Note: Another strictly personal post. My excuse: a belief that knowing something about the warp-and-woof of an author’s personal life helps readers better understand where she or he is coming from.
Recap
As I described in Frank’s Mornings, during my early morning period I can often let my mind romp freely as I read and take notes on pieces on the three web sites I visit every morning.[1] If there’s not much of interest on these sites I do a bit of writing and/or googling on some of my open questions/topics. After my early morning period, I begin my mid-morning and midday routines.
Mid-Mornings
I usually have two to three mid-morning hours every day. In addition to minor housekeeping and personal hygiene tasks, during this period I address:
– brain exercises (attention, memory)
– email
– reading
– writing.
A few years ago my score on the Montreal Cognitive Assessment instrument (MoCA), taken during a routine physical examination, dropped below the Mild Cognitive Impairment (MCI) level. A brain volume scan and psychometric tests confirmed an MCI diagnosis. Such a diagnosis is a probable early warning sign of dementia. I wasn’t surprised. Like other 80-year-olds I was starting to notice memory and attention lapses. One purpose of an MoCA assessment is to distinguish between normal age-related cognitive impairment and incipient, or actual dementia. My physician and I took this assessment seriously.
The prevailing medical opinion is that at present there’s nothing that can be done for either incipient or in-progress dementia. This is not true. A comprehensive life-style regime, based in part on cellular and molecular level research, has been developed and has been shown to be successful in a good percentage of cases.[2] One element of this regime is the use of brain exercises aimed at different aspects of cognitive impairment. I investigated, and found several web-based exercises that were fun, and I have apparently benefited from doing them daily.
My doctor administers a version of the MoCA assessment every year, and just recently my score is now above the MCI warning level. Hurrah!
Like everyone else who logs a few hours on the Web everyday, I need to keep on top of my incoming email message stream. During my mid-morning period I delete all the messages I don’t need to look at, scan the few that appear to need immediate attention, and hold the rest for later.
Reading during this period is usually limited to the articles that show up in my email that relate to the topics I’m interested in. Often I just hold these messages for several days while I address higher priority tasks.
Writing is presently a major part of my retirement life. I take notes on my reading, keep up a daily journal, keep up a fair amount of personal correspondence, and write pieces to post to my blog. As a member of a pre-web generation, I make a first draft by hand, and then transcribe it on my workstation. I always have a dozen or more pieces in various stages of completion. In my mid-morning period I often try to make a bit of progress on at least one of these pieces.
Midday
My midday routine starts around eleven thirty and runs to around two. It begins with a few back exercises before a forty-minute walk around the large Southern California suburban development block that circumnavigates my neighborhood. Hwe usually comes with me. During this walk I sometimes use my iPhone and Sony earphones to listen to a podcast that I think might present some useful new information or thoughtful insights. [3]
When we get back home Hwe makes me a light lunch. I usually follow this with a short nap. Lunch is either a small chicken sandwich (on gym days) or a faux meat sandwich, veggie chips, peppermint tea, fruit, and my lunch-time vitamins/supplements.
Afternoons
Afternoons from 2 to 5 are the only time that I have for serious study and writing. Three days a week this time is preempted by essential gym classes and the use of gym exercise machines. This is often followed by a weekly stop at Costco on the way home. On the other four days, during this period I address:
– brain exercises [4]
– email
– studying
– reading
– writing
Unless I’m in crunch mode on a task deadline, I usually put in some more time in on brain exercises.
I take care of any cursory email responses during the midmorning period, but most weeks I have email from family or friends that requires more than a cursory answer. I try to get one of these done during this period.
For me studying and writing go hand-in-hand. I don’t I digest new information unless I write about it. And often I need to do research for a piece I’m writing. These two connected activities are the ones I cherish the most, although on some days I don’t get time for them.
Finding time for serious reading is a challenge. I participate in a zoom-based book club with friends in Montana, so that month’s book has priority. In addition, I’m finding that I like to be simultaneously reading a number of books in history, science, mathematics, and philosophy, as well as a novel. Since I usually take notes on the non-fiction materials I read, a lot of my reading can be considered as studying as well.
I punched up my first computer program in 1970 during my senior year at the University of Chicago. The creation of computer programs was my primary focus for the next fifty years. For the last two years I’ve been entirely focused on the intellectual interests I had to put aside to survive and thrive as a computer programmer, software engineer, seminar presenter, and professor in the work-a-day world. I’m now tentatively and slowly starting to program again.
Early Evenings
My early evening period is similar to my midday period. It begins with a second set of back exercises followed by an hour walk around a few blocks that enclose a neighborhood adjacent to mine. I bring my bowel medicine with me and take it at the halfway mark. This medicine needs to be taken 30 to 45 minutes before a meal.
During this walk I usually listen to the audio portion of the Chris Hayes All In show on MSNBC. The show is definitely left-wing and often exaggerates, but it’s the only one I’m interested in that is available at this time on the streaming services I subscribe to. On Mondays the Rachel Maddow Show follows All In. Rachael’s opening piece is always interesting and afterwards she usually has prominent guests to talk about the latest stories. She is definitely left-wing, but attempts, usually, to keep her language strictly factual. These shows tend to have all the good stuff up front, so toward the end of my walk, and on weekends, I listen to classical music albums via Prime Music.
Hwe often starts this walk with me, but after half a mile cuts off for a shorter walk. When I get back home, Hwe usually has, or nearly has, a full supper ready. The menu is constrained by brain health and bowel functioning considerations. I’ve found that if I eat much fish the arsenic level in my blood elevates. And for brain health I try to minimize my red meat consumption. I have chicken a lot, and large helpings of vegetables. Again I have peppermint tea, veggie chips, fruit, and my supper-time vitamin/supplements. For brain health I minimize sugar consumption, but usually have a small cookie and a small frozen desert.
After supper is video time for an hour or more. Hwe and I try to find some something we can both enjoy. It’s not easy. Our tastes are quite different. Often our best bet is a long running series. These about-an-hour-long episodes are a good fit with the amount of time I want to spend on this activity, but occasionally I’ll watch a feature length movie.
Late Evenings
My activities after video and before bedtime vary:
– a bit of serious reading/studying
– recreational reading
Which activity I do depends on how much time I have and how tired I am. I usually get in at least a half hour of recreational reading before taking a dose of melatonin, strapping on my CPAP machine, and counting my breaths as I fall asleep.
Interrupts
The above describes many of my days, but often there are the usual interruptions that everyone deals with:
– making social or medical appointments,
– social events
– cultural events
– handling household concerns
– handling financial affairs
Notes
[1] The app editions of the New York Times and the Washington Post; and Letters from an American at substack.com.
[2] The End of Alzheimer’s: The First Program to Prevent and Reverse Cognitive Decline, Dale Bredesen, 2017; and The End of Alzheimer’s Program: The First Protocol to Enhance Cognition and Reverse Decline at Any Age, 2020
[3] New episodes from Ezra Klein’s Podcast are announced on my NYT app. Usually they are interviews with thoughtful authors. I often check them out. I sometimes listen to episodes on The Hive or Politico Dispatch.
[4] I interleave brain exercises with other tasks. I average about a hour a day on these exercises. You might wonder why, since my MoCA score is now above the MCI level, I put so much energy into maintaining brain health. For me, living out my final years is like nursing a really old car along. Various things start to fall apart, some slowly, some quickly. For me, dying of advanced dementia would be the worse way to go, so in my daily living tme budget, maintaining brain health has a high priority. An additional consideration is that as a US citizen there are nearly insurmountable roadblocks to availing myself of a physician assisted death if I have serious dementia.