Louisville Medicine Volume 65, Issue 1 | Page 15

are better off married than single, but most times have only their wife as their most relevant contact, and benefit from her network. If she predeceases him, he loses that support, and he is more likely to die, and sooner. Men in our society rarely increase their social circles after they reach adulthood. Living alone is a huge risk factor for a shorter life.
Pinker outlines a number of principles for making a“ village” in our current society, so we can take advantage of the benefits:
Principle 1: Live in a community where you know and talk to your neighbors.
Principle 2: Build real human contact into your workday. Save email for logistics. Use phone or face time for more nuanced interaction.
Principle 3: Create a village of diverse relationships. Build in social contact with members of this“ village” the way you work in meals and exercise.
Principle 4: Everyone needs close human contact. Adjust the ratio of your face-to-face to screen communication according to your temperament, just as you adjust how much and what you eat according to your appetite.
Principle 5: Make parent, teacher and peer interaction the priority for preschoolers and young children. Combine live teaching with online tools for older children and teens.
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Principle 6: As more of our interactions migrate to digital platforms, face-to-face contact in education, medicine(!), and child care has become a luxury commodity. As a fundamental human need, it should remain accessible to all.
( This last principle hit home a few weeks ago, when the greeter at one of the hospitals tried to get me to“ sign in” on a computer screen when I went in for tests. Another attempt to cancel the soul, and personal connection to medicine that used to define these institutions.)
I found the book surprisingly readable. Maybe it’ s because I have a background in psychology and social work, but I think it also confirmed what I already knew from being part of a“ village.” To recapture that environment, we have downsized from a subdivision with no sidewalks and few visible“ neighbors.” We are now part of a New Urbanist community( Norton Commons) where it is walkable, much more socially active, and has a better chance to enlarge and cultivate a“ village” for the future. We are betting our lives on it.
Dr. Rigby works as a consultant / contract medical examiner for Kentucky Retirement Systems, and also for ACOG ' s Safety Certification in Outpatient Excellence in Women ' s Health program.

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