Wednesday, December 31. Tomorrow, my 81st birthday. And I feel it. I feel the weight of the years pressing down on me. I feel it when I wake in the morning and have difficulty getting out of bed. I feel it when I need to take a nap in the afternoon. I feel it when 9 pm comes and I feel the sleep pull of the sofa or the bed and drowsiness gradually overcomes me without much of a fight.
Is this preparation for the long sleep?
We’ve long known that children do not grow or develop at a steady rate. They go through physical and brain growth spurts. Physical growth spurts are short periods of rapid growth in children, marked by quick height and weight gains, increased appetite, sleep changes, fussiness and muscle fatigue or “growing pains.” They occur most noticeably in infants around four months, then in early childhood, 6 to 8 years and especially during puberty (girls 9-11; boys 11-13 plus). The classic example is the Form One student who returns to Form Two in September almost unrecognisable because he’s grown three inches and put on 20 pounds.
Developmental spurts are similar but related to brain activity, a sudden increase in brain cell connections. Ponder the 11-month-old, crawling around your kitchen, who suddenly stands up one day and begins to walk around. Or the 11-year-old whose ability to reason and plan dramatically increases in proportion to the sudden enlargement of her frontal lobe.
Similar things happen in old age. One goes along quite happily if a bit slower than usual, and suddenly, one finds that getting out of the car or going up steps is harder to do than before.
Up to five years ago, I worked out in the gym or walked up Chancellor regularly and got up the next morning with little stiffness or aches. In the last two or three years, that’s gone. After a workout, stiffness and pain are a constant, morning and evening, and before, if I did have some pain, it would be gone in a day or two. Not anymore.
Since all this developed during the time of the COVID lockdown, when it was difficult to continue exercising, one wonders if this too is another side effect of the shutdown decisions taken by desk politicians in the Ministry of Health. That shutdown must be blamed for a lot of things.
In fact, sarcopenia has taken hold of me. Sarcopenia is the progressive loss of skeletal muscle mass, strength, and function. It’s a usual effect of ageing but it’s also linked to diseases, inactivity, and poor nutrition. That combination is lethal. It leads to reduced mobility, falls, frailty, and impaired quality of life. It requires exercise (especially resistance training) and adequate protein/calories for management at a time when all you want to do is rest and eat ice cream. It’s the equivalent of “growing pains” but in the opposite direction. Muscle fatigue is the common denominator.
And when I look in the mirror in the morning and see my sagging cheeks and furrowed brow, I wonder, like my good friend, Junior, “Who the hell is that?” Our language is more colourful.
Eating is a worry. A few years ago, I could eat anything and any amount. Now, my stomach seems to have shrunk. It fills easily. My intestines react inappropriately. Gas, the old man’s jester, is a major problem.
What about old age and vision? Driving home from Santa Cruz one Christmas Eve some years ago, I realised I could not see the margin of an already difficult drive. Cataracts, said my optometrist, and sent me for surgery. So, now I need shades for the glare. And presto, this year I need spectacles for close reading. I walk around with three pairs of spectacles and when I leave T&T, carry reserves.
Fortunately, I have not, as yet, got to the stage of my father, who, in his final years, went around holding a bag of medications without which he would panic.
But I suppose I am lucky. I work with children and children keep you young or at least feeling young at times. It’s exhilarating to see them grow and develop, and that excitement releases all those powerful hormones that keep us healthy. The babies with their innocence. The three-year-olds with their freedom of movement. The six-year-olds with their energy. The 11-year-olds with their enthusiasm and the 16-year-olds with their worries and yet, voila, along comes a former patient, a confident 26-year-old who somehow or the other has come through his worries and is eager for life. It’s exhilarating. Bless them all!
