The numbers in our lives: Do we like what we’ve become?

What becomes of us as the years pass? Do we become what we like to be or do we end up with no choice but to like what we have become?

A life that exceeds 80 years is likely a celebration of fulfilled aspirations; a life cut short at 50, a tragedy of wasted possibilities. Taking a good look at our individual lives, we see a single snapshot when we look back; we see a series of milestones when we look ahead. Like train-stops that serve to remind us where we are in a journey, these milestones keep us aware of both time and distance, specifically what is left of them. Stephen Covey has an excellent way of summing up all these milestones in a phrase: To learn, to love, to leave a legacy. With so many things to aim for and too little time to accomplish them, how we balance the various elements in our lives within the limitation of time ultimately determines where we find ourselves – and how people find us – at the end of the journey.

Milestones are embedded at the back of our minds when we enter college and most especially when we choose our profession. Things that have to happen have to happen at certain time frames. We are one thing when we are 16, but we are something else –or supposed to be something else- by the time we turn 21. When we finish college by 21 or 22, a whole new set of milestones take shape as we decide on one career path over another. We make a big deal of turning 30 as we imagine reaping the perks of a promising career in the years that follow.

By the time we turn 40, life begins to take on a new meaning. We begin to peak and acquire a certain standing in the community where we circulate. Many assume bigger roles in the associations where they belong; some look forward to becoming their leaders. We go through the so-called midlife crisis at around this time when we perceive a mismatch between our dreams and our achievements so far. The pursuit of success becomes complicated because success assumes diverse definitions, some of them perverse.

As we turn 50 – as I did in 2006 – we seek to simplify things by realigning our definition of success with what really makes us happy. Happiness becomes more personal, closer to the self than to the dictates of friends and family. Retirement crosses our minds more often, just as health concerns become more real. Eventually we turn 60, and senior citizenship confers on us the privileges of the 20% discount and a sharper focus on the generic drugs with the best price for our blood pressure and cholesterol. With luck and a more disciplined attention to the warnings of decline, we may make it to 70, then 80, and, why not, 90. A hundred years is, perhaps, too much to aim for but as the years add up we learn to appreciate the numbers in a much grander way.

Numbers influence the decisions that we make – both the major and minor ones. We celebrate milestones depending on the numbers we associate them with. Our 1st birthday – and the 1st birthdays of our children- are painted in our minds with balloons and clowns and a birthday cake with a single lighted candle at the center, recorded for posterity by a videocam that is permanently stuck on the father’s face, and orchestrated by the mother who throws herself at the frenzy of the moment. The 100th birthday is absolutely an even bigger day – this time for the offspring of the clueless celebrant who may not even know where she is or who her children are. Indeed, the first birthday and the 100th are occasions celebrated not by us but by the people whom we take care of or who now take care of us. In-between these milestones, we either grow and gain mastery doing great things, or occupy space and flaunt a lifetime of insignificance.

The first year of marriage is bliss, with adjustments and difficulties overpowered by love if not by passion. The first wedding anniversary is an exclusive romantic occasion that every wife looks forward to and every husband who values peace should never forget. The first anniversary of an achievement – and even the first death anniversary of a loved one or a respected individual – never passes unplanned, unacknowledged, or unprepared for. People always remember the first; the second seldom comes close. The first of anything is almost always imbued with passion, commitment and great promise for the years to come; the second that follows is usually soon forgotten.

Ten years of marriage, happy or otherwise, is a milestone for couples who learn to put up with each other’s idiosyncrasies. A decade at work calls for an award or recognition, if not for excellence, at least for loyalty and resilience. A lot of things go into 10 years of any endeavor. We come out of it whole or broken, but we come out different either way. Time changes us; we learn to adapt. When we can’t, we learn just the same.

We expect certain changes – progress, if you may – as we move through the numbers, because we like to believe that time confers on us wisdom or even just recurrent opportunities to redeem ourselves. At 18, we become legal; at 21, we go mainstream; at 25, we think of work and survival; by 30, we start a family; at 40, we look forward to comfort and achievements; at 50, we consider things greater than ourselves; by 60, we expect peace, quiet and security; at 75, we count our blessings. We bracket the numbers in our lives with the sparkle of our hopes and aspirations. Twenty-five years is silver; 50 is gold; 75, diamond.

In time, 100 will become the norm as medical science and technology assume a major role in the ‘evergreening’ of the human species. As we struggle through the wrinkles and the sagging breasts and unreliable tumescences; as we attempt to renew ourselves – with tablets and injections and vegetable-cum-fruit juices and all sorts of anti-oxidants– we may have to establish a new order in the way we count the numbers. When 60 becomes the new 40, and adolescence extends up to 30, joie d’ vivre could put our world at risk of being crowded with people who love life but only for themselves!

As the number of our years moves onward, we have a choice of not allowing ourselves to do more of the same things that keep us safe and comfortable. We can open our eyes to the reality that a lot in our lives, no matter how important they may seem, are spent on things of little consequence – transient things with no significant impact on the community where we live. We can bravely opt for substance rather than form, and enhance instead what we can no longer extend. If all that science can provide is a longer life for moneyed people with overstretched faces and overblown egos, 100 would be to plastic what 75 is to diamond, and people who refuse to see it would never know the difference.

What becomes of us as the years pass? To be sure, we become older and richer in years. Everything else depends on whether we can count on ourselves to go for what counts the most -in an era where what counts is masked by distractions ironically created by an obsession to accomplish more with so little effort and in the shortest time possible.

I turn 57 today, not at all affected by the cursory “ Happy Birthday!” greetings that I receive or do not receive. It has been 7 years since I got all excited and uptight about turning 50, presently disappointed with myself for having let the years pass without the fervor that defined the previous decades of my life. How time flies, and how it unnerves my state of unreadiness.

Unreadiness for what?

For the time when time stops, I guess, and the numbers lose their meaning. When we can no longer look forward and add more numbers, and can only look back and see, with clarity and surrender, that there is only the here-and-now to experience and savor; that there is nothing we can do about the past and there is no future to look forward to, and all we have is ourselves, hopefully with the people we love and the things that matter to us, in the present as it presents itself.

June 19,2013

Comments

comments

torrent
Very good post. I absolutely appreciate this site. Continue the good work! Jonell Nester Etrem
access
My partner and I absolutely love your blog and find the majority of your post's to be precisely what I'm looking for. Does one offer guest writers to write content in your case? I wouldn't mind publishing a post or elaborating on a number of the subjects you write with regards to here. Again, awesome website! Alfy Forster Ahmed
access
This information is priceless. How can I find out more? Elissa Welch Wootten
filmkovasi
Only a few blogger would discuss this topic the way you do. Danica Leonerd Burrow
Eugene Ramos
Such a long comment, unfortunately I do not know how to read your language.
Williamcep
<a href="https://hydra1onion.com" title="гидра сайт ссылка" rel="nofollow">гидра сайт ссылка</a> доступна в тор Браузер, тор браузер это свободное и открытое программное обеспечение для реализации второго поколения так называемой луковой маршрутизации. Это система прокси-серверов последовательно связанных между собой в длинную цепочку интернет соединений, позволяющая устанавливать анонимное не оставляющее следов сетевое соединение. Рассматривается как анонимная сеть виртуальных туннелей (VPN), предоставляющая передачу данных в зашифрованном виде. Свою актуальность получил как инструмент для “свободного” интернет-серфинга, в частности посещения заблокированных сайтов таких как Гидра и аналогичных ресурсов из теневого интернета (Darknet). Используя тор браузер Вы остаетесь анонимными только до того времени пока не начнете сохранять свои личные данные, не нужно забывать о своей безопасности, поэтому мы рекомендуем Вам не сохранять пароли и иную информацию, используя которую злоумышленники смогут Вам навредить, чистите кеш, куки и удаляйте историю.
Eugenio Ramos
The crisis is still with us and will likely persist longer than hoped for. Months have passed, the impact now includes an increasing manifestation of mental exhaustion, alleviated perhaps by a more deliberate effort to practice mindfulness amid the mindlessness of situations around us. We are likely going to be stronger if we are able to survive.
Eugenio Jose Ramos
Ella, I think things can really get better once we all find the time to grant ourselves the gift of solitude - to situate ourselves in the overall scheme of things, to decide where we can contribute more and make a difference, to become part of the solution rather than add to the problem. Getting deep into ourselves is just as fulfilling as exploring the vast possibilities in this crazy world filled with all sorts of creatures.
Ella
Purpose and pride by serendipity... To reflect and not miss out why humanity is so inspiring... Reveals a profound understanding of ourselves... The power of the collective emerged... Opporunities for genuine leadership... Period of profound cleansing and renewal... Health for the Filipino people... Too many beautiful lines to mention. Despite our efforts to control the outcome of our future, life finds a way to surprise us. This pandemic taught us to embrace uncertainty and find a sense of peace, clariity and purpose amid the chaos.
Eugene Ramos
Avery, education can entrap us; in fact, a lot of what's wrong with our society is because of the education we receive from the academe. Then from medical school where the student gets basic education, he starts residency with all the idealism to help humanity. Something happens in residency; he loses that idealism as he experiences frustrations, finds ways to go around them, develops a liking for role models that perpetuate the fabulous lifestyles of doctors with successful medical practice. From taking up medicine to help his community back in Surigao, he trains to become a specialist that can only succeed by staying in Manila.To begin with, there are no hospitals in Surigao to train in, and there are no hospitals there that offer what Manila offers. This is the reality. More than 50% of medical specialists are practising in NCR. So where does the crisis start and how can we end it?
Avery
thought the article was something only you could write. I am not a doctor and neither do I have the slightest idea of how the leadership system in the PCP works, let alone the ideology and values that the leaders possess. When I examined the problems that you have pointed out it made me realize that clearly it will take a ton of effort to reconcile everything, from the opposing ideologies, political inclinations, values, interests etc... not to mention emotions and temperaments. the part were you mentioned "acquiring breadth tempers restlessness." Really struck me because it is one hard truth. I know because it's in my nature to be restless when presented with challenges or when my idea is put out on the open. My insight is that, isn't it the point of education to have you ready to negotiate your ideas and to allow your beliefs to be broken down wih the hope of having it rebuilt stronger? I guess you are right doc, the reason why a system is so stricken with conflict is that not one individual or one group for that matter is willing to negotiate for the common good, pudpud na pero totoo. No one is willing to take a deep breath, we are just at it like a dog chasing a freesbee, no thinking just all bark and aimless running.
Eugene Ramos
Edgar, There is actually so much pleasure - a rare kind of fulfillment - in sharing not what is easy to give away but what is part of ourselves. It is great that at 47 you already have that in your mind.Believe me when I say that the things that we are so attached to are the ones that give us most fulfillment, when we are finally able to detach from them. Such is happiness; the more you give it away, the more it stays with you. Gene
Corazon Devera
Life is too short. So you have to give time to your self and people around you. Material things are not the answer to one's happiness. Making others happy is what counts most.
Elvira Lastimosa
Belated happy birthday doc!
Eugene Ramos
Thank you, Professor Rudy, there is actually a big difference between complicated and complex, just as simple is not the same as plain. Language makes us homo sapiens different from the apes; the ability to organize our thoughts in a way that is clear, elegant, and with impact is far too important to be expressed just by yes and no.
Eugene Ramos
Coffee with you will be a great honor! We all will have our own time to experience what you are experiencing, there is never any doubt that everything is transient. Temporary. Impermanent. What we can do is to use all opportunities that come our way to do good in the remaining time that we have, to be thankful for everything that makes this journey such a joy!
Rhiza F. Valdes
Gene, your gifts are immensely abundant and now you should realize you have shared a lot to your family, friends, colleagues,and to those who care for you and those you care for( patients included) At age 53, I was faced with a health crisis that made me reflect and think , asking myself, what next? Plans were shelved, opportunities missed, heart aches occurred, made me realize the temporary state of life. Nothing permanent except for Change. Disappointments V's happy conclusions. Real friends, kindred spirits V's those who are just passing by, through my life. All are important and left impressions and have life changing marks in my life.. My world and that of my family's were affected by a life changing, strong event a year and a half ago. I was thrown into panic and confusion at first but I realized there is a plan for me. Struggling through all the changes in our lives, my family held on to our faith.. For hope and happy acceptance for what will come. My last treatment will hopefully be this July. I was staring at the sculpture in the garden last Saturday and I realized the answer has always been in my heart--- a heart that longs to give out love, to care for family, friends, colleagues, and patients, in a way that goes beyond what my mind tells me. If I don't make sense, Coffee ?
Rodolfo deG Ibanez
Hi Doc Gene, Ma'am Jopie is right. People with your intellectual acumen tend to complicate simple thoughts. You see complexity with answers limited to yes or no or one liners that seem to give no meanings because in their simplicity, the suppleness of the limited words hide the sincerity in its meaning. But this how the likes of Aristotle, Descartes, or even the language of Shakespeare able to reach out to people of higher intellect. Reading your thoughts written in well crafted prose expressed the sentiments of a man who has complete command of the English language. Your reflection led me to the thoughts of Jostein Gaarder, author of Sophie's World, "If we were never ill we would not know how it is to be well; if we never knew hunger, we would take no pleasure in being full; If there were never any war, we would not appreciate peace; and if there is no winter, we will never see spring." And it is in the opposite that we live life
Edgar Lerma
https://twitter.com/edgarvlermamd/status/751949087490973696
Eduardo Vicente S. Caguioa, M.D.
The crisis being referred to in the first part seems to be totally different from that referred to in the second part. In brief, the first part may be attributed substantially but not totally to poverty driven needs and uneducated population still stuck in old beliefs and lifestyle that filter into the political landscape during elections so that elections become mere extensions of a political dynasty rather than a mechanism of change for the better thru meritocracy!! Needless to say, the incumbent and past incumbents have made measures to ensure that this mechanism will not change. So why blame the clueless "mass population " who have not been educated better purposely - history is replete with this type of strategy on how to control a population and maintain power from the time of the Romans up to the present - the recent news about lack of classrooms and schools not being and the budget not being spent in certain areas speaks for itself! Reminds us of certain countries now and states that are in turmoil because of this long acting mechanism! The second crisis, referring to Doctors, is more complex and cannot be put in the proper light in just a few comments! It must be viewed on how medicine advanced with technology and how training had to keep up with the advances. It must also be viewed thru the eyes of generation x and now thru the eyes of Generation Y - the millennium generation who have starkingly very different characteristics amongst which is the "me interest" and lack of regard for "hierarchy or authority " and that they succumb to stress quickly. The role of PCP has evolved as it used the products and minds of many different training mechanisms. As internal medicine became more demanding because the knowledge base from sub specialties grew, PCP naturally had to get more sub specialty members - the growth in internal medicine is fueled by the explosion of knowledge in all of its sub specialties - it is the training institutions all over the world that have changed the landscape, not PCP. The trainee now has more choices and opportunities to choose where to put his skills to the best use! The question you are asking is why are the trainees that have long trained and spent much not willing to go to a place where they cannot use what they chose to train for ... That needs a long discussion