CHAPTER 01 · 43 SOURCE ENTRIES

Avoiding Premature Death

不要早死

[← 回总目录](../README.md) 这一节讲三件事:车祸、火灾、中毒这类意外和伤害死亡;少数几种证据最硬的疫苗和筛查;身体出了什么信号就该去查一查。收益那一栏的数字,来自随机分组的试验、跟踪一大批人很多年的研究,或者官方统计。成本那一栏是作者按市面价格的粗略估计,只用来互相比较,不要拿去引用。 本节条目按主题分成下面几块,括号里是条号。 **路上**:系安全带(第 1 条),戴头盔(第 2 条),开车不超速、不酒驾(第 9 条),儿童安全座椅(第 10 条)。 **家里的火、气、电**:装烟雾报警器(第 3 条),燃气软管到期就换(第 4 条),电动自行车不推进楼道(第 6 条),备

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01-001

Always wear seat belts, both front and back

系安全带,前排后排都系

Wearing a seat belt in the front seat cuts the risk of dying in a crash by roughly half. For drivers and passengers in light trucks, the reduction is about 60%. Among U.S. crash victims in 2022 whose seat belt use was documented, half were not wearing one.

Open the low-ROI detour

Move “Always wear seat belts, both front and back” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-002

Wearing a helmet and fastening the strap while riding motorcycles or e-bikes

骑摩托车、电动自行车戴头盔并扣好

Wearing a helmet and fastening the strap properly reduces a motorcyclist’s risk of dying in an accident by roughly 40%. The chance of suffering a head injury drops by about 70%. The strap must be tightened; a helmet that simply hangs loosely on the head does not count as being worn.

Open the low-ROI detour

Move “Wearing a helmet and fastening the strap while riding motorcycles or e-bikes” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-003

Install smoke alarms; those heating with coal or gas in winter should also add a carbon monoxide alarm

装烟雾报警器;冬天在室内烧煤、用燃气取暖的再装一氧化碳报警器

A properly functioning smoke alarm can cut the risk of dying in a home fire by roughly 60%. Forty percent of fire victims are asleep at the time, so they won’t wake up just from the smell of smoke. For anyone heating their home with coal or gas during winter, adding a carbon monoxide alarm is essential. In China, 11,500 people died from carbon monoxide poisoning in 2018; 70% of those deaths occurred at home during the three winter months.

Open the low-ROI detour

Move “Install smoke alarms; those heating with coal or gas in winter should also add a carbon monoxide alarm” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-004

Replace gas hoses and stoves when they reach their expiration date; never modify the piping yourself, and you may decline any unsolicited sales pitches from gas companies.

燃气软管和灶具到期就换,不自己改管道,燃气公司上门推销可以直接拒绝

A compliant gas hose costs just a few dozen yuan. Replacing it when it expires is a user obligation clearly stated in the “Regulations on Urban Gas Management.” The same regulations explicitly forbid users from modifying piping or removing gas meters on their own. Additionally, the regulations state that gas companies cannot require customers to purchase specific products or services. Therefore, you may freely decline any sales pitches claiming that replacement is mandatory.

Open the low-ROI detour

Move “Replace gas hoses and stoves when they reach their expiration date; never modify the piping yourself, and you may decline any unsolicited sales pitches from gas companies.” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-005

Do not pick, buy, or eat wild mushrooms; any “folk tricks” for identification are useless

不采、不买、不吃野生蘑菇,任何「土办法鉴别」都不成立

In 2025 alone, there were 828 cases of mushroom poisoning across China, affecting 2,165 people, with 13 fatalities. That same year, 34 previously unknown poisonous mushroom species were identified. Myths such as using a silver needle to test for toxicity, assuming mushrooms safe if insects eat them, or that only brightly colored varieties are toxic are all false.

Open the low-ROI detour

Move “Do not pick, buy, or eat wild mushrooms; any “folk tricks” for identification are useless” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
01-006

Electric bicycles must not be pushed into stairwells, elevators, or charged indoors

电动自行车不推进楼道、不进电梯、不在家里充电

Pushing an electric bike into a stairwell, elevator, or charging it at home is strictly prohibited under the Ministry of Emergency Management’s regulations on fire safety in high-rise residential buildings. Those who violate the rules face fines of $500–$1,000 for individuals and $2,000–$10,000 for businesses. Even these fines are the least of the concerns — the real danger is that a fire could block your only escape route.

Open the low-ROI detour

Move “Electric bicycles must not be pushed into stairwells, elevators, or charged indoors” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
01-007

Measuring blood pressure and taking meds to reach target levels

量血压,高了就吃药降到达标

For every 10 mmHg drop in blood pressure, the risk of major cardiovascular problems falls by 20%, stroke risk drops 27%, heart failure risk drops 28%, and overall mortality risk declines by 13%. Among Chinese adults aged 35–75, 44.7% have hypertension, but only 7.2% have their blood pressure under proper control.

Open the low-ROI detour

Move “Measuring blood pressure and taking meds to reach target levels” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
01-008

After age 35, anyone who is overweight should get a fasting blood glucose test; if the result is normal, repeat it every three years.

35 岁以后只要超重,就去查一次空腹血糖,正常也每三年再查

For just a few dozen yuan, a single blood test can detect prediabetes even when there are absolutely no symptoms at all. Official US screening guidelines recommend this test for anyone aged 35 to 70 who is overweight or obese. If the test comes back normal, they should repeat it every three years.

Open the low-ROI detour

Move “After age 35, anyone who is overweight should get a fasting blood glucose test; if the result is normal, repeat it every three years.” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-009

Don’t speed or drive after drinking

开车不超速、不酒驾

On average, for every 1% increase in speed, the chance of a fatal crash rises by roughly 4%. There is no “safe” level of alcohol consumption when it comes to driving; even very low blood alcohol concentrations already raise the risk of accidents.

Open the low-ROI detour

Move “Don’t speed or drive after drinking” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
01-010

Use a car seat for children under 4, don’t hold them in your arms

给 4 岁以下儿童用安全座椅,不要抱在怀里

For infants under one year old, using a car seat cuts the risk of a fatal injury in a crash by roughly 70%. For children aged 1 to 4, the risk drops by about half. Holding a child in your arms provides no such protection; in a sudden stop you simply cannot keep them secure.

Open the low-ROI detour

Move “Use a car seat for children under 4, don’t hold them in your arms” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-011

Install window guards and balcony barriers if you have kids at home; screen windows do not count as protection

家里有小孩就给窗户和阳台装限位器,纱窗不算防护

These window guards cost only a few dozen yuan each. New York City once offered free window guards to high-risk households and provided on-site guidance; as a result, child fall incidents reported in one borough dropped by half over three years. Eventually, New York even passed a law requiring landlords to install such guards in rental units with kids under 10. Screen windows, however, can be easily pushed open — they do not provide any real protection.

Open the low-ROI detour

Move “Install window guards and balcony barriers if you have kids at home; screen windows do not count as protection” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-012

Keep young children in sight near water; wear life jackets when boating or swimming

儿童近水不离视线,划船、野泳穿救生衣

Wearing a life jacket while in the water cuts the risk of drowning to roughly half compared to not wearing one. Drowning remains the leading cause of death among children aged 1–14 in China. The drowning mortality rate in rural areas is roughly twice that in cities.

Open the low-ROI detour

Move “Keep young children in sight near water; wear life jackets when boating or swimming” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-013

Exercising balance and leg strength for people over 60, plus home modifications

60 岁以上练平衡和腿部力量,改造家里的浴室和楼梯

Doing balance exercises such as Tai Chi two or three times weekly can cut the overall number of falls among older adults by roughly 23%. It also reduces the proportion of people who have fallen at least once by about 15%. Adding simple home modifications — like anti-slip mats and handrails — can lower fall rates by another 20% or so. Falls are the leading cause of injury-related deaths among Chinese seniors aged 65 and above; alarmingly, over half of all falls happen right at home.

Open the low-ROI detour

Move “Exercising balance and leg strength for people over 60, plus home modifications” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
01-014

Get tested for hepatitis B markers; if no antibodies, get vaccinated

查乙肝两对半,没有抗体就打疫苗

The test itself is very inexpensive. In Qidong’s 30‑year follow‑up study, infants who received the hepatitis B vaccine at birth had an 84% lower risk of developing primary liver cancer and a 72% lower rate of carrying the hepatitis B virus compared to unvaccinated peers. Adults found to have no antibodies should receive three vaccine doses over six months at a cost of roughly 100–300 yuan.

Open the low-ROI detour

Move “Get tested for hepatitis B markers; if no antibodies, get vaccinated” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-015

If you get pricked by a nail or splinter, or if a wound gets dirty with soil, seek treatment the same day and ask whether a tetanus shot is needed.

被铁钉、木刺扎到或者伤口沾了泥土,当天去处理,顺便问破伤风要不要打

Once tetanus sets in, about 1 out of every 10 people dies. The risk is highest for deep wounds or wounds contaminated with dirt. If a wound is dirty and it’s been 5 years or more since your last tetanus shot, you’ll need a booster. Getting treated the same day costs only a few dozen yuan — don’t wait until the wound starts swelling.

Open the low-ROI detour

Move “If you get pricked by a nail or splinter, or if a wound gets dirty with soil, seek treatment the same day and ask whether a tetanus shot is needed.” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-016

The earlier women get the HPV vaccine, the better

女性接种 HPV 疫苗,越早越好

Data from 1.67 million Swedish women show that those who received the HPV vaccine before age 17 have only about one‑eighth the risk of developing invasive cervical cancer compared to unvaccinated women. For women vaccinated between 17 and 30, the risk is roughly half that of non‑vaccinated peers. Therefore, getting vaccinated earlier offers the greatest benefit.

Open the low-ROI detour

Move “The earlier women get the HPV vaccine, the better” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-017

Breast cancer screening for women: mammograms every two years starting at age 40

女性 40 岁起做乳腺癌筛查,每两年一次钼靶

For women aged 40 to 74, having a mammogram every two years is a clear recommendation in official US screening guidelines. For women over 75, and for those with dense breast tissue who need extra ultrasound or MRI scans, there is currently insufficient evidence to support such screening. If a health check package includes these extra tests at an extra charge, they are not necessary.

Open the low-ROI detour

Move “Breast cancer screening for women: mammograms every two years starting at age 40” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-018

For women over 30, HPV testing should be the first choice for cervical cancer screening

30 岁以上女性做宫颈癌筛查,优先 HPV 检测

In that rural Indian trial, women who underwent just one HPV test in their lifetime had roughly half the risk of dying from cervical cancer and about 50% lower odds of being diagnosed with advanced-stage disease. At a cost of just 100–200 yuan per test, a negative result provides protection for five years.

Open the low-ROI detour

Move “For women over 30, HPV testing should be the first choice for cervical cancer screening” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-019

Starting colorectal cancer screening at ages 45–50: use fecal immunochemical tests or colonoscopies

45 到 50 岁起做结直肠癌筛查,做查大便隐血的粪便免疫化学检测或者肠镜

Getting a low-cost fecal occult blood test every year or two lowers the chance of dying from colorectal cancer by roughly 16%. For people who’ve had at least one round of screening, this risk drops by about 25%. In the group invited to undergo a colonoscopy, the likelihood of developing colorectal cancer over the next decade fell from 1.20% to 0.98%.

Open the low-ROI detour

Move “Starting colorectal cancer screening at ages 45–50: use fecal immunochemical tests or colonoscopies” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-020

People with cardiovascular disease and older adults should get a flu shot each year

有心血管病的人和老年人每年打流感疫苗

In a trial involving people after a heart attack, the yearly death rate dropped from 4.9% to 2.9% after they received the flu vaccine. For people with cardiovascular disease and older adults, getting one shot each autumn for just 50 to 150 yuan can make a real difference.

Open the low-ROI detour

Move “People with cardiovascular disease and older adults should get a flu shot each year” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-021

Getting the shingles vaccine after age 50

50 岁以后打带状疱疹疫苗

In clinical trials, this vaccine proved 97% effective at preventing shingles across all age groups. The downside is that both doses cost several thousand yuan, all paid by the patient. In exchange, there’s a 97% reduction in the likelihood of developing shingles.

Open the low-ROI detour

Move “Getting the shingles vaccine after age 50” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-022

Pneumococcal vaccine for people over 65

65 岁以上打肺炎球菌疫苗

In a trial involving 84,500 seniors, the 13-valent pneumococcal vaccine cut cases of pneumonia caused by strains it targets by roughly 46%, and reduced instances of the most severe invasive infections by 75%. However, it showed no effect on pneumonia cases caused by any other pathogens, so it won’t prevent all types of pneumonia. The absolute confidence interval width is 95.2%.

Open the low-ROI detour

Move “Pneumococcal vaccine for people over 65” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-023

Testing for Helicobacter pylori and eradicating it if positive

查幽门螺杆菌,阳性就根除

A 22-year follow-up study conducted in Linqu, Shandong, showed that individuals who had Helicobacter pylori eradicated had roughly half the risk of developing gastric cancer and about 40% lower risk of dying from it. Testing costs just 100–200 yuan, while eradication requires a two-week medication regimen.

Open the low-ROI detour

Move “Testing for Helicobacter pylori and eradicating it if positive” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
01-024

Heavy smokers should get a low-dose chest CT once a year

重度吸烟者每年做一次低剂量胸部 CT

Eligible heavy smokers who get a low-dose CT once a year have a 20% lower risk of dying from lung cancer and a 6.7% lower overall risk of death compared to those who only get regular chest X-rays. The trade-offs are extra follow-up tests after any suspicious findings and the resulting worry during the waiting period.

Open the low-ROI detour

Move “Heavy smokers should get a low-dose chest CT once a year” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-025

Call 12356 if you’re depressed or having suicidal thoughts; don’t keep sleeping pills or pesticides at home

抑郁或有自杀念头时打 12356,家里不囤安眠药和农药

Removing lethal items from easy reach is a proven way to cut suicide risk: after restricting access to painkillers, suicide rates linked to them dropped by 43%; installing barriers at locations where people often jump off cliffs cut rates by 86%. That’s why it’s a good idea to avoid storing sleeping pills and pesticides at home. If you’re feeling overwhelmed, call 12356 — this national helpline is available at least 18 hours a day.

Open the low-ROI detour

Move “Call 12356 if you’re depressed or having suicidal thoughts; don’t keep sleeping pills or pesticides at home” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-026

Purchase fire extinguishers, fire blankets, escape respirators, and first-aid kits, then inspect them once a year

备齐灭火器、灭火毯、逃生呼吸面罩和急救包,每年检查一次

Fire extinguishers, fire blankets, escape respirators, and first-aid kits are all included in the Emergency Management Department’s list of 11 essential items for household emergency preparedness. The whole set costs a few hundred yuan, and you only need to buy it once. Studies of home safety programs that included on-site guidance found these measures cut injury rates by roughly 25%.

Open the low-ROI detour

Move “Purchase fire extinguishers, fire blankets, escape respirators, and first-aid kits, then inspect them once a year” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-027

Visible blood in urine — even if painless and gone by the next day — still warrants a check-up

尿里出现肉眼看得见的血,哪怕不疼、哪怕第二天就干净了,也要去查一次

Among people aged 60 and older, the chance of ultimately being diagnosed with bladder cancer after experiencing one episode of visible blood in urine is about 2.8%. For those aged 40–59, that figure is roughly 1.2%. These percentages may not seem very high, but they’re high enough to justify getting checked — even if the bleeding stops the very next day.

Open the low-ROI detour

Move “Visible blood in urine — even if painless and gone by the next day — still warrants a check-up” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-028

If erectile dysfunction appears, check cardiovascular health first — don’t treat it as a purely sexual issue

勃起功能出了问题,先去查心血管,别当成单纯的「那方面的事」

Men with erectile dysfunction later develop cardiovascular disease at roughly 40% higher rates than other men, and heart attacks at about 60% higher rates. The younger a man is, the greater this difference becomes. This problem often shows up before any chest pain does. Therefore, it’s wise to check blood pressure, blood sugar, and cholesterol levels rather than simply self‑medicating.

Open the low-ROI detour

Move “If erectile dysfunction appears, check cardiovascular health first — don’t treat it as a purely sexual issue” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-029

Weight loss, quitting smoking, and controlling blood pressure and blood sugar can improve erectile function

减重、戒烟、把血压血糖控住,勃起功能能跟着好转

Managing cardiovascular risk factors naturally leads to better erectile function. When multiple randomized trials are combined, questionnaire scores improve by an average of 2 to 3 points. This questionnaire has a maximum score of 25, with scores above 22 considered normal.

Open the low-ROI detour

Move “Weight loss, quitting smoking, and controlling blood pressure and blood sugar can improve erectile function” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
01-030

Always use condoms during sex and never share needles

性行为全程用安全套,不和别人共用针具

Using a condom every time throughout sex cuts the chance of HIV transmission between heterosexual partners by roughly 70% or more. “Most of the time” just isn’t enough — that still leaves the risk nearly as high as not using one at all. Condoms also protect against syphilis, gonorrhea, and other STIs.

Open the low-ROI detour

Move “Always use condoms during sex and never share needles” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
01-031

If you’ve engaged in high‑risk behavior, get tested for HIV — the Chinese CDC offers free testing with full confidentiality.

有过高危行为就去查一次艾滋病,疾控中心免费、结果保密

Testing for HIV at the Chinese CDC costs nothing. According to the “National Measures for HIV Testing Management,” staff are prohibited from disclosing your name, address, or test results. A positive result does not mean a death sentence: people who adhere to treatment and keep their viral load undetectable cannot transmit the virus to sexual partners. One major study followed more than 700 couples through over 70,000 unprotected acts; there were zero transmissions between partners.

Open the low-ROI detour

Move “If you’ve engaged in high‑risk behavior, get tested for HIV — the Chinese CDC offers free testing with full confidentiality.” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
01-032

As soon as suicidal thoughts arise, tell someone nearby and hand over those first few minutes

自杀念头一冒出来先告诉身边的一个人,把这几十分钟交出去

Among 82 people who attempted suicide, 47.6% reported that only 10 minutes or less passed from the first appearance of suicidal thoughts to the actual attempt. What they had to endure was not a lifetime of mental anguish, but just those few minutes. Of the same group, 76.8% had some contact with others during that time, though they did not voice their feelings. Looking ahead, about 2% of people who ended up in the hospital due to self-harm died by suicide within a year, while roughly 7% did so after nine years or more; the vast majority did not follow that path.

Open the low-ROI detour

Move “As soon as suicidal thoughts arise, tell someone nearby and hand over those first few minutes” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
01-033

Don’t treat “survival” as a safety net: after ingesting paraquat or inhaling carbon monoxide, emergency care can save lives, but it rarely preserves lung or brain function.

别把「救回来」当成兜底:喝农药、吸煤气之后急诊能保住的是命,保不住肺和脑子

There is no antidote for paraquat. Gastric lavage is not recommended, and neither hemofiltration nor dialysis alters its disease progression. Paraquat actively enters lung tissue against its concentration gradient, causing pneumonia and pulmonary fibrosis, while also damaging kidneys and liver. Among 257 cases treated at ten hospitals in Bangladesh, the mortality rate reached 43.2%. Carbon monoxide produces similar outcomes: six weeks after exposure, 46.1% of patients receiving normal oxygen still suffered cognitive impairment, compared to 25.0% of those receiving hyperbaric oxygen therapy. No treatment pathway yields a completely clean outcome; the most common result is lasting health complications.

Open the low-ROI detour

Move “Don’t treat “survival” as a safety net: after ingesting paraquat or inhaling carbon monoxide, emergency care can save lives, but it rarely preserves lung or brain function.” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-034

Don’t bet on “a few days of rest” after a fall from height: most patients admitted to a trauma ICU survive, though at a cost measured in years

别拿「躺几天就好」赌高处坠落:进了创伤 ICU 的人多数活下来,代价按年算

A trauma ICU in southern Xinjiang evaluated patients who fell from heights. Only 5.5% died either in the hospital or within 30 days. The vast majority survived, but at a price: 47.1% suffered injuries to three or more body parts, 36% needed ventilators, and the median length of stay in the ICU was 8 days — with some patients remaining for as long as 132 days. The median fall height for this group was just 3 meters. Follow‑up showed that 58% of those with serious injuries eventually returned to work.

Open the low-ROI detour

Move “Don’t bet on “a few days of rest” after a fall from height: most patients admitted to a trauma ICU survive, though at a cost measured in years” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-035

Don’t trade “losing one kidney is no big deal” for cash: the remaining kidney has to do the work of two, and 86% of kidney sellers later say their health got worse

别拿「少一个肾没什么」换钱:剩下那个要替两个干活,卖过肾的人事后 86% 说身体变差

First, consider the best-case scenario: legitimate donors who pass rigorous screening and receive post‑surgery follow‑up. In U.S. data from nearly 96,000 donors, only 31 per 10,000 developed end‑stage renal disease within 15 years after donation. Among equally healthy, eligible non‑donors, that figure was just 4 per 10,000. On the other side, a study of 305 kidney sellers in India found that six years later, 86% reported poorer health, and three‑quarters still carried debt. Legitimate donors get screening and monitoring; kidney sellers get none of that.

Open the low-ROI detour

Move “Don’t trade “losing one kidney is no big deal” for cash: the remaining kidney has to do the work of two, and 86% of kidney sellers later say their health got worse” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-036

Don’t pick up, disassemble, or sell unidentified metal parts; stay clear of areas marked with the clover symbol

不捡、不拆、不卖来路不明的金属件,带三叶草警示标志的离远点

Radiation has no smell, color, or temperature. Most radioactive sources look like ordinary pieces of metal, so “it looks harmless” is not a reliable indicator. The chance of an ordinary person encountering one is extremely low — fewer than one incident occurs per 10,000 sources each year. Yet when such an encounter does happen, the consequences are irreversible. In 1987, four people died in Brazil after dismantling a radiotherapy machine from an abandoned clinic.

Open the low-ROI detour

Move “Don’t pick up, disassemble, or sell unidentified metal parts; stay clear of areas marked with the clover symbol” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-037

When gambling leads to borrowing money and persistent low mood, call 12356 first and then hand over your bank cards and payment passwords to family members.

赌到借钱还赌、心情一直低落时,先打 12356,再把银行卡和支付密码交给家人管

Individuals who have sought treatment for gambling problems are 15 times more likely to die by suicide and 1.8 times more likely to die overall compared to their peers. Depression serves as a key warning sign for potential suicide. Therefore, if you find yourself gambling despite owing money and feeling persistently down, call 12356 right away.

Open the low-ROI detour

Move “When gambling leads to borrowing money and persistent low mood, call 12356 first and then hand over your bank cards and payment passwords to family members.” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
01-038

Men who have sex with men at high risk of HIV infection can significantly lower their infection risk by taking pre-exposure prophylaxis from designated HIV clinics on schedule.

有高危性行为的男男性行为者,去艾滋病定点医院问暴露前预防药,按时吃能少感染七成以上

People who aren’t yet infected can take an antiviral drug called pre-exposure prophylaxis to protect themselves. Those who take it consistently cut their risk of infection by more than 70%. On the other hand, people who take it intermittently see almost no benefit. Because it’s a prescription drug, a medical checkup is mandatory before obtaining it, and regular follow-ups are necessary thereafter.

Open the low-ROI detour

Move “Men who have sex with men at high risk of HIV infection can significantly lower their infection risk by taking pre-exposure prophylaxis from designated HIV clinics on schedule.” to Future Me's calendar

There is no immediate alarm, so the sensible choice can wait for a less busy week.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
01-039

Women aged 65 and older should have a dual-energy X-ray absorptiometry (DXA) bone density test; postmenopausal women with osteoporosis risk factors need not wait until 65

65 岁以上的女性去做一次双能 X 线骨密度检查,绝经后有骨质疏松危险因素的不用等到 65 岁

Women aged 65 and older, and postmenopausal women with osteoporosis risk factors, should have bone density measured once. When screening starts with fracture-risk assessment and treats those at high risk, hip fractures fall by about 17%. That works out to about 5 fewer hip fractures per 1,000 people screened. Overall mortality did not change.

Open the low-ROI detour

Move “Women aged 65 and older should have a dual-energy X-ray absorptiometry (DXA) bone density test; postmenopausal women with osteoporosis risk factors need not wait until 65” to Future Me's calendar

Future Me has a clearer calendar, more patience, and apparently the same responsibilities.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-040

If you are diagnosed with osteoporosis, or have fractured from a minor fall, ask a doctor for osteoporosis medication and keep taking it—do not treat calcium supplements as a substitute

查出骨质疏松,或者轻轻一摔就骨折过,就请医生开抗骨质疏松药并坚持用,别拿补钙代替

If osteoporosis is confirmed, or you have already fractured from a light fall, following a doctor's drug plan cuts hip fractures by about half and symptomatic spine fractures by a bit more than half. In older people who start yearly infusion within 90 days after hip-fracture surgery, new fractures over two years fall by about 35%. Calcium alone cannot replace these drugs.

Open the low-ROI detour

Move “If you are diagnosed with osteoporosis, or have fractured from a minor fall, ask a doctor for osteoporosis medication and keep taking it—do not treat calcium supplements as a substitute” to Future Me's calendar

If I do not open the notes, no new task has technically appeared.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
01-041

Measure natural ice before stepping onto it; avoid river ice and fishing holes

上野外冰面前先打孔量厚度,不到 15 厘米别上,河上的冰和冰钓洞边别去

Official guidance sets minimum thickness thresholds, but ice can vary sharply across a small area. White ice is weaker than clear new ice, and river currents and fishing holes add hazards.

Open the low-ROI detour

Move “Measure natural ice before stepping onto it; avoid river ice and fishing holes” to Future Me's calendar

One more exception feels free because the bill arrives outside the current scene.

Today I keep a little money, a few minutes and avoid interrupting my default routine.

Read the source and trade-off
01-042

Use an angle grinder only with its guard and face protection; never fit a toothed wood blade

装好护罩、戴上护目镜加面屏再用角磨机,双手握稳,别装木工锯片切木头

High-speed discs can shatter or kick back. Safety agencies recommend the correct guard and disc, eye and face protection, a stable two-handed grip, and using a saw for wood.

Open the low-ROI detour

Move “Use an angle grinder only with its guard and face protection; never fit a toothed wood blade” to Future Me's calendar

I can spend longer deciding whether to start than the small action would take.

Today I keep a little money, a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off
01-043

Ask someone in distress directly whether they have thought about suicide

直接问身边情绪不对的人「你有没有想过自杀」,问了不会让他更想

Research has not found that asking about suicide creates more suicidal thoughts or distress. Some studies found less distress among students already at elevated risk.

Open the low-ROI detour

Move “Ask someone in distress directly whether they have thought about suicide” to Future Me's calendar

The routine already works until the day the source says it may not.

Today I keep a few minutes, a bit of persistence and avoid interrupting my default routine.

Read the source and trade-off

Source snapshot: a994b6a0c90598b0fe15cb837343f438dbf7b95d. Every original stays available in Chinese alongside the English edition.