Normal memory blip or foolish catastrophizing?
For countless years, after meditating, I’ve been saying the same Metta prayer of loving kindness. Year after year, month after month, week after week, day after day, the same simple five part prayer. And this past week, on three separate occasions, I forgot a passage! The same passage each time. Flat out drew a blank. Candles burning, music playing, the chant began, “May I be in peace. May my heart remain open. May I… may I…” nothing, empty, vacant, a hole in my memory!
As so many of my elder contemporaries commonly experience, I’ve had a word go missing before, a key noun falling into an unexpected manhole, the brain struggling for the synapse to deliver to the tip of the tongue. But not like this! This was more than simply an awkward moment; more than a bothersome, but infrequent, occasional occurrence. This lapse of memory was a black hole, a massive void, a space vacuum, nothingness, not a glimpse of the rim of the gorge where terra firma waited.
So I’m a bit uneasy about what might lie ahead. Which motivates me to write about it, because of all the topics that come up in the sharing circles, the fear of being struck with Alzheimer’s disease is the number one aging horror. By bearing witness to my experience with memory loss, the emotions attached to the event are neutralized; by sharing, the hidden fears are uncovered and given light.
Typically I’m at the grocery store thumping the cantaloupes when I say to Arlene… “Let’s get some of those…” and I try again, “You know, those…” and there’s nothing; just a gap; no matter how hard I struggle to find the word.
“Those what?” Arlene asks, “What are you talking about?”
For the moment I don’t know the answer! But I’m present; I know where I am, and what’s happening. It’s frustrating to grope for the missing word but I stay in the moment and keep up a normal dialogue. The lapse of memory is exasperating but I stay connected to the present; cognizant; engaged.
“You know, those seeds that our granddaughter likes to eat.” Arlene doesn’t fathom so my brain begins to construct a bridge across the abyss. “We bought them at Mariano’s. They come in a deli carton with saran wrap across the top. They’re red and kind of gooey. We buy them for our granddaughter. Madelyn loves them.”
“They’re seeds?” Arlene asks.
“Yeah, from some kind of fruit.” The word still eludes me but the bridge across the hole has lengthened and expanded, and finally Arlene crosses over.
“You mean pomegranate seeds?” she takes a stab at the answer.
“Yes, pomegranate seeds,” I shake my head in relief. The hole in my brain is repaired.
Down the line, when a similar situation pops up unexpectedly and one of us is groping for a lost word, we accept the frustrating lapse in memory as a common symptom of aging. We might fill in the blank with a mischievous mention of “pomegranate seeds,” a good-natured acknowledgement of reality rather than a pessimistic forecast of impending dementia.
But for twenty years I’ve been saying this phrase … May I awaken to the light of my own true nature…and having “lost” it, I cannot help but wonder, am I taking my place in the slow moving line of the Alzheimer’s disease continuum?
The Alzheimer’s disease continuum starts with pre-clinical Alzheimer’s disease (brain changes that are unnoticeable) and ends with severe Alzheimer’s dementia (brain changes that cause problems with memory and thinking). How long individuals spend in each part of the continuum varies. The length of each part of the continuum is influenced by age, genetics and other factors.
Am I in the continuum? The main sign of mild cognitive impairment (MCI) is a slight decline in mental abilities. Patients lose semantic memory, they struggle with knowledge of everyday objects and have trouble communicating as it involves the capacity to recall words, concepts, or numbers, which is essential for the use and understanding of language. Should it occur, the progress from MCI to dementia is approximately three and a half years. It is not a foregone conclusion!
I Googled the numbers. Alzheimer’s is currently ranked as the seventh leading cause of death in the United States, fifth-leading cause among Americans aged 65 and older. The percentage of people with Alzheimer’s dementia increases with age: 5.0% of people aged 65 to 74, 13.1% of people aged 75 to 84, and 33.3% of people aged 85 and older have Alzheimer’s dementia. Individuals at least 90 years old are the fastest growing segment of the US population and in a diverse sample, 33% were diagnosed with dementia over a 6-year period.
I’m not panicking. I’ve looked at the odds, my propensities and my disinclinations. Almost two-thirds of Americans with Alzheimer’s are women. Older Black Americans are about twice as likely to have Alzheimer’s or other dementias as older Whites. I’m not a woman. I’m not Black. I have less problems than other people my age. My symptoms are not severe. I can take care of myself and carry out all normal daily activities. I engage in social activities. I exercise. I eat a healthy menu. I continue to author essays and edit a newspaper for seniors. I travel to foreign countries and massacre Spanish while in Mexico. I meditate. I have dozens of strategies for relieving stress and improving my mood. I have a loving relationship with my children. And a granddaughter who is the proverbial apple of my eye. I have a brilliant, compassionate, therapist spouse who doesn’t charge me for my sessions.
Yes, people with MCI are at a greater risk of developing Alzheimer’s disease or a related dementia. Roughly one to two out of 10 people age 65 or older with MCI are estimated to develop dementia over a one-year period. However, in many cases, the symptoms of MCI stay the same or even improve. The odds are still in my favor.
This morning I am seated in front of the puja, candles glowing, music cooing, time for the Metta prayer… which flows flawlessly from my lips without a hint of a stumble. … May I awaken to the light of my own true nature…
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Still active at age 91, Howard Englander’s essays guide readers to the realization that growing old can be a rewarding journey filled with joy and profound new discoveries. He is the author of Embracing Elderhood: The Three Stages of Healthy, Happy and Meaningful Senior Years. Published in hard copy and digital format, the book is available on Amazon.com/Books, BarnesandNoble.com, Bookshop.org and the publisher, Rowman&Littlefield.com.