Dementia Quotes

I don't like hello. It makes me sound like I have dementia, like I've never heard a phone ring before and I don't know what's supposed to happen next. Hello?

Oh, I'm crazy all right. I do have plenty of psychoses. Multiple personality, delusional dementia, OCD. I've got them all, but most of all, I'm crazy about you.

A phenomenon that a number of people have noted while in deep depression is the sense of being accompanied by a second self — a wraithlike observer who, not sharing the dementia of his double, is able to watch with dispassionate curiosity as his companion struggles against the oncoming disaster, or decides to embrace it. There is a theatrical quality about all this, and during the next several days, as I went about stolidly preparing for extinction, I couldn't shake off a sense of melodrama — a melodrama in which I, the victim-to-be of self-murder, was both the solitary actor and lone member of the audience.

What deity in the realms of dementia, what rabid god decocted out of the smoking lobes of hydrophobia could have devised a keeping place for souls so poor as is this flesh. This mawky worm-bent tabernacle.

I Worried" I worried a lot. Will the garden grow, will the rivers flow in the right direction, will the earth turn as it was taught, and if not how shall I correct it? Was I right, was I wrong, will I be forgiven, can I do better? Will I ever be able to sing, even the sparrows can do it and I am, well, hopeless. Is my eyesight fading or am I just imagining it, am I going to get rheumatism, lockjaw, dementia? Finally I saw that worrying had come to nothing. And gave it up. And took my old body and went out into the morning, and sang.

To care for those who once cared for us is one of the highest honors.

Affirmations are our mental vitamins, providing the supplementary positive thoughts we need to balance the barrage of negative events and thoughts we experience daily.

Love is a kind of dementia with very precise and oft-repeated clinical symptoms. You blush in each other's presence, you both hover in places where you expect the other to pass, you are both a little tongue-tied, you both laugh inexplicably and too long, you become quite nauseatingly girlish, and he becomes quite ridiculously gallant. You have also grown a little stupid.

the shorter your sleep, the shorter your life. The leading causes of disease and death in developed nations—diseases that are crippling health-care systems, such as heart disease, obesity, dementia, diabetes, and cancer—all have recognized causal links to a lack of sleep.

I never understood people who said their greatest fear was public speaking, or spiders, or any of the other minor terrors. How could you fear anything more than death? Everything else offered moments of escape: a paralyzed man could still read Dickens; a man in the grips of dementia might have flashes of the must absurd beauty.

Of all ruins, that of a noble mind is the most deplorable. - The Adventure of the Dying Detective

Promise me that if I ever get Alzheimer’s or dementia, and I don’t remember anyone that you’ll visit me every day and read to me like Noah read to Allie.

I wish I had cancer. Or some other grand battle. Dementia, stroke, organ failure. If I lose those fights, I’m brave. But the thing I’m battling is my mind. And if I lose, they’ll just call me weak.

It was both manic and mesmerizing, it was controlled chaos and detailed dementia.

Dementia was like a truth serum.

This birth thing. And this death thing. Each one had it's turn. We entered alone and we left alone. And most of us lived lonely and frightened and incomplete lives. An incomparable sadness descended up on me. Seeing all that life that must die. Seeing all that life that would first turn to hate, to dementia, to neuroses, to stupidity, to fear, to murder, to nothing - nothing in life and nothing in death.

Caregiving often calls us to lean into love we didn't know possible.

In the heart or every caregiver is a knowing that we are all connected. As I do for you, I do for me.

You make me sick. Because I adore you so..." ~Space Dementia

Dementia. Ruth puzzled over the diagnosis: How could such a beautiful-sounding word apply to such a destructive disease? It was a name befitting a goddess: Dementia, who caused her sister Demeter to forget to turn winter into spring.

It was a two-gallon Styrofoam cooler - one of the cheap ones that you can pick up at any service station in the summer season and then listen to it squeak to the point of homicidal dementia.

I love you but I got to love me more.

There are all sorts of losses people suffer - from the small to the large. You can lose your keys, your glasses, your virginity. You can lose your head, you can lose your heart, you can lose your mind. You can relinquish your home to move into assisted living, or have a child move overseas, or see a spouse vanish into dementia. Loss is more than just death, and grief is the gray shape-shifter of emotion.

AMAZING BREAKTHROUGH! Scientists have discovered a revolutionary new treatment that makes you live longer. It enhances your memory and makes you more creative. It makes you look more attractive. It keeps you slim and lowers food cravings. It protects you from cancer and dementia. It wards off colds and the flu. It lowers your risk of heart attacks and stroke, not to mention diabetes. You’ll even feel happier, less depressed, and less anxious. Are you interested?

Not me," said Orion cheerily. "I'm just a teenager with hormones running wild. And may I say ,young fairy lady, they're running wild in your direction." Holly lifted her visor and looked the hormonal teenager in the eye. "This had better not be a game, Artemis. If you do not have some serious psychosis, you will be sorry." "Oh, I'm crazy, alright. I do have plenty of psychoses," said Orion Cheerily. "Multiple personality, delusional dementia, OCD. I've got them all, but most of all, I'm crazy about you.

There is no art without intoxication. But I mean a mad intoxication! Let reason teeter! Delirium! The highest degree of delirium! Plunged in burning dementia! Art is the most enrapturing orgy within man's reach.. Art must make you laugh a little and make you a little afraid. Anything as long as it doesn't bore.

A little insensitive", she whispered, loud enough that Bel and Carter could hear. "Giving the man with dementia a book called The Memory Thief.

What’s outside my head and what’s inside my head aren’t worth mentioning. What’s worth mentioning is what’s on my head – my hair. Whatever happens, I’ll still be as fashionably coiffed as I was before the war broke out and I got dementia.

Love is a kind of dementia with very precise and oft-repeated clinical symptoms.

Dementia: Is it more painful to forget, or to be forgotten?

Perhaps there is a philosophical as well as a clinical lesson here: that in Korsakov’s, or dementia, or other such catastrophes, however great the organic damage and Humean dissolution, there remains the undiminished possibility of reintegration by art, by communion, by touching the human spirit: and this can be preserved in what seems at first a hopeless state of neurological devastation.

Static cackled from the cafeteria speaker. A bored female voice come on. “Victoria Brennan, please report to the headmaster's office. Victoria Brennan to the headmaster's office.” Classmates glanced our way. Whispers sprang up around me. “Not good.” Shelton was reaching for his earlobe. “Tell them you have amnesia,” Hi said. “Or dementia. Pretend you're Joan of Arc.” “Thanks for the support, guys. If I'm not back for class, look for my body in the harbor.” Hiram's hand flew up. “I call her iTunes collection. Shelton can have the mutt.” “Nice.

There’s a reason humans peg-out around eighty: prose fatigue. It looks like organ failure or cancer or stroke but it’s really just the inability to carry on clambering through the assault course of mundane cause and effect. If we ask Sheila then we can’t ask Ron. If I have the kippers now then it’s quiche for tea. Four score years is about all the ifs and thens you can take. Dementia’s the sane realisation you just can’t be doing with all that anymore.

Computers bootstrap their own offspring, grow so wise and incomprehensible that their communiqués assume the hallmarks of dementia: unfocused and irrelevant to the barely-intelligent creatures left behind. And when your surpassing creations find the answers you asked for, you can't understand their analysis and you can't verify their answers. You have to take their word on faith.

By loving you more, you love the person you are caring for more.

The power of intuitive understanding will protect you from harm until the end of your days.

He didn't think he was edging into dementia. He suspected he was edging into sanity, the long way around. The hard way.

It seemed to him [Otto Kugelblitz] obvious that the human life span runs through the varieties of mental disorder as understood in his day—the solipsism of infancy, the sexual hysterias of adolescence and entry-level adulthood, the paranoia of middle age, the dementia of late life ... all working up to death, which at last turns out to be "sanity.

Thin, I think, that fabric between realities. Maybe minds aren't lost. Maybe they just slip through and find a different place to wander.

Age isn't stealing from my grandmother; it's slowly unwinding her.

You shall suffer for ever the influence of my kiss. You shall be beautiful in my fashion. You shall love that which I love and that which loves me: water, clouds, silence and the night; the immense green sea; the formless and multiform streams; the place where you shall not be; the lover whom you shall not know; flowers of monstrous shape; perfumes that cause delirium; cats that shudder, swoon and curl up on pianos and groan like women, with a voice that is hoarse and gentle! And you shall be loved by my lovers, courted by my courtiers. You shall be the queen of all men that have green eyes, whose necks also I have clasped in my nocturnal caresses; of those who love the sea, the sea that is immense, tumultuous and green, the formless and multiform streams, the place where they are not, the woman whom they do not know, sinister flowers that resemble the censers of a strange religion, perfumes that confound the will; and the savage and voluptuous animals which are the emblems of their dementia.

There are all sorts of losses people suffer—from the small to the large. You can lose your keys, your glasses, your virginity. You can lose your head, you can lose your heart, you can lose your mind. You can relinquish your home to move into assisted living, or have a child move overseas, or see a spouse vanish into dementia. Loss is more than just death, and grief is the gray shape-shifter of emotion.

Many of us follow the commandment 'Love One Another.' When it relates to caregiving, we must love one another with boundaries. We must acknowledge that we are included in the 'Love One Another.

He was so sexy that my body went all hot when I saw him kind of like an erection only I’m a girl so I didn’t get one you sicko.-- Ebony Dark'ness Dementia Raven Way

Not all activities are equal in this regard. Those that involve genuine concentration—studying a musical instrument, playing board games, reading, and dancing—are associated with a lower risk for dementia. Dancing, which requires learning new moves, is both physically and mentally challenging and requires much concentration. Less intense activities, such as bowling, babysitting, and golfing, are not associated with a reduced incidence of Alzheimer’s. (254)

And while a bald head and a looped ribbon were seen as badges of courage and hope, her reluctant vocabulary and vanishing memories advertised mental instability and impending insanity. Those with cancer could expect to be supported by their community. Alice expected to be an outcast.

A dementia-friendly society is not yet in reach.

I’m determined to be a big spender in my old age. I want to empty my savings account before I no longer know what a savings account is for.” That’s the correct approach to dementia, if you ask me.

Put away these frozenjawed primates and their annals of ways beset and ultimate dark. What deity in the realms of dementia, what rabid god decocted out of the smoking lobes of hydrophobia could have devised a keeping place for souls so poor as is this flesh. This gawky wormbent tabernacle.

Psychologist: "This, ah, is a new sort of, ah, psychopathology that we're only now beginning to, ah, understand. These, ah, super-serial killers have no, ah, 'type' but, ah, rather consider everyone to be their 'type.'" Gramma: "Did you hear that? Your daddy's a superhero!

First do no harm. -Hippocrates Second, do some good. -Anne M. Lipton, M.D., Ph.D.

Never give up hope. If you do, you'll be dead already.--Dementia Patient, Rose from The Inspired Caregiver

Our best medical journals are now brimming with high-profile, rigorous studies that show a stunning correlation between high blood sugar and risk for dementia.

people who spoke more than one language developed symptoms of dementia about four years later than people who spoke only one.

Men can’t bear what women must. They jump to cry insanity as cause for a woman’s unhappiness; the utterance of the unutterable must be dementia.

Spending time with people who have dementia has made me a more patient parent, friend, daughter, sister, wife. It has made me notice and be endlessly thankful for things like the horizon of Lake Michigan, gray storm clouds, three or four well-chosen notes on a cello, and breathing. Anne Davis Basting in Forget Memory p.160

Mariângela says that the best way to work with dementia is to act as if the person you knew is still inside the wreckage. If you’re wrong, and the person you knew is gone, then no damage is done but the standards of care stay high; if you’re right, and the person you knew is still bricked up inside, then you are the lifeline.

But I’ve noticed that people got the most irrational whenever family was around—while simultaneously losing their ability to distinguish reason from insanity. I call it familial dementia.

A mom’s hug lasts long after she lets go. ~Author Unknown

All of the things that were shown in early studies to be good for longevity—happy marriages, healthy bodies—are ours to have. We live long, good lives. We die on our eightieth birthdays, surrounded by our families, before dementia sets in. Cancer, heart disease, and most debilitating illnesses are almost entirely eradicated. This is as close to perfect as any society has ever managed to get.

There are all sorts of losses people suffer- from the small to the large. You can lose your car keys, your glasses, your virginity. You can lose your head, you can lose your heart, you can lose your mind. You can relinquish your home to move into assisted living, or have a child move overseas, or see a spouse vanish into dementia. Loss is more than just death, and grief is the gray shape-shifter of emotion.

You believe that some people have dementia and some people do not, but that is not correct. All people have dementia—some are simply in worse condition than others. After all, most people with dementia are unaware that anything is wrong with them.

Bruce Miller, a neurologist at the University of California, San Francisco, studies elderly patients with a relatively common form of brain disease called frontotemporal dementia, or FTD. He’s found that in some cases where the FTD is localized on the left side of the brain, people who had never picked up a paintbrush or an instrument can develop extraordinary artistic and musical abilities at the very end of their lives. As their other cognitive skills fade away, they become narrow savants.

Of all the things to lose, to lose one's mind? Let them take a leg or a lung; let them take anything before they take that. Before you become "poor Rosemary" or "poor Frank," catching the last glimpses of the sun and seeing them for what they were. Before there were no more trips, no more games, no more Murder Clubs. Before there was no more you.

you look away to bar my gloom, my inner dementia from your sight, though... the galaxy has given you this to ponder: it is the darkness of my soul that has gifted you this beautiful night

She almost thought she'd said the words aloud, but she hadn't. They remained trapped in her head, but not because they were barricaded by plaques and tangles. She just couldn't say them aloud

Offering care means being a companion, not a superior. It doesn’t matter whether the person we are caring for is experiencing cancer, the flu, dementia, or grief. If you are a doctor or surgeon, your expertise and knowledge comes from a superior position. But when our role is to be providers of care, we should be there as equals.

Her ability to use language, that thing that most separates humans from animals, was leaving her, and she was feeling less and less human as it departed. She's said a tearful good-bye to okay some time ago.

That my lunacy had been recognized was chastening enough, but the judge's gratuitous "fatuous" carried with it intimations that I was in a blubbering, nose-picking state; an I had visions of arriving at my mother's door, garbed not in the "attractive," melancholic dementia of the poet but in the drooling, masturbatory, moony-eyed condition of the Mongoloid.

He easily gathered her in his arms; Gramma was made up of skin and bones and hate and crazy - and hate and crazy don't weigh anything.

Never give up hope! If you do, you be dead already.

I think about how the language I’ve mourned never learning has on some levels already been taught. A language I thought too difficult to warrant effort has already embedded itself into me.

She could have rambled with all the fervor of a woman who had loved one entity for longer than most races live, and with the inviolable, unquestioned certainty found in dementia. There were references dated and sealed with meticulous care which she would have enthusiastically opened with the mirth of one proclaiming a lifetime of honors and awards. But that singular event was freshly disturbed; its pores still drifted on the faint zephyr of remembrance.

The best way to work with dementia is to act as if the person you knew is still inside the wreckage. If you're wrong, and the person you know is gone, then no damage is done but the standards of care stay high; if you're right, and the person you knew is still bricked up inside, then you are the lifeline.

There is a duality to darkness known only to those who’ve been infected by its touch. Everyone knows the shadows: shallow, comfortable, mostly harmless places where one might nest for a night. But the depths of living pitch only visit the aristocracy of madmen and women who’ve unwittingly pledged fealty to the curse. For some, it outright ruins minds like a hound to fresh meat; for others, it wanes into the deepest parts of its less caustic sibling and waits for the time to strike, returning periodically through life like an incurable disease.

Someday, I suppose I’ll give up, and sit in the rocking chair. But I’ll probably be rocking fast, because I don’t know what I’ll do without a job.

Person. Woman. Man. Camera. TV.

You only know yourself because of your memories.

I am a wife, mother, and friend, and soon to be grandmother, I still feel, understand, and am worthy of the love and joy in those relationships. I am still an active participant in society. My brain no longer works well, but I use my ears for unconditional listening, my shoulders for crying on, and my arms for hugging others with dementia. Through an early stage support group...by talking to you today, I am helping others with dementia live better with dementia. I am not someone dying. I am someone living with Alzheimer's. I want to do that as well as I possibly can.

Dementia isn’t the only place that memories are found to be flawed—people find out they can’t rely on their memories every day. People blindsided in relationships. People who find out their truth is a lie. People pulled from trauma. People awakened, as in Anna and Eve. I wondered: If you can’t use memories to steer your life, what can you use? I didn’t know. It was why I had to write this book.

And sometimes when she does remember, she calls me her little angel and she knows where she is and everything is all right for a second or a minute and then we cry; she for the life that she lost I for the woman I only know about through the stories of her children.

We expect the world of doctors. Out of our own need, we revere them; we imagine that their training and expertise and saintly dedication have purged them of all the uncertainty, trepidation, and disgust that we would feel in their position, seeing what they see and being asked to cure it. Blood and vomit and pus do not revolt them; senility and dementia have no terrors; it does not alarm them to plunge into the slippery tangle of internal organs, or to handle the infected and contagious. For them, the flesh and its diseases have been abstracted, rendered coolly diagrammatic and quickly subject to infallible diagnosis and effective treatment. The House of God is a book to relieve you of these illusions; it … displays it as farce, a melee of blunderers laboring to murky purpose under corrupt and platitudinous superiors.

Beauty is hardly a virtue, for the disease of insecurity lurks not too far behind its veneer.

longitudinal study of people over age 75, conducted over a period of 21 years by the Albert Einstein College of Medicine in New York City, looked at whether activities from playing cards to swimming to doing housework affected cognitive ability. Almost none of the physical activities had any effect on dementia rates except for one: partner dancing, which lowered the risk by 76 percent. No other activity came anywhere near being as effective at protecting people from cognitive decline!3

Who gets to be the judge of reality? If it was deeply felt, believed, spoken about often or altered your life course, then it was real enough. Faith doesn't get the luxury of all those things one hundred percent of the time, but we call that normal behavior based on a gut feeling.” I said. I looked at his wife and she busted out laughing. Her husband was trying to catch invisible butterflies above his head—dementia. My patients teach me the most sobering of truths: Why wreck his smile. If I could see them, I would want to catch them too.

So about an hour later we are in the taxi shooting along empty country roads towards town. The April light is clear as an alarm. As we pass them it gives a sudden sense of every object existing in space on its own shadow. I wish I could carry this clarity with me into the hospital where distinctions tend to flatten and coalesce. I wish I had been nicer to him before he got crazy. These are my two wishes.

If you don’t drink coffee, you should think about two to four cups a day. It can make you more alert, happier, and more productive. It might even make you live longer. Coffee can also make you more likely to exercise, and it contains beneficial antioxidants and other substances associated with decreased risk of stroke (especially in women), Parkinson’s disease, and dementia. Coffee is also associated with decreased risk of abnormal heart rhythms, type 2 diabetes, and certain cancers.12, 13 Any one of those benefits of coffee would be persuasive, but cumulatively they’re a no-brainer. An hour ago I considered doing some writing for this book, but I didn’t have the necessary energy or focus to sit down and start working. I did, however, have enough energy to fix myself a cup of coffee. A few sips into it, I was happier to be working than I would have been doing whatever lazy thing was my alternative. Coffee literally makes me enjoy work. No willpower needed. Coffee also allows you to manage your energy levels so you have the most when you need it. My experience is that coffee drinkers have higher highs and lower lows, energywise, than non–coffee drinkers, but that trade-off works. I can guarantee that my best thinking goes into my job, while saving my dull-brain hours for household chores and other simple tasks. The biggest downside of coffee is that once you get addicted to caffeine, you can get a “coffee headache” if you go too long without a cup. Luckily, coffee is one of the most abundant beverages on earth, so you rarely have to worry about being without it. Coffee costs money, takes time, gives you coffee breath, and makes you pee too often. It can also make you jittery and nervous if you have too much. But if success is your dream and operating at peak mental performance is something you want, coffee is a good bet. I highly recommend it. In fact, I recommend it so strongly that I literally feel sorry for anyone who hasn’t developed the habit.

Een mens kan altijd een tijd lang kijken zonder te zien. Kijken kan Robert ook, maar het theebusje en de kaasschaaf herkennen niet. Hij kijkt zonder te zien, bedoel ik. Neem zelf de proef maar eens. Je drinkt altijd koffie van een bepaald merk en omdat dat in de drugstore opeens niet meer voorradig is, neem je een ander merk, een andere bus. Als je de volgende dag koffie wilt maken zoek je overal naar de koffiebus. Het herinneringsbeeld van de oude busis zo sterk dat hij de bus van het nieuwe merk, de aanwezige bus, vlak voor je neus op de keukenplank, onzichtbaar maakt. Om iets te zien moet je eerst iets kunnen herkennen. Zonder herinnering kun je alleen maar kijken. Dan glijdt de wereld spoorloos door je heen.

looking at my reflection, in the window opposite, hollow and translucent, I see a woman disappearing. It would help if I looked like that in real life – if the more the disease advanced, the more ‘see-through’ I became until, eventually, I would be just a wisp of a ghost. How much more convenient it would be, how much easier for everyone, including me, if my body just melted away along with my mind. Then we’d all know where we were, literally and metaphysically.

As we’ve gone along, I’ve pointed out that a warm childhood relationship with his mother—not maternal education—was significantly related to a man’s verbal test scores, to high salary, to class rank at Harvard, and to military rank at the end of World War II. At the men’s twenty-fifth reunion, it looked, to my surprise, as though the quality of a man’s relationship with his mother had little effect on overall midlife adjustment. However, forty-five years later, to my surprise again, the data suggested that there was a significant positive correlation between the quality of one’s maternal relationship and the absence of cognitive decline. At age ninety, 33 percent of the men with poor maternal relationships, and only 13 percent of men with warm relationships, suffered from dementia.

I had grown up thinking of life as a series of linear decisions that if made properly would land me on some distant safe shore where I would finally enjoy the fruits of my labor. Now that I was getting a glimpse of that shore I was struck by the inanity of such an equation. My mother was never going to get another chance to do anything else. She did not have the capacity for regrets, nor was she even able to enjoy the comfort of nostalgia or fond memories--her mind had leaked away too imperceptibly to allow for the clarity to look back on her life and wish she had done things differently. As I continued to worry over what sort of future I was setting myself up for, she seemed a painful cautionary tale that life was not a savings plan, accrued now for enjoyment later. I was alive now. My responsibility was to live now as fully as possible.

Dear Stephen,’ he begins. ‘This is a difficult letter to write, but I know it will be a great deal more difficult to read. I will come straight to it. I believe you are in the early stages of dementia, possibly Alzheimer’s.’ Elizabeth can hear her heart beating through her chest. Who on earth has chosen to shatter their privacy this way? Who even knows? Her friends? Has one of them written? They wouldn’t dare, not without asking. Not Ibrahim, surely? He might dare. ‘I am not an expert, but it is something I have been looking into. You are forgetting things, and you are getting confused. I know full well what you will say – “But I’ve always forgotten things. I’ve always been confused!” – and you are right, of course, but this, Stephen, is of a different order. Something is not right with you, and everything I read points in just one direction.’ ‘Stephen,’ says Elizabeth, but he gently gestures for hush. ‘You must also know that dementia points in just one direction. Once you start to descend the slope, and please believe me when I say you have started, there is no return. There may be footholds here and there, there may be ledges on which to rest, and the view may still be beautiful from time to time, but you will not clamber back up.’ ‘Stephen, who wrote you this letter?’ Elizabeth asks. Stephen holds up a finger, asking her to be patient a few moments more. Elizabeth’s fury is decreasing. The letter is something she should have written to him herself. This should not have been left to a stranger. Stephen starts

Butterfly Kisses Aged imperfections stitched upon my face years and years of wisdom earned by His holy grace. Quiet solitude in a humble home all the family scattered now like nomads do they roam. Then a gift sent from above a memory pure and tangible wrapped in innocence and unquestioning love. A butterfly kiss lands gently upon my cheek from an unseen child a kiss most sweet. Heaven grants grace and tears follow as youth revisits this empty hollow.

The symptoms syphilis engendered worsened over time. In addition to the unsightly skin ulcers that pockmarked the body in the later stages of the disease, many victims endured paralysis, blindness, dementia, and “saddle nose,” a grotesque deformity that occurs when the bridge of the nose caves into the face. (Syphilis was so common that “no nose clubs” sprang up all over London. One newspaper reported that “an eccentric gentleman, having taken a fancy to see a large party of noseless persons, invited every one thus afflicted, whom he met in the streets, to dine on a certain day at a tavern, where he formed them into a brotherhood.” The man, who assumed the alias of Mr. Crampton for these clandestine parties, entertained his noseless friends every month for a year until his death, at which time the group “unhappily dissolved.”)

I have a tiny little secret hope that, after a decent period of silence and prose, I will find myself in some almost impossible life situation and will respond to this with outcries of rage, rage and love, such as the world has never heard before. Like Yeats's great outburst at the end of his life. This comes out of a feeling that endowment is a very small part of achievement. I would rate it about fifteen or twenty percent, Then you have historical luck, personal luck, health, things like that, then you have hard work, sweat. And you have ambition. The incredible difference between the achievement of A and the achievement of B is that B wanted it, so he made all kinds of sacrifices. A could have had it, but he didn’t give a damn.[...] But what I was going on to say is that I do strongly feel that among the greatest pieces of luck for high achievement is ordeal. Certain great artists can make out without it, Titian and others, but mostly you need ordeal. My idea is this: the artist is extremely lucky who is presented with the worst possible ordeal which will not actually kill him. At that point, he's in business. Beethoven's deafness, Goya's deafness, Milton's blindness, that kind of thing. And I think that what happens in my poetic work in the future will probably largely depend not on my sitting calmly on my ass as I think, "Hmm, hmm, a long poem again? Hmm," but on being knocked in the face, and thrown flat, and given cancer, and all kinds of other things short of senile dementia. At that point, I'm out, but short of that, I don't know. I hope to be nearly crucified,

I should also add something about weight here, because we all know that there’s often a relationship between weight and risk for diabetes. If the risk for Alzheimer’s disease goes up with metabolic disorders, then it makes sense that the risk also rises with unhealthy weight gain that has metabolic consequences. The science now speaks to this fact. Carrying extra weight around the abdomen has been shown to be particularly harmful to the brain. One study that garnered lots of media attention looked at over six thousand individuals aged forty to forty-five and measured the size of their bellies between 1964 and 1973.11 A few decades later, they were evaluated to see who had developed dementia and how that related to their waist size at the start of the study. The correlation between risk of dementia and thicker midsections twenty-seven years earlier was remarkable: Those with the highest level of abdominal fat had an increased risk of dementia of almost three-fold in comparison to those with the lowest abdominal weight. There is plenty of evidence that managing your weight now will go a long way toward preventing brain decline later.

We know that media vita in morte sumus or, “in the midst of life we are in death.” We begin dying the day we are born, after all. But because of advances in medical science, the majority of Americans will spend the later years of their life actively dying. The fastest-growing segment of the US population is over eighty-five, what I would call the aggressively elderly. If you reach eighty-five, not only is there a strong chance you are living with some form of dementia or terminal disease, but statistics show that you have a 50-50 chance of ending up in a nursing home, raising the question of whether a good life is measured in quality or quantity. This slow decline differs sharply from times past, when people tended to die quickly, often in a single day. Postmortem daguerreotypes from the 1800s picture fresh, young, almost lifelike corpses, many of them victims of scarlet fever or diphtheria. In 1899, a mere 4 percent of the US population was over sixty-five—forget making it to eighty-five. Now, many will know that death is coming during months or years of deterioration. Medicine has given us the “opportunity”—loosely defined—to sit at our own wakes.

[Memory]... is a system of near-infinite complexity, a system that seems designed for revision as much as for replication, and revision unquestionably occurs. Details from separate experiences weave together, so that the rememberer thinks of them as having happened together. The actual year or season or time of day shifts to a different one. Many details are lost, usually in ways that serve the self in its present situation, not the self of ten or twenty or forty years ago when the remembered event took place. And even the fresh memory, the 'original,' is not reliable in a documentary sense....Memory, in short, is not a record of the past but an evolving myth of understanding the psyche spins from its engagement with the world.

Maud Shade was eighty when a sudden hush Fell on her life. We saw the angry flush And torsion of paralysis assail Her noble cheek. We moved her to Pinedale, Famed for its sanitarium. There she'd sit In the glassed sun and watch the fly that lit Upon her dress and then upon her wrist. Her mind kept fading in the growing mist. She still could speak. She paused, and groped, and found What seemed at first a serviceable sound, But from adjacent cells impostors took The place of words she needed, and her look Spelt imploration as she fought in vain To reason with the monsters in her brain.

Among us, on the other hand, 'the righteous man lives by faith.' Now, if you take away positive affirmation, you take away faith, for without positive affirmation nothing is believed. And there are truths about things unseen, and unless they are believed, we cannot attain to the happy life, which is nothing less than life eternal. It is a question whether we ought to argue with those who profess themselves ignorant not only about the eternity yet to come but also about their present existence, for they [the Academics] even argue that they do not know what they cannot help knowing. For no one can 'not know' that he himself is alive. If he is not alive, he cannot 'not know' about it or anything else at all, because either to know or to 'not know' implies a living subject. But, in such a case, by not positively affirming that they are alive, the skeptics ward off the appearance of error in themselves, yet they do not make errors simply by showing themselves alive; one cannot err who is not alive. That we live is therefore not only true, but it is altogether certain as well. And there are many things that are thus true and certain concerning which, if we withhold positive assent, this ought not to be regarded as a higher wisdom but actually a sort of dementia.