One of the leading members of the government on aging (I'm sure you can guess who):
MY CONCERN today is, what is it I can tell you which can add to your
knowledge about ageing and what ageing societies can do. You know
more about this subject than I do. A lot of it is out in the media,
Internet and books. So I thought the best way would be to take a
personal standpoint and tell you how I approach this question of ageing.
If I cast my mind back, I can see turning points in my physical and
mental health. You know, when you're young, I didn't bother, assumed
good health was God-given and would always be there. When I was about
-'57 that was - I was about 34, we were competing in elections, and I
was really fond of drinking beer and smoking.. And after the election
campaign, in Victoria Memorial Hall - we had won the election, the
City Council election - I couldn't thank the voters because I had
lost my voice. I'd been smoking furiously. I'd take a packet of 10 to
deceive myself, but I'd run through the packet just sitting on the
stage, watching the crowd, getting the feeling, the mood before I
speak. In other words, there were three speeches a night. Three
speeches a night, 30 cigarettes, a lot of beer after that, and the
voice was gone.
I remember I had a case in Kuching, Sarawak. So I took the flight and
I felt awful.. I had to make up my mind whether I was going to be an
effective campaigner and a lawyer, in which case I cannot destroy my
voice, and I can't go on. So I stopped smoking.. It was a tremendous
deprivation because I was addicted to it. And I used to wake up
dreaming...the nightmare was I resumed smoking.
But I made a choice and said, if I continue this, I will not be able
to do my job. I didn't know anything about cancer of the throat or
oesophagus or the lungs, etc. But it turned out it had many other
deleterious effects.
Strangely enough after that, I became very allergic, hyper-allergic
to smoking, so much so that I would plead with my Cabinet ministers
not to smoke in the Cabinet room. You want to smoke, please go out,
because I am allergic.
Then one day I was at the home of my colleague, Mr Rajaratnam,
meeting foreign correspondents including some from the London Times
and they took a picture of me and I had a big belly like that (puts
his hands in front of his belly), a beer belly. I felt no, no, this
will not do. So I started playing more golf, hit hundreds of balls
on the practice tee. But this didn't go down. There was only one way
it could go down: consume less, burn up more.
Another turning point came when - this was 1976, after the general
election - I was feeling tired. I was breathing deeply at the Istana,
on the lawns. My daughter, who at that time just graduating as a
doctor, said: 'What are you trying to do?' I said: 'I feel an effort
to breathe in more oxygen.' She said: 'Don't play golf. Run.
Aerobics.' So she gave me a book, quite a famous book and, then, very
current in America on how you score aerobic points swimming, running,
whatever it is, cycling. I looked at it sceptically. I wasn't very
keen on running. I was keen on golf. So I said, 'Let's try'. So
in-between golf shots while playing on my own, sometimes nine holes
at the Istana, I would try and walk fast between shots.. Then I began
to run between shots. And I felt better. After a while, I said:
'Okay, after my golf, I run.' And after a few years, I said: 'Golf
takes so long. The running takes 15 minutes. Let's cut out the golf
and let's run.'
I think the most important thing in ageing is you got to understand
yourself. And the knowledge now is all there. When I was growing up,
the knowledge wasn't there. I had to get the knowledge from friends,
from doctors. But, perhaps, the most important bit of knowledge that
the doctor gave me was one day, when I said: 'Look, I'm feeling
slower and sluggish.' So he gave me a medical encyclopaedia and he
turned the pages to ageing. I read it up and it was illuminating. A
lot of it was difficult jargon but I just skimmed through to get the
gist of it.
As you grow, you reach 20, 21, 22, 23, 24, 25 and then, thereafter,
you are on a gradual slope down physically. (shudder)
Mentally, you carry on and on and on until I don't know what age, but
mathematicians will tell you that they know their best output is when
they're in their 20s and 30s when your mental energy is powerful and
you haven't lost many neurons.. That's what they tell me.
So, as you acquire more knowledge, you then craft a programme for
yourself to maximise what you have.. It's just common sense. I never
planned to live till 85 or 84! I just didn't think about it. I said:
'Well, my mother died when she was 74, she had a stroke. My father
died when he was 94.'
But I saw him, and he lived a long life, well, maybe it was his DNA.
But more than that, he swam every day and he kept himself busy. He
was working for the Shell company. He was in charge, he was a
superintendent of an oil depot. When he retired, he started becoming
a salesman. So people used to tell me: 'Your father is selling
watches at BP de Silva.' My father was then living with me. But it
kept him busy. He had that routine: He meets people, he sells
watches, he buys and sells all kinds of semi-precious stones, he
circulates coins. And he keeps going. But at 87, 88, he fell, going
down the steps from his room to the dining room, broke his arm, three
months incapacitated. Thereafter, he couldn't go back to swimming.
Then he became wheelchair-bound.
Then it became a problem because my house was constructed that way.
So my brother, who's a doctor and had a flat (one-level) house, took
him in. And he lived on till 94. But towards the end, he had gradual
loss of mental powers.
So my calculations, I'm somewhere between 74 and 94. And I've
reached the halfway point now. But have I? Well, 1996 when I was 73,
I was cycling and I felt tightening on the neck. Oh, I must retire
today. So I stopped. Next day, I returned to the bicycle. After five
minutes it became worse.
So I said, no, no, this is something serious, it's got to do
with the blood vessels. Rung up my doctor, who said, 'Come
tomorrow'. Went tomorrow, he checked me, and said: 'Come back
tomorrow for an angiogram.' I said: 'What's that?' He said: 'We'll
pump something in and we'll see whether the coronary arteries are
cleared or blocked.' I was going to go home. But an MP who was a
cardiologist happened to be around, so he came in and said: 'What are
you doing here?' I said: 'I've got this.' He said: 'Don't go home.
You stay here tonight. I've sent patients home and they never came
back. Just stay here. They'll put you on the monitor. They'll watch
your heart. And if anything, an emergency arises, they will take you
straight to the theatre. You go home. You've got no such monitor. You
may never come back.'
So I stayed there. Pumped in the dye, yes it was blocked, the left
circumflex, not the critical, lead one. So that's lucky for me. Two
weeks later, I was walking around, I felt it's coming back. Yes it
has come back, it had occluded. So this time they said: 'We'll put in a stent.'
I'm one of the first few in Singapore to have the stent, so it was a
brand new operation. Fortunately, the man who invented the stent was
out here selling his stent. He was from San Jose, La Jolla something
or the other. So my doctor got hold of him and he supervised the
operation. He said put the stent in. My doctor did the operation, he
just watched it all and then that's that. That was before all this
problem about lining the stent to make sure that it doesn't occlude
and create a disturbance.
So at each stage, I learnt something more about myself and I stored
that. I said: 'Oh, this is now a danger point.' So alright, cut out
fats, change diet, went to see a specialist in Boston, Massachusetts
General Hospital. He said: 'Take statins.' I said: 'What's that?' He
said: '(They) help to reduce your cholesterol.' My doctors were
concerned. They said: 'You don't need it. Your cholesterol levels are
okay.' Two years later, more medical evidence came out. So the
doctors said: 'Take statins.'
Had there been no angioplasty, had I not known that something was up
and I cycled on, I might have gone at 74 like my mother. So I missed
that deadline.
So next deadline: my father's fall at 87.
I'm very careful now because sometimes when I turn around too fast, I
feel as if I'm going to get off balance. So my daughter, a
neurologist, she took me to the NNI, there's this nerve conduction
test, put electrodes here and there. The transmission of the messages
between the feet and the brain has slowed down.
So all the exercise, everything, effort put in, I'm fit, I swim, I
cycle.. But I can't prevent this losing of conductivity of the nerves
and this transmission. So just go slow.
So when I climb up the steps, I have no problem. When I go down the
steps, I need to be sure that I've got something I can hang on to,
just in case. So it's a constant process of adjustment.
But I think the most important single lesson I learnt in life was
that if you isolate yourself, you're done for. The human being is a
social animal - he needs stimuli, he needs to meet people, to catch
up with the world.
I don't much like travel but I travel very frequently despite the jet
lag, because I get to meet people of great interest to me, who will
help me in my work as chairman of our GIC. So I know, I'm on several
*** of banks, international advisory *** of banks, of oil companies
and so on. And I meet them and I get to understand what's happening
in the world, what has changed since I was here one month ago, one
year ago. I go to India, I go to China.
And that stimuli brings me to the world of today. I'm not living in
the world, when I was active, more active 20, 30 years ago. So I tell
my wife. She woke up late today. I said: 'Never mind, you come along
by 12 o'clock. I go first.'
If you sit back - because part of the ending part of the
encyclopaedia which I read was very depressing - as you get old, you
withdraw from everything and then all you will have is your bedroom
and the photographs and the furniture that you know, and that's your
world. So if you've got to go to hospital, the doctor advises you to
bring some photographs so that you'll know you're not lost in a
different world, that this is like your bedroom.
I'm determined that I will not, as long as I can, to be reduced, to
have my horizons closed on me like that. It is the stimuli, it is the
constant interaction with people across the world that keeps me aware
and alive to what's going on and what we can do to adjust to this
different world.
In other words, you must have an interest in life. If you believe
that at 55, you're retiring, you're going to read books, play golf
and drink wine, then I think you're done for. So statistically they
will show you that all the people who retire and lead sedentary
lives, the pensioners die off very quickly.
So we now have a social problem with medical sciences, new
procedures, new drugs, many more people are going to live long lives.
If the mindset is that when I reach retirement age 62, I'm old, I
can't work anymore, I don't have to work, I just sit back, now is the
time I'll enjoy life, I think you're making the biggest mistake of
your life. After one month, or after two months, even if you go
travelling with nothing to do, with no purpose in life, you will
just degrade, you'll go to seed. ("go to seed", how quaint! The need to be purposeful even when having fun is an oxymoronic truth)
The human being needs a challenge, and my advice to every person in
Singapore and elsewhere: Keep yourself interested, have a challenge.
If you're not interested in the world and the world is not interested
in you, the biggest punishment a man can receive is total isolation
in a dungeon, black and complete withdrawal of all stimuli, that's
real torture. So when I read that people believe, Singaporeans say:
'Oh, 62 I'm retiring.' I say to them: 'You really want to die
quickly?' If you want to see sunrise tomorrow or sunset, you must
have a reason, you must have the stimuli to keep going'. (Ok, this last sentence ruined the whole piece because it obviously has an agenda e.g "do not retire, continue to work")
Apart from the reminder to exercise, eat right & keep fit, I recognise the need to expand boundaries & be challenged. Recently, a vision was prayed over me of climbing mountains rather than walk the common path because mountain-climbing trains & develops different muscles. I think it's time for me to stop fearing, to stop thinking so much & just climb.
I don't want to have my horizons closed in on me =)
