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56 pages 1 hour read

Casey Means

Good Energy

Nonfiction | Essay Collection | Adult | Published in 2024

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IntroductionChapter Summaries & Analyses

Introduction Summary: “Everything Is Connected”

After giving birth to Casey, who was over 11 pounds at birth, their mother, Gayle struggled to lose the weight she gained during pregnancy. As Gayle aged, she developed several health conditions, including high blood pressure, high cholesterol, and prediabetes. When she was 71, Gayle had a sharp pain in her abdomen and was diagnosed with stage 4 pancreatic cancer, which took her life just under two weeks after the diagnosis. The oncologist implied the cancer was a random occurrence, but Means did not agree, arguing that her mother had been taking five medications for which she saw five different specialists. The various doctors each claimed Gayle’s conditions were normal. While Means agrees they were statistically normal—” the average American over sixty-five sees twenty-eight doctors in their lifetime. Fourteen prescriptions are written per American per year” (x)—she also argues they were preventable.

Means notes escalating rates of fatty liver disease, prediabetes, and obesity in children and teenagers, as well as the decline of overall  adult health and American life expectancy. She argues that people have been convinced that these health issues are disconnected, normal, and treatable with modern medicine. Means counters that such diseases are interconnected, not normal, and should be managed with a holistic and preventative approach rather than through a reductionist, modern medicine approach.

Means shares a vision she calls “Good Energy,” or metabolic health. She defines metabolism as the process of transforming food into energy, and she asserts that the body is inherently capable of producing Good Energy. If a person understands how to foster Good Energy, Means asserts, they will achieve balanced health; whereas a person who does not foster Good Energy may experience health concerns. Modern life—including modern diets, sleeping patterns, and exposure to artificial light and toxic chemicals—can cause metabolic dysfunction. Metabolic dysfunction, or Bad Energy, impacts individual cells, and the effects ripple up, impacting larger organs or systems, often presenting as obesity, fatigue, anxiety, pain, infertility, erectile dysfunction, or brain fog, which are all precursors to more severe diseases.

Means started her career in modern medicine, working to become a renowned ear, nose, and throat surgeon. During the fifth year of her residency, Means met a patient named Sophia who came in for sinus surgery after experiencing chronic sinus infections. Means felt “defeated” after the procedure, knowing that she had only relieved Sophia’s symptoms without addressing the underlying causes or her other health concerns. Means realized that her work centered on treating inflammation, yet she had never been taught the causes or systemic effects of inflammation; she also realized that the health system benefits from managing illness, not preventing it. Means quit her surgical residency to start researching the connections between inflammation, lifestyle, and disease.

While Means praises the medical system for its advancements, particularly with acute medical conditions, she argues that the system is in need of a revolution when it comes to preventing chronic disease. She explains her text will examine root causes of disease and address ways to promote Good Energy. Means encourages readers to start by questioning what it might feel like to have Good Energy.

Introduction Analysis

The introduction to Good Energy lays the foundation for the book’s central themes while employing a combination of rhetorical techniques, logical argumentation, and contextual development to engage and educate readers. Through vivid language, scientific framing, and relatable examples, Means connects her personal experiences to larger systemic issues, inviting readers to consider their own role in achieving optimal health. The introduction establishes a recurring structure: identifying a problem, offering a fresh perspective, and presenting actionable solutions rooted in the concept of metabolic health.

The introduction establishes The Link Between Cellular Health and Energy Production as a central theme in the text. Means emphasizes the importance of cellular health as the cornerstone of well-being, connecting it to metabolism which she defines as “the set of cellular mechanisms that transform food into energy that can power every single cell in the body” (xi). This definition directly underscores the book’s purpose, helping readers understand why metabolic health is central to preventing and managing chronic illnesses. By framing the body as inherently capable of creating Good Energy, Means fosters a sense of empowerment and optimism, countering societal narrative that normalize chronic disease as inevitable.

Means addresses the broader impact of nutrition, stress, sleep, and environmental elements, highlighting The Role of Lifestyle Factors in Overall Health. She introduces the concept of an “evolutionary mismatch” to explain how modern lifestyles diverge from the environments in which our bodies evolved to thrive. This framing aligns her work with contemporary thought leaders like Robert Sapolsky, author of Why Zebras Don’t Get Ulcers: A Guide to Stress, Stress Related Diseases, and Coping, and Daniel Lieberman, author of The Story of the Human Body, grounding Means’s arguments in widely recognized evolutionary principles. By contextualizing modern health issues as systemic rather than as individual failings, Means positions herself as an advocate for holistic and preventative care.

The introduction begins to outline practical Strategies for Fostering “Good Energy,” positioning it as concept that is both metaphorical and literal. Mean’s rhetorical choices, such as describing the body’s mechanisms as “exquisite,” underscore the accessibility and beauty of metabolic health. This language transforms complex biological processes into something readers can appreciate and aspire to nurture, creating an emotional resonance that enhances the book’s persuasive impact and encourages the reader to learn more about such strategies in the text.

Means employs various literary techniques to make her argument compelling and relatable. Her use of vivid, sometimes visceral imagery, such as the description of sinus surgery in which she “inserted a rigid camera into [the patient’s] nose and used a small instrument to break up the bones and swollen tissue and vacuum them out of the sinus passage just millimeters from her brain” (xv)—contrasts the invasiveness of modern medical interventions with her vision of holistic care. This comparison reinforces the need for systemic change and introduces a critique of reductionist medicine. Another rhetorical technique Means employs is strategic word choice. Phrases like “your body has an exquisite set of mechanisms” (xi) evokes a sense of awe and admiration for the body’s natural abilities, while “the problem, simply stated, is a mismatch” (xii) uses clear, concise language to make complex ideas accessible. These choices reflect not only an attempt to engage the reader but also to build trust in Means as a guide who can demystify health science. To this end, Means also uses statistical and cultural context to establish credibility and urgency. For instance, the statement that “fifty years ago, pediatricians might go an entire career without seeing these conditions among their patients” (x) highlights how dramatically health trends have shifted, while framing the text as a timely and necessary intervention. These observations stress the importance of her research and align the book with its purpose as a self-help guidebook.

The introduction ties Means’s personal journey to the book’s larger mission of promoting systemic change in healthcare. Her recounting of her medical career, including her frustration at merely managing symptoms rather than addressing root causes, underscores the limitations of modern medicine as she sees them. The inclusion of Sophia’s story represents a turning point, both in Means’s professional life and in the narrative. It illustrates her realization that modern healthcare often prioritizes treatment over prevention, an insight that becomes a driving force for the book. By sharing her story, Means transitions into a broader critique of healthcare institutions, which she argues are designed to profit from managing disease rather than curing it. This critique not only provides a logical underpinning for her argument but also creates a sense of solidarity with readers who may feel let down by the current system. The call to “hold the keys to this one critical bodily process” (xii) positions readers as active participants in their own health, aligning with the book’s purpose as both a critique of modern medicine and a practical guide for self-improvement.

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