A big yawn

I was talking with Chris last night before dinner and he kept breaking into big yawns from his comfortable position in the easy chair. His whole face contorted, he opened his mouth wide and he sucked in air. In other words, a typical yawn. He yawned three or four times, enough to make me wonder if I was boring him. Why is this so interesting? Well, for one, a yawner he is not.

Apparently, people with a diagnosis of schizophrenia do not yawn. Based on my knowing Chris, by golly that’s right. I had never seen Chris yawn. Maybe he did as a baby. If so, I’ve forgotten, but for sure I never saw him yawn as a child, teen and adult. A few weeks after Chris underwent the assemblage point therapy, I caught him yawning. Haven’t seen much since. Chris has told me repeatedly recently that his life lacks fun. It appears that he is beginning to be uncomfortable in his role of stay-at-home guy with little fun in his life.

Here’s a partial explanation for what’s going on, from the Bulletin of the Menninger Clinic. I don’t necessarily agree with the final paragraph’s hypothesis about chronicity.

A homeostatic reflex and its psychological significance
Heinz E. Lehmann, Professor of Psychiatry, McGill University

Clinical Observations : It is an old clinical observation (Russell 1891; Geigel 1908) that persons suffering from an acute physical illness never yawn as long as their condition is serious. Nurses have learned to recognize the return of yawning as a sign of patients’ convalescence, particularly in those patients who have infectious diseases. The literature, however, reports few observations regarding yawning in psychotic patients, although Hauptmann (1920) made mention of its possible significance.

Some time ago I was struck by the conspicuous scarcity of yawning among mental patients. I informally recorded the incidence of people yawning in public gatherings, on buses, in restaurants, at scientific meetings, and on mental hospital wards. These observations confirmed my impression that yawning among the mentally ill is unusually rare. There were two exceptions: patients receiving large doses of sedatives and those diagnosed as suffering from organic brain syndrome. Of course, the absence of yawning in patients with psychoses associated with constant psychomotor excitement or increased nervous tension was not surprising since excitement or emotional tension usually excludes the occurrence of yawning in normal individuals. However, the majority of patients I observed were quiet, inactive, indifferent persons suffering from schizophrenia. Their failure to yawn requires an explanation.

One of the most consistent physiological findings about patients with schizophrenia is defective homeostasis. The schizophrenic patient’s ability to adjust to changes in the internal milieu is impaired. Slight reductions of the schizophrenic subject’s brain metabolism would, therefore, provoke a homeostatic response less easily than in a normal person. Yawning might not be elicited unless the yawning provoking stimulus assumes an unusual strength such as that provided by hypoglycemia or by barbiturates.

As I have mentioned, the principal psychological agent to produce yawning-boredom-is an affect characterized by an extraverted attitude, a searching tendency toward reality. The schizophrenic subject’s typical withdrawal from reality and his affective blunting make it almost impossible for him to be truly bored; his passivity, indifference, and daydreaming must not be confused with boredom. In addition, the schizophrenic individual can hardly be expected to imitate unconsciously the yawning of another person since he is not likely to transfer sufficient interest to other persons in his surroundings. Therefore, when a schizophrenic patient yawns as a result of boredom or unconmous imitation, it shows that the patient’s contact with reality is not entirely lost and that he is making an effort to maintain it. In fact, when any psychiatric patient yawns, it is a signal that he is in an accessible mood, regardless of his general mental state or diagnosis.

Of course, yawning is by no means completely absent in schizophrenic patients. Its incidence, however, appears to be much lower in schizophrenia than in normal mental conditions or in other mental diseases. The occurrence of yawning in early schizophrenia may be evaluated as a favorable sign; however, it seems to be of ominous significance in chronic schizophrenia. One may theorize that yawning in the acute schizophrenic patient is the reflection of a fairly intact homeostatic system and possibly the expression of the patient’s efforts to retain his contact with reality. In the chronic stages of the disease, yawning may be indicative of structural brain changes and the formation of a new, permanent, and pathological relationship to the outside world, characterized by complacency and the complete loss of the inner stress and tension that should accompany even partial insight.

Another constellation

Ian and I underwent a Family Constellation on Thursday morning with Dr. Stern, just the three of us, no Chris involved. The premise of this Constellation was Chris’s early childhood and in utero period, what Ian and I were like at that stage, our feelings surrounding the pregnancy, etc. Dr. Stern already had “the dirt” on us since I had provided her early on with a family tree on both Ian’s and my sides of the family. She knows where all our skeletons are hanging.

For those not familiar with our Family Constellation Work, you can read about what it is and a Constellation that we did earlier, here and here.

Before we began the Constellation, we discussed the fact that I actually heard the pregnancy happen (yes, it was a “ping” sound) but after that I felt nothing more from Chris for ten months. It was like he froze. We discussed how Ian and I felt like we weren’t ready for parenthood. It took us a few weeks to welcome the idea, not without prior feelings of apprehension. Chris didn’t seem to want to be born, given the fact he was twenty-seven days past due (born in early January instead of early December) and frozen almost the entire time. We discussed Chris being as good as gold in childhood, never wanting to draw attention to himself, never stepping out of line to risk incurring our anger. There are other things that we discussed that had a bearing on the Family Constellation, which I feel are a bit too private to post.

Then it gets complicated, complicated in ways that emotional bonds in families are complicated. Dr. Stern took over and Ian and I drew straws as to who would place the shoes on the floor. I was the one and I quickly, without thinking, dropped the papers with the shoe outlines of Ian, me and baby Chris on the floor in the middle of the room. Ian noticed that I had put Chris on the other side of me, as if I was shielding him from his father. I was, in the sense that I often felt that Ian’s concern with safety issues was getting in the way of healthy childhood exploration. I noticed that the gap between Ian’s and my place on the floor was rather large. Ian’s shoes were pointed out, away from us. This intuitively made sense because Ian was focused on his career during the early years. Successfully married people grow together over the years. At the beginning,you are still finding your way.

Dr. Stern stepped into everybody’s shoes and expressed the emotions that she picked up from her own intuition, knowledge of our family, and the way in which the shoes were placed on the floor. She remarked that she couldn’t see Chris from Ian’s position on the floor. When she stepped into my shoes, she also noticed that she couldn’t see Chris behind her. When she stepped into Chris’s shoes, she felt that nobody saw her/him. Chris was blocked from seeing the world ahead of him. Why was this? she asked.

If you are interested in a Family Constellation and willing to suspend disbelief, this therapy is for you. Ian and I were intent on Dr. Stern’s message and joined in the speculation. It became apparent from the Constellation that we were protecting Chris, but from what? Dr. Stern then had an “idea” and shuffled through the file of our long dead family members and produced the shoes of my father’s older brother, who died, unnamed,in 1908, having lived from Dec. 9th to Dec. 11th. What was Chris’s due date, again? Dr. Stern asked. December 10th, I answered. I placed my great uncle’s tiny prints on the floor in front of me. That struck me as the more logical place to have put Chris. That was my quick intuitive response, and the unconscious mind knows best. Here was the dead baby looming large in front of us, in direct sight of me, Ian, and Chris. Yet, I never gave this unnamed baby a thought when I was growing up.

Dr. Stern then had another idea. She hauled out Ian’s father’s older brother, who died in 1926 around the age of four of leukemia. Ian’s father carried the identical name of his brother, as if he was the replacement for the dead brother. Ian placed the dead great uncle behind him.

Dr. Stern, through her acting out this particular Constellation, was hinting that early childhood separation of first born sons was a shadow that loomed over both sides of the family. Ian and I unconsciously passed a fear of early separation to Chris. In essence, Chris assumed the victims’ roles and assumed their spectral presence, perhaps staying close to home to fulfill our unmet needs. I reminded Dr. Stern that Chris has had a ghostly quality to him from childhood. He was pale and unobtrusive. He can (and still does) somewhat miraculously appear in a room, as if he had materialized out of thin air.

Dr. Stern then moved Chris’s footprints to the front and off to the side, where he could see his father, mother and great, great uncles. She stood in his shoes and looked at the Constellation for a long time, then slowly shook herself, noticing that her left arm was beginning to feel less heavy and mechanical. The left side of the body, she said, represents the mother. Her right arm (the father’s side) slowly started returning to life again. I feel quite good, I feel like I can make a new beginning, she announced. I am not very down-to-earth, though, she continued. I am lighter than that. If I do something with my life, what would it be? Ian and I waited patiently for her answer. She appeared perplexed. It wouldn’t be a businessman or a gardener, she felt sure about that. That is too earthbound for me. No, I am, more like a . . . . Well, I can’t quite put what I want to say in words, but it is almost like being a stewardess in an airplane, having a light touch in asking the passengers how I can be of help.

Family Constellation therapy doesn’t assume that there is one defining event that shapes families’ intergenerational emotional lives. There are many events that have a transgenerational impact. It is clear to me the goal of every Family Constellation session is to bring unity to the family members, both dead and alive. Dr. Stern didn’t leave us wondering. She closed the session on a note of hope. She literally stood in Chris’s shoes and said “I am going to be okay.” Ian and I will then go away relieved, with a burden lifted. We will not be passing on our worries to Chris, because these worries have been lifted. Chris, himself, will sense this.

We are following Dr. Dietrich Klinghardt’s advice. After a Family Constellation you walk away from it, you do not analyze it, and you wait for the magic to happen

Connecting the dots in consciousness and schizophrenia

The therapeutic treatment of serious mental health issues like schizophrenia will converge in future around consciousness.

Eric Allen Bell
I asked Deepak, “Why is there suffering in the world” and he answered..”All suffering comes from the hallucination of separateness”.

Scientists are taking a new look at hallucinogens, which became taboo among regulators after enthusiasts like Timothy Leary promoted them in the 1960s with the slogan “Turn on, tune in, drop out.” Now, using rigorous protocols and safeguards, scientists have won permission to study once again the drugs’ potential for treating mental problems and illuminating the nature of consciousness.

Lucid dreaming
People who focus single-mindedly on a task during the day, be it a computer game or playing a musical instrument, are more likely to experience lucid dreams, says Jayne Gackenbach at Grant MacEwan University in Edmonton, Canada.

These experiments in lucid dreaming, few though they currently are, may have wide-reaching implications in clinical situations, particularly in the study of mental illness. “When you’re a schizophrenic, you’re in primary consciousness really,” Voss claims. “What you’re lacking is reflective awareness; you cannot distinguish between reality and your hallucinations.” On this basis, Voss wonders whether it might be possible to stimulate the necessary regions in schizophrenic patients to help them achieve greater lucidity in their waking life. The work might even suggest ways for healthy people to enjoy lucid dreams. “Wouldn’t it be nice if you could get somebody in REM sleep to become a lucid dreamer just by stimulating his brain?” says Voss. “No one’s tried this before.”

The Satori system
This privately developed technology is being used by the US military in veterans centers and in Iraq and Afghanistan. It is becoming widely available in US spas and the developers are partnering with Mental Health America to distribute 250,000 MP3 complimentary downloads to U.S. servicemen (emphasis, my own)

The Satori system uses alpha, theta and delta frequencies to induce relaxation by lowering brainwaves, lowering serotonin levels and bringing the body into a REM-like state.

Chris Forbes on sound (color) therapy
A very interesting thing happened, which accelerated the time it took to achieve “zen” with the color therapy. Beginning with red (opposites), all the tension left me and I entered into a different space, a space that was not defined by my body but rather was defined by my “rational” mind, the part of me which had preferences and opinions. My mind was liberated, and while I did not enter into free fantasy or “lucid dreaming”, I was questioning things I took for granted, and how I defined most things against my body. At green and blue I was released completely from the present and concentrated on my memories, and I became aware of the life flowing in my limbs and the changes, I could see how my legs had become stronger but less flexible since I started treating the body like a machine.

Writer’s block

Saturday morning I attended a writers’ workshop on publishing and marketing. The discussion revolved around the latest technologies like Twitter, self-publishing on demand and a machine that chunks your manuscript out as a bound book. (There are twenty-eight of these machines around the world at an installation cost of $100,000 each.) I found out that you can get a ten minute e-mail so that you can send a one-off message and not be bothered with your mailbox filling up with spam afterwards.

Speaking of which, on Friday I was targeted by one of those e-mail scams using the familiar name a sophisticated man I know here who claims he was robbed in London and desperately needed money to get back home. Knowing that this was a fraudulent abuse of his good name, I sent a message back. Yes, yes, would like to help, what can I do? A day later, my “friend” is still broke and in London. Nobody has bailed him out yet. The new e-mail suggests that I wire the money to him through Western Union and send an e-mail as I set out for the office. I immediately wrote back and said that I tried to go, but the office was closed when I got there and that I hoped he had sorted himself out. His reply arrived the next day. “Alright no prob. I’ll have to reschedule my flight and as soon as it is done, kindly get back to me with the Western Union transfer details. I owe you alot!”

Technology . . . making our lives easier and less complicated.

Attending the writing group is to give me the push I need to get my book finished. This baby has been five years in the making. It’s time to give birth. I don’t want to give up the daily blogging, so I am going to have to find a way to get this done short of taking a leave of absence from my day job. The reason I have not given up is because I feel it is important to put out a positive perspective for once on schizophrenia. A positive perspective coming from a mother I hope will carry some clout. It would be excellent timing because it would coincide with the growing disillusionment with the biochemical romance that Robert Whitaker’s new book, Anatomy of an Epidemic, has demonstrated.

In the meantime, I have the added burden of struggling with the technology and the promotion. Self-publish or hound hundreds of agents to no avail? Twitter my accomplishments? I’m still dubious about Twitter. I fear that I am in a Twittering myself loop most of the time.

Indeed, brain injury due to psych meds

I am posting this link from Beyond Meds as a public service for a fellow blogger who has been going through a tough withdrawal process after years of taking multiple medications, often at extremely high doses. She is finally off benzos, but is still suffering the lingering effects. A medical professional finally said it. She has endured injury to the brain because of using these drugs. It is the first time on her long journey that a doctor has put the blame where blame is due, on the medications for the protracted agony she has been going through. Critics have been saying all along what doctors have refused to acknowledge, that these drugs cause damage to the brain. I am using the phrase “damage to the brain” rather than “brain damage,” to make a subtle distinction. Damage to the brain can be healed, whereas “brain damage” implies that the condition is irreversible. That’s my interpretation, anyway.

I also feel it is important not to alarm people who are already struggling with the heavy anxiety and guilt that comes with the use of psychiatric drugs as part of the therapy. Since there are no “medically” sanctioned alternatives, and patients and relatives are not informed by the doctor about non-drug possibilities, antipsychotic medications are almost always part of the treatment plan. Therefore, it is extremely important to be vigilant with the doctors by doing your homework. Medication should be short term and in low doses. There is no justification for the use of two antipsychotics, scientific or otherwise. I do not believe in multiple diagnoses for a mental health condition. When your doctor diagnoses you as, for example, bipolar and schizoaffective, with OCD traits, what this means is that you have problems, and your doctor is one of them. He or she doesn’t have a clue how to help you so simply piles on the drugs. Your only defense is to hold your doctor’s feet to the fire to keep drugs to a minimum and learn to find other ways of coping.

The Chalk Garden

Chris and I went to see The Chalk Garden Friday night, our local expat production. Ian was out of town and Alex has a girlfriend to occupy his time, so it was just the two of us. Putting aside the weak acting, the message was interesting.

The Chalk Garden had its debut on Broadway in 1955. The setting is an English country house owned by an exceedingly wealthy woman who is parenting her sixteen year old granddaughter Laurel. They have a conscientious objector manservant and an incapacitated butler who lives upstairs. The play opens as new governesses are being interviewed to take charge of Laurel. No governess has stayed for long because, among other things, Laurel sets fire to things. Laurel also delights in telling anyone in earshot that her father committed suicide when she was twelve, she was sexually molested in a park around that time as well, and her mother has remarried for “love!” Laurel is, as we say nowadays, a “piece of work.”

The grandmother thinks Laurel is delightful and humors her. “Apart from a few fixations with fire, she’s a charming girl,” she insists. The greatest sin it appears, in the grandmother’s eyes is to be boring. Other than that, the grandmother comes across as engaged, liking people, confident in her own judgment (she doesn’t ask for references), but not terribly introspective. In short, she seems relatively “normal.” She encourages Laurel to run amok and poke her nose into other people’s business. Today she would probably be referred to as an “enabler.”

The reserved new governess, Miss Madrigal, is obviously hiding something. She is a knowledgeable gardener and horrified that nothing will grow in the garden. All the wrong plants have been introduced into soil that is essentially chalk. She catches on to Laurel rather quickly. Laurel’s mother makes a couple of attempts to visit and she and the grandmother quarrel constantly. She wants to take Laurel back to Suez live with her, her new husband, and Laurel’s soon to born be half-sibling.

The play was written in an era when people were fascinated with Freud’s theories. What I find interesting is that it wasn’t a heavy-handed caricature of motherhood, sex and secrets, but rather how obviously people can overlook problems brewing in children. Many parents want their children to be interesting, even a little bold, we often give them a long leash while they are growing up and we expect them in the end to come around. Parents are stereotypically portrayed as spirit crushing tyrants, but I feel this play shows the other side of child rearing that will often lead to problems in adulthood if tolerated. Laurel’s problems are an exaggeration of more benign traits in children that can still prove to be problematic in adulthood.

The action in the play really picks up when the grandmother’s old flame, the Judge, comes for luncheon. He’s seventy-five years old and still presiding at the criminal court. Laurel, the manservant and the butler are fascinated by murder cases. Laurel cleverly figures out during the luncheon that Miss Madrigal has appeared before the judge at some point in the past, and it quickly becomes evident that Miss Madrigal was tried for a murder. She was originally sentenced to death but the sentence was commuted to fifteen years solitary confinement. Miss Madrigal feels very strongly that she was unjustly convicted, since she had, for the first time in her life, told the truth, but neither the judge nor the jury wanted to hear it. So to jail she went, narrowly avoiding execution.

Time in solitary confinement has given Miss Madrigal time to change who she is, not just in hiding her past, but in her newfound commitment to truth. If she doesn’t get to Laurel, she, of all the people there, knows where lying can lead. She won’t give it a pass as just something Laurel will grow out of. She confronts Laurel about the incident in the park, and sure, enough, it didn’t really happen, and Laurel’s father died of liver failure, not suicide, when Laurel as three, not twelve. Miss Madrigal literally forces Laurel to leave for Suez with her mother, because she knows that Laurel will not grow in this house.

I remember when I was in my twenties reading in the newspaper of a girl I had gone to elementary school with, who was sent to jail for bank embezzlement. I hadn’t thought of this girl for years until I saw the headline. The first thing I remembered about her was that even back in third grade, you couldn’t trust anything she said. Her family probably thought she would grow out of this, too.

Chris’s “problems” in childhood flew under our radar screen. He was an intelligent child who did his best to remain invisible. He didn’t bother working in school, yet managed to do okay. Mathematics, the perennial Achilles heel up for a lot of students, wasn’t a problem for him. He simply didn’t try to excel, which Ian and I overlooked as typical of boys. We assumed he would clue in later. No teacher ever called us to say that Chris was having problems, academic or social. His problem from my perspective even then was that he was kind of invisible and he wasn’t putting himself out there in the game of life. Do parents drag their child to a psychologist with the complaint that he’s kind of bland and not putting himself out there? This is the opposite of Laurel’s problem. Laurel’s issues are nowadays the kind that are more likely to be brought to the attention of psychologists.

Would a psychologist have been able to do anything about my concerns? Maybe, maybe not. Would a psychologist have even seen where this could lead? I don’t know. If I knew then what I know now, I would have paid more attention to helping Chris come into himself and looked within myself more for its cause. I would have needed some help because I just didn’t see the dark side of this.

Debunking the bunk about megadose vitamins

From Opednews.com

Decades ago, when Linus Pauling and Abram Hoffer first proposed mega-dose vitamin therapy as a serious treatment, mainstream medicine and the press promptly discredited this as quackery. To this day, the media faithfully bombards us with the message that vitamins and minerals are useless, harmful or even killing us.(1-6) When one considers the lowly vitamin pill as an economic rival to drugs, and the dependence of the media on drug company advertising, the motivation to discredit mega-dose vitamins becomes all too obvious. Seemingly oblivious to this negative message, physicians quietly go about their business using megadose vitamin therapy in the intensive care unit with considerable success. Recent reports of this have been appearing in medical journals, finally vindicating Linus Pauling and Abram Hoffer as yes, of course, they were right all along

My comment: This is a good article but it occurred to me that megadose niacin therapy is not one of the therapies used in the emergency room when someone is psychotic. It should be.

In other words, the show must go on

“We cannot afford to take any chances with the integrity of the research process,” Collins said.

The NIH’s tougher disclosure requirements came in response to a spate of bad press showing huge private-sector bucks flowing to researchers at universities and institutes and the like, creating, as NIH Director Francis S. Collins said, an appearance of a conflict of interest that could undermine public trust.

I directly put the question to Thomas Insel a couple of years ago. “Dr. Insel,” said I, “how come I, a mere mother, can figure out what is going on with my son’s mental health issue and what to do about it, but here’s the NIMH still chasing magic bullets? Why don’t you pay attention to people like me more and forget trying to find the next wonder drug? It hasn’t happened yet and there have been plenty of bright minds working on this.” Okay, I didn’t say exactly that, but that was the gist of my argument.

I guess we can all predict what his answer was. Here’s a reasonable facsimile of what he said. “Yes, I often meet people like you, and maybe we should be looking into emulating what others have successfully accomplished. But, of course, schizophrenia is a serious mental health disorder, so I absolutely disagree with you that drugs are not the answer.”

Emulating what works for others who have been there is not going to happen when the “smart” money is into drugs dreamed up to combat the continually elusive “serious mental health disorders.”

der Insel

There is a flurry of recent blogsphere posts about the conflict of interest relationship between Dr. Thomas Insel, Director of NIMH and Dr. Charles Nemeroff, University of Miami, formerly of Emory University. I did a previous post in May where I voice my complaints about the NIMH’s focus on future magic bullets.

In Dr. Insel’s own words (I painted in my own highlights):

We must address mental illnesses, from autism to schizophrenia, as developmental brain disorders with genetic and environmental factors leading to altered circuits and altered behavior. Today’s state-of-the-art biology, neuroscience, imaging, and genomics are yielding new approaches to understanding mental illnesses, supplementing our psychological explanations. Understanding the causes and nature of malfunctioning brain circuits in mental disorders may make earlier diagnosis possible. Interventions could then be tailored to address the underlying causes directly and quickly, changing the trajectory of these illnesses, as we have done in ischemic heart disease and some forms of cancer. For serious mental illness, this is a new vision for prevention, based on understanding individual risk and developing innovative treatments to preempt disability.

I highlighted the word “supplementing” because here he is being disingenous. If anything, it’s the other way around. Psychological explanations for mental illness have been ignored by the brain biochemistry model. Dr. Insel believes mental illness is a brain disease.

Where Dr. Insel is not even bothering to look:

The placebo effect
Non-drug alternative therapies
What actually works for people
Orthomolecular therapy
Family therapies

He promotes the diseased brain version of mental health disorders because that’s where the money is today and will continue to be if the NIMH gets its way. If big money were in alternative therapies, Dr. Insel might be its public face, but it’s doubtful it would be him. If the NIMH were to look seriously into these matters, the way it stands now it would become a rump organization with a small office and skeleton staff in some industrial park or run-down storefront. He otherwise would have to go back to being a psychiatrist who makes a comfortable, but by no means lavish living by listening to patients. There is already competition in this area from psychologists. The 1950s is beginning to look like the Gilded Age for psychiatry. The big money is over for psychiatry if it abandons its disease mantra. Dr. Insel would be paid less than most of the people he went to medical school with and there would be no flying around the world giving keynote addresses.

The collapse of the biochemical model is looming. The NIMH has aligned itself with the pharmaceutical industrial complex which is beginning to show signs of unravelling from within. If the machinery collapses it will be thanks to bloggers, certain politicians, patients’ rights groups, investigative journalists, and lawsuits. The monopoly on information has been challenged by the internet and it’s looking unlikely that the diseased brain model can be sustained. Its end will be like the demise of the Soviet Union back in 1989 which had been building slowly for a long time and took everybody’s breath away with the speed of its collapse.

Not a mother to brag, but . . .

I missed Chris’s choir solo during the taking up of the offering in church last Sunday. The reviews so far have been good. My spy in church sent me the following e-mail:

Rossa, thank you too for the book. Your chapter left me reverberating like a tuning fork with your sense of resolve, your (inspiring) confidence in the validity of your experience and point of view. By the way, Chris sang absolutely beautifully today. His solo opened the Offertory and was repeated throughout the piece. His voice is lovely, and from where we sat, he seemed calm and confident.

I know it seems ridiculous for the mother of a twenty-six year old son to get all excited about this at his age, let alone brag about him, but, darn, it’s grand that he has the growing confidence to belt out “Ain’t Got Time to Die” in church. I’m hoping, since evidentally he ain’t got time to die, that he will take his own advice and get busy with the game of life.