Live Well as You Age with These 4 Tips to Reset Your Mindset

We now have evidence that the brain is malleable. What this means is by learning new skills, changing current behaviors, and modifying lifelong habits for better health, you can halt cognitive decline as you age — even into your later years.

Live Well As You Age with These 4 Tips to Reset Your Mindset

You’ve done it before - picked up a new hobby, learned a new skill for work, or started a new morning routine. It’s not always easy to learn something new or change an existing behavior, especially as you get older. All humans are actually hardwired to resist change, but the younger generations generally find it easier to change than those of us in our prime time. 

The reality is that getting out of your comfort zone, learning something, and adopting a new behavior (or two) is actually good for your brain health and has been shown to increase happiness. There is evidence that the brain is malleable. What this means is by learning new skills, changing current behaviors, and modifying lifelong habits for better health, you can halt cognitive decline as you age - even into your later years. 

The story of decline in aging you’ve been told isn’t true. Successful aging requires a
change-is-good mindset, the desire to learn, and a progress, not perfection attitude.      

Get Started with these four mindset reset tips listed below. 

Create a Gratitude Mindset

A gratitude journal is a wonderful way to reset your mindset. By focusing on what you are grateful for, you'll open yourself up to experiencing an abundance of emotional, social, professional, and health benefits.

If you’re already in the practice of writing down what you’re grateful for, try taking your journaling a step further. Make one of your points of gratitude everyday descriptive about someone else and what they've done for you, so that not only are you grateful for your own life, but you also recognize the people in your life and how they contribute to your success and wellbeing. Then challenge yourself to spread gratitude to improve someone else's day.

Send the person you recognized in your journal a note to let them know how grateful you are for them and the impact they have had on your life. Think of the lives you can impact by committing to sending just one message a day! 

Adopt a Fun Mindset

Rebecca’s high school boys had their high school finals coming up  in one week. She realized that her freshman would be experiencing high school finals for the first time and might be feeling added pressure.

When she asked him how he was feeling about finals’ week, he replied, “I am so excited; preparing for finals is fun.” 

Fun and finals weren’t the two words she expected to hear in the same sentence, but she was glad to hear he wasn’t stressed and overwhelmed. 

Fun was his mindset which was making the process of preparing enjoyable and exciting. 

What if you took this approach and reset your mindset when you had something stressful coming up in your life? What if, instead of an automatic response of being overwhelmed, you looked at a stressful event as something fun to be excited about? What if you focused on the process of learning being fun and took the pressure of the results off yourself? 

Give it a try. A reset mindset towards fun can help change your perspective quickly and your life may even feel more fun! 

Build an Intentional Mindset to Change for Good

Like many of you, we started 2021 by setting intentions and a word as our guide for what we want to give attention to over the next 12 months.Transitioning our desired behaviors into lifelong habits is part art, part awareness, daily work, and a whole lot of science.

A place to start is with proven strategies or ‘how tos’ on changing behavior for good. 

We all have patterns of behaviors that we fall back on when we're feeling vulnerable, helpless, angry, stressed or alone. These can be choices that feel more comfortable than sitting still with our emotions. In reality, the only thing that behaviors done mindlessly do is cast a shadow inhibiting our ability to live wholeheartedly. These mindless behaviors give us a false and fleeting sense of soothing and comfort. 

One reason we advocate for sitting still and going inward is the process helps you be mindful about the intentions behind your behavior choices. There are no checklists to identify mindless and comfort behaviors, but self reflection allows you to identify them for yourself. 

Here is one question you can ask yourself that may help. 

Do my choices comfort and nourish my spirit and contribute to my ability to live inside out and flourish, or are they a temporary respite from life?   

Be intentional and identifying red flag personal behavior patterns to help you stay mindful on the path to reaching your goals. For example, if you automatically reach for the sweets after dinner, try going for a short walk instead. 

Being intentional is a mindset. Intention can create awareness around habitual behaviors and help you create change for good. 

Seek a Joyful Mindset

Aging well and flourishing after 50 doesn't require a lengthy to do list or lofty goals. 

Focus on the joy in the journey! 

Do things that nourish you from the inside out. 

Here is where we have found joy the last few months:

• Participate in gentle movement like yoga or meditation

• Walk, ski, or snowshoe in nature 

• Have a conversation with a friend

• Enjoy a wholesome meal with family or friends

• Read a thought-provoking book 

• Listen to an intriguing podcast

• Have a conversation with someone who holds a differing view-point, listen, and seek to understand

• Plan a staycation

• Enjoy the extra time at home to do a puzzle or play a game

By resetting your mindset to focus on the pleasure found in the moment versus what you’re not able to do right now, you’ll discover the joy in so many new experiences in your life. Plus, it can help you positively navigate your life during these stressful times. It’s certainly helped us.

Discover a YOU-First Mindset

Does the recommendation of putting yourself first make you cringe just a little bit? For many of us it certainly does — especially for women. 

Stay with us here. As we’ve aged, we’ve grown tired of trying to live up to someone else’s expectation of who we should be, how we should act, and what we should look like as we age. For many of us, these external expectations create stress in our lives and have become an unrealistic burden that we’re trying unsuccessfully to live up to.  

The reality is you get to decide and write your personal story. And, in doing so you will soften your mind, have greater clarity, and calmness as you evolve closer to your truer and more authentic self.

This is hard work. Society will tell you the goal is to be ageless, instead focus on loving yourself as you are and live age free. 

How to begin? Go inward daily. Set your intentions. Do frequent check-ins to catch yourself if you get off track. Live. Love. Flourish. 

At Rumblings, our philosophy is this...we must reset our mindset in order to live the life of our dreams.  

By focusing on gratitude, intention, joy, and YOU, you can reset your mindset to flourish as you age!  

Rumble On!

Rebecca and Karyn

You know that feeling you can't shake? It's grief.

The human experience includes pain and suffering, but we know that it’s not the full story. There is love, resilience, beauty and grace within that as well. If you don’t tell both pieces of that story, then you’re not telling the full story.

~Elizabeth Gilbert, excerpted from a TED interview.

Almost everyone we speak with these days is feeling something really uncomfortable. And, for those not able to express themselves, those feelings come out in ways that give people close to them pause, knowing that they’re not acting like themselves. 

We all feel it. The sense that this is not normal, it’s gone on too long, and the things that keep us steady, grounded and tethered, just aren’t there any more. The heaviness, the agitation, anger, sadness, annoyance - any emotion you can think of - people are feeling. It’s time to be vulnerable and name this collective ‘thing’ we’re all feeling. It’s grief. We’re all at different places in processing it, but we’re all grieving on some level. 

Every single one of us has lost something. Let that sink in for a moment. No one has been spared, and as time has crawled on, it is dawning on us that the world we used to live in is gone forever. The world has forever changed, and because we live in it, we can’t help but be changed by it too. On top of the grief, it’s common for some of us to feel betrayal. Betrayal by our government for not protecting us or over protecting us, our fellow citizens for not caring more or doing something differently, our senior care facilities for not protecting our most vulnerable. Betrayal for having any level of certainty of our futures taken from us. The feelings are real and it doesn’t help that people judge others’ grief, compare their losses to others, or try to deny that we are feeling them. 

Grief expert, David Kessler defines grief as the death of something in his new book, Finding Meaning: The Sixth Stage of Grief. We’ve all lost something - loved ones, a job, a marriage, a friendship - at some point in our lives.  We can’t fall into a trap of ranking our suffering. The worst loss is always your loss, and during this time the loss is more persistent and widespread.  It could be time with friends, the closing of the gym, virtual schools and work, or a favorite restaurant. For others it’s a hug, family celebrations, knowing our elderly parents are struggling and not being able to help. And, yes, it could be the illness or death of a loved one. 

We have to feel the grief.  It’s sad and painful on so many levels - yet, ranking our grief against others’ grief diminishes our feelings. At the very least we have lost our collective health and vitality, and that is no small thing. This experience and our grief will be done with us eventually, but resisting it, denying it, and pretending it isn’t there can make the suffering greater. 

We must acknowledge that how we experience grief is personal. Experts talk about grief being a full body experience, meaning that there are more than just feelings, there are physical symptoms too, and not talking about what we’re experiencing gives it agency over us. There is a perspective that we can lend to one another when we share a collective suffering. We can bear witness to each other’s grief, even when it’s messy. We can be our sister’s keeper. We can begin that process by recognizing it, talking about it, and being willing to name it. Naming it and talking about what we’re feeling is one way to keep grief moving and not postpone what is happening until it begins to affect us from the inside out. 

If we won’t let ourselves feel it, we can’t heal it. The work right now is to go inward to acknowledge those emotions, and then with deep gentleness and grace for ourselves, accept them. The work of tending our grief is very heavy. Accepting what we’re feeling and experiencing as a part of us can help ease that heaviness. Acceptance does not happen all at once, but we can work towards it by expressing it and sharing it with our sisters who are also going through these unprecedented times. As we begin to move through this idea of acceptance, we can create enough space to find a seed that will lead us to new ways to do the things that sustain us and give us vitality. 

We can rationalize that nothing is exactly like what we’re going through now. That grief is inevitable, and most of us have survived grief before. We have experienced grief enough to know that being a companion to grief and the feelings it brings takes courage and a willingness to be vulnerable in sitting with feelings that don’t feel great. There is nothing pleasant about numbness, anger, agitation, sadness or the physical symptoms like appetite changes, insomnia, fatigue, nightmares, anxiety, or depression. But, if we aren’t willing to sit with those feelings, we will risk blocking the harmony of our body, mind, and spirit - the place from where we can learn, gain wisdom, and evolve into the fullest and most brave version of ourselves. 

What we do after acceptance is within us. Kessler talks about gratitude not being in the loss, it is in life. We’re normally all so busy chasing extraordinary moments. Maybe, we’ll find ourselves valuing the ordinary moments going forward. Those ordinary moments will be the ones that hold true meaning. We’ll have the wisdom of experience to know we need not wait to create those meaningful moments. We should be creating them right now, and maybe they will give us enough light that we will acknowledge that even while we’re still grieving, we can experience joy, and it’s ‘normal’ to feel that too. 

We also have great capacity to hold emotions like grief and sorrow and hope and joy, all at the same time. The future is uncertain, and we will be forever changed in ways that are still unknown. But, here’s what we do know. We will be here for each other, we will bear witness to each other’s journeys, and we will share and let go of our burdens together because we belong to one another. That is what connectedness and community bring to us. Even though we’re not as close together as we’d like physically, no one can take that belonging away from us. 

If you or a loved one are struggling with feeling overwhelmed, anxious, or helpless during these times where it is impacting you more significantly than what we share here, please know that you are not alone. We encourage you to access many resources and support groups available online. The Anxiety and Depression Association of America and Substance Abuse and Mental Health Services Administration are just two of the many wonderful resources for anyone significantly struggling to cope during these difficult times. 

How to Care for Your Heart After 50

This is part two of a two part series of a conversation with Courtney Jordan Baechler MD, MS, a preventive cardiologist and a Medical Director at the Minneapolis Heart Institute Foundation. Part one can be found here. Edited and condensed for readability. 

Disclaimer: Nothing in this post is intended to diagnose or be a substitute for medical treatment. Always consult with your healthcare provider before taking any supplements, particularly if you have any medical conditions or take prescription medications. 

As part of the Minneapolis Heart Institute Foundation’s (MHIF) women’s health event called Hope, Health and Humor: At-Home Edition, we had Courtney Jordan Baechler MD, MS join us for a small outdoor gathering of women and a conversation about women’s heart health. This conversation is critical for women over 50 because many women think that heart and vascular disease only impact men at this age. However, once women reach menopause the level of risk, number of events, severity of heart disease, and even death rates are the same. Yet, our symptoms may be different, are often not taken seriously, and we’re not researched as much as men. 

Karyn: Social connection is one of the foundational principles at Rumblings, and there is more and more research showing social isolation, loneliness and the impacts on health being as great as smoking, obesity and other health risks. Are you starting to see this impact in your practice as well?

The Inner Heart Trial was a study across 52 countries and 6 continents. It looked at causes of blockages in the arteries and also if there was anything else that we did not yet know. It found that one-third of all blockages in coronary arteries result from poor mental health: from social isolation, anger, depression, anxiety, and anything in the mental wellbeing category. As strong as abdominal obesity, smoking, and high blood pressure. It’s a really big deal. There are many non-pharmaceutical or non-medicine based things you can do. At Minneapolis Heart Institute, we talk about Tai Chi, social connection, sleep, nutrition, music therapy, and acupuncture for example. It’s fascinating that across all generations we have a world that is quite lonely. Even if you’re on social media all the time, people don’t feel connected in an intimate sense with their friends. We have a tremendous interest in ways to be well other than just seeing a doctor and getting drugs. 

Karyn: Are there certain lab tests, heart tests or calcium scores that we should be asking for as we get older?

It really depends on what you will do once you have the information. The analogy that I use are genetic tests you may get when you are pregnant, especially if you are considered at ‘advanced maternal age’. Are the results of the test going to change your behavior or will they just worry you? I have pretty strong beliefs about doing the tests that we do for the right reasons. For example, a calcium score is determined by what is basically an x-ray of your heart to look at calcium production. A calcium score is not usually covered by insurance. It is the first sign of build-up in the arteries, and it will compare you against women of the same age. A calcium score of 0 - meaning no buildup in your arteries - is rare. Everything else in our mind is considered heart disease, even if it’s the beginning of heart disease with a buildup of 10 percent. Then the recommendation of the guidelines is to prescribe a statin drug. From a cardiologist perspective, once that happens, we do not pass go without being on a statin medication. The recommendation is to repeat the calcium test in 5 years to see if it has changed. There is not a lot of data to suggest whether or not a repeat test should be done or if the score changes for many people. 

I have some patients that tell me their calcium score is single-handedly the most impactful things that caused them to change their behaviors on what they eat, when they exercise, how they sleep and moderate their stress. If that is going to happen and it will drive you to do the things that we need to do for health, then it’s super helpful. But, 85% of coronary artery disease or blockage in the arteries are lifestyle based and preventable. Even if you get lucky and get that ‘0’ [score], it doesn’t change the need to do those things. It’s definitely very trendy right now, but it depends how your brain works and what kind of information is helpful to you. 

There are other things we do that are more commonly covered by insurance. A high-sensitivity C-reactive protein (hs-CRP) is a blood marker for inflammation. There has been an association between higher CRP levels and heart disease. When I am risk-stratifying someone and they have a very low high-sensitivity CRP level, it indicates that their body’s sensation of inflammation is low. My prediction is that in 20 years, heart disease will be much more about inflammation. Inflammation in the body leads to high blood sugar, which leads to more diabetes. Inflammation leads to high cholesterol, which  itself is an inflammatory marker. Inflammation also leads to high blood pressure and the list goes on. This is one of the few ways to test for inflammation and most preventive cardiologists will do that as this blood marker can be lowered with statins. 

Some other markers I usually get are Lipoprotein A (Lipo A) and Apolipoprotein B (Apo B), which are ways to look at the cholesterol breakdown to look at size and stickiness of the cholesterol. These things are a little more genetic in nature. We do not have any drugs as of yet, that can change those numbers. It can be helpful to reassure someone who has a strong family history or is nervous about their levels. 

There are more advanced [tests] to gather even more information about the cholesterol breakdown, many of them are not super helpful beyond the 3 that I get on most of my patients. 

Most of the studies that we have are on [the effect of] drugs, not lifestyle. We are hoping to change that. Today, the way that we use statins in our society is that everyone should be on them, and most physician’s intent is that you should be on them until you die. I try to tell patients they get to choose what they want to take, as nothing we put in our bodies is perfect. If a patient tells me they want to do everything possible to decrease their risk of having a heart attack or stroke, and they want to do everything by the book; for most people that will mean a statin, and they’re doing ok. 

Other patients may say they want to do everything else but that, and there is a lot that can be done on the behavioral side. I have many patients that have a pristine diet, they move a lot, they really moderate stress and how they manage it. They sleep well, social connection is a huge part of their life - they have a purpose. They choose not to be on statins and they’re doing ok. It’s about tradeoffs and thinking through what will work best for you long-term. I have people who do both and they’re doing pretty well. 

Karyn: What about supplements? Are there supplements that we should be taking?

I am definitely a fan of supplements for a specific reason and not just taking them because your friend does and they work for her. CoQ10 and Vitamin D are two that I use routinely.

For instance, if I have someone on statins, I always put people on 100mg of CoQ10 twice per day. In Europe, this is standard of care. Statins deplete mitochondria, which are the energy producers of our cells and CoQ10 helps to replete them. For some patients, I have found they are much less likely to get muscle and joint aches. There have been trials that have found it doesn’t matter, but for some it seems to help. Trials have shown that CoQ10 lowers blood pressure. I have people looking for natural ways to lower blood pressure to try it first, and it’s great for energy. 

It is important to ask your primary care provider about checking your Vitamin D levels.  Vitamins A, D, E, and K are fat soluble, so you can get too much, but 85% of Minnesotans are low. In the Winter, 5000 IU per day is recommended. The sweet spot for Vitamin D levels is in the 50-70 ng/mL range. I will see people come in as low as 10 ng/mL. We call Vitamin D the ‘happy vitamin’ because people feel off without it if they are low, but too much can be toxic. 

For [high] triglycerides I use fish oil. There are studies on lowering triglycerides with 1000mg, 3 times per day. It’s a big dose, and it has to be the right type of fish oil - Nordic Naturals is a good one. Fish oil is also good for mental health. I use red yeast rice for lowering cholesterol. I have found that most people’s cholesterol will go down with a 2400 mg supplement, but there are no studies to show if it reduces risk for heart attacks or strokes.

I have many supplements that I may recommend for individuals with anxiety, stress, or problems sleeping. For palpitations, stress, or help falling asleep I use L-theanine. I will use melatonin to help people stay asleep.  Depending on the time and reason for a patient visit, I will sometimes recommend Ashwagandha during menopause as women’s bodies adjust to the new normal. 

Everything is connected in our bodies. Sometimes our heart feels off because our gut flora is off. I may put people on probiotics for a month to see if we can refresh their natural flora. I always try to introduce them one at a time so that you don’t have too many different things at once to try to figure out if it is working. 
Karyn: I’m pleasantly surprised to hear you say that there are supplements you recommend. I’ve always been hesitant to tell my healthcare providers about the supplements I take, but now I definitely will. I have always felt that supplements have helped me to feel my best. 

Karyn: Let’s talk about how the gap in women’s cardiovascular health research impacts recommendations for women. What can we do to advocate for getting more research on women’s heart health?

We’re 35 years behind in research on cardiovascular disease compared to men. Women weren’t even allowed to participate in studies due to regulations set by the Food and Drug Administration (FDA) for a long time*. There is less research funding for women in all areas—whether it’s how women respond to valve surgery, bypass surgery, stent placements, if we’re more or less likely to have a procedure after a heart attack, or are we more likely to die. I firmly believe that closing this gap will be a woman-led solution. Currently, 12% of cardiologists are women. As that number grows, we’ll have more women physicians and researchers leading the efforts. Women being engaged participants in designing where and how they want to receive care, what that care looks like, and what the wellness efforts and how they want to be treated will also be critical components too. 

Not only are we not small men, but the way that care was designed was predominantly for well insured white men with a wife to take care of them. Men tend to enroll in studies immediately, while women are more likely to take time to consider participating. Boston Scientific has done great research on how to get women to participate in more research studies by designing brochures to resonate with women and taking an extra step to continue to reach out to them. Once women have a chance to ask questions and speak with their trusted network of friends, they are more likely to participate. This approach is considered ‘soft’ academics, and is not how it’s often done, but it will be a big part of the solution to get more participants. 

Women’s heart disease rates started to go up in the 1950s, correlating with women entering the workforce, and slowly their rates began to equal that of men. We don’t want women working to change, but the idea that we [as women] can do everything all the time for everyone with the idea that we’ll take care of ourselves last is a cultural value that has to change before we can actually thrive. We have a lot of work to do on that. 

Karyn: We do have a lot of work to do. But, I think we can do it. I believe marketers are realizing women in our age group have tremendous buying power and by hiring millennials that focus on marketing to other millennials, they’re missing out on a huge marketing opportunity. I also hope with more women who are reaching midlife and increasing numbers in professions that were traditionally male dominated, we’ll see rapid change. 

I graduated from medical school in 2004 and ours was the first class with 51% women. These changes are recent. 

Karyn: Is there a difference between a standard cardiologist and a preventive cardiologist and how do you get to see a preventive cardiologist? 

Preventive cardiologists usually do extra training and it takes more years [in school]. They would usually have extra training on lipid and cholesterol profiles and in areas of nutrition, exercise, stress. A focus on the different types of lifestyle contributors to give a more holistic view of health. At the Minneapolis Heart Institute, we are planning to start a prevention fellowship within our cardiology fellowship. As of now, it is mostly a certificate, but what you can expect is someone who is focusing on prevention. It doesn’t have to be primary prevention, it can be about preventing a second event after someone has had a heart attack or stroke. 

*In 1977, the FDA issued a guideline banning most women of ‘childbearing potential’ from participating in clinical research studies. In 1993, the FDA issued a new guideline and formally rescinded the 1977 policy that banned most women from participating in studies. The Congress made this policy law in 1993. Source: U.S. Department of Health & Human Services Office on Women’s Health.