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When writing his self-help book in 1993, little did cardiologist Richard Tenney know, that again in 2019 he would reemphasize the same messages he previously championed. Since then, a lot has happened to him, and luckily he followed his own advice. Clearly he had risk factors that affected his cardiovascular disease, but he is still alive and practicing medicine. He attributes his survival and longevity to following the same recommendations laid out in 1993 with emphasis on excellent medical care, emotional stability, attitude steadiness and resentment control. Cynicism and pessimism were replaced with a brighter outlook and optimism. Emotional strength and stability is medicine for cardiovascular disease like oxygen is for pneumonia. Now, and maybe for the second time, readers should review this book and its recommendations for prevention and survival.