Sweetie is generally indestructible, which is an awfully nice set of traits to have: rarely sick, no bad knees (since his gross untreated-for-years bursitis was cleared up five years ago), sturdy back, doctor-approved weight, reasonably fruit/veggie-friendly diet, and regular, if moderate, exercise and physical activity. If you actually painted the picture of health, it would look a lot like him, especially when he's got a bit of a tan and looks all glam. Or nerd-glam, I guess.
So he went in for his 40th birthday physical, and rolled a one. Turns out his cholesterol is even higher than it's high-but-don't-sweat-it number of five years ago (that would be the 35th birthday physical) and since he no longer receives the benefits of youth on stat charts, his risk of heart freakouts has gone from 1% to around 10%. It's time to do something about it, apparently, but it's tough to figure out just what that should be.
I am for sure part of the problem, not part of the solution. Yes, there is a lot of real, healthy food around here, and yes, he drinks his 100% juice and eats some fresh, raw fruit and vegetables every day, and the beef is grass-fed (much more omega 3 that way) and I've been on something of a bean kick for a few months so fiber is not an issue. But my various gigs require a fair amount of restaurant dining (at least it's not Claim Jumper crap), and I bake at least once a week. I have also reviewed health and diet books for a number of years, and have a pretty realistic picture of the problems in our current food-related life. Mostly, it's butter, and depending on your perspective, the presence of white flour in our homemade breads and desserts (but he's actually more of a whole-grain eater than I am). There are a few obvious places where he could make changes without much trouble--smaller butter-laden restaurant portions (he's a clean-the-plate fellow, and often that includes my plate, too), a bit less pork belly and a bit more sushi, a bit less puff pastry and a few more vegetables. No one ingredient has to go, and really, nothing is that big of a deal--it's not about weight loss or will power or anything--just a bit more effort in the household food choices. Having the nearly-free student-run bakery across the street certainly doesn't help matters; they are the main source of puff pastry in his diet.
The trouble in these theories arise when we look at his blood work tests of five years ago, when all of these changes were in existence--we didn't live next to the bakery, his daily lunch was a PBJ on whole grain with some fruit, and he walked a few miles each weekday, to and from the office. Back then, there was an assumption that the cholesterol level was hereditary--he could totally lose out on some tasty quality-of-life things and maybe--maybe--see some benefits. At 1%, that seemed silly. At 10% and climbing, it's a little creepier. But it's hard to think that anything other than drastic change would result in any obvious results. The plan is for him to do a little food log for a week, visit a dietitian, and spend a few months trying to follow her recommendations, then in March everything will be checked again and he'll see if a cholesterol-lowering drug actually makes more sense than forever avoiding homemade cookies. I suspect I know which will give the bigger benefit to him, but am trying my damnedest to cope with a future that might include ditching my favorite hobby in order to help keep my husband from having an early heart attack.
Another human nature response to all this: Undeserved, unsought crap arrives in everyone's life from time to time, but it's especially difficult managing that "why him?" feeling. I picture all these crap-eating, no-exercising, vegetable haters skipping merrily along with their 165 total cholesterol and resent the hell out of them. I am actually one of people to hate in this: My diet is much more erratic and sugar/fat-laden than his, and I, despite the tendency of my musculoskeletal parts to fall apart into crippledom, am blessed with low cholesterol and low blood pressure to the point of freakishness. With all my years of robot-spine-fusion troubles, I always figured on a certain amount of responsibility for the trouble--stage diving, motorcycle accidents, heavy smoking, the full package of dumb decisions--but Sweetie's choice of a few cookies every week doesn't seem to merit the results. Maybe it's just that cookies seem, on the face, more innocent than unfiltered camels.
He meets with the dietitian on Monday. It's conveniently on the same street as our favorite doughnut shop and taco truck. I am not kidding.