“You Can’t Change Something Unless You Love It”: The Case of Dr. Gilmer and Dr. Gilmer

“It’s a funny thing,” Jane Jacobs told an interviewer in an interview I cannot find, “you can’t change something unless you love it.” (By “change” she meant improve.) She had seen that people who disliked cities gave poor advice about improving them and understood that it wasn’t just cities. To improve something, it isn’t enough to have a good idea. You also need to (a) pay close attention and (b) overcome obstacles. (a) and (b) aren’t easy. You are unlikely to do them without strong motivation, such as love.

Jacobs’s point is at the heart of the success of my personal science. My personal science is hugely different from professional science, but different may or may not be better. It has succeeded, I’m sure, because of what Jacobs says. How did I manage to find new ways to sleep better, lose weight, and so on? I had good ideas, yes, but so do many people, including professional scientists. One reason for my success: I observed myself closely. Now and then I noticed outliers (e.g., nights when I slept unusually well, days when I lost my appetite). These gave me ideas to test. In professional science, this rarely happens. For one thing, they can’t wait for outliers. They are under pressure to get results soon. Another reason for my success: I persisted. For many years, I measured my weight, sleep, mood, and so on. Unlike a professional scientist, I had no required output. I could spend as much time as necessary.

I keep coming back to this because Jacobs’s point is absent from conventional American thinking, such as New York Times op-eds. But it is illustrated again and again. A recent episode of This American Life, titled “ Dr. Gilmer and Mr. Hyde“, is about two doctors named Gilmer: Dr. Benjamin Gilmer and Dr. Vince Gilmer (who are unrelated). VG kills his father and goes to jail. BG replaces him at a rural clinic. His patients tell him what a nice man VG was. This puzzles BG: Why would such a nice man kill his father? The legal system had ignored this question or at least not provided a convincing answer. BG, on the other hand, actually cares. (Spoiler alert.) He gathers information about the case and visits VG in prison. With the help of a psychiatrist friend, he comes up with a new idea: VG has Huntington’s disease, whose symptoms include aggression (such as murder). In prison, VG has been far too aggressive. His hands shake some of the time; this had been called “malingering” (faking) by a psychologist. When tested, it turns out VG does have Huntington’s disease, in the sense that he has the gene for it. When VG was given medication appropriate for Huntington’s disease, he got much better.

BG, who cared about VG, managed to improve his condition. The legal system, which did not care about him, did not. The implication for all health care, including research, is straightforward: Empower those who care.

Acne Club: A New Way to Fight Acne

Recently I posted that my work resembles the work of the artist Hong Yi. Her work shows that profitable beautiful art can be made from the cheapest materials; my work shows that non-trivial useful science can be done by anyone. A reader named David commented:

Your work and discoveries, just like Hong’s, are very inspirational. . . . They send a message that every individual has the potential to contribute something to society even with no or limited budget.

This hadn’t occurred to me. It should have. I could have made this point in talks, for example. Beyond the obvious point, David was saying that the more your personal science could help others, the more likely you would be to do it. The prospect of helping yourself and others will surely be stronger motivation than the prospect of helping only yourself.

How can one person’s personal science help others? This doesn’t happen automatically, it has to be arranged. My Journal of Personal Science and the Make Yourself Healthy Meetup group are two ways of facilitating this. What about other ways?

David’s comment made me think of another way: Acne Club, that is, a high school club for people with acne. The purpose of the club is to promote personal science about acne. Members of the club try to find the causes of their acne, partly by self-experimentation. They meet to share results and ideas (e.g., treatments to try, how to measure acne) and encourage each other. The discovery of two groups of “primitive” people who have no acne suggests that all acne has environmental causes. If a high school group could identify even one environmental cause, it would be a huge contribution to human well-being — especially the well-being of high-school students. I think this is quite possible.

I had acne as a teenager. If you start such a club, I would be happy to help you however I can. For example, I could give advice about measurement and experimental design and could publicize what you learn.

 

Standing Improves IBS Symptoms

At least in one case. A 23-year-old woman, who lives in Manchester UK and works as a typist, wrote me:

I’ve recently been trying out a standing desk, partly due to reading the posts you made about them. For the past few weeks, I have been tending to stand instead of sit when at my laptop, normally for more than 3 hours a day. I sit down when I get bored of standing and I walk around lots.

I was looking out for mental clarity effects but I’ve not seen a clear effect in that direction. What I did find surprising, though, is that my chronic but mild IBS symptoms have abated. I get heartburn/acid reflux regularly, and gut cramping, but since standing more these have all but stopped. I think it’s because standing up puts less pressure on my stomach and gut and leaves them more opened up.

I asked how long she’d had the symptoms (heartburn/acid reflux, etc.):

I think the last 3-4 years, but it’s hard to say when. I think my IBS probably started happening when I started having problems with anxiety but I wasn’t keeping track back then. :) I’ve suffered from recurring depression for 10 years now, but severe anxiety for me is relatively new. I think it would make sense if it coincided with the anxiety – I’ve heard of Citalopram (an anti-anxiety medicine) also being prescribed in a low dose for IBS, and some of my friends who have taken Citalopram + who have had IBS have had it go away. I never actually got a diagnosis for IBS, but it seems a fair description. The symptoms are heartburn, gut cramping (sometimes very painful) and my stool being quite variable in solidity.

I asked how long had she been standing more than usual:

4 weeks, when I’ve been able to. At work I have to sit, often with bad posture, but the last two weeks I have been on holiday. When I stand, I notice an improvement on the same day that I’ve been standing more. Part of what motivated me to stand with using my computer was when I recently spent a day walking around Manchester (where I live). I noticed that my energy levels were much smoother even though I hadn’t eaten very much and that my gut and stomach felt more OK than usual.

I asked what other remedies she’d tried:

About a year after I started regularly getting heartburn, a friend told me about antacids, so I started taking them when I needed them, but they weren’t always effective and they don’t help with gut cramping. Peppermint tea worked to some extent but would give me strange headaches and made me feel bloated. Peppermint oil capsules were an improvement – no bloating but still giving me headaches. I’ve also tried various dietary changes. I find that dry carbs (like toast or potato crisps) tend to bring on or make worse heartburn and cramping so I sometimes avoid those. Also when I’m hungry I get heartburn quite badly, so I’ve tried to eat things that level out my blood sugar over time more (e.g. eating more fat and protein, fewer sugars and carbs). I tried probiotic soy yoghurt (I’m vegan) to see if that would help but it doesn’t agree with my stomach. I also have tried probiotic supplement but I’m not sure that I’ve seen improvement from that either.

She added, “I haven’t had IBS symptoms on days that I have been standing yet!” So it is perfectly clear that this is cause and effect — standing reduces IBS symptoms.