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Don’t Let the Old Man In: A Doctor’s Flying Adventure and the Fight Against Growing Old

Don’t Let the Old Man In: A Flying Adventure From a Desert Clinic to My Seventies

From a Desert Clinic to a Cockpit in the Clouds

In mid‑1973, I was a young doctor with more enthusiasm than experience — and probably more courage than common sense. I had just opened my medical practice in McCamey, a tiny oil town tucked into the arid desert of West Texas. The town was so small that even the tumbleweeds looked bored.

They gave me free use of a fully equipped clinic and a $2,000 monthly stipend, which felt like a king’s ransom to a young fella still figuring out how to keep the lights on. The only catch? I had a temporary Texas medical license and still needed to pass the state board exam. Nothing like a little pressure to keep a man humble.

Meeting Dr. Kaj Turula

One day, out of nowhere, I got a call from a physician named Dr. Kaj Turula, newly arrived in Kermit, Texas. He said he was studying for the Texas board exam and asked if we could review together.

Later I learned he was from Finland, had practiced in Puerto Rico, and spoke five languages — Finnish, Spanish, German, French, and English. Meanwhile, I spoke English… and even that depended on how much sleep I’d had.

Kaj started calling me “Amigo” or “Lorenzo,” and every weekend he’d drive to McCamey so we could study. We took the exam together — and by some miracle (and probably his influence), we both passed.

My Flying Venture

A few months later, Kaj called again. This time he said, “Amigo, I’m a licensed pilot. Want to learn how to fly?”

Now, I was young, adventurous, and apparently allergic to asking my wife Edith for permission. So I said yes.

Kaj rented a plane in Midland, about 50 miles away. We met on a perfect Texas morning — blue sky, no wind, the kind of day that makes you believe you’re invincible. He briefed me on the flight plan, which involved tuning into directional frequencies. No GPS back then. Just radios, maps, and prayers.

He walked me through the pre‑flight check, step by step. Then we taxied to the runway and lifted into the sky. Once we reached altitude, he explained the controls — the yoke, the roll, the pitch — and then handed the plane over to me.

I remember thinking, This is easier than driving a car. Of course, that was before I learned about sudden weather changes, equipment malfunctions, and the small detail that you can’t pull over in the sky.

After my third flight, Edith sat me down and said, “Laurence, I don’t want to raise our kids alone.” That was her gentle way of saying, “Stop being a knucklehead.” And she was right. So my flying adventure ended… at least for a while.

Fast‑Forward to My Seventies

Decades later, in my mid‑seventies, I learned about Dr Condrad R. Zapanta, a fellow UERM meidical  alumni — an octogenarian — who was still flying his own plane. I interviewed by him through email exchange for a video and shared my little flying story. He wrote back to me and said:

“Why don’t you take more lessons and get your license?”

I laughed and said, “At my age? I don’t think that’s a good idea.”

He replied, “I started when I was about 51 in 1997.” Lately he told me, “I’m 85 now and and have owned 4 aircrafts and still flying.” He is instrument rated and just passed his flight physical.”

That hit me like a gentle slap from the universe.

Don’t Let the Old Man In
Dr Condrad R. Zapanta in his mid eighties stills flies his plane

“Don’t Let the Old Man In”

It reminded me of Clint Eastwood’s famous line: “I don’t let the old man in.”

Eastwood shared this with Toby Keith while riding a golf cart together. Keith was so inspired he wrote the song Don’t Let the Old Man In, which Eastwood later used in his movie The Mule.

The message is simple: Aging is inevitable. Growing old is optional.

What “The Old Man” Represents

  • Complacency — that voice saying, “Slow down, you’ve done enough.”
  • Mental fatigue — the whisper of doubt, regret, or “you’re too old for that.”
  • Passive acceptance — waiting for decline instead of resisting it.

The Core Philosophy

  • Stay busy — meaningful routines keep the mind sharp.
  • Maintain attitude — vitality is a choice, not a birthday.
  • Keep learning — curiosity is the antidote to aging.

What It Means Day to Day

  • Stay mentally engaged — projects, goals, new skills.
  • Keep moving physically — motion is medicine.
  • Reject the victim mindset — age is not an excuse.

A Message From an Old Fella Who’s Been Through the Ringer

If there’s one thing life has taught me — from a desert clinic to a cockpit to my seventies — it’s this:

Aging is inevitable. Growing old is optional.

I’ve been blessed, humbled, corrected, redirected, and occasionally scolded (mostly by Edith). But I’m still here, still learning, still laughing at myself, and still trying not to let the old man in.

Why Diet Fads Fail: Evidence‑Based Weight Loss From a Physician’s Perspective

The Weight‑Loss Pill That Wasn’t Worth the Weight

During the early eighties, when I was in private practice and my hair still had ambitions, stimulant appetite suppressants—especially amphetamines—were being marketed like miracle candy. “Boost your energy! Melt your fat! Fit into your high‑school jeans!”

Of course, doctors eventually stopped prescribing them because they also came with high‑risk addiction, abuse, and the kind of cardiovascular damage that could make your heart file a complaint.

On rare occasions I prescribed Phentermine—a distant cousin of amphetamine with a much lower addiction potential—but only when medically appropriate and never as a shortcut.

The Afternoon of the Two Ladies

One afternoon, I walked into an exam room and found not one, but two very well-dressed ladies waiting for me. They looked as though they had stepped straight out of a Dallas department-store catalog—big hair, sharp outfits, fashionable clothes, and confidence to spare.

I greeted them, introduced myself, and asked the patient what brought her in.

“Doctor,” she said, “I’m having trouble controlling my weight. I need help.”

So I took her history, performed a physical examination, and asked the usual question: “What have you tried so far?”

She proceeded to give me a tour of the diet industry—several diets, several attempts, and, unfortunately, several failures.

Then she mentioned that a friend had recently been prescribed Didrex, an appetite suppressant that contains benzphetamine and is metabolized in the body to amphetamine-related compounds.

I looked at her height and weight.

Then I looked again.

She was at the upper end of the normal range—but still normal. She wasn’t obese. She wasn’t even overweight.

In other words, her body wasn’t exactly asking for an emergency evacuation.

I gently explained that, given her weight, I would not recommend an appetite suppressant, particularly a stimulant medication like Didrex. The potential for dependence and misuse was more than enough to make any physician sit up a little straighter.

Instead, I gave her a structured dietary plan, recommended some baseline laboratory tests, and asked her to return after the blood work so we could evaluate things properly.

As I was getting ready to leave, the other lady—who had been quietly observing the entire consultation—looked at me and suddenly asked:

“Doctor, do you go to parties?”

I smiled and replied, “Only if my wife is with me.”

The room erupted in laughter.

It was one of those moments when a little humor was probably the best medicine in the room.

We never heard from the patient again.

A few months later, however, I learned that one of my colleagues had been sanctioned by the Texas Medical Board for unnecessarily prescribing Didrex—to an undercover agent.

That got my attention.

Suddenly, the strange question about parties made a little more sense.

Looking back, I realized that sometimes a patient isn’t simply looking for medical advice. Sometimes they’re looking for a shortcut—and occasionally, they’re testing whether the doctor is willing to take one with them.

That afternoon reminded me of an important lesson from medicine:

A good doctor doesn’t just prescribe what a patient asks for. Sometimes the most important prescription is the one you refuse to write.

And every once in a while, it helps to have a good sense of humor—and a wife who knows where you are.

What Actually Works

In my experience, diet works, bariatric surgery works, and today Ozempic and similar medications have shown promising results. But the first line of treatment—the foundation—is always a sustainable, evidence‑based diet.

Unfortunately, viral nutrition fads and restrictive diets often promise quick fixes but rely on junk science, fear‑based marketing, and the occasional influencer doing jumping jacks in their kitchen. Real metabolic health doesn’t require eliminating entire food groups or buying supplements that cost more than your monthly electric bill.

True nutrition is flexible, balanced, and built to last.

Debunking 5 Viral Nutrition Myths

  • Carbs make you gain weight — Carbs are your body’s preferred energy source. Weight gain comes from chronic calorie surplus, not from eating rice or bread.
  • Detox diets flush out toxins — Your liver and kidneys already do the detoxing. Juice cleanses mostly detox your wallet.
  • Seed oils cause inflammation — Major clinical organizations say seed oils can support heart health. The real culprit is processed fast food, not the oil itself.
  • Healthy eating requires organic produce — Frozen fruits and veggies are just as nutritious as fresh. Sometimes more.
  • Eating after 8 PM stores fat — Your metabolism doesn’t check the clock. Total daily intake matters, not the time.

The Danger of Viral Fads

Diet Type Claims Documented Risks
Carnivore Extreme fat loss, mental clarity Scurvy, constipation, high LDL
Juice Cleanses Flushes toxins, glowing skin Muscle wasting, dehydration
Keto Rapid fat burn Nutrient deficiencies, hair loss

How to Spot a Nutrition Lie

  • All‑or‑Nothing Claims — If someone tells you to cut out all fruit or all grains, run.
  • The Sales Pitch — Beware of influencers who diagnose you and then sell the cure.
  • Miracle Foods — No single ingredient melts fat. Not vinegar. Not cayenne. Not unicorn tears.

The Real Benefits of Moderate Weight Loss

Even a 5%–10% reduction in body weight can dramatically improve:

  • Insulin sensitivity
  • Blood pressure
  • Cholesterol levels
  • Joint pain
  • Sleep apnea

Small, steady progress beats extreme diets every time.

A Final Word for Your Journey

Healthy living isn’t about chasing shortcuts, miracle pills, or the latest viral diet promising to “reset your metabolism in 72 hours.” It’s about choosing habits that honor your body, your future, and your peace of mind. Sustainable change happens quietly—one meal, one walk, one better choice at a time.

If you ever feel discouraged, remember this: you don’t need perfection to transform your health—just persistence. The good life isn’t built overnight; it’s built daily, with compassion, patience, and a willingness to start again. And you’re already on your way.

Laurence Gayao MD, DABFP, BCEM | For The Good Life