Anyone older than forty knows that forgetfulness can be unnerving, frustrating, and sometimes terrifying. With compassion and humor, acclaimed journalist Cathryn Jakobson Ramin explores the factors that determine how well or poorly one's brain will age.
She takes readers along on her lively journey-consulting with experts in the fields of sleep, stress, traumatic brain injury, hormones, genetics, and dementia, as well as specialists in nutrition, cognitive psychology, and the burgeoning field of drug-based cognitive enhancement. Along the way, she turns up fresh scientific findings, explores the dark regions of the human brain, and hears the intimate confessions of high-functioning midlife adults who-like so many of us-are desperate to understand exactly what's going on upstairs.
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About the Author
Investigative journalist Cathryn Jakobson Ramin is the author of Carved in Sand: When Attention Fails and Memory Fades in Midlife, published by HarperCollins in 2007. Her new book about the back pain industry, Crooked, will be published in April 2017. She’s written for many national magazines on topics that include healthcare, neuroscience, business, public policy, travel, art, design and culture. A popular speaker, these days, she’s booking lectures that enlighten patients, health care practitioners, corporations and medical facilities about how to manage back pain. Cathryn is married to Ron Ramin, a music composer. They have two adult sons, Avery and Oliver, and a Jack Russell-Daschundt mix dog named Dasch, after the punctuation mark, which he resembles. She divides her time between Northern California and New York City. Facebook: http://bit.ly/fbcrooked . Twitter: @cjramin
Read an Excerpt
Carved in Sand When Attention Fails and Memory Fades in Midlife
By Cathryn Jakobson Ramin HarperCollins Copyright © 2007 Cathryn Jakobson Ramin
All right reserved.
Chapter One Your Unreliable Brain
Midlife Forgetfulness Is Embarrassing and Frustrating, but What Does It Mean for the Future?
On the drive from the suburbs to the city, we'd experienced a disturbing number of memory lapses. Actually, the first bout with forgetfulness had occurred earlier that afternoon, when our friend Sam, who was three hours away in Reno judging a barbecue contest, forgot that we had dinner plans. After a not-so-gentle phone reminder from his wife, he made the drive home in record time, still carrying a whiff of slow-smoked baby back ribs on his person. That mistake was in the past, but other canyons loomed before us. Where was our restaurant, again? (I had printed out the address, as I'd promised-and left it on the kitchen counter.) Had my husband made the reservation for seven, or seven-fifteen? Which way did Post Street go? Was the nearest parking lot on the corner, or midway up the block? I made the error of mentioning that the little bistro we'd chosen had a great young chef, fresh out of the kitchen of some hotshot who had a restaurant in the Napa Valley, and another in Los Angeles. Or maybe it was Las Vegas. I'd read about it somewhere.
That's what set my husband off.
"Oh, I know exactly who you mean," he said, ready to educate us. Then, he drew a blank. I watched him become increasingly preoccupied as he explored every shadowy cognitive pathway, searching for the name he was after.
I whispered that he ought to give it a rest-he'd think of it later.
"But it's driving me crazy," he said.
An hour into this hard-earned evening out with friends, more information was missing than present. Among our peers, this state of affairs was so common I'd started to call it "the content-less conversation." When the words "Ken Frank, La Toque, Fenix-and that is in L.A." finally tumbled from his lips, we cheered. We could move on to other things, like whether any of us had ever tasted the nice bottle of wine we were ordering, and if we had, whether we'd liked it. Maybe we'd only heard about it. Or read about it. Or seen it on the supermarket shelf. No one could say for sure.
"I guess this is normal," Julia sighed, "but I swear, no one we know can remember a thing."
"It may be normal," Sam said darkly, "but it isn't acceptable. Maybe forty years ago, when life was slower and you could depend on a pension and a gold watch for thirty years of dedicated service, it would have been okay."
He was right: What was making us nuts hadn't flustered our parents in their forties and fifties. But their lives were different, and so were their expectations. They weren't changing careers or inventing new ones. At the age of fifty-two, they definitely weren't trying to remember to show up for back-to-school night for three kids at two different schools.
Normal-But Not Acceptable
Nearly every time the subject of forgetfulness arose, people asked me if what they were experiencing was "normal." If they defined that word as the dictionary does-"conforming with, adhering to, or constituting a norm, standard, pattern, level or type," the answer was yes-perfectly.
Everybody asked, but in truth, few people were content with the implications of "normal." What they really wanted to know was whether they were just a little (or a lot) better off than their peers. This was important: If they slipped below the mean, chances were good that they would not be able to keep up.
What was normal had changed considerably over the centuries: Two hundred years ago, if we aged "normally"-that is, according to our biological destiny-forgetfulness wouldn't be an issue at forty-five or fifty: Most of us would be in our graves. Medicine constantly redefines what is normal in terms of physiological aging. We get new knees and new hips. We take drugs to control our blood pressure. We don't give up reading when our fading vision demands that we hold the newspaper at arm's length. Instead, we build ourselves an arsenal of reading glasses and scatter them all over the house and office, in case we forget where they are. When the New York Times Magazine began to run a Sunday cartoon series with wording in a font so small that I couldn't manage it even while wearing my reading glasses, I suffered no damage to my self-esteem. And yet, when it comes to what scientists call "age-associated cognitive impairment," we take it personally and refuse to do anything about it, mostly because we're not sure what we can do.
This sheeplike complacency occurs because the brain is our most intimidating organ. Your brain, with you from the start, has demanded remarkably little attention. Like me, you've probably spent more time worrying about the condition of your abdominal muscles. We assume that what is going on in there is as mysterious as the universe, involving such concepts as consciousness, being and soul, surely best left to the philosophers and the clerics. Here's the news: From a purely biochemical perspective, your brain-a three-pound bolus of fat, with the texture of lightly scrambled eggs-is essentially the same organ a rat is carrying around on its shoulders. As a result of your genetic inheritance, certain aspects of how your brain will age are already inscribed in the Book of You, but it's written in pencil, and you have an eraser. Recent studies of pairs of elderly identical twins, only one of whom developed Alzheimer's disease, show that genetics, although influential, aren't everything. As you will see, you can indeed influence the way your brain ages, through diet, physical and mental exercise, and assuming you've done all you can in those departments, by taking advantage of the increasing availability of pharmaceuticals intended to enhance cognition.
Say it to yourself: "Normal, but not acceptable." And, from what the senior scientists tell me, definitely mutable, subject to the quality of your resolve.
Excerpted from Carved in Sand by Cathryn Jakobson Ramin Copyright © 2007 by Cathryn Jakobson Ramin. Excerpted by permission.
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
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Table of Contents
Preface: Most Precious Possession xi
Your Unreliable Brain: Midlife Forgetfulness Is Embarrassing and Frustrating, but What Does It Mean for the Future? 1
Glitches, Gaps and Gaffes: The Memory-Hungry Crowd Speaks Candidly About Screwing Up 11
Frontal-Lobe Overload: "Too Much Information" Is Just One of the Reasons You Feel Like You're Drowning 23
Blocking, Blanking and Begging for Mercy: Why Words and Thoughts Flee Without Warning 36
Into the Doughnut Hole: What a Brain Scan Can (and Cannot) Tell You About What's Going on Upstairs 45
Swallow This: The Feeding of a Midlife Brain: Essential Fatty Acids, Vitamins, Supplements and Plenty of Glucose 58
Mental Aerobics: From Tedious to Addictive: Options for Exercising Your Neurons 72
Bathing in Battery Acid: Elevated Cortisol Associated with Chronic Stress Is No Friend to Your Hippocampus 85
Yearning for Estrogen: Rejecting Hormone Therapy Could Leave Your Neurons in the Lurch 98
The Vulnerable Brain: The Repercussions of Concussions You Never Knew You Had 109
Cosmetic Neurology: The Potential for Pharmaceutical Cognitive Enhancement Is Vast and Possibly Irresistible 123
Meditation and Neurofeedback: Going in for a Tune-up: Why Tinkering with Brain Waves Can Improve Attention 139
I'll Sleep When I'm Dead: Sacrifice Your Slumber andYou'll Perform as Well as if You've Had a Few Stiff Drinks 151
Recreational Drugs, Alcohol and Other Neurotoxins: The Cognitive Consequences of What You Smoke, Drink, Eat and Breathe 165
What Your Doctor Forgot to Tell You: Prescription Drugs and "Safe" Over-the-Counter Meds May Account for Your Fogginess 177
The Last Place You Look: Thyroid Low? Blood Pressure High? A Host of Common Midlife Disorders Pack a Cognitive Wallop 189
Staring into the Eye of the Tiger: Deep in the Grip of Alzheimer's Disease at the Age of Sixty, Joanna Graciously Invites Us into Her World 204
Do You Really Want to Know?: As Opportunities for Early Assessment and Intervention Become Available, Will You Embrace Them? 217
Emerging Triumphant: How to Stockpile Neurons: The Habits of the Cognitively Well-Endowed 228
Selected Bibliography 297
Most Helpful Customer Reviews
I heard the author on a radio talk show and wasted little time getting the book. Carved in Sand describes her effort to tackle memory loss due to middle age - but in fact, discovered a few other issues that contributed to her memory problems. This is an interesting and informative book because it describes what we know about our brains and how they work when we get older -- and better yet, what we can do about it. HINT: Crosswords & Dancing. One more thing - the author's writing sytle is amazing. Her writing pulls you along and engages. You'll not only learn a great deal from this book - but you will enjoy reading it.
I was fairly disappointed with this book. The premise was great, but I didn;t feel like I learned anything useful except for the author's personal issues.
The author, dealing with memory loss in mid-life, dives into this issue as she's not willing to just sign it off as something that happens to all of us at this time. She details the "Interventions" she goes through and tells us the good and the bad results as they unfold. While there was no simple pill or treatment for her, as a reader I came away with the knowledge that memory loss isn't inevitable. If your doctor shrugs it off you need to push him or her to help you find the cause. Barring a severe medical issue, it's not too late to do something to stem the tide.
Journalist Cathryn Jakobson Ramin sets out to discover the cause of her missed appointments, lost keys, forgotten names, etc. She interviews experts in the field of mind studies as well as peers dealing with the same issue. It's comforting to know others having similar problems, but the entire subject is a little frightening for those of us of a similar age. Worth reading.