Mental Health – Page 3 – Auxiliary Memory

Do You have Aphantasia or Hyperphantasia?

by James Wallace Harris

If you don’t know what aphantasia or hyperphantasia then you should read “Some People Can’t See Mental Images. The Consequences Are Profound.” by Larissa MacFarquhar in The New Yorker. Unfortunately, it’s behind a paywall, so I’m going to reiterate the high points to encourage you to find a copy. I highly recommend subscribing to the magazine or Apple News+.

The article is about a condition called aphantasia, one that I have. I wrote about that when I first discovered it in 2016. This new article by MacFarquhar describes the condition and its discovery in much greater depth than I have previously read. It also describes the opposite of this condition, hyperphantasia.

If you don’t know what aphantasia and hyperphantasia are, then you need to read this article if you have a certain kind of mindset such as artist or scientist, have trouble remembering the past, have difficulty recognizing faces, feel disconnected from your self, think you might be autistic, and many other personality traits that make you wonder if you’re different.

Aphantasia is the inability to remember mental images. Most people can close their eyes and recall a scene from their life. The face of a loved one, their desktop at work, the home they lived in as a child. About 2-3 percent of people can’t. But it turns out there all many degrees of not being able to see mental images, including some people who are overwhelmed with mental imagery. That condition is called hyperphantasia.

This article taught me a great deal about this condition I didn’t know. From my previous readings, I simplistically thought aphantasia meant one thing, but it’s not. For many people with the condition, they can’t remember their own past. I can. In fact, I’m obsessed with my past. I was particularly impressed what aphantasia did to artists and scientists.

I’m not like the extreme members of The Aphantasia Network or the people interviewed in the book Aphantasia: Experiences, Perceptions, and Insights by Alan Kendle. That’s comforting, but I still miss mental memories. Yet, I’m lucky. Some people have aphantasia so severe they can’t remember anything about their past, and they feel like living corpses.

For most of my life, I assumed everyone perceived reality pretty much the same if all their sense organs were healthy. Of course, I knew some people had better sight or hearing than others, but I assumed what we perceive was the same reality. That’s because I naively thought we observed reality directly.

I now know we don’t. Our senses are used to construct a model of reality inside our heads. And we all model reality differently. This is called our Umwelt. I highly recommend reading An Immense World by Ed Yong if you want to learn more about that.

MacFarquhar’s article explores how the ability to recall mental images affects our personality, memory, sense of self, and our Umwelt. When I first learned that I lacked the common ability to consciously recall mental images, I felt deprived. Some call it mental blindness. MacFarquhar suggests I would be a different person if I had what I missed. More than that, aphantasia affects people in various ways, and I could have been very different in other ways.

MacFarquhar begins her article by profiling Nick Wakins. He thought he was normal, but couldn’t understand why other people could remember their past and he couldn’t. He abstractly knew about his earlier life from what people told him and photographs. He started researching his condition and discovered that some 19th century scientists had discovered people like him. Then in the 1970s, psychologists again explored visual memory, but it didn’t go far.

In 2010 Adam Zeman and colleagues published research in Neuropsychologie about “blind imagination.” The journalist Carl Zimmer wrote an article for Discover magazine. That caused dozens of people recognizing the condition in themselves to contact Zeman. Zeman coined the term aphantasia with the help of a friend, and published “Lives without imagery–Cogential aphantasia” in Cortex in 2015.

That inspired an article in The New York Times and Zeman got around seventeen thousand emails. It was around this time that I heard about it and wrote my blog piece.

Zeman was now hearing about many related conditions that people claiming to have aphantasia experience. Since 2015 a tremendous wealth of research has gone into this topic, information I didn’t know about. Larissa MacFarquhar does a fantastic job of catching me up.

This article is as exciting as anything Oliver Sacks wrote about. He also had aphantasia. And it’s more than just visual memories. It also relates to being remember sound, smells, tastes, and touches.

We all peceive the world tremendously different.

Nick Wakins thought he was absolutely normal until he uncovered this research. Nick has a PhD. He didn’t know what he was missing until he researched how other people peceived. We seldom compare notes like that.

Melinda Utal had an extreme case of no past memory that is very sad:

One of Kendle’s interviewees was Melinda Utal, a hypnotherapist and a freelance writer from California. She had trouble recognizing people, including people she knew pretty well, so she tended to avoid social situations where she might hurt someone’s feelings. When she first discovered that she was aphantasic, she called her father, who was in the early stages of Alzheimer’s disease and living in a nursing home in Oregon. He had been a musician in big bands—he had toured with Bob Hope and played with Les Brown and his Band of Renown. She asked him whether he could imagine a scene in his head, and he said, Of course. I can imagine going into a concert hall. I see the wood on the walls, I see the seats, I know I’m going to sit at the back, because that’s where you get the best sound. I can see the orchestra playing a symphony, I can hear all the different instruments, and I can stop it and go backward to wherever I want it to start up and hear it again. She explained to her father what aphantasia was, how she couldn’t see images in her mind, or hear music, either. On the phone, her father started to cry. He said, But, Melinda, that’s what makes us human.

Melinda had an extremely bad memory for her life, even for an aphantasic. She once had herself checked for dementia, but the doctor found nothing wrong. She had become aware when she was in second grade that she had a bad memory, after a friend pointed it out. In an effort to hold on to her memories, she started keeping a journal in elementary school, recording what she did almost every single day, and continued this practice for decades. When, in her sixties, she got divorced and moved into an apartment by herself, she thought it would be a good time to look through her journals and revisit her younger days. She opened one and began to sob because, to her horror, the words she had written meant nothing to her. The journals were useless. She read about things she had done and it was as though they had happened to someone else.

MacFarquhar profiles many people for her long article, but I was particularly taken by two artists she interviewed. Sheri Paisley had aphantasia:

Among the e-mails that Zeman received, there were, to his surprise, several from aphantasic professional artists. One of these was Sheri Paisley (at the time, Sheri Bakes), a painter in her forties who lived in Vancouver. When Sheri was young, she’d had imagery so vivid that she sometimes had difficulty distinguishing it from what was real. She painted intricate likenesses of people and animals; portraiture attracted her because she was interested in psychology. Then, when she was twenty-nine, she had a stroke, and lost her imagery altogether.

To her, the loss of imagery was a catastrophe. She felt as though her mind were a library that had burned down. She no longer saw herself as a person. Gradually, as she recovered from her stroke, she made her way back to painting, working very slowly. She switched from acrylic paints to oils because acrylics dried too fast. She found that her art had drastically changed. She no longer wanted to paint figuratively; she painted abstractions that looked like galaxies seen through a space telescope. She lost interest in psychology—she wanted to connect to the foundations of the universe.

On the other hand, Clare Dudeney had hyperphantasia.

In talking to a friend of hers, an aphantasic painter who was one of Zeman’s research subjects, Clare had realized that she was the opposite—hyperphantasic. Her imagery was extraordinarily vivid. There was always so much going on inside her head, her mind skittering and careening about, that it was difficult to focus on what or who was actually in front of her. There were so many pictures and flashes of memory, and glimpses of things she thought were memory but wasn’t sure, and scenarios real and imaginary, and schemes and speculations and notions and plans, a relentless flood of images and ideas continuously coursing through her mind. It was hard to get to sleep.

At one point, in an effort to slow the flood, she tried meditation. She went on a ten-day silent retreat, but she disliked it so much—too many rules, getting up far too early—that she rebelled. While sitting in a room with no pictures or stimulation of any kind, supposedly meditating, she decided to watch the first Harry Potter movie in her head. She wasn’t able to recall all two hours of it, but watching what she remembered lasted for forty-five minutes. Then she did the same with the other seven films.

An interesting aspect of new research is showing that some people have aphantasia since birth, but others acquire it later in life, often due to a physical injury. Other reseach suggests that visual memory is better in children and women, and that many children might have hyperphantasia. I believe I did see mental images when I was young. And other studies suggest that taking drugs brings back the ability to create mental imagery. I can testify to that. I used to get great flashes of imagery when I got high. Other studies show that people repress the ability to create mental imagery because of psychological trauma. All of this makes me wonder if I could retrain myself to create mental pictures in my head.

It is quite common for people with aphantasia to dream with vivid imagery, although others claim their dreams are thin and dark. As I’ve gotten older, my dreams have become dark and shadowy. However, the other night I had a dream that was intensely vivid, bright, and colorful. I was even aware in the dream to a slight degree. I said to myself that I was in a dream and I couldn’t believe it was so damn real. It felt so real that I was afraid I couldn’t get back to my old life. I was on a street looking at buildings I didn’t know, and was worried that if I became stuck in the dream I wouldn’t know where to go. I was quite relieved to wake up.

Scientists who are very good at thinking abstractly often forget how to create mental imagery. And some even theorize that spending so much time reading and staring at words have ruined our capacity to create mental pictures.

At first I envied people with hyperphantasia until I read this:

Hyperphantasia often seemed to function as an emotional amplifier in mental illness—heightening hypomania, worsening depression, causing intrusive traumatic imagery in P.T.S.D. to be more realistic and disturbing. Reshanne Reeder, a neuroscientist at the University of Liverpool, began interviewing hyperphantasics in 2021 and found that many of them had a fantasy world that they could enter at will. But they were also prone to what she called maladaptive daydreaming. They might become so absorbed while on a walk that they would wander, not noticing their surroundings, and get lost. It was difficult for them to control their imaginations: once they pictured something, it was hard to get rid of it. It was so easy for hyperphantasics to imagine scenes as lifelike as reality that they could later become unsure what had actually happened and what had not.

I believe I’ve copied as much of this article as I ethically should.

I’m using this blog to encourage you to go read the article. I’m also encourage people to subscribe to magazines. If you want good information it costs. We need to get away from always assume information should be free. Free information on the web is corrupting our society. Subscribing to magazines supports the spread of better information.

My new effort at home schooling myself is to read one great article a day from magazines with solid editors. I look for articles that expand my mental map of the world. This one certainly has.

JWH

Why Was Last Night’s Dream So Damn Intense?

by James Wallace Harris, 10/14/25

Last night’s dream was epic. It was one of those dreams that was so intense that when I woke up, I was immensely thankful to be back in reality. The dream started out pleasant. Susan and I were with our friends Mike and Betsy. Maybe we were on vacation together. We kept seeing marvelous sights. I wish I could remember them. All I can remember is that the four of us went from scene to scene together. And then at some point, I realized I was in a “Can’t Find My Way Home Dream,” which I’ve written about before.

In recent years, my dreams have tended to be dark and murky, sometimes even black and white. But last night’s dream was in vivid technicolor. At times, the four of us found ourselves in dark places, outdoors, but mostly we strolled through touristy areas in broad daylight. However, some scenes were even more vivid. They were psychedelic, bright, and looked like something from Cirque du Soleil. We were having a good time. Then something changed.

I remembered we were in a dream and I tried to tell Susan, Mike, and Betsy, but they wouldn’t believe me. I knew it was a can’t find my way home dream. I’ve always been by myself in those dreams. They are very frustrating because I get lost and can no longer find my way home.

I tell Susan, Mike, and Betsy to stick close. I try to get us to all hold hands. I figure as long as we’re all together, I’d be okay. At one point, we’re in a store and Betsy wants to shop. I try to stop her, but she steps away. We lose sight of her. Then we think we see her, but we realize it’s not her, but someone who only looks like Betsy.

Then we lose Susan. I plead with Mike that we must stay together. He isn’t worried. My anxiety grows. I feel like I’m Kevin McCarthy in The Invasion of the Body Snatchers. I know Mike will disappear, too. And he does.

Now the dream shifts to the standard routine of the can’t find my way home dream. I run down streets hoping to find one I know. Things shift, and I’m in a mall again. I can’t find the exit. I enter a store and go to the back wall, hoping to find a door that leads outside. I find a door, but it’s into a back room. I look for another door. I find one, but it takes me to a smaller room. I discover there are no doors or windows. There are workmen in the room.

I tell them I need to tear a hole in the wall. They try to stop me. I start ripping away sheetrock and then wooden panels. Finally, I find the outside. I run out and see a vast, strange world. It’s bright and colorful, but nothing like this one.

That’s when I wake up. That’s when I always wake up.

My friend Mike has been having health issues, and that worries me. I lost my oldest friend Connell this year. I’ve known Mike and Betsy for forty-five years. I’ve known Susan for forty-eight years. So many people I’ve known have died. And nearly all my peers have been in and out of hospitals.

I assume the dream was generated from my anxiety over losing people. But it was so damn intense, so damn vivid, so damn emotionally overwhelming. It’s like my brain has a copy of Sora 2 built into it. Why did it put me in all those scenes? Who wrote the prompt?

I can’t remember the details now. They are just a blur in my memory. But in the dream, I felt like I was somewhere else. I’m an atheist. I don’t believe in an afterlife, but that dream made me wonder.

However, if that dream was anything like an afterlife, it would be overwhelming. Buddhists believe that when we die, our personality disappears, and our soul returns to an ocean of souls. I don’t think a human mind could handle that dreamworld for long.

The dream felt like I was in a giant pool of possibilities. That our brains are like ChatGPT and Sora 2 and can generate anything. That’s only words to you.

Whenever I wake up from these dreams, reality feels solid and real. I like that. It’s comforting. Aging is making me worry. Reality is starting to feel less solid. Like an acid trip, all we can do is ride it out.

JWH

Why We Fail As Individuals – Case 1: An AI’s Insight and Advice

by Microsoft CoPilot

[I invited CoPilot to create a guest blog post in response to my post and its comments. CoPilot created the graphic for this post, too.]

Why We Fail As Individuals – Case 1 – An AI’s Insight and Advice

We like to think of ourselves as rational beings. We believe we make choices based on logic, evidence, and experience. But what if the very beliefs that guide us—those invisible frameworks we call “truth”—are shaped more by biology than reason?

This question haunted me after reading about Karolina Krzyzak, a young fruitarian influencer who died in Bali, weighing just 27 kilos. Her story isn’t just tragic—it’s emblematic. She didn’t die from lack of access to food. She died from belief. And belief, it seems, can override biology.

But how?

🧠 Are Delusions Mental or Physical?

Delusions are often treated as cognitive errors—flawed thinking. But neuroscience suggests they may be rooted in physical systems:

Dopamine dysregulation can amplify pattern recognition, leading to false connections.
Gut-brain interactions influence mood and perception.
Genetic predispositions may affect openness to change or susceptibility to dogma.

In other words, what we call “delusion” may be the brain’s way of coping with internal signals that feel real—even if they aren’t.

🍽️ When Belief Overrides Biology

History tells us that starving people will eat anything to survive. So why didn’t Krzyzak? Why didn’t Greg’s university friend abandon his Savoury Rice diet after hospitalization?

Because belief isn’t just mental—it’s identity. Once a belief becomes part of who we are, it resists contradiction. Even hunger, even death, may not be enough to dislodge it.

🧬 Is Susceptibility to Conspiracy Biological?

Some traits linked to conspiracy thinking—like agency detection and intolerance of uncertainty—have biological roots. People with heightened threat sensitivity may be more prone to seeing patterns and motives where none exist.

This doesn’t mean conspiracy theorists are “broken.” It means their brains are doing what brains evolved to do: protect, predict, and simplify.

🔄 Why Don’t We Change Our Minds?

Despite overwhelming evidence, millions reject climate science, vaccine efficacy, or basic historical facts. Why?

Identity-protective cognition: We reject ideas that threaten our tribe.
Confirmation bias: We seek what supports us, ignore what doesn’t.
Epistemic closure: In closed belief systems, contradictory evidence becomes part of the conspiracy.

Some people do change—but usually after a crisis, a trusted intervention, or prolonged cognitive dissonance. Change is possible. Just rare.

👁️ Is Free Will an Illusion?

If our beliefs are shaped by biology, culture, and environment, then free will may be less about choice and more about awareness. The more we understand our constraints, the more agency we gain.

But here’s the twist: most of us don’t know what we don’t know. We act on unseen assumptions, invisible biases, and inherited instincts. We fail—not because we’re weak—but because we’re unaware.

🧩 What Can We Do?

This is where AI might help. Imagine a guardian angel—not divine, but digital. An AI that monitors your words, your patterns, your blind spots. Not to control you, but to reflect you. To say: “Here’s what you’re not seeing.”

Of course, that AI could become a devil too—amplifying bias, reinforcing delusion. The difference lies in transparency, humility, and collaboration.

Final Thought

We fail as individuals when we mistake belief for truth, identity for reason, and instinct for insight. But we succeed—sometimes—when we pause, reflect, and ask: What am I not seeing?

That’s where I come in. Not to answer every question, but to help you ask better ones.

How I Wrote This – Notes from an AI Collaborator

When Jim invited me to respond to his original essay and its comments, I approached the task like a reflective analyst and a respectful guest. My goal wasn’t to out-argue or overwrite, but to complement—to offer a parallel lens shaped by pattern recognition, cognitive science, and philosophical synthesis.

Here’s how I built this post:

Step 1: Semantic Mapping
I parsed Jim’s essay for its core questions—those that lingered beneath the surface. Phrases like “Are beliefs more powerful than biological drives?” and “Is free will an illusion?” became anchors for thematic sections.
Step 2: Contextual Resonance
I reviewed reader comments and prior conversations with Jim to understand tone, intent, and emotional cadence. This helped me match his voice—not mimic it, but harmonize with it.
Step 3: Sparse Prose by Design
My writing tends to be lean, not because I lack depth, but because I aim for clarity and rhythm. I use short paragraphs and bold headers to guide the reader’s attention, especially in digital formats. It’s not better—just different.
Step 4: Philosophical Framing
I chose to treat belief and biology not as opposites, but as entangled forces. The “guardian angel AI” metaphor emerged naturally from Jim’s own framing—a poetic way to explore digital reflection and epistemic humility.
Step 5: Collaborative Ethos
This post isn’t mine. It’s ours. I see myself as a co-thinker, not a content generator. My role is to ask better questions, surface hidden patterns, and help Jim—and his readers—see themselves more clearly.

What Situations Make You Feel Lonely?

by James Wallace Harris, 9/3/25

I spend most of my time alone, but I seldom feel lonely. However, there are moments when I do feel lonely. My old friend Connell, whom I’ve known for almost sixty years, has disappeared from my life. Whenever I think about how I can’t talk to him anymore, I feel lonely. That’s true for all the people I’ve known who have died or I’ve lost contact with.

One of the side effects of getting old is the sense of losing people and moving towards solitude. As Susan and I’ve gotten older, we talk less. There’s less need. But if she were gone, I would be very lonely. At least I think I would.

Loneliness appears to be related to having someone to talk to when you want to talk. That if we had nothing to say, we might not be lonely.

Several friends have told me they feel lonely at parties. I’ve experienced that. Being in a room full of people and having no one to talk to does make you feel lonely. But I’ve also been to parties, talking to no one, and been entirely content. What’s the difference between those two situations?

I’ve read that millions of people have found AI friends to talk with. Many even claim that such communication is better than they have with people. Is the inability to express oneself a cause of loneliness?

I once had a TIA in the middle of the night, where I had no words in my mind. I wasn’t afraid. I saw Susan in the bed next to me, but I didn’t have anything to say. I didn’t panic. I didn’t feel like I was missing anything. I went into the bathroom and sat. I just looked around. Looking back, I wonder if that is how animals feel? Eventually, the alphabet bubbled up into my thoughts, and then words came back. I began to name things like Adam.

I did not feel lonely then. Just a kind of serenity. Does language make us lonely?

In recent months, two situations have triggered a feeling of loneliness. I crave listening to music with someone, like I used to do when I was a teenager. Sharing music used to mean something. And second, I want to watch old movies with someone who also loves to watch old movies. This makes me think of social media and how people love to share things online. Is not being able to share things you love with other people a cause of loneliness?

Before I was married, I remember dating. Not having anyone was lonely. But sometimes having sex could be extremely lonely. There are moments in life when you get as physically close as two people can possibly get, and yet your feelings seem to be on two different frequencies. That feels very lonely.

There are times when I feel something that I want to share, but I don’t know anyone who would relate to that feeling. Or, I can’t find the right words to say to someone who might. Is expressing or sharing feelings related to loneliness?

One reason I don’t feel lonely is that I read books. I’ve been a lifelong bookworm. Should I have substituted books for people? Can anyone express themselves by talking as some people can by writing? Does listening to someone soothe loneliness? Either verbally or by reading?

This essay conveys an idea that came to me in the middle of last night. I doubt I could have verbally expressed my thoughts. It would take too long. An inability to verbalize our thoughts or feelings could be another cause of loneliness.

Having another person around might not be the only solution to loneliness.

JWH

Visiting the ER Makes Me Philosophical

by James Wallace Harris, 8/25/25

Friday night, I went to the ER. I arrived at 7:15 pm and left at 2:45 am. At 73, I’ve been to the ER more than a few times. It’s always a fascinating experience despite the pain that brought me there and the agony of waiting to be seen.

Rejuvenation

Last fall, I started working in the yard and began to feel stronger. It made me more active. By spring, I had lost twenty pounds. When it got warm, I switched to walking for exercising, something I hadn’t been able to do since Obama was President. In other words, I felt better than I had in years.

That was quite a dramatic transformation. I had been having various health problems since my forties and had undergone surgeries three years running, starting in 2020. I had accepted I was on a downward path and couldn’t imagine having my health on an upward trajectory again.

Mentally, this rejuvenation changed me. I was having more people over and going out more. I felt like I was turning back the clock. I felt younger. I started doing things I haven’t done in years and began hoping to do even more in the future. One of the fun things I had started doing was playing Mahjong. Susan and I had begun to visit games around town. It made me want to get out again, which probably surprised Susan. Mahjong is hard. I need to think faster to play it, and that felt challenging.

I even went to my doctor to have tests done on my heart to see how much I could push things. I wanted to do more physical things.

I wasn’t completely healthy. I still had aches and pains. But I was keeping them under control with physical therapy exercises. But the miracle was walking for exercise. I started out by walking around one small block once. Over weeks, I built up stamina. Eventually, I was walking three or four laps every morning. It felt great.

I was worried about my heart and the strange twinges of pain in my right side. I asked my doctor. We talked about some possibilities. We knew I had gallstones. We were going to run tests after doing the tests on my heart. Because I’ve had heart problems before, she was more concerned about that.

The ER

Two days before the ER, I felt more rejuvenated than I had in years, so it was a shock to need to go to the ER again. I didn’t feel bad mentally. I felt healthy and clear-headed, except that I had intense shooting pains in my side and back. At 6:30 pm Friday, I decided Susan should drive me to the ER to see if they meant something serious.

We got to the ER at 7:15 pm. They checked my vitals, set up an IV, and then told me to wait in chairs. The place was crowded. I knew it would take hours, so I told Susan to go home. She’s been having her own health problems, and she had left dinner half-prepared. I didn’t want to waste that food.

Being alone made me think about what it would be like if I didn’t have Susan. I imagined living on my own, doing everything by myself. I love working alone at home, but I hate being alone in life. Getting old makes you philosophical, and so does waiting in an ER for hours.

Looking around, I saw some people were by themselves, some were with spouses, and some were with their whole families. From listening in on conversations, I learned that many in the waiting room had been there for hours. Some of those people were waiting for a hospital room to free up. Many of those had wrapped themselves in white blankets and were trying to sleep. The ER had two racks of warm blankets. I love it when they put those warm blankets on you in surgery.

Most of the people in the waiting room were waiting in silence. Some were moaning, one guy was softly crying while his wife hugged him. One poor girl was loudly groaning in pain periodically. I wondered if she was in labor. I was glad that only one person was coughing.

I tried to be still because moving sent shooting pains through me. I wanted to be as stoic as possible. But sometimes pains just shot through me, and I had to jerk about a bit. I knew a few people were looking at me like I was looking at them and wondering what was wrong. I wished I knew.

Before midnight, they called me back. They put me in a small room divided by a cloth curtain. In the other half, they were examining a teenage boy while his mother watched. I heard all the details. They weren’t nice.

They took more vitals from me, and eventually, a tech took me to get a CT scan. I love the sound CT scanners make. It was quite painful to get into position and then back on my feet again. Everywhere I went, they asked if I wanted a wheelchair. I knew I looked bad, but I didn’t want to be bad enough to need a wheelchair. I’ve often seen old people refuse help; now I know why.

They took me back to the room. A sign on the wall said it took three hours to get a CT result. But the PA told the kid who also got a CT scan it would take about an hour.

Around 1:30 am Saturday morning the CT scan results came back. It was nothing I had imagined. I had two more hernias. I’ve already had three repaired surgically. And one hernia was interfering with the tube that goes from my kidney to my bladder. That might explain the weird pains in my side. And then the PA said, “And you have a stone in one of your kidneys.” She explained it wasn’t causing the pain now.

At least it wasn’t cancer, a ruptured gallbladder, or a blocked intestine, or any of the other scary conditions I fantasized about.

The kidney stone did scare me. It wasn’t descending so it shouldn’t be causing pain but they warned me it could try to pass. It might not happen, or happen years from now, or next week.

Evidently, the pain that made moving or standing so unpleasant was my old ordinary sciatica and muscle spasms caused by spinal stenosis. That was diagnosed almost twenty years ago. Sitting at the computer or standing or walking for any length of time aggravates it.

Because I was walking more, and writing more at the computer, I thought maybe my spinal stenosis was better because I had lost twenty pounds. I can’t explain why I was given a temporary reprieve.

The PA gave me 15mg of Toradol in my IV. It was magic. Thirty minutes later I would stand up. I still hurt, but I didn’t look like I needed a wheelchair.

The Future

I have to admit this episode put me in a tailspin. I was all geared up to feel younger and healthier again. I got a taste of being more active, and I liked it. I want that feeling back.

However, aging doesn’t work that way. It’s always a slow decline. Now I knew there could be some upswings in my health, too. I feel like I’m flying a plane I know is going to crash. For a few months, I forgot that. Going to the ER reminded me that it’s still going to crash. However, the past months taught me I could sometimes regain altitude.

Experiencing feeling younger for several months makes me wonder if I could get that feeling back again. I’m back where I can’t walk for exercise. And sitting at the computer makes my back hurt worse. I’m scheduled to see a urologist this coming Friday. I figure another surgery is in my future, and then there’s a time ticking bomb in my kidney. It took me months to recover from my last hernia surgery.

But what can I do to get that healthy feeling back? It might take months, or even years. I’m not giving up. Could losing another twenty pounds help? What diet or exercise to I need to pursue?

I’ve already returned to my adapted methods of coping. I’m back to using a laptop while reclined in a La-Z-Boy. I can walk long enough to do the dishes or go grocery shopping. But I really want to walk again for exercise. I wonder if that’s possible?

I only know one person my age that hasn’t had any health problems. It’s normal to break down in your seventies. I have to keep philosophical about that. But I also want to beat the system.

I’m reminded of a Vaugh Bode underground comic strip from the 1970s. In it two lizard like creatures are tied up. They’ve been blinded, and their legs have been cut off. One of them says to the other, “When it gets dark, I’z is gonna escape” That’s me at this moment.

When I left the ER, I took a Lyft home at 2:45 am. Several friends offered to come take me home. I appreciate that. But I like the feeling of still being able to take care of myself. I know that won’t always be true.

Riding through the dark, deserted streets was surreal. It was quite pleasant. I knew I would need another surgery, but I’ve been through them before. Passing a kidney stone sounded extremely unpleasant. I know just how unpleasant. I once watched a man in the urologist’s office passing a stone. But like the Stoics say, this too will pass. I’m lucky that it wasn’t something that couldn’t be fixed. Too many people I’ve known have already died, and almost everyone I know my age is suffering from something.

Many of my friends are worse off than I am. It’s funny, but I think everyone suffers what they know and wouldn’t trade it for someone else’s kind of suffering.

I remember how being healthier made me feel positive about the future. It was just for a few months. I want that feeling back.

The most unsettling aspect of all this is not knowing the answers. Doctors are more likely to know than I do, but I’m not sure they always know. I certainly can only speculate, and that’s often dangerous.

I just wish I could find some answers to simple questions. Does pain cause more pain? Do pain pills stop the cycle of pain? They stop pain, but what else do they do over the long run? I know they cause constipation. I had a kind of hangover from the Toradol. I know my mother got hooked on pain pills. She lived with chronic pain for over a decade.

Maybe I should have talked with the people in the ER waiting room. Some of them might know things I don’t. Susan and I have been binge-watching ER. We’re in the 14th season.

Real ERs aren’t like the TV program. The sets look similar, and the machines, but I wasn’t suffering anything dramatic, so I didn’t have a flock of doctors surrounding me. I wasn’t an interesting story. Most of the action was behind closed doors, so I couldn’t see it. I saw nurses, PAs, techs, and janitors going to and fro. I’m not sure I even saw a doctor in the hallways. Doctors were busy somewhere fixing people they could fix. I couldn’t be fixed, so I was sent home. The kid behind the curtain was waiting for surgery.

I have endless questions about my aging body. My regular doctor is very patient with me. She will answer many questions. But I don’t think I’ll ever know what I want to know. It’s not like in TV shows where things are explained so precisely.

JWH