Health – Auxiliary Memory

Have You had BPH Surgery?

by James Wallace Harris, Saturday, May 16, 2020

I need BPH surgery and have been researching TURP and Urolift procedures. I’d prefer to have the Urolift since it’s less drastic, but I’m not sure if it’s a long-term solution. It’s only been available since 2013. TURP is considered the gold standard procedure, but it has several potential nasty side-effects.

If anyone had either procedure and willing to share their experience or advice, please leave a comment.

JWH

Emotional Reactions to Pandemic Times

by James Wallace Harris, Friday, March 27, 2020

Psychically, our nation, our world, has made an abrupt U-turn. The stock market was soaring, unemployment was at an all-time low, and everyone was running around the planet doing everything they dreamed. We thought we had a handle on the future. Then BAM! Now we’re all huddled in our homes fearing the grim reaper and hoarding ass-wipes. (Of course, this ignores all the other forms of endless suffering so many humans were already combatting.)

We all want to get back to those tomorrows we were planning just a few weeks ago. I imagine the emotional reactions to the pandemic vary greatly, especially by age. I am 68, going to turn 69 this year, and I was already feeling oddly emotional about getting close to my seventies. The growing aches and pains of aging, as well as the deterioration of my various organs and digestive system, was already leading me into gloomy thoughts about the future. Running out of time has become more and more inspirational, but when the plague hit, that emotion went into hyperdrive.

We are experiencing something very new and different. It’s not that humans haven’t been on the brink before, or that we don’t think about it often, but we’re getting to feel it for ourselves in a very intimate way. Last night I watched the first episode of The War of the Worlds on Epix, where billions of humans are wiped out by invading aliens. I’ve read books and seen shows about apocalyptic events countless times in my life, but watching this one last night felt more realistic than ever before. The worse this pandemic gets the harder it will be to vicariously enjoy fictional apocalypses in years to come. The Great Depression and WWII inspired a lot of fluffy fun films in the 1930s and 1940s.

We still don’t know what this plague will bring. It could be over in weeks, months, or years. We don’t know how many lives it will terminate, how it will change the economy, or how it will alter our future daily outlooks. Essentially, it’s fucking with our sense of the future. What I love, and I imagine most of my fellow humans do too, is normalcy. We want orderly lives that we can control and predict. Remember, “May you live in interesting times” is a curse. Sure, there is a percentage of the population that are thrill-seekers, but most of us are not.

I was already stressed out for political reasons. The plague has both trumped Trump and swept away the 2020 election. I realize if I had the psychic energy I would ignore both and get on with my plans. I can pursue all my old ambitions at home while sheltering in place. But the dark clouds of rapidly shifting futures disrupt my thoughts. I assume they do you too.

If I was Yoda I suppose I could separate thinking from my emotions, but I’m not. The fear of being put on a ventilator keeps me from mentally seeing straight. And the fear of Donald Trump being elected a second term still eats away at my sense of wellbeing. If I had Zen Master mind-control I’d phase out these psychic ripples caused Covid-19 and Trump and get on with business. Unlike Trump, I don’t think we should all plan to go out by Easter. On the other hand, until the virus grabs me, I don’t think I should sit around and wait for it either.

The reality is I’ve already got other age-related health problems. Worries about the pandemic just exacerbate them. My health is easily disturbed by disruptions in my diet, exercise, sleep, and thinking. That wasn’t true, or not apparently so when I was younger. All of this leads to the realization that controlling my emotional reactions to the daily news is vital to my health. At 68, staying positive is critical. Fearing the future is just as dangerous as actual viruses. What we want is to act on the now to bring about desired futures, rather than wait in the now for scary futures.

When I was young I used to tell people I never worried about getting old because I didn’t fear wrinkles and going bald. I thought being old was all on the outside. I never imagined the psychic components of aging. What getting old is teaching me is the breakdown of consciousness is scarier than the breakdown of the body. Of course, they go hand-in-hand, but ultimately we need to fight for mind over matter.

What the plague is teaching me is how positive emotions are tied to our planning. And experiencing a plague later in life combines two very similar storms of emotions. I used to think I was like Mr. Spock, all intellect and no emotion. That delusion was possible when I was young, healthy, and society was stable. But looking back, I realize society was seldom stable.

I have a hard time imagining how the young are reacting to the pandemic mentally and emotionally. Do their youth overpower their fears, or do their fears undermine their youth? I am too distant from them psychically to empathize. I assume it’s quite a trip being laid on them.

I live in the American South and all the reports tell us we’re next in line for major pandemic growth. Ignoring that is hard. The older I get the more I envy robots. Being a conscious mind on top of a soup of chemical and biological reactions is a razor’s edge of a tightrope to walk. The idea of just having discrete circuits and powerful fast emotion-free thinking is so damn appealing.

The reality is I’m not a robot, nor am I Yoda, and I’m definitely not a Zen Master, and all the wishing in the world won’t make it so. I also feel sorry for all the people who have faith in prayer or Donald Trump’s reality avoidance systems. Our emotions have a hard time when hard reality canes us viciously about the head and shoulders.

JWH

Playing Six Degrees of Separation with SARS-CoV-2

by James Wallace Harris, Sunday, March 22, 2020

This morning I got up and decided to think positive about our situation. First, we have to consider the numbers. I like to use rules of thumb to make easy comparisons, so here’s a table based on a world population of 7 billion. (It’s really 7.7, but I’m making it easier on myself mathematically.)

Population	Percent
7,000,000,000	100%
700,000,000	10%
70,000,000	1%
7,000,000	.1%
700,000	.01%
70,000	.001%
7,000	.0001%
700	.00001%
70	.000001%
7	.0000001%

I feel looking at the math should reduce our fears — at least for now. Using nCoV2019.live for my stats, worldwide there are 323,117 confirmed cases of SARS-CoV-2 this morning. That’s about .005% of the population. 13,848 have died, or about .0002%. Now, I no longer trust my math skills, but I believe that’s 1 in 505,488 for dying, and 1 in 21,664 for being infected. Those numbers make me feel better.

Of course, that’s using the total population of the world. If you live in Italy or New York City, your chances are much greater at being infected or dying. The U.S. has roughly 327 million citizens, meaning if we only consider it, which has 27,684 infected people with 354 deaths as of 3/22/20, then there’s a 1 in 11,812 chance of being infected, and 1 in 923,728 of dying. Still not bad. However, the population of NYC is 8,623,000, and if all 12,683 infected cases from New York state were in the city, that’s only 1 chance in 680. Now, they are starting to get scary.

Depending on where you live, you might feel your odds are pretty good.

During the initial stages of a worldwide pandemic, your chances of being infected increases by how many people you know who travel. Remember the Six Degrees of Separation game? Right now, most people outside of Wuhan who have caught SARS-CoV-2 were just one or two degrees away from meeting someone who recently flew. At first, it was people who traveled from China, but now it’s more about people coming from Seattle or New York City, but eventually, it will be about the people who drive around your city.

I don’t know anyone who has the disease. It takes One Degree of Separation to catch Covid-19. I don’t know how close the plague is, it could be two, three, or even four degrees away. Things will get much more frightening when we know people who know infected people — two degrees away. So far, I don’t know any two-degree people or even heard of any three-degree people.

The reason why China has been able to contain the disease is that it tracked every connection. The U.S. has allowed the disease to get out of control, which means they can’t track the various degrees of separation. However, by getting everyone to shelter in place they could get the pandemic under control again and then start tracing the infections.

Some states and smaller cities might be able to track all the cases of infection and keep things under control. But that won’t work unless people stop moving around. The reason why the game Six Degrees of Separation actually works is humans love to travel. It’s why the pandemic spread so quickly.

I wonder what we will learn from this lesson. When a pandemic breaks out, we should stop all air travel immediately. That means travelers will get stuck in foreign cities for the duration. We won’t know how far we’re willing to go until this pandemic is over and see its total cost. Besides killing a lot of people, it will probably devastate the world economies. That might make us savvier about the next time.

It’s been about a century since the last terrible pandemic. It would be comforting to think another horrible pandemic won’t come around for another century. However, humans are increasingly doing things to up our chances of another pandemic. We could be more careful if we wanted. It’s a matter of science, education, and statistics.

I wonder if this pandemic will teach us the value of science. Too many people dismiss science because it reveals unpleasant statistics. I found this cartoon on Facebook that should remind everyone of the true value of science. It got only one like by my friends when I reposted it.

JWH

Lessons From Black Swans

by James Wallace Harris, Wednesday, March 18, 2020

We always learn something from black swan events, such as the 9/11 attacks and the 2008 financial collapse. First, we’re always shocked by changes that many predicted and see the obvious warnings in hindsight. With the current pandemic, we’re now realizing just how many books and movies imagined an event like this one, and we asked ourselves “Why weren’t we prepared?” There were those who warned us about terrorist attacks and economic bubbles but we didn’t listen to them either.

Basically, people are hopeful. Or at least, they need to turn a blind eye to fear of the future. After the black swan lands, we become so fearful of another similar landing that we become paranoid for decades. We’ve spent trillions on worrying about terrorism since 9/11, and whenever Wall Street got the sniffles we’ve freaked out worrying about another giant economic downturn. Singapore was better prepared for COVID-19 because it had already experienced a SARS outbreak. We do learn, it just takes a big kick in the head first. On the other hand, some groups like Boomers and the Faithful are still living in denial about the current black swan. And preppers are having a big “I told you so” moment.

It now looks like this pandemic will hurt more Americans than terrorisms and wars, and damage the economy far more than any shenanigans of big business. We hope the coronavirus will clear up in weeks, but it could change the country for decades, just like other black swans. Events like this pandemic will also identify the grasshoppers and ants in society. Aesop’s fable told us not to always party and put away for tomorrow. This plague is going to sicken more people financially than medically. Far from everyone heeded the advice to set aside six months of living expenses, but really, how many ever imagined they would be told to stay home for months? I expect the lessons learned from surviving this pandemic will affect how people live for decades to come. And that too could affect the long term economic outlook. And I bet getting vaccinated for everything offered will become a lot more popular.

You’d think we’d start learning how to handle black swans. We’ve known for a very long time that if some people eat bats in China or monkeys in Africa diseases that previously only existed in animal reservoirs would jump the dam to dwell in us. We’ve had decades of experience containing these pathogen breakouts, knocking them back, and knowing if we failed the disease would become part of our regular lives. Every year cold and flu viruses flare up and travel around the world because so viruses are entrenched in us. If we don’t contain the coronavirus it could house itself permanently in Homo sapiens and either become an annual flareup or a chronic problem like TB. We don’t know enough yet, to say which.

For the year 2017, the CDC said these were the leading causes of deaths in the U.S.:

Heart disease: 647,457
Cancer: 599,108
Accidents (unintentional injuries): 169,936
Chronic lower respiratory diseases: 160,201
Stroke (cerebrovascular diseases): 146,383
Alzheimer’s disease: 121,404
Diabetes: 83,564
Influenza and Pneumonia: 55,672
Nephritis, nephrotic syndrome, and nephrosis: 50,633
Intentional self-harm (suicide): 47,173

If the coronavirus isn’t contained, and it looks like it won’t be, it could become another regular item on this list. The $64,000 question is where it will rank. Until we develop herd immunity and the experience of many years of living with mutated versions of the SARS/coronavirus, we won’t know. Eventually, it might become no more deadly than the other annual influenzas. But if it is truly ten times more deadly than the flu, it will come in at #3 behind heart disease and cancer. To handle that will require a complete transformation of our medical system. My guess is coronaviruses won’t be that deadly once humans develop natural and vaccinated immunities, but it will rank above Influenza and Pneumonia, or it will expand that category greatly.

What we have to do now is learn how to avoid COVID-19 until a vaccine can be developed. That means avoiding people for the next one to two years. I’m not sure we’re prepared to do that. But it also means learning to live in a new way — a much more germ conscious way. Should we allow so much airline travel if it confers such potential danger? So many economies depend on tourism. China has already announced bans on eating wild animals, but can they make hundreds of millions of people give up a multi-billion dollar industry that people have relished for centuries?

Can we invent personal bunny suits that protect us from diseases? Ones that are reusable, machine washable, and even fashionable? Can we invent vaccines that anticipate new diseases? Do we really need to congregate by the thousands? Will we just accept a certain level of death in society for the activities we love? We embrace cars knowing that 1.25 million people are killed by them every year — so maybe we’ll embrace gathering in sports arenas for ball games and rock concerts and just accept the related fatalities. Who knows what we will decide.

At first, I thought we were overreacting to the coronavirus. Everything is shutting down in my city which has only two infected people. I worried that thousands of people will be crushed financially. But the more I read about how European hospitals are being overrun by pandemic patients, and what it’s like to need a respirator to survive, that I now worry that we’re not panicking enough. I also assume if political leaders are freaked out enough to do all the things they are doing, then it’s probably going to be much worse than I feared. Political leaders aren’t known for quick action.

The die has been cast. Our society has committed to sheltering in place. Some people are thinking it will be for three weeks, but I don’t see how that’s possible. If the disease disappears with summer, I can see us getting a reprieve until next winter, but that means we need to hunker down for three months. Then we can run around for four months before taking shelter again. The goal is to wait it out until a vaccine is tested and distributed. Can we shelter in place for that long?

What if vaccines aren’t ready until Fall 2021? It means we have to learn a new way to live. How do we do our food shopping? How do people work and get paid? How do you go to the dentist or get your car repaired in the middle of a pandemic? If you need non-critical cataract or prostate surgery do you still go? It’s not going to be as bad as living through the Blitz in London or surviving Stalingrad, but it might be as challenging and inconvenient as living in America during WWII.

That’s the shocking thing about black swans — normalcy is suddenly disrupted — but we adapt. At least the people in history have. I’m already skilled at staying home for days at a time, so I don’t see learning to do it for weeks or months being a problem. But I do know most people might go crazy with cabin fever. And I worry about all my single friends. Sheltering at home for long periods by yourself might be deeply psychologically damaging. Many of my single friends also sneer at Facebook, but it might be a great social outlet during the plague months.

I’m lucky Susan moved back home last year after working a decade out of town. I’m also lucky that I have a wide-ranging set of internet friendships to keep me socially active. And I’m further lucky in that I have a long list of things I’ve been meaning to do. I generally ignore my to-do lists in favor of socializing, so maybe I’ll actually get some of the things done from those lists.

The most fascinating thing is we don’t know how this will change us. It’s another black swan about to land.

JWH

How To Prepare for the Pandemic

by James Wallace Harris, Friday, February 28, 2020

I’m getting more worried about the coming coronavirus pandemic and have been meditating on what we need to do. I’ve been doing a lot of reading and it looks like they won’t be able to contain it. It also looks like they won’t have a vaccine for another year or two. That means we have to dodge the disease, minimize the effects of getting infected, but ultimately be prepared by finding the best way to handle getting the infection.

The death rates for the coronavirus varies with age. It appears children under 10 aren’t usually dying, but older people are. The overall average for all infected people is 2-2.5 percent dying. That’s much higher than the annual flu but far less scary than things like Ebola. However, that rate rises to 8-10% for elderly people or people with compromised lungs. From what I’ve read, the disease is harder on men and smokers. Women have a more active immune system, but they are also more prone to autoimmune diseases. Smokers have compromised their lungs.

Most countries have been having people stay home in areas where they’ve found an infected individual. That works to a degree. However, the coronavirus can be infectious before symptoms show. Most people get a mild cold-like infection which tends to help spread the disease because people don’t think they are infected with the coronavirus.

I’m sure everyone knows about how not to spread germs – thoroughly washing hands, not touching your face, sneezing into your elbow, and staying away from other people. But if the pandemic arrives will we all stay home until it disappears? How long can you last in your house without needing to go out for supplies? How long can you not go to work?

Getting the virus probably means acquiring a natural immunity if you survive. However, there have been some rare reports of recovered people getting the disease again, or it flaring up for a second time. Now that’s scary.

Healthy people probably have much less to worry about. However, if you’re old, or have any kind of problems with your lungs, it’s time to worry. This population often ends up hospitalized. If you’re part of this group you need to make sure you can get emergency care quickly. But your first line of defense is to avoid getting infected until they come up with a vaccine. That means staying isolated when the infection hits your town. We also need to learn how to go to the hospital when we do think we’re infected.

There’s is hope the coronavirus will die down in the warm months like the flu, or even die out on its own. But if it spreads in the Southern hemisphere now that won’t be a good sign.

I’m hoping the people in charge of every nation will come up with practical solutions to keep people off the streets during breakouts. Fighting the pandemic will depend on both good government and good citizens. It might be possible to avoid getting infected with some proper planning now. Being able to stay at home for long periods will help a whole lot. Sequestering older folks away from younger people will be vital. This year might not be a good time to travel — unless you have a deserted hideaway in the mountains or the desert.

JWH

Wanted: Purina People Chow (Formulated for the Aging Geezer)

by James Wallace Harris, Wednesday, September 26, 2019

Abstract: Seeking a 100% nutritionally balanced meal plan for my aging body that involves the fewest possible standard meals that can be easily prepared. These meals should never cause gas, acid reflux, constipation, stomach pains, bloating, lethargy, diarrhea, or any other bodily discomfort.

Trigger Warning: Do not read if you are unsettled by descriptions of bodily functions or euphemistic words that describe them. Do not read if you are depressed about getting older. Do not read if you want to keep all your geriatric surprises until they happen to you personally.

My friend Linda recently asked me why they didn’t warn us about all the weird things that would happen to our body as we got old. Not long after that I was at my doctor and asked her that question. She replied with a twinkle in her eyes, “You don’t want us to spoil the surprise, do you?” I thought, maybe she doesn’t want to depress her patients. I gave her an example to see what she would say. I told her my dick was shrinking. I lamented that my dick had never been big, and now it was beginning to whither. I might have also said WTF? She gave a little knowing laugh. Maybe that was a common complaint from men that she found funny, but I worried that maybe other changes for my little wonder worm were in my future and she didn’t want to tell me.

The other day I saw an article on Flipboard about vagina atrophy. Maybe such secrets of aging are out there and I just haven’t been paying attention. If penises and vaginas can atrophy, what about other organs? Am I peeing so much because my bladder is atrophying? Is constipation a new problem in my life because my intestines are shrinking away? Is all my stomach problems due to my stomach wimping out? WTF? I bet this is TMI, isn’t it?

When I was a kid I could eat anything and it never bothered me. Growing up I don’t really remember shitting much. I can’t ever remember taking a dump at school. And I think I only went to the boys’ room once a day to piss, and maybe some days not pissing at all. Hell, if I was in school today I’d be waving my hand to go to the restroom every hour – at least. And that lunchroom food would give me a stomach ache, heartburn, and gas that would last the rest of the day. In fact, I can’t remember spending much time in the bathroom when I was young, other than those adolescent years of jerking off while pretending to need to take a long leisurely crap, but now I practically live next to the toilet. And it’s no longer because of one-handed reading.

I’ve decided what I need is to study nutrition and create a small repertoire of meals that don’t offend my fussy body. In the last decade, I’ve slowly learned through painful lessons I refuse to accept, that my stomach, intestines, and bladder just don’t like my favorite foods anymore. For example, eating peanut butter now makes me feel like I have a bleeding ulcer. Drinking iced tea or soda pop makes me piss every fifteen minutes. Oatmeal creates enough gas that I could pressurize a natural gas tanker. Fatty foods give me painful acid reflux that feels like I’m having a heart attack. And the list of humiliations goes on and on.

I understand that my bladder is being crushed by an enlarging prostate and I have to pee more often, but if I get constipated or pressurized enough for farting I have to pee 2-3 times an hour. That’s very annoying. I hate to leave the house anymore because I have to piss so goddamn much. My wife is annoyed I won’t go on trips, but the logistics of finding that many bathrooms on the road put travel plans out of the question.

And I don’t mean to be whining. I know people with cancer, dementia, chronic pain, strokes, debilitating diseases, and other depressing conditions, so I consider myself very lucky to only have the puny physical problems I do have. But I figure if I’m going to live another 10, 20, or god forbid 30 years, I need to adapt to a long-term strategy of surviving with the minimum of discomfort. And since much of my discomforts come from eating, I need to buckle down and find out just exactly what my body wants. I feel hostage to my digestive system and I’m ready to pay the ransom.

If Purina offered People Chow that provided everything I needed for optimal nutrition, bright eyes, and a shiny chromedome, I’d eat it three meals a day. I’d forego all eating pleasure just to make turds that slid smoothly out, to be free of gas and bloating, to need to pee as infrequently as possible and especially to have a nice peaceful stomach.

I know I sound like all those old folks who talk endlessly about their bowel movements. But I figured something out last night. If young people had our bowels they’d be talking about their shits and pisses all the time too. Take care of your body because if you don’t it will get its revenge. (No, I’m glad I drank a trainload of Cokes and chocolate shakes and ate those thirty-three tons of M&Ms.)

What I want to find are meals that satisfy my body’s need for nutrition and causes no physical complaints. I figure I need to eat two healthy meals a day with one snack in between. The problem I face is finding a selection of meals and snacks that are nutritionally balanced. I don’t even need culinary variety.

I know such meals exist because I sometimes go days without my body complaining. Then I’ll eat something and my pleasant digestive detente will be shattered for a week. Being vegetarian complicates things because foods with enough protein are limited. For fifty years I did fine with dairy products, beans, and peanut butter, but now those cause constipation, gas, and stomach pain.

I wish that my healthy diet could be based on ice cream, pie, cake, cookies, chocolate, Coke, and ice tea. Actually, my digestive system loves pie and ice cream, but they make me gain weight. Come to think about it, everything that makes me lose weight annoys my insides. Is just getting fatter the answer?

It’s such an insanely hard puzzle to figure out the right combination of foods that are ideal. If anyone knows of cookbooks for geezers or meal plans for sissy stomachs, post them below.

JWH

Quantifying My Cognitive Decline

by James Wallace Harris, Thursday, September 5, 2019

I subscribe to a service called Grammarly which checks my spelling and grammar as I write. Grammarly sends me a weekly report on how I’m doing. Two years ago it would tell me I was more accurate than 65-70% of their users, referring to grammar and spelling. I doubt even when I was young it would have been much higher. In recent months that number has fallen to 35-40%. And I can feel it. I have to proof my posts countless times and I still find errors after I’ve published. I’m appalled by how bad my writing has become. If I published my first drafts readers would think they were following Charlie Gordon into his descent phase from the book Flowers for Algernon.

I consider this good quantitative data on my cognitive decline. Grammarly does give me some good news. I’m generally more productive than 98-99% of their users, and my vocabulary is larger than 98-99% of their users. The first is explained by being retired and writing for two blogs. The second reflects long term memory. I can tell it’s my short term memory that’s failing.

I still don’t see this as an early sign of dementia, but I might be deluding myself. I think it’s just an aspect of normal aging. We’re used to seeing our bodies getting old because of all the visible physical changes. We’re not used to mental changes because they are less observable to ourselves and the people around us. Unless we talk or act differently, other people don’t see the changes. And we don’t feel the changes unless we try to do something and fail.

I have been noticing the number of times people ask me why I’m not talking. I tell them I’m just listening to them. Or say I’m thinking. But I believe it’s because it takes more effort to put thoughts into words, and when I do talk I can’t remember words, or I verbally trip when saying sentences. My cognitive problems are the most obvious when writing. If I’m just playing with the cats, watching television, or listening to music I feel fine. I believe we ignore our mental aging by doing less and saying less. Of course, many people also ignore signs of physical aging — that’s why so many foolish oldsters fall off ladders.

The real question is: Can we exercise the mind like we exercise the body? It appears we can slow physical decline by being more active. Is that also true for mental activity? My first reaction when I realized I was making more spelling and grammar errors was to quit writing. But I quickly decided that was the wrong approach. I believe writing exercises the mind. Instead of quitting I should work harder. However, I might need crutches. I thought about pilots who use preflight checklists, or how surgeons now use checklists to avoid making surgical mistakes.

I already pay Grammarly to keep an eye on me, but it’s far from perfect. In fact, when I see errors after I published it means Grammarly and I both missed them. I usually proofread my posts four or five times before I hit the published button. Often the most glaring mistakes are last-minute rephrasing where I don’t proof the whole sentence, or whole paragraph again. But other mistakes come from reading too fast and assuming I’m seeing what I read.

I believe my essays give the illusion that my mind is working just fine. Y’all don’t see how many broke things I fix. I use the internet to cheat. It really is my auxiliary memory. And I have unlimited do-overs. Most importantly, I can take all the time I need to say what I want.

I’ve always been a good typist. It’s been the most useful skill I learned in high school. What I typed used to be what I thought. Thoughts came out of my fingers. That’s no longer true. Now my fingers give me sound-alike words, leave out words, type words twice, and even throw in extra words. Quite often I end up typing just the opposite of what I was thinking. While typing this paragraph I created 8-10 alternate words to what I was thinking. Just that could explain the halving of my accuracy score in Grammarly.

[When proofing the above paragraph I had a new insight. What if my typing is as accurate as ever, and I’m merely typing jumbled thoughts when I once transcribed clear ones?]

Writing isn’t the only way I’m seeing increased cognitive problems. The other day I wrote “Untying a Knotted Plot” about my difficulty of understanding a short story. I had to read it four times. Admittedly, it is a complicated story. The author even wrote a couple of comments to help me. That essay was extremely difficult to compose. I struggled with trying to comprehend the story and write about it clearly. Every time I typed the author’s name I looked at the magazine to verify the spelling. I still got it wrong three out of eight times. I proofed the hell out of that piece because errors seem to be popping like popcorn. I felt like I was playing a very desperate game of Whack-a-Mole.

There’s another reason to keep writing. I want to document my own decline. Like the researchers in Flowers for Algernon, they tell Charlie to keep a journal. I’m going to be my own researcher and subject. I think it’s useful to be aware of my diminishing abilities. Aging is natural, and I accept it. I’m willing to work to squeeze all I can from my dwindling resources. What’s vital is being aware of what’s happening. The real problem to fear is becoming unconscious to who we are. Like Dirty Harry said, “A man’s got to know his limitations.”

The reason why Flowers for Algernon was such a magnificent story is that we’re all Charlie Gordon. We all start out dumb, get smart, and then get dumb again. Charlie just did it very fast, and that felt tragic. We do it slowly and try to ignore it’s happening. That’s also tragic.

JWH