20 May 2019

Take A Bike Ride And Call Me In The Morning

Lately, there's been a burst of interest in "social prescribing", particularly in the UK.  In fact, the UK plans to implement it nationwide, as part of a strategy to combat loneliness, by 2023.

"Social prescibing" is a loose term of practices that draw upon therapeutic art-, hobby- or exercise-based programs to help patients with a range of issues ranging from dementia to lung conditions.  The idea behind it is that for many patients, particularly the elderly, their physical ailments are exacerbated (if not initiated) by their isolation.  Not surprisingly, depression and anxiety plague many who have outlived friends, family members, colleagues and neighbors and create a vicious cycle in which emotional conditions worsen physical ones--which, of course, make the people who suffer those conditions even more unhappy, and sicker.

As part of "social prescribing", general practitioners and, in some cases, other health care providers can prescribe any number of activities, including museum visits, cooking classes or walking tours for patients. These activities are not meant to replace medical or surgical treatments, though they may well reduce, or even eliminate, the need for medications to treat emotional and other conditions.

Those activities could include bike rides.




The Welsh National Health Service has just announced that doctors at two Cardiff medical centers can now prescribe free six-month prescriptions to a bicycle-rental service.  The intent of the pilot program is to not only improve cardiovascular health, but also to support overall mental well-being.  If successful, the program could be expanded to include other health care professionals in the city, and perhaps even the country.

Under the plan, patients will be given a code that will provide them access to an unlimited number of free 30-minute riding sessions.  These sessions, which will be made available by European bike-share company Nextbike, can cost 10 pounds sterling (about $13 at current exchange rates) per day.  

The announcement of this plan, the first of its kind in the UK, closely follows an NHS report detailing a 15 percent increase in obesity-related hospital admissions in the UK.  That is not surprising when you consider that five years ago, the city of Boston started a "Prescribe-a-Bike" program for low-income patients, in part to combat the obesity that disproportionately affects the poor.  It has since morphed into a discounted BLUEbikes membership program for people who receive government benefits.

18 May 2019

Where It's Really Hard To Get Out Of The Way

I've ridden the block dozens of times.  And walked it at least as often.

It's less than a kilometer from where I grew up.  Relatives, friends and classmates lived along the streets that crossed it.


Unfortunately, for a 16-year-old boy, it's where his life ended. 



Yisroel Schwartz was riding north on 17th Avenue, a narrow thoroughfare that runs through the heart of Borough Park, a neighborhood that is no as riding north on 17th Avenue, a narrow thoroughfare that runs through the heart of Borough Park, a neighborhood that is now home to one of the world's largest yet most cohesive Hasidic Jewish communities.


Although it's called an "avenue," it's narrower than most streets or roads in other American cities.  And because the Hasidim, who have large families, are among the most car-reliant people in New York City, the avenue is often crowded--even when drivers aren't pulled over to pick up or discharge family members, or simply double-parked. 


Those conditions, unfortunately, make getting "doored" a particular hazard.  That was the last lesson Yisroel Schwartz learned in his brief life.




He saw the door opening and swerved.  But he couldn't avoid it, striking the door and falling to the pavement.

But it gets worse:  While prone, he was struck by an Econoline E350 van that was heading in the same direction.  He suffered severe trauma to his head and body, and was pronounced dead soon after arriving at Maimonides Medical Center, about halfway between that block and my old house.


Both drivers--of he car whose door he struck and the van that struck him--remained at the scene of the accident.  The NYPD are investigating. Knowing that stretch of 17th Avenue--which I probably wouldn't ride if I weren't so familiar with it--I am actually inclined to give the van driver at least,  the benefit of the doubt.  No matter your cycling or driving skills, it's really hard to get out of the way on that stretch of the Avenue, between 53rd and 52nd Streets.