There Will Be Time

I've hit a weird anniversary that I'm not sure what to do with: thirty years in the same place. It seems significant because it's double any other place I've ever lived and exactly half my life. I like when numbers line up like that. My house closed on the 1st of November 1995, but I didn't officially moved in until Friday the 3rd. 

I was in my parents' place from age 2 to 17, and it was so boring to have such a stable home life. That sent me moving place to place for the next dozen years or so. At one point, my dad offered me the house when he moved out to live with his new wife, but I was still restless, so I declined. I sometimes can't believe I turned that down! I didn't want to live in my childhood home even though it was amazing with a beautiful forest out back; it mattered more at the time to carve my own path.

In the first five years of my place, I did all the big things I needed to do, and now I've been hitting the end point of all of all that work. Of course the maintenance turnover coincided with retiring. The furnace died in the middle of winter. After fixing one little thing after another to eke out another year, my repair dude told me it had cancer of everything: "That furnace owes you nothing!" The water heater followed soon after. Then this summer I fell through my 25-year-old cedar deck boards outside. I had to fall through a second time before replacing it all. 

New Air Quality Guidelines

Health Canada published new Guidance for Indoor Air Quality (IAQ) Professionals that acknowledge that Covid can be spread through airborne transmission. 

"Indoor air quality is considered an important environmental determinant of health. ... Good indoor air can often be achieved using the following three strategies: reducing or eliminating the sources of air contaminants, ventilating by replacing contaminated indoor air with filtered air from outside, filtering the indoor air ... and education of occupants and building staff on best practices for maintaining good indoor air quality. ...

Epidemiological studies on CO2 concentrations and health effects showed that individuals exposed to CO2 concentrations greater than 800 ppm were more likely to report mucous membrane or respiratory symptoms than those exposed to lower CO2 levels. ... Installing demand-based ventilation relying on CO2 sensors may also be an effective strategy. ... Avoid overcrowding indoor environments with more people than the HVAC system can accommodate. Increase natural ventilation by opening windows. ...

The concept of using indoor CO2 levels as an indicator of ventilation has been discussed for decades. With increased public awareness of the importance of ventilation and commercial-availability of CO2 monitors, there is a renewed interest in using CO2 monitoring as a method for quantifying ventilation. ... Continuous measurements can also be used to see how levels change over the course of the day and whether there are certain locations or certain times of day that are more problematic. ...

With some viruses, such as SARS-CoV-2, transmission was also found to occur from particles remaining suspended in the air and travelling longer distances, hence the benefit of wearing masks, effective ventilation and building air filtration, and stand-alone air purifiers that utilize high efficiency particulate air filters when and where appropriate to reduce the risk of transmission. ... There are no exposure limits for the range of microbial agents found indoors that can cause disease, as these are dependent on the infectious dose needed to cause an infection. Levels should be kept as low as possible. ... Effective ventilation is important for reducing indoor transmission of respiratory infectious diseases and includes ... increasing indoor/outdoor air exchange with exhaust fans and mechanical ventilation systems, filtering air efficiently, and opening external windows and doors. Ventilation can help reduce viral transmission in indoor spaces by preventing the accumulation of potentially infectious respiratory particles in the air. Good ventilation, combined with other personal protective measures, can further reduce the risk of infection.

Managing So Much Suffering

It feels like I understand the idea that all suffering comes from expectation in a way I didn't used to. Now it seems so obvious, but I'm not really sure what flip was switched. It's not just that if we stop expecting to get things, we'll be happier, but how ridiculous it is to expect anything to stay the same at all, much less get better, ever. And that understanding seems to help reduce some anxiety over the things that can't be easily changed. Suffering is inevitable, but it can be somewhat diminished in order to have more contentment. We can change what counts as suffering, and we can change our perspective around tragedies, so maybe we can also change how we can continue to bear witness to, or experience, absolute atrocities.

One simple way to reduce suffering is to narrow the definition. Comedian Michelle Wolf jokes, "It's hard to have a struggle and a skin care routine," which clarifies that we might be considering some difficulties as suffering in a way that doesn't fly when we widen the scope of our horizons. Pain is pain and can't definitively be compared, yet I believe many of us have an automatic judgment in our heads that lists events in a hierarchy. Typically suffering from having to do a task we don't want to do, like write a boring report or clean out the fridge, or from wanting luxuries we can't afford, like another trip, might be relegated to the bottom as whining. The pain from it is there, though: the agony and stress from uninteresting maintenance that's necessary to further our own existence or the grief over lost opportunities. Furthermore, it can develop an extra layer of shame on top of the suffering if we try and fail to elicit sympathy for having so much food that some is left to rot and needs to be cleaned. When we realize we can't afford that trip after all, this is a suffering we are expected to bear without complaint.

They're Heeeerrrrrreeee!

You might be able to book a Covid shot in Ontario right now with priority given for people who are high-risk, and on October 27th for the general public. That high-risk priority category is significantly looser than it is for who gets a second shot per year, maybe acknowledging how few come out for this shot in the first place. It includes anyone who is at high risk, but also anyone who has significant exposure to birds or mammals, anyone racialized or part of an "equity-denied" community, health-care workers, and more. 

It's still here and still causing damage. In the US, the current wastewater rates are about 2/3rds of last winter's peak. It's baffling that they want to wait for the general public until after our Thanksgiving!! In the past, uptake is so low that it's curious they still stagger the appointment openings for a month later. In the states, people have been getting shots for weeks. We're in the upward trend of very high infection rates coupled with very low immunity in the population since we're almost all a good six months from our last vaccination. That's a deadly combination. 

Not Selves, but Not Nothing

We're living at a time when the glorification of independence and individualism is harming the world and others in it, as well as leading to an epidemic of loneliness. According to Jay Garfield, the root of suffering is in our self-alienation, and one symptom of our alienation is clinging to the notion that we are selves. "We are wired to misunderstand our own mode of existence," he writes in his brief yet substantial 2022 book, Losing Ourselves: Learning to Live Without a Self. 

Garfield traces arguments against the existence of a self primarily through 7th century Indian Buddhist scholar Candrakīrti and 18th century Scottish philosopher David Hume, and explores where many other philosophers hit or miss the mark along the way. The book is a surprisingly accessible read about a complex topic with perhaps the exception of a couple more in-depth chapters that develop arguments to further his conclusion: you don't have a self, and that's a good thing.

Garfield starts with the idea of self from ancient India: the ātman is at the core of being. A distinct self feels necessary to understand our continuity of consciousness over time (diachronic identity) and our sense of identity at a single time (synchronic identity). A self gives us a way to explain our memory and allows for a sense of just retribution when we're wronged. We feel a unity of self to the extent that it's hard to imagine it's not so.

Safe Schools and Hospitals

We're starting the school year with high levels of Covid in Ontario, and kids are still getting sick from a disease that, unlike the flu or a cold, has potential long-term consequences, leaving behind micro-clots that can lead to strokes, as well as increase chances of diabetes, brain damage, and more as it runs through the bloodstream and can affect every organ. 

Vaccinations don't entirely prevent illness and spread, but they CAN keep most people out of the hospital from the acute illness. Unfortunately they wane after several months and most of us are only allowed to get one once/year. If you're going to do it, now is the time. Also unfortunately, they're not ready yet. The government keeps putting them out with the flu shot despite that Covid is not seasonal; it spreads when people congregate. The best time to get the shot might be one in mid-August in time for school, and then early December in time for all the celebrations in late December and winter travel. Then open the windows in the spring and summer! But the powers that be will likely not release this one until next month.

Facing the Backdraft

Climate analyst Barry Saxifrage explains how the CO2 from fires is adding significantly to greenhouse gas accumulation. His charts show the dramatic increase in Canadian wildfires:

"Wildfire is now incinerating four times more forest carbon than during the 1990s. In addition to the surging immediate threats of choking smoke, wanton destruction and disrupted lives, rising wildfire is also pumping billions of tonnes of forest carbon into our atmosphere, intensifying long-term climate breakdown. ... It is piling up in an ever-thickening blanket in our atmosphere that will overheat generations to come. The extra heat being trapped by humanity's CO2 now equals the explosions of 400,000 Hiroshima atomic bombs every day. And rising. ...

Wildfire emissions totalled 30 million tonnes of CO2 (MtCO2) [in 1990]. The much taller bar on teh far right shows that this year's wildfires have already burned massive amounts of forest. Emissions are around 500 MtCO2 so far, with many weeks of fire season still ahead. ... It is tempting to think that this current level of wildfire is our 'new normal.' But it's going to keep getting worse until we take our foot off the wildfire accelerator. ... Levels will keep rising until we stop the primary source of them, fossil fuel burning. ... 'It ain't rocket science -- when it's hotter and drier fires burn more easily and more explosively.' ... Burning fossil fuels burns Canada's forests."

Not Strategy but Symptoms

 So, things are a mess. But here's an interesting take on Trump from Andrew Wortman: 

"Trump's 2 a.m. meltdowns and dictator cosplay aren't part of a predetermined strategy--they're collapse. A malignant narcissist, weak and unhealthy, colliding with the one thing he can't escape: DEATH. And his team knows it, which is why they're going full-fascist now. As a psychologist, I can tell you: when malignant narcissists lose control, they don't fade quietly. They escalate exponentially--rage, smear campaigns, humiliation, projection, even violence. Every move is about punishing those who expose their weakness to claw back control. This isn't 'toughness.' It's disintegration. In my field we call it narcissistic mortification: the sheer terror, shame, and dread of being forced to confront one's own fragility. To them, it feels like annihilation--as the false self they've lived behind for decades shatters. 

Mortification hits with both physical and psychological shock--chest pain, burning, panic, humiliation, obsessive thoughts. They feel exposed, worthless desperate. That desperation is what fuels the meltdowns you're watching play out in real time like an SNL skit or horror film. For Trump, the trigger is being faced with his own mortality. He can't sue death. He can't cheat it, bribe it, or con his way out of it. It's inescapable. And for the first time in his life, he's powerless--and the panic shows in every crazed rant and wild attempt to project control. That's why you see him suddenly fixated on things like getting into heaven, legacy, and being remembered. Humiliation is the narcissist's deepest wound--and nothing humiliates more than colliding with the truth that you can't escape the end.

The Epstein files serve to make this terror far worse. Not only do they expose what he's spent 30+ years concealing, but if they surface after he's gone, he can't spin them. The thought of being defined by that humiliation--with no power to control the narrative--is devastating. When narcissists face both mortality AND exposure, collapse deepens. They don't reflect or accept responsibility. They deflect, rage, lie, smear, and escalate authoritarian grabs. Anything to keep the mask intact just a little bit longer--no matter who gets hurt in the process. 

Blending Psychotherapy and Spirituality

In my last post on meditation, I suggested that there's not a lot of harm that comes from meditation and mindfulness training, so maybe it doesn't need the kind of scientific scrutiny that we might expect from a clinical drug trial. However, in Toward a Psychology of Awakening (2000), Buddhist psychotherapist John Welwood documents three traps: spiritual bypass, narcissism, and desensitising, that arise in part because we've leant too far to either psychology or spirituality instead of using both. He also discusses them in brief in a paper, "Principles of inner work: Psychological and spiritual" (1984).

Both psychotherapy and spirituality are about "developing a new kind of loving relationship with one's experience," and both help us break free from our conditioned reactions. But spirituality doesn't address our early mishaps that affect our perceptions, and psychotherapy doesn't address the need to transcend our personal feelings.

When he first trained as a therapist, Welwood was concerned that psychotherapy has a narrow view of human nature, but then realized how much it can help once we no longer demand answers from it. It can help free people from negative childhood conditioning, particularly from dismissive or engulfing parenting, by working with our needs, scripts (now narratives), fears, self-respect, etc. A lot of us don't learn how to exist in the world well. Welwood claims that part of the problem is the "breakdown of extended families and tight-knit communities" so that children just get influenced by parents or just one parent instead of many people providing a variety of ideas that can help a child figure out where they fit in the group. As far as I understand this point, with only one or two major influences, children might accept lessons without question, then have to "spend a good part of their lives freeing themselves" from this singular impact in order to find their own sense of self. It's somewhat unintuitive, but a larger group influence helps a child find their individual self by differentiating from others more clearly at a younger age. But whether we find it at 5 or 50, it's necessary to have this "stable self-structure" before trying to go further.

But without a spiritual element, we have "too literal-minded and serious … too small a vision of what a human being is." Psychotherapy can focus too much on content and not enough on the human being. It's changing more recently, focusing less on content and more on how we are with our experience. Welwood wants to stop trying to overcome emotional content and instead open up to it. If we can't open up to anger, for example, we end up trying to be nicer (people pleasing) or overmonitoring our behaviour to avoid triggers, which can create more stress. Yet there's even more ground to cover than just this.

Yup, Still Writing About It

Covid is still here and still killing more people than car crashes. The highest vehicle fatality rate in Canada in the past decade was in 2023, with 1,964 deaths with over 8,000 serious injuries. For Covid, counting less than the last year (about 11 months) and only from participating provinces, we've had 2,248 deaths and over 33,000 serious illnesses that required hospitalization. So, more. 

In some places, it's way more right now!

California is experiencing a surge, and Honduras is experiencing such a spike in illnesses that they're mandating face masks again in hospitals, airports, shopping centres, schools, public transport, and other enclosed or crowded paces. A recent study suggests that LongCovid may be far more common than currently estimated at about one in ten people, with non-human primates studied reaching 90% of the population with bio-markers: 

"Even if you started off lean and healthy, this study shows it won't protect you from some of the worst consequences of Covid."

I compare Covid rates to car crashes because we still, pretty much all of us, take precautions whenever we get in our car, and most of it don't even think about it any more. Some precautions are imposed on us, like I had to ditch my car because apparently the MTO would take it off the road for rust that could enable exhaust to get inside the vehicle. Air bags and driving laws are imposed on us. But we willingly strap ourselves in our cars, for most of us, even when no cops are around. I do it automatically before I start the car. It became second nature.

On that Sexual Assault Case

I listened to a CBC call-in show about the London sexual assault trial of five former Hockey Canada players. All the callers were either on one side or another. I think there's a middle path. 

The gist of the case: Back in June 2018, a woman known as "E.M." was drinking at a bar where the hockey team was celebrating a big win. She consented to go back to a hotel room with one of the team members. A little later, he texted others to come up for a three-some, and up to ten guys were in the room at one point. Allegedly, five of the guys, all between 18 and 20, either had sex with her or had sexually assaulted her. Afterwards she called a friend, crying, saying she was upset at herself for what had happened. All men were acquitted because E.M.'s testimony wasn't seen as credible. A possible reason for this is that she filed a civil suit in 2020, and, if any of her testimony was different between then and now, that brings her credibility into question. Typically a criminal case is filed before a civil case, and she had started a criminal case soon after the event, but that was put on pause, at which time she moved to a civil case. That civil case was settled out of court for an undisclosed sum. 

First of all, how many of us describe an event exactly the same way after five years? Our brain changes our memories slightly whenever we re-remember an event. It's a very high bar to meet to have explain every detail exactly the same way. 

Mentalizing, Mindfulness, and the Drive for Evidence

 In reading about attachment theory, David Wallin's description of Peter Fonagy's work was intriguing, so I went down that rabbit hole. 

Fonagy developed Mentalization-Based Treatment (MBT) to improve emotional regulation, as distinct from Jon Kabat-Zinn's Mindfulness-Based Stress Reduction (MBSR). Fonagy sees our mental development as relational, but in order to have empathy for others, we need awareness of our own feelings, which can be helped with mindfulness work. However, in looking at the evidence of efficacy of these separate modalities, I question the attempt, since Freud, to make psychology into a natural science. Each of the various ways to help are useful, but there's an element of the unknowable in the way when we treat them scientifically.

According to Wallin, Fonagy's focus was on developing the understanding of the mental states of others, which he calls mentalizing, to let us understand the depths of ourselves and others. For instance, it can help heal old wounds if we understand that dad's rejection of us might be due to his depression and not our behaviour as a child. Other people's reactions to us aren't just caused by us, but there are always multiple factors at play affecting how people behave. It seems very similar to Theory of Mind. He met Bowby in the 1980s, and studied adults' behaviour relative to their own descriptions of childhood attachment, and found, when comparing severely deprived to well-connected adults, that a weak attachment was correlated with a weak "reflective functioning" (the ability to understand behaviours in terms of their thoughts, feelings, and mental states). From this, he says psychotherapy should be the "effort to restore or kindle patients' capacity to mentalize," to simultaneously feel our feelings and reflect on their meaning. To help people develop mentalizing requires a relationship that mirrors and guides emotional responses.

Vaccinate Against Variant Soup

Some weird new federal SARS-CoV-2 vaccine guidance - in layman's terms.

Variant soup ingredients from April 2025

But first, remember that, when it comes to vaccinations, Covid is like the flu, not like measles or polio. It's not one and done because the virus mutates so easily and quickly. Every few months we permit new variants to add to the mix by letting them spread and mutate, and only sometimes does anyone important mention the variety of variants out there. (By contrast, for rates of illness and death, Covid is a lot like measles and polio in the unvaccinated death and disability rate. It's a serious disease!) 

Like the flu, we need regular access to vaccinations. If people ask how many Covid shots you've had, ask them how many flu shots they've had. It's the same silly question.

If you've never been vaccinated for it, get two shots this year.

If you have been getting shots, the guidelines say you should get one a year if you're pregnant, over 65, in congregated living, a health care worker, part of a listed racialized group, or have an underlying medical condition that's associated with more severe infection, which includes diabetes and cancer and other medical conditions, but also obesity, and disabilities like ADHD, and mental health disorders like depression (but not anxiety).

Luckily, you don't have to prove you have an underlying condition because anyone may (is allowed to) get one shot. They'll come out with a new shot this fall, but who knows when that will be!

The vaccination is protective for less than six months, so you might want two shots a year. But good luck with that! 

According to their collective wisdom, you should get two shots if you're over 80, in congregated living, or moderately to severely immunocompromised due to an underlying condition. I don't think claiming severe ADHD will work, but no harm trying! You may get two shots if you're 65 to 79. 

So despite that most infections come from schools, all those kids spending their days in a school building, from junior kindergarten to university, can get a shot in September, but then are just sitting ducks come February. Make it make sense!

A good N95 is still your best bet to avoid this preventable disease!

ETA: Ontario guidance says, 

"Ontario's Covid-19 vaccine program has transitioned to an annual program in alignment witih expert recommendations from the NACI. ... If you already completed your initial series, it is recommended you receive an updated dose starting in the fall when the vaccine becomes available in Ontario, if it has been 6 months (168 days) since your last dose."

So even thought you can only get one/year, if your last one was in early March, you can still get one now - as soon as they come out. No word on when that will be, though. 

The Necessity of Feeling Seen

Attachment theory is part of the vernacular now. Even the Norwegian show Porni mentions it, and the dramatic eldest daughter blames her mom for her “relational damage”! We’ve largely accepted the questionable idea that mom’s attentiveness in childhood creates our attachment patterns for life — the gist of the theory as it’s largely understood, but what’s usefully generalizable from the actual studies? There are many criticisms of the theory, yet some university psych courses applaud it without reservation. I’m dubious about it, but I also don’t want to entirely throw this baby out with the bathwater.

 This is a huge topic, and I’ll hardly do it justice here. There are a few excellent books on it, but part of the problem with how we understand the studies might be that the most nuanced books seem to be the most academically written, and likely the least read. As it morphed into popular consumption it may have strayed further from the original intention. On top of the reading, I went to a couple workshops on attachment to find the magic solution to all our relationship ills, and my big takeaway is this (for free!): if you’re a bit distant, consider being open to getting closer, and if you’re a bit clingy, try to step back a bit. It’s good advice to notice and change patterns that are a problem, absolutely, but I’m not sure it merits the number of workshops, courses, and self-help books that it’s provoked. At worst, some books actually counsel people to avoid any “avoidant or disordered people” as if there’s no saving them from their dastardly origins. Therapeutic discussions of childhood misconnections definitely have helped people better understand themselves, but I think this theory produces such volumes of celebration and condemnation because, in difficult relationships, it feels like the answer, but to parents, it feels like blame.

Attachment Theory Criticisms 

Heidi Keller’s The Myth of Attachment Theory (2022) is an extremely thorough takedown of the theory. If attachment notions make you feel like a crappy parent, this book is vindicating. She explores the offense of putting it all on moms both because of the narrow focus on a single person as well as on singular causation, but her best work is in exploring the creation of a norm of interaction from upper-middle class, western assumptions around what it means to be sensitive to a baby’s needs, an analysis that was made at the time as well: 

Losing Our Democracy in Ontario

For a little while, Trump's mess made me über proud to be Canadian, and even a little bit okay with Ford. But that was short lived! 

If anything, the US disaster has been a distraction for us as the provincial majority government pushed through several anti-democracy policies. They're using Trump's trade war to try to justify these policies, but we all know that's bullshit. 

Bill 33: Supporting Children and Students Act, which passed second reading yesterday. It will give Ford more control over school boards and universities and colleges. It could mandate police presence in schools and mandate university admission policies. From OPSEU President JP Hornick:

"Stripping away access-focused admissions pathways threatens the socio-economic mobility of entire communities. They want to surveil and criinalize our kids from a young age and then make it even harder to access post-secondary education later on in their academic careers. Ontario's future depends on an inclusive education system, not one that intentionally keeps people out. ... It is clearly intended to defund these services in our colleges."

Covid Causes Clots!!

 A headline in the New York Post: "Why so many people are having strokes in their 20s, 30s, and 40s: We've never had patients so young." 

They report that, "Between 2020 and 2022, there was a 14.6% increase of strokes among people aged 18 to 44." Many of whom were "by all common standards, healthy." Their theories about the increase include birth control pills, stress, long working hours, physical inactivity, caffeine especially from energy drinks, and Adderall (although they add that most studies don't show a strong association between Adderall use and strokes). None of these have been shown to have increased that dramatically since 2020, but something else has. I stupidly read the comments on the article, which are all about "the jab" killing us. IT'S NOT THE VACCINE!!

There is, of course, absolutely no mention about an unmitigated brain-invasive virus doing the very type of damage researchers and doctors warned us about years ago. We knew that Covid stays in the body and forms blood clots since at least 2021, and it became widespread in 2022, which is why some wise doctors ask for a D-dimer test after a patient has problems post-Covid infection to check for clotting issues. Here are just a few: 

Protect Your Neurons from Nimbus!

The latest Covid variant has the same name as a big looming rain cloud. The more we let Covid spread, the more it will continue to mutate, and this one is even more easily transmissible. 

It's provoking people to mask up in parts of Asia, and governments are encouraging updated vaccinations in parts of Europe, and it's definitely in the states, but they're not doing much to stop it. Will we?? My kids and I still can't get another Covid shot until it's been a year since our last, and we can't access Paxlovid if we need it. But thankfully there are no mask bans being proposed here.

In the states, the FBI is treating Covid as a crime to be investigated instead of a public health matter to be mitigated:

Still Blooming!

Another milestone to reflect on life a bit today: my 60th birthday. It sounds so old, but I biked 60k total on Monday and Tuesday (didn't have time for it in one go), and played pickleball today, and I'm regularly writing 3,000 word essays, so I appear to still be reasonably sound in body and mind.  

I was hoping my crabapple would bloom for my birthday, but everything bloomed early this year. A couple years ago I wrote about some people who randomly walk by, loudly insisting my crabapple is dead. It's still not dead yet! These are the very last of the lilac blooms from my garden. Such a weird year.

New Covid Strain Causing Razor Blade Throat

Several news venues have been reporting on Covid in the last few days. An ABC News headline says: "Why are more than 300 people in the US still dying from Covid every week?" 

The article explains,

"Public health experts told ABC News that although the U.S. is in a much better place than it was a few years ago, Covid is still a threat to high-risk groups. 'The fact that we're still seeing deaths just means it's still circulating, and people are still catching it.' ... The experts said there are a few reasons why people might still be dying from the virus, including low vaccination uptake, waning immunity, and not enough people accessing treatments."

That last sentence is infuriating because vaccines wane in effectiveness after a few months, and vaccinations here are restricted to yearly except for people over 65 and anyone moderately to severely immunocompromised, such as organ transplant recipients, anyone HIV+, and anyone taking immunosuppressants. Furthermore Paxlovid, our only treatment option here, is only available to people over 60 or at high risk of complications from Covid. Otherwise, you're on your own.

On Approaching Death

 CW: As the title suggests, there will be discussion of death and dying and some mention of suicide in this post.

I thought nothing of following up my last post on Irvin Yalom on the meaning of life with Yalom on the meaning of death, until I started writing here. The very reality of being a bit wary of broaching the subject reveals the strength of societal taboos against admitting that we’re all going to die. Until it’s staring us in the face, we delude ourselves into thinking we will get better and better, mentally and physically, despite that our brain starts to shrink in our 30s, and our joints and organs will start to give out not so long after. We work hard to keep death clean and sanitized so the reality doesn’t seep in too much, and we try to do all the right things to keep death at bay: exercise, various special diets, wearing masks to avoid viruses. We can fix some evidence of erosion with meds and surgeries, sometimes miraculously, but some people even hope to keep their brain going long after their body dies.