James' World 2

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As the year ends, it’s time to reflect not only on your goals for the next year but for the decade beyond. Don’t be intimidated, it’s not as daunting an exercise as you’d think. It comes down to asking yourself the right questions, ones that spur goal setting to not only maximize achievement and success but to create deeper meaning. The goal-setting questions must go beyond the usual, like “Are my goals time-bound and specific?”

Here are 11 powerful questions to guide goal-setting, informed by a review of existing research and many interviews I conducted for my books Make It Matter and Find the Fire on what constitutes a fulfilling work-life (and life in general). As you set your goals for the next year and 10 years, consider what follows.

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It’s a myth that you have to focus on either running or lifting weights in your workout routine. Cardio and strength training complement each other, and incorporating both can make you fitter overall, experts previously told Insider.

There’s good news if you hate running — you can get the benefits of cardio and build your aerobic capacity without it. 

Certain types of weight training can get your heart pumping enough to count as cardio, according to Stan Efferding, a world-record powerlifter, pro bodybuilder, and coach. Hitting the weights can also be less tedious than more traditional cardio workouts. 

“When I say work on cardio, that doesn’t mean go out jogging,” he told Insider. “If I prescribe a 40-minute session on the treadmill to people, the likelihood that they’ll do it consistently isn’t high and it’s not enjoyable.”

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We live in a world where people get mad. Sometimes we’re the reason, so we apologize. Other times, we’re present as our spouse, friend, relative is angry. Rather than be pure witness, we want to help. Often, we tell the person “Calm down.”

Telling an angry person to calm down is simple and direct and about as effective as eating soup with a fork. The person doesn’t want to hear it because they can’t. Their limbic system has often hijacked the brain and when someone is in the fight-or-flight response, there’s no creativity, just a singular focus on the threat.

More than not getting through, those two words will most likely piss them off because the implicit message is: Your feelings are inappropriate and you can’t handle them.

“You’re usurping control and that escalates things,” says Jeff Bostic, a psychiatrist at MedStar Georgetown University Hospital.

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Really!

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When the Covid-19 pandemic hit, one of the biggest questions was: Why do some people get so much sicker than others? It’s a question that has forced researchers to confront some deep mysteries of the human body and come to conclusions that have startled them.

By the fall of 2020, psychiatrists were reporting that among the many groups who were high risk, people with psychiatric disorders, broadly, seemed to be getting more severe forms of Covid-19 at a higher rate. Katlyn Nemani, an NYU neuropsychiatrist, decided to dig deeper, asking: Just how much more at risk, and which conditions?

In January, she and a group of colleagues published a study of 7,348 Covid-19 patients in New York. One finding was stark: People with a schizophrenia spectrum diagnosis faced more than two and a half times the average person’s risk of dying from Covid-19, even after controlling for the many other factors that affect Covid-19 outcomes, such as cardiovascular disease, diabetes, smoking, obesity, and demographic factors — age, sex, and race.

“That was a pretty shocking finding,” Nemani says. The patients all were hospitalized in the same medical system, in the same region, which implies they weren’t receiving radically different treatments, she says. In sum, it all suggests that the risk was closely linked to the mental illness itself and not to some other variable.

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High blood pressure remains a leading cause of death and disability in America today. Nearly half of adults have high blood pressure, and only a quarter of them have their blood pressure under control, putting them at increased risk of heart attack, stroke, dementia, kidney disease and other ills.

Before the coronavirus pandemic, high blood pressure caused or contributed to more than half a million deaths a year in the United States, according to the Centers for Disease Control and Prevention. Those numbers have most likely increased, as blood pressure readings have shot up during the pandemic.

You may have long thought your blood pressure was within normal limits. But in 2017, based on better long-term data, experts lowered the numbers that constitute a healthy blood pressure, resulting in a greater proportion of the population with this risky condition. The former upper limit of “normal” blood pressure, once believed to be 140 over 90 millimeters of mercury, was recognized as too high to prevent serious health problems over time. The current upper limit of normal is 130 over 80, and a blood pressure consistently above 120 over 80 is now considered problematic.

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Rachel Levit Ruiz

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