Neuroscientist Dr Richard Restak... in The Complete Guide to Memory: The Science of Strengthening Your Mind, homes in on the great unspoken fear that every time you can’t remember where you put your reading glasses, it’s a sign of impending doom. “In America today,” he writes “anyone over 50 lives in dread of the big A.” Memory lapses are, he writes, the single most common complaint over-55s raise with their doctors, even though much of what they describe turns out to be nothing to worry about.
Anyone over 50 lives in dread of the big A?! Maybe he meant that as hilarious hyperbole. Maybe some people dread the big, famous diseases, and surely some of us fixate on Alzheimer's in particular, but we're not all disease-phobic. What's the point of wanting to stay alive and grow old if you're angst-ridden about what could go wrong when obviously something will go wrong?
Anyway, I like this about reading fiction:
[M]any patients in the early stages of dementia stop reading fiction, because it’s too difficult to remember what the character said or did a few chapters earlier – which is unfortunate, he says, because reading complex novels can be a valuable mental workout in itself. Restak and his wife are currently on Alexandre Dumas’s The Count of Monte Cristo, which has a complex sprawling cast: “It’s an exercise in being able to keep track of characters without going backwards from one page to another.”
If that’s already difficult for you, he says, it’s fine to underline the first mention of a new character and then flip back to remind yourself later if necessary. “Do whatever you have to, to keep yourself reading.” Like following a recipe, keeping track of fictional plots is an exercise of working memory – as distinct from short-term memory (temporarily storing something like a phone number that you can safely forget the minute you’ve dialed it) or episodic memory, which covers things like recollections of childhood.
Working memory is what we use to “work with the information we have”, says Restak, and it’s the one we should all prioritise. Left to its own devices, he points out, memory naturally starts to decline from your 30s onwards, which is why he advocates practising it daily....
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The nice thing about Alzheimer's and dementia is that you forget what the problem was before you finish the senten
"Where's my ice cream cone?"
I was surprised to investigate and see that the author of that piece is herself in her 50s. I thought she would be younger. By my 50s, I had seen various friends family members die of different kinds of afflictions. None of those really made me afraid of them, but you do have to acknowledge that death comes for us all, in one shape or another. Are there diseases of the aged that I truly dread? I don't know. I do know that worrying about it won't change things.
I'm not in dread of Alzheimer's disease. But then, no one in my family has ever had it, and I have had a good number of long-living family members.
The difference, IMO, is the nature of Alzheimers vs other issues - the way it robs your mind is worse. Going through that with my dad right now - he's 89; about three years into noticeable symptoms, and it's devastating for his loved ones (in particular, for my 90 year old mother), and from our observations of him, just as devastating for him on a personal, mental level. Physical issues are easier to deal with.
Quit drinking by 70 at the latest? I guess then I'll know if I'm worried.
this is The Problem, with seatbelts/helmets/low tar cigs/etc.
IF people would just go back, to leading risky lives.. Like they're Supposed to;
people wouldn't have to worry about this crap about dementia, or cancer!
Die in a fiery crash at age 39.. Like You Are SUPPOSED TO
Sure, in dread of Alzheimers, diabetes, cancer and death.
Physical activity is also important, and that's where a lot of us fall down, not on intellectual stimulation.
I stopped reading fiction long ago because I got tired of "this is a symbol for that," and "the author says this to get us to think that." It wasn't an immediate experience anymore, and it seemed more like the writer's manipulated vision than a picture of the real world.
Also it was tiring to have to immerse myself in a fictional world, then come out of it into the real world, and then immerse myself in it once more. Video and audio gave me the experience without all the effort and angst.
When I read any big work of fiction, I make a big diagram on a sheet of letter paper, names, genealogy, what their connections are. Otherwise, I am totally lost. Back in the day, I did that when I read Tale of Two Cities for an English course where I was doing a long-term sub. After several iterations, it got good enough to hand out to the students to help them as they were reading.
I've read too many stories about 90+ year olds who's sage advice is a glass of whiskey a day, for me to quit drinking entirely.
I do think about the Big A. And I have noticed how I lose entire words when writing. Words I know. Words that are there in my mind, but I just cannot grab them. This happens more than I like to admit (though I am doing so here). But then I also find that on the occasion of an actual good night's sleep, my mind is clear and sharp. I think sleep is a very serious issue for many of us. I know it is for me. And it's been shown that sleep is the brain's recovery period and without it, our brain does not recover and begins to think that additional pronouns will help.
Anyway, I watched my mom slip into an on-again, off-again dementia. Before she was shut down in Covid Hell in Gov. Whitmer's Michigan. Dementia is horrible to watch. Alzheimer's robs the person of their very being. Nothing could be worse in my opinion.
So I do what I can to keep my mind busy. I take classes. Read and write a ton. And make sure I drink only fine wine and good scotch, because, in the end, life is too short to drink the bad stuff.
Dementia runs in the family. I agree with Althouse conclusion.
As for reading, I think all of us that read blogs do this. Yet, when is a good time in a person’s life not to read? And complexity of characters can happen in fiction or non-fiction. You don’t need a threat of dementia to spur you to read. Just do it. Preferably for the joy of reading rather than for dread of something else.
I think shutting old people away for a year was the worst thing we could have done for them as far as mental acuity goes. Putting masks on old people with hearing struggles was another injustice.
My dad has aphasia and some dementia. My mom was alone with him for several months, and they were only able to drive places they already knew. They both declined a whole lot from 2020- now.
I would like to have more discussions about Alzheimers and other cognitive impairments- I mean in the public sphere. It often isn't a sweet slipping of the mind. There can be ideation of violence, depression, threatening words and behavior, unsafe choices. Mostly it's another elderly person caring for their partner. How can we help them? What information can we give them?
If we choose assisted living for them, are we risking locking them away from us when another pandemic-ish event strikes?
Anna Karenina. A list of characters about 5 pages long. That'll keep you busy.
Having lost my mother to Alzheimers 20 years ago, and my wife this past year, I am skeptical that neurologists have any answers. They have no more idea how to prevent it, how to slow it down, how to cure it, or indeed what are its physical causes than they did 20 years ago.
Its effect on the family is devastating, the ongoing ambiguous loss
of the person who is still present. I would wish it on nobody, not even the Bidens.
"Preferably for the joy of reading rather than for dread of something else."
Yes, imagine reading novels just as training your brain to work. Why do you want it to work? You should have stuff you actually want to think about or why not decline into a childlike dream?
If you can't remember how the FBI and DOJ along with all of our Political class attacked Trump as a Russian Asset FRAUDULENTLY for the last 7 years...you probably have Alzeheimers and should go to your doctor immediately.
Seriously. Alzeheimers has been around for a LONNNG time. They used to call it senile. It's a fear a lot of us have, when we walk into a room, and forget what we went in for, so we walk back to where we were..and start over again. It's life.
"reading complex novels can be a valuable mental workout in itself"
Valuable for what? Is there any evidence that such reading has any long-term cognitive benefits?
Full-blown Alzheimer's as such is not to be feared. Getting there and caring for can be very hard.
I have always preferred non-fiction to fiction, and I can promise you that some non-fiction books and their subjects are just as mind-challenging as fiction. Don't believe me? Try to keep the Habsburgs straight as you read about their sprawling empire and history.
Or read military history. Lots of moving parts and players to keep in line.
My dad suffered from something similar. It wasn’t Alzheimer’s, he called it CRS. It stood for Can’t Remember Shit.
About two years ago, for six months I spent a half hour to an hour each day doing French vocabulary flash cards on my laptop. Not only did it greatly improve my comprehension of spoken French, but I noticed that it was much easier to remember seven digit numbers, which I didn’t even practice.
I am done with alcohol too, except on social *occasions*. Not even just a drink with friends, because it makes me feel younger when I don’t drink. I have loads of heart rhythm issues from congenital stuff, so YMMV.
My mother at 92 gave me this advice: “Tim, don’t live to be 90.”
Living in dread might be a bit strong, but as my mother is in the middle stages of Alzheimer's it's pretty hard not to worry about it. She's 73 and her father also had it. My mom is one of the smartest people I know and it's just crushing to see her intellect and personality disappear and know that my daughters-in-law and grandkids will never know her the way she really is.
It's certainly sobering.
It is quite possible that the experience of dementia is not so bad, in that all of the bad experiences evanesce, but imagining your loved ones having to deal with you in that state, with all the costs in time, concern and money does seem dreadful. I have seen close family members bear the pain of cancer and incapacitation of stroke and the confusion of Alzheimer's and I would not choose the last. But you don't really get to choose, do you? All you get to choose is what to read along the way, and I don't think I shall ever finish The Charterhouse of Parma.
I think it is fair to be in dread of alzheimer's. It makes you slowly stupid, incompetent, disabled, and then you lose your person-hood. Pretty scary.
I am not sure that doing all those things staves off alz. --maybe it is just that if you don't have alz you keep doing those things.
I've never seen where the physical exercise analog has been shown mentally apt. It's intuitive that "exercising the mind will keep it in shape" and it's intuitive that lack of mental exercise will result in mental decline, where "mental decline" means "dementia".
But not all intuitive analogs are accurate, and this one lacks any hard proof.
What does seem highly likely is that avoiding mental exercise results in lower mental skill, but that's not what dementia is.
Good question. I don't remember.
Pretty-much every day I'll give myself a test: pick a film -- any film I've seen -- and try to think of the name of the actor who plays a secondary or tertiary character in the film. If it doesn't come quickly, often the name will pop a few hours after putting in some effort thinking about.
I don’t live in dread of it. I can tell that my brain function is changing with age and it works better in some ways and worse in others. Pattern recognition matters and the more patterns you have seen in life (i.e., the older you are), the more quickly you can identify one in a new set of information.
If I get dementia, senility. Alzheimer's, ALS, whatever, if I can't take care of myself, I want to be put out out of my family's misery. I spent a LOT of time and money taking care of my sister through ALS, and I don't regret a minute or penny of it, BUT I don't want them to do that for me. We'll take some time to day our goodbyes, then it's lights out.
My mother-in-law is wasting away in a retirement home as she wonders why her husband, who died 10 years ago, hasn't visited lately. But men in my family tend to die young. At 66, my oldest brother is currently the oldest Maguire male in family memory. So, although I am witness to what Alzheimer's can do, I have no particular fear of getting it myself.
What I do fear is becoming a burden to my daughter the way my mother-in-law is a burden to her daughters. I'd rather be set adrift on an ice floe than that. But for me, personally, so long as I can eat ice cream and watch TV, I have enough quality of life to keep going. If I forget everything, I'm not convinced I should care.
I find that I need to be interested in the plot to remember its twists and turns and its people. I think in college I could just read what was on the syllabus and follow it whether I liked it or not. The other day I tried to read Tom Jones - useless, his father, his supposed father, someone's daughter, bleh. But, on the other hand I managed to read Churchill's book The Easter Front (in World War I). It was filled with Slavic and German names and Slavic or Polish or German places I didn't know: Conrad Von Hostenburg, Falkenhayn, Pryzmyl, Lemburg, Odesa, Kyiv, Batum. Along with another Churchill book called The Aftermath (of World War I), I covered the topic of where the Ukraine conflict of today began in relation to the rest of the Central European, Russian and Turkish Empires and I managed to follow the theme. I think that reading out of interest only is something one has to do when older. Socializing has similar issues but it can't be so controlled. A lot of people we knew are gone and much has changed - just look at an Eighties movie as compared to now, let alone a Fifties movie. Anyhow, we shouldn't mistake being bored, and not concentrating or not listening, and consequently not remembering, for the onset of Alzheimers.
I don't fear Alzheimers; I fear acquiring a condition that "requires" drugs which will have unknown side effects. I saw that in my father with Parkinson's.
"My mother at 92 gave me this advice: “Tim, don’t live to be 90.”"
I would reinterpret that to: Don't become the stereotype of what life is like at 90.
And stop thinking of yourself in terms of a stereotype of age. I'm 71, but I feel nothing like what I always thought of as a person in their 70s. The discrepancy is actively ridiculous.
I might suddenly crash into a very old person, but I intend to be mentally sharp and physically fit as I get older. It can be great to be old, and I think it can be great to live to 100 (and more) if you do it well. I picture myself blogging every day, driving my Audi TT, and if not running to see the sun rise over Lake Mendota, walking.
"I might suddenly crash into a very old person..."
I should have written "I might suddenly decline into a stereotype of a very old person" because I anticipate someone snarking about my "driving my Audi TT" into some poor elderly pedestrian.
Dealing with my mom as she slips down the alzheimer's abyss.
Yes, I dread alzheimers. I dread getting it almost as much as I dread my wife getting it.
Alzheimer's is a special kind of hell.
I will be 70 next Spring. Except for a bit of a whiskey belly, I am physically, sexually and cognitively active, pretty damn fit and well energized. What is the point in worrying that it will all go away?
Of course, Climate Change will doom us all by 1984, make that 1998, or 2005, uh ....
Paging Al Gore. Paging Al Gore.
What we fear is a partner or parent developing Alzheimer’s.
[M]any patients in the early stages of dementia stop reading fiction, because it’s too difficult to remember what the character said or did a few chapters earlier –
I guess I'm OK because I have no trouble that way. I will say that Andrew Wareham's series of novels about the Industrial Revolution, which goes through generations, is a challenge.
As for alcohol and senility, my mother finally gave up Martinis at age 95. She lived another 8 years in full control of her senses.
I switch back and forth between novels and non-fiction. I just finished Churchill's "The World Crisis" after reading some fiction about WWI. I'm now reading "Science in an age of unreason." It's depressing.
I'm a bit long in the tooth, as they used to say, but people tell me I look ten years younger than I am, and still sharp.
When asked how I've managed to do it, I just say my "secret" is:
"Two packs of unfiltered Camels every day, a pint of Jack, and a new woman any time I can get my hands on one."
In my previous life as a sales person, I would visit many businesses, including personal care/ nursing homes. I recall entering one facility and going through the common area. As I made my way through, one resident introduced me as her husband to her friends. I smiled and played along. Made my day.
I might suddenly crash into a very old person, but I intend to be mentally sharp and physically fit as I get older. It can be great to be old, and I think it can be great to live to 100 (and more) if you do it well. I picture myself blogging every day, driving my Audi TT, and if not running to see the sun rise over Lake Mendota, walking.
I'm glad this is what you are picturing, but I hope you don't think people with Alzheimers or other dementia conditions brought it on themselves, or pictured themselves getting it. I hope you don't think you can picture or plan your intentions into reality.
I think that's a dangerous stereotype, to think that people with Alzheimers or other dementias just somehow weren't active enough, or just didn't want badly enough to have a healthy brain. Like they deserve it. It's not true. My dad was smart and active and read and didn't drink or smoke for at least the past 30 years. He ate in a healthy way. My uncle can still do head stands. Yet Cognitive impairment of different kinds still came for them in their 80s.
That's awful and I hope its not your meaning.
The latest bro science Joe Rogan evolution thinks Alzheimer's is caused by plaque buildup in the brain vasculature via the same mechanism that causes coronary artery disease. Metabolic disorder. Too much sugar or/and alcohol plus too little exercise. The buildups can start in your 20's and accumulates progressively over time.
"I hope you don't think you can picture or plan your intentions into reality."
Look at the first phrase of what you quoted from me. I'm quite clear. I do think having a positive attitude has an effect though. Nothing is 100% effective, but what's the good of a bad attitude? Why do you even want to keep living if you have a bad attitude? A positive attitude can cause you to do more things that help you keep mentally and physically fit and it can make living more worthwhile.
"I think that's a dangerous stereotype, to think that people with Alzheimers or other dementias just somehow weren't active enough, or just didn't want badly enough to have a healthy brain. Like they deserve it. It's not true."
I didn't say that and I don't see how I can be misread that way. Look at my actual words. I was talking about the FEAR of Alzheimer's and of other diseases and the certainty that ultimately "something will go wrong."
Hypochondria is bad for your health.
I actually didn't think you were quite clear, which is why I posted what I did.
You are absolutely right that having a good attitude and and a positive attitude makes life more enjoyable. But for those of us - ok, me- watching the decline of people who had wonderful attitudes and vibrant lives, it reads a little victim blamey. People can do things that keep them mentally fit, but that doesn't mean they'll actually slay all the dementia demons that can come. It isn't that they just didn't try hard enough.
Don't live in fear of Alzheimers, or aphasia, or whatever. Absolutely. Enjoy the life you have. That's wonderful and important. But also please don't think that those who struggle with it now just had a bad attitude or didn't do the things you do.
"I didn't say that and I don't see how I can be misread that way. Look at my actual words. I was talking about the FEAR of Alzheimer's and of other diseases and the certainty that ultimately "something will go wrong." "
You wrote: I would reinterpret that to: Don't become the stereotype of what life is like at 90.
And stop thinking of yourself in terms of a stereotype of age. I'm 71, but I feel nothing like what I always thought of as a person in their 70s. The discrepancy is actively ridiculous.
I might suddenly crash into a very old person, but I intend to be mentally sharp and physically fit as I get older. It can be great to be old, and I think it can be great to live to 100 (and more) if you do it well. I picture myself blogging every day, driving my Audi TT, and if not running to see the sun rise over Lake Mendota, walking.
You wrote "Don't become the stereotype". Had you written "don't fear you'll become the stereotype", I would not have misread you. You wrote what you "intend" to do, and said it can be great "if you do it well". I read that, again, to mean that someone who does the right things will have a great life up to 100.
It was very easy to misread that way, even looking at your actual words. You didn't mention the FEAR of those things in the posts I referenced. I'm glad you clarified, and I agree that living in fear is no good for anyone.
If you're constantly living in fear of anything you can't enjoy life. Just look at all the lefties posting here. So worried that somebody else might have a considered opinion different from theirs. It must reall ysuck to them.
Robert Cook said...
"I'm not in dread of Alzheimer's disease. But then, no one in my family has ever had it, and I have had a good number of long-living family members."
Me too! With a little luck we can annoy each other into our ninetys!
"But for those of us - ok, me- watching the decline of people who had wonderful attitudes and vibrant lives, it reads a little victim blamey."
That's your reading and projecting. If you don't like inappropriate blaming, don't attribute it to me.
"You wrote "Don't become the stereotype". Had you written "don't fear you'll become the stereotype", I would not have misread you."
Sorry, I don't like how that reads. You OUGHT to fear becoming the stereotype. Don't decline into the stereotype. Yes, of course, if you actually get the disease, you have a different problem. But Tim's mother gave some specific advice that I needed to reject. Remember, her advice was to die before you turn 90! She ASSUMED that if you're in your 90s, you're the stereotype — and I wanted to say you can be something else.
I do accept that this gives more cause for misreading, but I believe there are balancing statements of mine that make it clear that I'm not saying it's your fault if you get Alzheimer's disease. It's clear that I'm talking about the part of it that you have control over, that you can do things to preserve and enhance physical and mental fitness and you shouldn't assume you're in decline and let yourself go.
I took it as advice to take better care of my body than she did, but she became blind, and that really bothered her.
MayBee, I'm 100% with you.
I'm married to a man who always thinks he's "quite clear" and gets "quite annoyed" when his "quite clarity" is not interpreted by others - not just by me, though sometimes by me - as he intended it. Like you, I read the post in question as on the self-congratulatory side, and as implying that those who suffer from dementia have themselves to blame, at least in part, because of their lack of intent (if not right action):
I might suddenly crash into a very old person, but I intend to be mentally sharp and physically fit as I get older.
That statement sets what "might" happen against what our host "intends" to make happen as if those things are in direct opposition, as if the "might" statement can be abrogated or nullified by the "intend" statement. The implication to me was "quite clear" - and not what was apparently intended.
To me this little cranky brouhaha goes to show that even the very careful writer doesn't live in the minds of her entire audience.
Here's a weird phenomenon of getting old.
I was having a conversation about a movie and could not remember an actor's name. Five minutes or so later, I barked the name out without thinking. That is, apparently my subconscious made me say the name, because I didn't think of it, but I heard myself say it, and then I knew it.
It has happened a few times since.
Thank you.
I do not worry about it...
I've already told my wife that if it does happen she should just find a nice home for me...a place with a decent view from the balcony.
I've dealt with old and demented women--no official diagnosis with Alzheimer's, just senile dementia. I've told my wife she better not get that way.
Men in my line don't live long enough for those sorts of troubles . . . I did have one cousin who died at 60 who had been gaga with the Big A for about five years, but his mother had spent time in the loony bin, and we hope it was her side that supplied the proclivity.
There's no non-medical reason at all that an intellectually active person shouldn't stay that way, but the method and means of engagement are less important than the fact itself. I'll read five or more history books for every one of fiction, but that's just personal preference.
I'm lucky in that the things that fascinated me when I was 15 are largely the things that fascinate me today.
I lose words, names, all the time. I send for them and they eventually come to me but it is annoying at best. Probably normal for a 76 year old. Right? Right?
Enigma said...
The nice thing about Alzheimer's and dement, ia is that you forget what the problem was before you finish the senten
"Where's my ice cream cone?"
If you ever had to care for a loved one with dementia, or if you have crossed into octogenarian-land (so far so good), you would not find your comment to be humorous.
While helping to care for an aunt approaching 90 some years ago, I regularly stopped at the Dairy Queen on the way to her house.
Michael said...
I lose words, names, all the time. I send for them and they eventually come to me but it is annoying at best. Probably normal for a 76 year old. Right? Right?
Research from 2020 suggests that there are presently no disease-modifying medications for memory loss. Cholinesterase inhibitors and NMDA glutamate regulators can only stop memory loss symptoms for a short time. However, they cannot stop or reverse the progression of the condition.
Yeah, and Prevagen won't fix it, either.
I probably should be afraid of Alzheimer’s disease, but I can never remember what it is.
but she became blind, and that really bothered her.
My MIL also lost her sight. My Dad lost his hearing. I ponder which would be worse for me and haven't come up with an answer.
Our bodies are living so long now that we are outliving our brains. I am not so much afraid of having Alzheimer's myself as I am of someone I love having it.
Next year (God willing) I turn 80. So far, every age that I expected would mean I'm old hasn't delivered -- but 80 may deliver. Neither of my parents got close to 80, nor did my kid brother. I think only one of my grandparents got to 80 (my paternal grandfather almost made it to 90, but he was glad to let go before crossing that line, although not because of Alzheimers.)
Am I afraid of Alzheimers? I'd hate to suffer that disease, and at least one of my grandparents had it. I do find my memory isn't as sharp as it once was, but the failures are mostly about things that don't matter in my current life (What the heck was the name of Thomas Wolfe's first novel?). But I can't do anything about what happens to my old mind (or my old heart or my old lungs, etc.). So, as Alfred E. Neuman said "What me worry?" (I remembered THAT, didn't I!)
MayBee:
Sorry to hear that your Dad has aphasia. Attempting to understand the desperate attempts of those so afflicted to communicate is frustrating because the stroke-caused damage makes the formation of words impossible and I believe the brain damage hastens dementia as well.
Sometimes I wish Althouse used a platform which allowed a "like" button, and a count of such likes on comments.
There's a few here I would have liked.
gadfly-
Thank you. It's amazing to watch how losing the language makes you sometime lose the ability to use the thing. Currently, the thermostat confounds him. And he thinks he lives on floor 2-1/2 of his building, because the button he pushes on the elevator is next to (rather than on) the number 2.
Such a brilliant man, and so loving. When he is more lucid, he is fascinated by what is happening to him.
xoxox
My Doc:
If you don't know where your keys are, no problem.
If you don't know what your keys do...problem.
Late comment to this thread, but I don't dread Alzheimer's for myself, but for my kids. My husband has younger onset and is in middle stages at 58. It is a sad and horrible place to be from a caregiver perspective. I also have a sister with aphasia and some dementia, from a brain tumor. Managing both is a full time job (early retirement) so I listen to audible books and that gives a mental challenge for tracking characters as well as separation from the daily challenges.
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