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Aging Is Not a Disease

The NY Times recently published a piece in which a 41-year-old doctor in Boston muses about advances in the science of anti-aging. She is pregnant with her first child and wonders whether aging is really inevitable. Her dad does pull-ups at age 70 and pursues studies on “how he might slow the ticking clock.” Aging for folks like this is clearly something to be conquered, not accommodated.

“Longevity researchers,” she says, “would tell you that aging itself is a disease that we can understand and treat, cancer and heart disease and dementia only its symptoms.” Hmm, if aging is a disease, I must be pretty sick at 88. I do have age spots but no cancer or heart disease—yet—and no crippling ailments or obvious mental disorders, though some might contest that. So I got lucky in the old age sweepstakes.

I’ve been blessed with good health (with some minor problems) in the last few years, and I look at getting older as something perfectly normal. If I can get another year or so, that would be fine. I don’t fear death, though I might if things change. For now, I look and feel younger than my chronology would predict. Except in the morning.

Getting older, I’ve been drawn to feel that so much of what we do as a society works against nature. We humans can’t even manage ourselves, and all our false notions of progress are usually at the expense of the natural world and those less fortunate. How we respond to climate change will be the ultimate test.

So I find that anti-aging and extending human life are like so many other new tools for fighting off or plundering nature and advancing bogus notions of progress. Work proceeds apace on gene modification, CRISPR, AI, and other high-minded efforts to alter our humanity and improve on what nature gives us. I never thought I’d say this, but why is science always the answer?

A good friend in her mid-70s recently had major surgery for an intestinal blockage. She was quite healthy, and this came as a big shock. So did the resulting colostomy. She’s been depressed, won’t eat, and talks about wanting to just give up. The vicissitudes of our health can change everything.

If good health is everything, why are we so cavalier about it? Could someone in poor health rely on an anti-aging program? Will these programs be just for the rich? Of course they will.

To her credit, Dr. Lamas, the writer, is not wholly convinced that anti-aging science will provide a better life: “it is not entirely clear that having a younger genetic than chronological age confers a longer or better life.” If I continue to be blessed with good genetics and health, old age remains something to treasured—until it’s not.

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Oldsters Partying in Puerto

The other night it was a mixed group, oldsters and mid-oldsters and a few younger people. I was probably the most senior of about thirty people there to exchange silly Christmas gifts and watch the sun go down over the Pacific. I knew only about four of these folks and thus looked forward to another evening of isolation, boredom, and social constipation.

This is what happens to many of us, old or not, as parties find us standing alone, drink in hand, listening to the noisy chitchat, resenting the loud music, deciding whether to approach a group and break into their conversation.

Perhaps you’ve experienced this. I used to be a jovial party-goer and party-thrower in my youth, big drinker, life of the party. (See “Nothing Succeeds like Excess.”) Aging often produces a slow process of withdrawal from all that, which is no bad thing. After all, how much small talk can you generate? Who wants to hear more stale political opinions, gossip about the neighbors, indulgent talk about oneself, with never a question about you?

At the party in question I came in with my partner, felt awkward and out of place, said a few hellos, and sat solo for a while to watch the sunset and plot my next (if any) moves. I made up my mind to tough it out so I went to sit with a younger couple eating dubious hors d’oeuvres and had a nice exchange with them.

The rum punch was good and I found people approachable. The gift exchange turned out to be fun, and the atmosphere changed from small pods of talkers to participants in an engaging group activity. I almost felt glad I’d come.

The small group I hang out with in Oaxaca was nothing like this mixed bag. Beach people are different. One older tanned guy in Hawaiian shorts looked like my old college roommate and never stopped talking. Other oldsters simply sat and said little. Women, as usual, carried the day and brought things to life. One looked like Kyrsten Sinema even to wearing a brassy Sinema-style dress. I kept ascribing personalities to these characters.

The point of all this is that aging produces in some of us the urge to withdraw (see “Retreat of the Elders”), which occasionally can come on strong. I’m not a recluse and I do like people, but in small groups or one-on-one. Most parties I can do without; this one—good for observations—wasn’t too bad.

Forced intimacy in any circumstance may work for the young. For most oldsters it just pushes old buttons.

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Old People Driving

Jerome’s was gray

On Friday my friend and I drove from Oaxaca to Puerto Escondido, a distance of 160 miles, which usually takes a minimum 6-1/2 hours on high mountain roads, through truck traffic, potholes and endless switchbacks. That works out to about 23 miles per hour. It’s a tough drive and took us a bit over 7 hours including a stop for lunch.

I drove the whole way, and in the last 10 miles or so hit two topes (speed bumps) pretty hard—feeling really stupid because I’ve done this road scores of times. On arriving I was so tired and wrung out that I couldn’t meet friends for dinner. It finally came to me that fatigue had made me lose my concentration. And you cannot do that in Mexico.

So no more long-distance solo driving for me. Like many oldsters, usually male, I’ve been proud of my driving. I drove sports cars in my salad days and for a long time thought my capabilities generally persisted. In a short book, I spoke about

avoiding the kind of hubris or testing of fate that old codgers manifest on the roads. Giving up the keys for most of us would relinquish a final vestige of independence. Like coasting downhill on an empty tank. . . . If I had to quit driving I’d be giving up one of the remaining joys in my sedentary life. It’s a matter of maintaining, as we all do, the fiction of one’s life.

So much for that. Hubris is what happens when you’re making other plans. A good local friend of mine drives so badly that I refused a few years ago to ride with him unless he let me drive. He once fell asleep on that same mountain road and nearly killed himself and a companion.

With the arrogance of youth I said to my father Jerome years ago when he was driving too fast in big glitzy Lincolns: “How about letting me drive for a change?” No way that was going to happen because I had told him his new car looked like a Baroque church. So he kept on driving big cars until he once roared through a stop sign, hit another car, and then argued about fault with the insurance company.

Oldsters are naturally jealous about keeping their driving privileges, and they can get very testy about it. Younger relatives may force the issue, but many states have no age restrictions. Make ‘em all take a test, I say. Yet the politics of aging may not let that happen. The AARP opposes this, calling it age discrimination.

And as the public approves of more electronic junk and digital screens in cars, the distractions for seniors and all of us will get worse. Drive safely to your Christmas destinations.

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The Physicalities of Aging

I’ve written before about the joys of getting older: first, about some of the social aspects of withdrawal; then about declining brainpower. I’m not quite sure why these pieces drew the attention of my readers. Maybe it’s the aging process itself that binds us old farts together.

To discuss the more physical aspects of aging is a little more risky. Yet we must face up to our own mortality by confronting the commonplace ways our bodies degenerate—or at least have difficulty performing their accustomed functions. Who wants to hear about another’s constipation? Still, a few personal stories may connect with you.

About three years ago I realized that I wasn’t getting enough exercise. I didn’t want to walk much anymore. The sidewalks in Oaxaca are cracked and broken; I was fearful of taking another fall. And how many times can you enjoy hiking around the very same blocks? I used to like going to the gym, so I bought an elliptical trainer.

This is a great machine for exercising a bunch of muscles, plus some low-impact cardio. You know what’s coming, right? I used it faithfully for a while, then progressively abandoned it. Monotony and apathy will overcome all your good intentions. Well, lately I’ve gotten back on it, and it feels good. Let’s see how long this lasts.

It’s very common that as one ages one’s gums recede and gaps appear between the teeth. This is why you see so many old people using toothpicks after eating. You finish a nice dinner and your companion starts poking away at his/her mouth. Now you’ve begun to do it too. My dentist said, “get a Waterpik,” and he was right. The detritus removed after brushing will simply amaze you.

Years ago, my father had a pretentious gold toothpick in a thin leather case. He would produce this and use it at home or after a fine restaurant meal. We observed this many times. Finally my sister said, “Pop, do you have any idea what’s growing in that case? It’s pretty disgusting.” Naturally, this had no effect.

Older people finally don’t care what others think about such habits. That too is part of the aging process.

I find it harder and harder to cut my toenails. Bending over to get a purchase on the nail clipper gets more difficult as one’s arthritis progresses. And the longer the nails grow, the harder it is to cut them neatly. A male friend of mine, now deceased, gave up on the whole thing and regularly went to a podiatrist for, God bless him, a pedicure. I’m not quite there yet.

It may not be in the best of taste to talk publicly about such commonplace things. Older folks are still rather sanitized and Victorian in talking and dealing with bodily needs and functions. The fact that such behaviors are rarely discussed can only mean that we’re less equipped to deal with them as we inevitably age.

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What Really Happened at The Dinner

Trump: Ye, my friend, so glad to see you again. Your view of things is so unusual.

Ye: Well, I like Hitler. You know, every human being has something of value that they brought to the table, especially Hitler. I just said that on an interview with Alex Jones, one of our good guys. Why isn’t he here? He knows the Holocaust was fake news. That’s why I brought my dear friend with me, Nick Fuentes. I think you know him.

Trump: Never saw him before in my life. Oh, wait a minute . . . Charlottesville.

Ye: He’s been a good Jew hater from the early days. Now y’all need to get into my campaign to run for president. Don, I want you to be my vice president.

Trump, screaming: You out of your fucking mind? You got no chance at the presidency, bro, not while I’m running. . . .

Of course, what they really said at the dinner is largely beyond imagining and beyond satire. One could just as well try to imagine what Xi Jinping said when he was informed of the recent massive protests. Axios made an attempt to render what the fawning Fuentes said by talking with “sources” present—but never succeeded in finding a smoking gun, just a bunch of servile compliments to Trump.

 I do have to give credit to Andy Borowitz, who wrote that white nationalists gave “scathing Tripadvisor reviews” of the service and food at Mar-a-Lago: “too many ethnic dishes,” they said.

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Why Beethoven, and Why Now?

Some of you know I had a partial career as a music critic years ago. (Most everything is now “years ago,” it seems.) I wrote about jazz, the record business, ‘70s rock and, later, classical. My writings were all ephemeral; but the music is not. Most all of it is on record in one form or another, the wine and the dregs.

When I was growing up, a lot of Beethoven echoed in my house. Music was an intrinsic part of our lives, and Beethoven was at the heart of it. I’ve talked about that here and in a book I wrote but not much about Beethoven. Well, the Eroica symphony was a revelation to me as a teenager because it completely broke new musical ground. When I began to really listen to the string quartets in college, they became touchstones of my musical life. Jazz was my daily fare, Beethoven the haute cuisine.

Last night, over leftover noodle casserole, I listened again to all three Rasumovsky Quartets, from Beethoven’s middle and troubled years. There is no music in the world like this. Here is Opus 59, no. 2 of these masterpieces.

I won’t give you a critique here, rather some thoughts that the music evoked. First, the surprising turns this music takes: I remembered that critic Whitney Balliett once called jazz “the sound of surprise.” The three quartets embody surprise in abundance. Second was the stark contrast between the world this music projected and our own disjointed times—the ways in which Beethoven could render his disjointed life and times in the coherence and power of his musical speech.

Later I was to think about how the Eroica Symphony and later the Rasumovsky quartets revolutionized the music of Haydn and Mozart. Here’s how Joseph Kerman put it in his classic work on The Beethoven Quartets:

A new world was being explored, and if the string quartet was going to find a place in it at all, it had to smash the fragile, decorous boundaries set by the classic image of chamber music, . . . a new “symphonized” quartet necessarily had to come into being (p. 151).

Haydn and Mozart provided the building blocks, but the decorous age was clearly over, another instance of the surprising ways the 18th century changed thought and art.

There is no analogue today. The crudeness of our pop music and the irrelevance of much contemporary classical offer no relief from the social and political chaos around us. When I’m hungry I go back to Beethoven.

The recording I listened to is a two-SACD set by the Tokyo String Quartet. The sound is extraordinary, their interpretations exemplary. I have other different but interesting renditions on vinyl by the Guarneri, Budapest, and Juilliard ensembles.

Beethoven would go on to even greater heights of expression in the Late Quartets, one of which (the C-Sharp Minor, Opus 131) would change the way I thought about music forever. More on that later, perhaps.

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Antisemitism and Crow Jim

Antisemitism is much in the news lately. So a big controversy continues over Dave Chappelle’s monologue on Saturday Night Live last week. I found most of his comments about Jews perceptive and funny. Others did not. You can read some excerpts and watch his full solo gig here; a verbal transcript is here.

Chappelle was really targeting the kind of phony socio-political correctness that informs the way we talk and think about matters racial. One commentator put it this way: “If Jews are on the receiving end of the jokes that forces this conversation, that is certainly uncomfortable, but it is also important, and not antisemitic.”

Well, Jewish humor often hits on the faults and foibles of their coreligionists. I’ve heard Italians privately do this too, and Chappelle often takes comedic whacks at black people. Who knows the in-group better than one of its members? Still, there’s the old saw that a lot of people still find true: It’s OK to joke about Jews if you are Jewish; otherwise it’s antisemitic.

As a secular Jew, I’ve often made fun of my people. It affirms my connection and the Jewish uniqueness. When outsiders do it we should look for the line between satiric humor and hate. This is usually not hard to find. The Reverend Al Sharpton used to dispense more than his share of loathing for Jews. Black folks let him get away with most of this repellent antisemitism.

Many negative comments about whites began in the “Crow Jim” era as some black jazz musicians protested against white attempts to play their music. In 1950s Chicago, friends of mine lived across the street from Elijah Muhammad’s Nation of Islam temple, home to his radical Crow Jim-ism. Meaning all things black would finally shake off the inferior white culture and escape its attendant evils. We used to watch these guys get into their black Cadillacs to go and play golf. We would talk with them without any discord. Black Power was both understandable and unachievable.

Today racial hypocrisy is very much on the rise. The old metaphors become dangerous: when was the last time you heard “calling a spade a spade”? But in a way that’s what Chappelle was trying to do. I watch a lot of CNN and sports channels. Almost every ad for every product now features black or brown people. It’s quite amazing. You could call it advertising’s guilty attempt to make up for years of excluding these folks. The obviousness of the gesture conveys its own crudity.

Chappelle made a couple of foolish statements in his monologue. He said that African Americans can’t be blamed for the Holocaust. Wake up, Dave, nobody’s doing that. It’s ridiculous to defend idiots like Kanye and Kyrie Irving but he did so while poking fun at them. Herschel Walker he finds “observably stupid.”

I think Dave wants to be an equal-opportunity comic, but it’s hard to do that these days. He made some great comments on Trump. Still, I tolerate his flaws because he’s perceptive and funny.

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A Slight Loss of Control

Some fans have urged me to write more about aging. It is a rich topic, especially for one at my age (88). I offered my general thoughts on the matter a couple of weeks ago, but that was the tip of the iceberg, so to say.

Every aspect of aging seems to have three components—physical, psychological and social—and they’re all interlinked. There’s a very thorough and intimidating treatment of this on Wikipedia. Read it while you have your late afternoon cocktail. (Why do all discussions of aging always recommend easing off the booze? They totally ignore the psychological and social benefits.)

So today I want to talk not about dementia but about mental deficiency as it creeps up on you. This is normal yet disturbing. Myself and many friends have experienced loss of short-term memory. You know, forgetting your keys, the last name of a friend, where you put something. This is so common that it’s unremarkable. Yet it upsets a lot of us.

Often when you’re trying to recover a forgotten name it will come back to you a few moments later while you are thinking of something else. So your memory is still functional; it’s just taking its time to sift through all those long-unused cells in the mental library.

And sometimes the name or the word doesn’t come back. Well, calm down and search out related aspects of the word on Google. This will often trigger an association that can make the connection and turn your light bulb on. The usual fear and distrust of technology in elders is well-placed. But you have to learn to make tech work for you. I talked about some of the problems here in “Computer-Assisted Headaches.” We elders have to stop being intimidated by technology and learn simply to ignore what we can’t understand.

Keeping your mental alertness is key to solving many problems of aging. I have IBS, a too-common bowel disorder. So I complain again to my doc, who says that after all these years “you know more about this than I do.” I’m skeptical but as I experiment with treatments, nostrums, remedies natural and unnatural, I find some success in dealing with it. And I use the internet a lot.

Bottom line: your apparent loss of mental (even physical) control can often be compensated by using what’s left of your brain.

What we all worry about is keeping our mental acuity. Well, you’re never going to keep the edge you had at age 20 or 30. After 70, we all decline, so what can help? The usual advice is to exercise more, learn a new skill, play games and solve puzzles, dance, meditate, eat a good diet, and so on.

I think the most important way to keep sharp is to involve yourself regularly in a mentally challenging activity you love. For me it’s writing; for someone else it’s hiking or volunteer work or cooking. When you feel depressed, anxious, irritated with someone, or too isolated, don’t give way to it. Get back to something you really treasure doing.

That’s not just a bromide, folks. Example: when the blues take over, I turn to the music I love and I can regain an equilibrium from that. We need to remember to engage with the things we love.

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American Food, Part II

Holiday promotions are part of the food and beverage industry too. Miller Lite knows how much you love to drink beer under the Christmas tree, and their Keg Stand will cost you $50, beer not included. They tell us supplies won’t last long.

The apparatus holds the tree on top with “room for a quarter-barrel keg (which holds the equivalent of about 83 bottled beers) and ice bucket underneath. Finally, a hole in the top of the box allows the tap’s spout to fit through so revelers can pour a beer right next to the tree.” Miller also sells beer-infused ice cream bars. Well, who knew?

The wizards of the food industry are constantly bombarded by the food police and the advocates of organic food. I think the only thing wrong with organic food is the folks who promote it and their high-handed convictions in the cause. They feed on many platitudes and attitudes about food.

I’ve maintained that people with some degree of education generally know what foods to eat and what’s good for them. (Is that true, I wonder?) Still, food science marches on. Researchers claim that fat (not obese) people live longer. So, how much weight is too much, guys? Another elaborate study on fruit flies tells us that human taste buds operate like those in the bugs to make up for diet deficiencies.

You want science like this to control your diet and your life? I mean, what’s wrong with sandwiches? Stuff ‘em with lettuce if you want your greens. Did you know that pizza is the best-liked food in the world? How frightening is that? I live around the corner from a great farmers market so I’m fortunate not to be subject to the onslaught of the packaged, processed, fatty foods that outrage the food police.

We all seem to be captive to our childhood preferences in food. For many years I had a thing for French toast and bacon in the morning. Those associations with breakfast die hard. You know about Proust and the madeleine dipped in tea? Taste, memory and associations together make us into creatures of the past.

So sometimes, as I said here, we simply have to give way to our built-in historic preferences. The alternative is food guilt, and who needs that?

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American Food

Those of us lucky enough to be brought up in a genuine gastronomic culture can be either snooty or appalled by American food—or at least the diet that most Americans eat. Authorities keep warning us that such food is not only unhealthy but dangerous.

This diet typically is high in sodium, refined sugars, omega-6 fatty acids, trans fats, and excess calories. It’s also low in the vitally important long-chain omega-3 fatty acids, EPA and DHA. People who maintain a diet loaded with simple carbohydrates (such as bread, pasta, potatoes, rice, fruit juices, and sugar) have an increased risk for problems with their digestive system, liver, pancreas, heart, circulation, and overall brain health.

Not to mention the American addiction to junk food like hamburgers and French fries, Twinkies and Coke. Full disclosure: last night I cooked myself a really good hamburger and ate a salad with that to temper my misbehavior, finishing off with a little Haagen-Dazs and a cookie. I say OK to such indulgence once in a while. Harkening to dieticians and the food police can make you feel guilty, not to say hungry.

Poor people eat more junk food. It fuels obesity, but it’s cheaper and provides instant gratification. Do the hordes of MAGA supporters eat anything but junk food? Look at the way Trump eats.

Food manufacturers spend billions of dollars on research and development to create flavor profiles that trigger the human affinity for sugar, salt, and fat. Consumption results in pleasurable, likely addictive, effects on the brain. At the same time, massive marketing efforts are deployed, creating powerful brand loyalties that studies have shown can trump taste.

The best thing about American food has always been its simplicity and freshness. A good steak, fresh fish, corn on the cob, non-processed cheese, fresh greens and fruits—this is the stuff I grew up on. Hopefully you did too.

The latest gastronomic traditions in American cooking can compete with the best in Europe and Asia. And the fact that we have incorporated the traditions of French, Italian and Asian cookery in our food provides variety and nourishment of a different and welcome sort.

However, living in Mexico really tests your ability to avoid junk food. Snacks and soft drink consumption is off the charts. The government puts labels warning of excessive fat, sugar, etc. on packaged food. Their impact has been negligible. Recently the state of Oaxaca passed a law forbidding the sale of high-calorie and sugary drinks to minors. Permit me to be skeptical, since here obesity even in the young is out of control.

The best food in Mexico, as in the U.S., is the freshest and most nutritious. Beans, vegetables, fruits and even corn tortillas are everywhere. The better restaurants serve up endless variations on these staples, often with great flair. For lunch I just finished a large taco of chicken, mushrooms and refried beans, all dipped in a bit of Heinz Ketchup to show biculturalism. Beats McDonald’s every time.