The Healthy Aging Series Season 10 Episode 2

It’s All About the Engine, Part 2 | Healthy Aging Series: S10 E2

So, You Can’t Find Your Keys? Forget About it!

It was 1978. I was a sergeant in the Air Force, stationed at Osan, Airbase Korea. I was a dog handler, which means I was assigned a patrol dog, a German Shepherd named Static. Periodically, we engage in joint training exercises with the Republic of Korea military. This involved working 12 hours on and 12 hours off for 10 days. I would work, get off and relax for four hours, sleep for eight hours, and get up and work 12 more hours. Then repeat that for 10 days. It’s a little exhausting. On the ninth day, I arrived at the kennel and was approached by one of my team members, Sergeant Gray, and he asked, “Where’s Static?“
“What do you mean?” I responded. “He’s not in his kennel,” he replied. And, like a punch in the gut, I realize that I had forgotten and left him for 12 hours at the armory, in a kennel crate without water and without food. Due to my physical and mental exhaustion, I had forgotten to take him back to the main kennel. I had a complete mental block. I was 22 years old.

Static was fine. I got a letter of reprimand. Fair enough. But it goes to show, your brain can let you down from time to time, even when you’re 22.

Fast-forward 45 Years

That was then. Now, 45 years later, things are a little different.

For instance, I can’t recall people’s names as quickly. Not the names of my friends and family, but actors and celebrities. Not the big ones like Biden, Trump, John Wayne, Bill Murray, and so on. Usually, if I wait a minute or two, they pop out of my long-term memory. I notice people younger than me that struggle with word and name recall. I also struggle with remembering what I’m supposed to get at the grocery store. I have a mental list, and literally five minutes later I’ve forgotten something.

This blog is about healthy aging, and this season is focusing on your aging brain. There is good news and some bad news about the aging brain,  but I want to focus primarily on the good news.

Potential Land Mines as You Age

First, I want to give a note of clarification. There are potential land mines that will affect your aging brain. I’m going to write about Dementia, and more particularly, about Alzheimer’s Disorder. It will rob you and your family of the last 10 or 12 years of your life. They don’t know what causes it, and it is incurable. Ditto to most other forms of dementia. Strokes are one of the leading causes of death in the aging population. I’ll be writing about it towards the end of this season. It can be devastating as well, but there are preventive measures that you can take now to avoid its devastating effect. Vascular Dementia is devastating as well, but guess what? It’s 80% preventable. Brain injuries due to falls are another cause for alarm as we age. I am writing  episodes on aging and alcohol use, and there’s no question that using alcohol when you are frail or unstable creates risk factors for falls, and therefore, the risk of brain injury. There are other neurological disorders that affect our brain and if you experience one of these disorders or the ones I’ve just mentioned, they are going to affect the health of your brain.

If you’re fortunate to avoid one of these land mines, then there is good news for your aging brain.

First, I want to give you the most important take away from this blog: Despite the fact that you are losing gray and white matter (Sorry, I forgot to tell you that your brain is getting smaller as you age), this loss will have very little impact on your ability to become smarter and wiser as you age. Research points out that we have two types of intelligence: Crystallized and Fluid. I’ll talk about Fluid Intelligence a little later.

The Good News

Crystallized intelligence is the stored knowledge that you have accumulated throughout your lifetime. It’s the information you’ve gathered through your experiences and through learning skills, trades, reading, professional journals, memorizing, podcast, blogs like this, and to the many, many ways we take in information. All of this information, or at least most of it is going to be at your disposal, to use, to grow, and become wise and skilled at living. Crystallized intelligence usually peaks at about 70 years of age but consider the fact that Fluid Intelligence (I’ll tell you about is in a sec) usually peaks at 35 or 40 years old. You are becoming and will continue to be a storehouse of knowledge and wisdom for yourself, your family, and your friends. Because you are aging, you are becoming more, not less, valuable to the world and the community. Think of it! 

Getting older will make you smarter and wiser.

Getting older will help you avoid the mistakes of your youth.

Getting older will make relationships easier and more meaningful.

Getting older will make life more meaningful.

Getting older will help you be happier.

All of this because Crystallized Intelligence remains mostly intact! What are you going to do with all of that information, knowledge, and experience that you’ve acquired in your lifetime?  Share. Teach. Mentor. Write. Create. Work. Dance. Explore. Grow. Make peace. Love. 

You can be an expert at ______________(fill in the blank).

I’m an expert hiker and backpacker. I’ve been doing it for over 25 years. I know all the gear. I have maps, lots of maps. I can orienteer, which means getting from point A to point B with a map and a compass. I teach new backpackers to begin making a mental list of all of the things that you should’ve brought with you and all the things you should’ve left home during your backpack trips. In five years, you’ll be an expert.

I’m an expert in fitness and nutrition. In my 50s, I was tired of listening to what others said I should be eating and how I should be training. So, I earned several certifications in fitness and nutrition. I know what to eat to be fit. I know how to train for my backpacking trips. Lots of hill-repeats with 45 pounds on my back. 

I would like to think I’m an expert psychotherapist. I’ve spent 30 years improving my skills and I’ve spent the past five years studying the writings of Dr. Carl Jung and consider myself a Depth Psychotherapist. I spend my professional time guiding the two agencies that I co-own with my wife, and helping clients figure out why they are the way they are, and how to grow. And I’m not finished learning and growing myself. I have a treasure house to share! That’s the good news!

The Bad News-Fluid Intelligence

The bad news, and it’s not awful news and not even troubling news, it’s mostly just irritating news. Your Fluid Intelligence is declining. Fluid Intelligence has to do with reasoning, solving novel problems, processing speed, and executive functioning, which involves organizing, planning, focusing, and all those frontal lobe tasks. As you age, you’re going to have problems with short-term memory and recall, mostly abstract words, and names. Honestly that’s it. You’ll start to look a little bit like you’ve got ADHD, and you’ll need to make a list for the grocery store.
There are some simple techniques for improving your memory that I will share in a later episode this season. There are fitness and nutritional things you can do, which I will also share in upcoming episodes. I’ve shared the simple statement, “What’s good for the heart is good for the brain.”

But for now, relax. If you’re able to escape the disease-land mines, then you’re going to be fine as you grow old. I’m smarter and wiser than I was at 46 and I’ll be smarter at 76 and 86. There’s so much adventure to look forward to.

Recent Studies on Aging and Memory

I want to share some studies that have been done that show the difference in memory with older adults and young people. Those studies have been scrutinized a little bit because they do not take into consideration the circadian rhythms of older adults and younger adults. Younger adults tend to do better on cognitive activities in the afternoon, whereas older adults tend to do poorly in the afternoon. Again, this is due to circadian rhythms. Those studies that take into consideration the time of day the studies are performed on people’s cognitive abilities, reflect a much less diminished cognitive ability as you age. Yes, there are declines in accessing your memory, especially short-term memory as you age, but it is not nearly as serious as what was first considered a serious disparity.

Our Own Ageism

We don’t need studies to tell us that our brains aren’t as fast as they were when we were younger. But think about all of the resources you have as you age, based on all of the learning you’ve done throughout your lifetime. I think it’s a wonderful thought that as you age and maybe retire, you can still use your skill set and your experiences to help people.  I’m going to be sharing a few episodes and upcoming seasons about ageism.

Ageism is alive and well in most cultures in this world, but I think it is most prevalent within the aging population. I think we suffer from a form of ageism when we begin to see ourselves as useless and see ourselves as not valuable to our friends, our family, and our community.

Fight the urge to see life as over when you turn 65!

TO READ MORE ENTRIES IN THE HEALTHY AGING SERIES, CLICK HERE.

The Healthy Aging Series Season 10 Episode 1

It’s All About the Engine, Part 1 | Healthy Aging Series: S10 E1

If I Only Had A Brain

I could while away the hours
Conferrin’ with the flowers,
Consulting with the rain;
And my head I’d be a scratchin’
While my thoughts are busy hatchin’
If I only had a brain.

I’d unravel ev’ry riddle, 

for my individdle
In trouble or in pain
With the thoughts that you’ll be thinkin’
You could be another Lincoln
If you only had a brain.

Oh, I, could tell you why
The oceans near the shore
I could think of things I’d never
Thunk before,
And then I’d sit down and think some more.

I would not be just a muffin’,
My head all full of stuffin’,
My heart all full of pain;
And perhaps I’d deserve you and be
Even worthy even you
If I only had a brain.

Scarecrow – Wizard of Oz

Ya gotta have a brain. I think we all get this. It pretty much ensures that everything in your body gets done. When it doesn’t work, things don’t get done or things don’t get done well.

Mountain Biking

A number of years ago, a younger version of me took up mountain biking. I took a handlebar to the ribs and stopped mountain biking for the more relaxing sport of road cycling. During that mountain-biking phase, I had a discussion with my Personal Trainer about bicycles, about the best frames (aluminum vs carbon fiber), about shifters, about wheels (27.5 inches vs 29 inches), and really, about gear. Gear. That’s what sports enthusiasts talk about, gear. 

After 30 minutes of talking about gear, my Trainer looked at me and said, “Forget about all that stuff, all that gear. It’s not about the bike, or the wheels, or the shifters. It’s all about the engine!”

Of course, he was talking about the body. He was talking about your cardio fitness. He was talking about your core and leg strength. It’s all about the body!

As I prepared for this season, I thought about the importance of the brain. Isn’t IT the real engine that runs the body. With that in mind, I’ve entitled this season: It’s all About the Engine!

This season is about having a healthy engine. But first, I want to share what happens when the engine is injured. It’s not good.

Broken Engines

During my time as a therapist, I’ve worked with many individuals with brain injuries. To help you understand the tragic nature of these injuries, I’ll share a few stories. I’ve changed names, and anything that could identify them, and really these stories are a compilation of several fellow strugglers I have worked with.

Matthew

Matthew was 18 years old and had a very conflicted relationship with his mother. One afternoon, they were traveling on a busy street. They began to have a very heated argument and it became so heated that, as they came to a stop at an intersection, Matthew jumped out of the car.

Relieved to see the fight end, his mother left him to cool down, but she was unaware that, after pulling away, he was struck by a car while crossing the road and thrown 50 feet. It changed his life forever. He was in a coma for several months. Rehab for a year. Matthew was approved for a program for persons with traumatic brain injuries. It became apparent there were serious problems related to his brain injury. The hypersexuality, along with his impulsivity contributed to his frequent masturbating in public. He developed a compulsion to ask every barista, every staff member, and any woman that would smile at him, for their phone number. Despite all the clinical and behavioral interventions, these behaviors continued to make it difficult for Matthew to live in the community and eventually he was prescribed an anti-libidinal medication, which helped with his hypersexuality.

Luke

Luke was in his late 20s. He had been drinking and driving five years earlier and was the only occupant of his car when he slammed into an oak tree. He survived the accident due to the heroic efforts of the EMTs and ER staff. At the time of the accident, he was married with a newborn baby girl. Now, at 26, he was living with his parents. He was non-ambulatory, meaning he was wheelchair-bound. He could not talk. He had very limited use of his arms. He was on a special puréed diet that ensured he wouldn’t choke on his food. During his rehabilitation, his father had a heart attack, which I’m sure was partly due to the stress of the past five years.

Luke’s wife, though she didn’t divorce him, refused to see him, or allow his daughter to see him or visit him. I suspect the pain was unbearable for her.

John

John was a man in his 50s. His traumatic brain injury was a result of driving under the influence of drugs. 15 years later, he was living in a group home. He had serious memory issues. I worked with him for two years and had to remind him regularly who I was. John was unable to manage or maintain any personal relationships. The only relationships he had were with his professional staff and various therapists. He continued to see his elderly mother. He received a monthly check but had very little disposable income after paying rent and groceries. The team that supported him was constantly on the alert because John would buy money orders and send them to scammers that would ask for help paying their bills, help buying an airline ticket to get back into their home country or help making funeral arrangements for a lost child. He would send money to sweepstakes offers, believing that he had millions of dollars. This was his life.

I share these stories with you to make a point. If you experience a traumatic brain injury, it will dramatically change your life forever. It can change the way you think, the way you act, and it can change your personality. It will change you because everything you do, think, and feel is the product of your brain. 

Thankfully, most of us will not experience a Traumatic Brain Injury! But nevertheless, we are getting older, and so is our brain!

Our Aging Brain

How does aging affect our brains? All of us know someone who appears to have dementia, possibly Alzheimer’s. As we age,  most of us will have difficulty recalling names of actors or famous people. And we will have difficulty remembering where we put things, not to mention the changes in sleep patterns that result from an aging brain, If all of this isn’t a little alarming, what about the prevalence of anxiety and depression that many aging adults experience? Does this have anything to do with your aging brain? 

Here is the most important question I think to ask about the aging brain: 

Is there anything we can do that will ensure that our engine stays fine tuned as we age?

Of course, the answer is yes

I’m reading a lot about the aging brain. I’ll share five or six episodes that will put brain health in very simple terms. As an example, this is what I’ve learned: “What’s good for the heart, is good for the brain.“ 

The Swedish Art of Living Exuberantly, by Margaretta Magnuson

I’m going to reflect on the follow-up to “The Swedish Art of Death Cleaning” with “The Swedish Art of Living Life Exuberantly.”

This is Your Brain on __________________

We will have several episodes on things that affect your engine. Some of these include exercise, nutrition, stress, music, meditation, books, love, and sleep, just to name a few. We will look at studies that look at the affects  that playing video games can improve our Fluid Intelligence (I’ll share about Fluid and Crystalized Intelligence in a later episode). We will look at the use of supplements and alcohol and their effects on your engine. We will also look at the MIND Diet. 

Successful Agers

I’ll share memoirs by Betty White and Captain James T. Kirk of the Starship Enterprise

Unfortunately, we also must look at some serious disorders of the brain. 

Dementia Memoirs

Last season, I shared several Obesity Memoirs. This season we will look at Dementia Memoirs and the impact that dementia has on people and their caregivers. I will share the lives of Glen Campbell, B. Smith, and Elaine Schreiber. I’ll have at least two episodes for Caregivers

Stroke Memoirs

I’ll share three memoirs from stroke survivors. These stories are inspirational. 

A Fairy Tale, Backpacking, and Desert Therapy

Throughout this upcoming season, I’ll share a couple Interlude’s. One is a fairytale that I wrote called “The Magic Necklace.” In the other interlude, we will look at my favorite hobby and how it has, in some sense, saved my life. I’m speaking about backpacking and hiking. I’ll share some of my experiences out on the trail, in the desert, and in the forest.

“On the Shortness of Life”

I’m going to reflect on the small book by Seneca, about getting the most out of the short life that we all have.

I think about those that I have served with brain injuries and how sudden the change came to their lives after their injury. 

The aging process is dramatically different in that it’s a slow and almost imperceptible process that happens. You must take care of your engine! 

I’m going to give you some very, very clear and simple ways of doing that! 

I hope you enjoy this season of my blog about healthy aging and the aging brain. 

It’s all About the Engine!

Protecting Your Brain

I would be an irresponsible clinician if I didn’t mention some practical ways of protecting your brain. I’m sharing a link for BIAK (Brain Injury Association of Kentucky). Donate if you can. They are a wonderful agency that provides free helmets for cycling!

Here are my practical recommendations:

  1. Wear a helmet when riding a bike or motorcycle.
  2. Make sure your children wear helmets when they are riding bicycles or scooters. 
  3. Wear your seat belt.
  4. Do not drink and drive.

Here is the BIAK link:  https://biak.us/