preferring to virtue-signal, accusing those “ insensitive “ enough to want to state the facts of “fat shaming” or victim-blaming.

With the spring almost upon us, now’s a great time to up your fitness game. Whether you’re in training for a race or sticking to a new year fitness drive, it makes sense to track your progress and keep reminding yourself of how well you’re doing. Mentally, it can be hard to keep at it, so why not employ a bit of tech to help you along the way? Along with their generally more featured and app led cousins smartwatches, these pieces of technology have come a long way in recent years, and with ever evolving health technology, they’re only likely to get more sophisticated and better tuned to your needs. What kind of fitness tracker is for me?

The epicentre of coronavirus – now more correctly called COVID-19 – remains in mainland China, and concerns about a global pandemic occurring have fortunately not been realised although in this fast-changing story this still remains a possibility in the coming weeks. The first death in Europe was recently reported in France, with nine documented cases in the UK. The advice from Public Health England if you have been in Wuhan or the Hubei Province in the last 14 days is that you should stay indoors and avoid contact with other people, like you would for flu, even if you do not have any symptoms. If you develop symptoms, call NHS 111 and inform them of your recent travel to the city.

Jordan Peterson has spent much of the past few years eloquently torpedoing all that the liberal progressives hold dear, and he’s not done yet. Citing a profound health transformation, the bolshy Canadian psychologist is now piling into the opinion-saturated arena of diet, and the vegans aren’t happy. But Peterson’s latest revelation is not about culture wars or the eroding of free speech. This is about his own mental health, which has at times been unspeakably grim. Controversial as ever, Peterson is now claiming to have beaten away his regimen of antidepressants through the excessive consumption of a rather more rudimentary substance: meat.

The condition High blood pressure is also called ‘hypertension’. Blood pressure is recorded in two numbers – the high number is called systolic and this is the pressure when the heart has just pumped. The low number is called diastolic and this is the pressure when the heart is at rest. The pressure is measured in ‘millimetres of mercury’ or mmHg. Ideal blood pressure is between 90/60mmHg and 120/80mmHg. High blood pressure is considered to be anything above 140/90mmHg. The problem with high blood pressure is that although in the long term it can be deadly, there are often no symptoms at all, so people can have it for years without realising.

Researchers can now predict where in Scotland you are most likely to encounter ticks that carry Borrelia burgdorferi, the bacterium that causes Lyme disease. If that wasn’t enough to make you reconsider those picnic plans, then they have also forecast that this risk will increase as global temperatures rise. In a recent paper, the researchers predicted that people were more likely to come into contact with an infected tick in the months of August and September. They also identified both the Highlands and Tayside as areas of particular risk. Their map can be viewed in full here.

One of my teachers in medical school kept saying: ‘A treatment that has no side-effects is already a good one.’ These seemed to be wise words worth remembering. But today I think he may have been not entirely correct: there is no therapy that does not have potential to cause adverse effects. What really counts, in life as in medicine, is a reasonable balance between risk and benefit. Chiropractic treatment is an excellent example of the importance of this balance. Chiropractors rely heavily on manipulating their patients’ spines, and the benefits are not at all clear. Practitioners usually insist that their manipulations are effective for a bafflingly wide range of conditions.