My lover is dying.

We met late, both forty-two, both Elvis diehards, both into hiking through spectacular scenery in remote locations. The Inca Trail was endless shambolic staircases, an acute episode of food poisoning, and the coming together of two akin spirits. The priceless reward for such a brutal trek was not the breathtaking abandoned citadel of Machu Picchu, but the unparalleled joyful finality of discovering one’s soulmate.

We would go on to explore the planet together, trekking its tallest peaks hand in hand, from Tanzania to Tibet. We devoted hours of the working week to running and biking in preparation for the extreme elevations we would encounter during our annual high altitude expeditions. He and I crafted aerobic capacities to rival that of any Olympian; our bodies specialised in the ultra-efficient oxygenation of red blood cells.

How mercilessly ironic for him to be dying due to the failure of his lungs to provide him with sufficient oxygen.

My lover is dying of acute respiratory distress.

My lover, the man whose embrace evokes in me both a comforting familiarity like a ticking clock to a weaned pup, and a stoking of the flames of passion as though our romance were freshly forged. I know the coordinates of his every last crease and mole, could scrunch my eyes and trace his outline in precise detail, have learnt by heart the exact sag of his stomach, bulge of his biceps, sharp lines of his shinbones.

His body is not new, but we all know where beauty lies, and to this beholder it is a work of art encasing his precious soul; together they manifest as my fiercely cherished life partner.

Our love is not new either, yet it remains a vibrant shade of magenta. Never did it pale to pink, or worse yet, fade away entirely.

My lover is my heaven, my haven, my home.

My lover is dying in the hospital, alone.

Prior to this surreal era, we traversed a good portion of the globe together, though a number of further-flung destinations  – Reykjavik, Tenerife, Rapa Nui – are yet to be struck off the bucket list. They shall remain forever unstruck; what was once a potential future is now a wistful fantasy doomed to the confines of my grief-stricken imagination.

It was rare for either of us to travel alone, but with my mother’s recent ailing health, we agreed it was best I stay home while my lover journeyed to London to meet his newest nephew.

We weren’t to know he would be swept up in the middle of a pandemic and struggle to catch a return flight. We weren’t to know that upon landing he would commence a fortnight of hotel quarantine only to be diagnosed with coronavirus four days in. We weren’t to know his dry cough would deteriorate into a wet one and he would be hospitalised one week later.

My ardent anticipation of a joyful reunion crumbled to ashes on a forgotten hearth, bone-cold and empty.

The hospital is only fifteen kilometres from home, but it may as well be on Mars. I cannot go there, cannot see him, cannot touch him. I hadn’t seen him in two months, since he kissed me farewell at the airport with star-sprinkled eyes, eager to meet the new baby, reunite with his brother, discover more of London; to go, do, live.

Then I got the call, far too early in the day. I was still in bed, still sleeping on my own side even if my lover was not there to occupy the other. By keeping out of his space I could somehow pretend that he was in it, right where he belonged.

They had commenced palliative care, the nurse said. They didn’t expect him to see the other side of the weekend, she said.

His side of the bed would remain empty forever.

Its vastness was suddenly overwhelming, and I jettisoned myself from beneath the warm covers to collapse on the hardwood floor.

The nurse’s voice continued to flow. I was invited to come to the hospital and see him.

To see him!

I arrived almost before she had hung up.

My phone, my watch, my glasses were to be left in the car. My temperature was to be normal, my flu vaccination to be current, my name to be signed at the bottom of a lengthy disclaimer form. A nurse would supervise my donning of the required protective equipment, beginning with a white mask for my face and a net to restrain my hair. My first attempt at putting on the mask was deemed incorrect, and I was compelled to toss it into an overflowing bin and start over with a new one. Then sanitise my hands. Put on surgical booties to cover my shoes. Then sanitise my hands. Put on full body smock, sanitise hands. Then on with a plastic face shield and two pairs of latex gloves for good measure. I was done up like an astronaut, ready to enter an alien land.

The nurse led me through plastic-sheeted halls to my lover’s ward, told me I had exactly fifteen minutes, and warned me I may find the experience confronting. I was bursting out of my skin to see him, yet I was also apprehensive. This was the last time I would ever get to spend with him. This was so special, so bittersweet, so momentous; I wanted nothing to go wrong. I stepped through the doorway.

My lover was lying on a hospital bed. I was allowed no closer than one and a half metres.

His eyes were open.

His skin was grey.

His head, my lover’s sweet darling head, lolled to one side at an awkward angle.

He is on morphine, the nurse told me.

The man who held my heart was reduced to this broken, pitiful being before me. The man I had chosen to share my life with was slipping through the veil between this world and the next. The man in whose eyes I had always sought and found reassurance was trembling and feverish, and I could not comfort him. There was to be no touching, no proximity of any kind.

I spoke to him lovingly, soothingly, repeatedly, then as he failed to respond, urgently. Hidden beneath a mask and gown, I called to him, eyes welling upon the realisation.

He did not recognise me.

His breath was a rattlesnake, and when it burst into a fit of coughing the nurse whisked me from the room, allowing re-entry only once his breathing had stabilised.

I gazed forlornly at what was left of the man I loved, a crippled shell and woozy mind no longer fit to house his noble soul. The one with whom I had lain a thousand times was departing his earthbound vessel, was beyond my reach, beyond even my voice.

“It’s time to go,” the nurse said.

I could barely choke out a final farewell.

“Goodbye, my love.”

I don’t know if he heard me.

We should have been attending my niece’s wedding in Adelaide in December. Her mother, my sister, lost her husband two years ago, to a long battle with a brain tumour. She had to watch him slowly wither and decay over a period of many months. She was at his side from the time of diagnosis right through to the time of relinquishing her job to bathe, feed and wipe him like a baby. When he was finally dealt the mercy of death, she was at his bedside, playing him a soft score of his favourite tunes, stroking, soothing, whispering goodbye.

Would anyone play the King’s records for my lover, a soundtrack to his egress?

As I sit at home, numb with not knowing, my lover is erupting in pink secretions from the blood cells leaking into his airways. I crave news of his condition, yet dread it. He is drowning in his own fluids.

I miss him. I don’t think I can live without him.

We should have been celebrating his birthday with sponge cake in September, planting the garden with tomatoes in October, toasting our anniversary with moscato in November.

Instead, he is dying.

The two decades we spent in a divine state of oneness feel like an eternity, for I cannot remember what my life was like prior to his entering it. An eternity that was not long enough, however, as I dread to imagine a life without him, having known him, loved him, cherished him every day for the past twenty years.

How grateful I am for each priceless minute he and I were blessed with one another’s company. From those budding moments high in the Andes through to mundane evenings in living room silence, from the long Sunday afternoons of exuberant lovemaking to the hurried little good-bye pecks on the way out the door on work mornings; I am thankful for it all.

The manner in which this joy has all ended leaves me like the ruin of a war-torn city, lovelorn for its ill-fated citizens whose memories stalk the streets in the absence of their earthly bodies.

We all must one day die; certain knowledge of this is the penalty for being born human. While a premature emptying of the hourglass feels as though one has been shortchanged, no-one can know when their final grains of time will pass.

I am not bitter that the man I love more than I ever thought possible must depart this world so soon. But I am devastated I cannot be with him when he does.

My lover is dying, and I can’t even hold his hand.

More Evidence that the Moon Came from the Earth

Will et al. Indigenous noble gases in the Moon’s interior. Science Advances, Aug 2022.

Humankind has always been fascinated with the Moon and studying it for nearly five centuries since Galileo. A recent discovery now adds new evidence to the currently favored “Giant Impact” theory which hypothesizes that the Moon was formed by a massive collision between Earth and another Mars-sized celestial body around 4.5 billion years ago. A group of researchers examined six samples of lunar meteorites collected in Antarctica using an exceptionally sensitive mass spectrometer and found that the meteorites contained noble gases like Neon and Helium, consistent with those found in the Earth’s mantle. Researchers proposed two possible scenarios for how the noble gases became trapped in the Moon’s interior. In the first scenario, impactors got mixed with the lunar mantle during cooling of the magma oceans to solidify over few million years of the Moon’s formation. In the second scenario, the Moon has been formed from a debris field surrounding the Earth where noble gases were directly mixed into the Moon’s interior mass. Discovery of noble gases on the moon may also inform us about its water content, too. If these gases are still there, then water could also been present in the Moon’s interior. Such water resources could be an invaluable resource for future human missions. More broadly, this study suggests that a wide variety of life-forming material can survive giant impacts early in a planet’s life. We now could make more reliable models of how planets and solar systems form and even how life is originated on the Earth.

Restoring cell functions after death?

Andrijevic et al. Cellular recovery after prolonged warm ischaemia of the whole body. Nature, August 2022.

Organ transplantation is an extremely complicated medical process. There is a massive shortage of donor organs. Waiting lists are long. Even if a patient is lucky to match with a donor organ, getting that organ before it dies through cell damage has been a big challenge. A new technology may offer a solution to extend the time that donor organs survive. A group of researchers has recently developed a technology called OrganEx, which can restore cellular activity even after death. Very shortly after the death of an organism, all cells start to die and organs begin to fail. The researchers worked with one hundred pigs to see whether cellular structures could be saved, or cell damage could be reversed, when OrganEx is applied after death. OrganEx has two major components. First is a device that simulates the heart and lung function by pushing a mix of blood and a drug cocktail to the organs. Second is the drug cocktail made of 13 chemical compounds. One hour after death, the pigs were hooked up to the OrganEx machine which pumped the cocktail to the animal’s organs for six hours. The results were striking; OrganEx could restore critical cell functions after death. While this is a huge step for organ preservation, researchers still have to make more tweaks for the technology to be used in humans. Once fully developed, OrganEx is expected to keep organs outside the body for long-term or transported longer distances.

Sweat-powered wearable electronic devices

Liu et al. Microbial biofilms for electricity generation from water evaporation and power to wearables. Nature Communications, July 2022.

Researchers have developed a biofilm that sticks to the skin like a Band-Aid to harness sweat for electricity that could power wearable devices. The biofilm is made using a type of bacteria called “geobacter sulfurreducens” known for its ability to produce electricity. In this biofilm design, bacteria convert energy from evaporation into electricity by using the moisture on a person’s skin. Most strikingly, researchers found that the biofilm bacteria do not need to be fed because they are dead! They do not need to be alive to produce electricity. The biofilm consists of thin sheets of bacteria colonies (thickness less than 0.1 millimeter) that is sandwiched between two mesh electrodes and sealed with a soft, sticky biopolymer to enable it to grip to the skin. Sticking this biofilm on your skin is like plugging in a battery. This technology has potential to revolutionize wearable electronics by solving the major problem of power supply. Moreover, this is a real green energy-driven device made naturally by the microbes and devoid of any unsustainably produced materials and toxic waste byproducts. The current version of the biofilm can produce enough energy to power small devices such as medical sensors or personal electronics, but the researchers hope to explore larger films that can power even more sophisticated devices.

Tim and Adam work at the same office. It was Monday. They went to Central Park to have their lunch together. It was a beautiful, cool, cloudy fall day.

On their walk to the park, they mostly talked about nature. While walking towards an empty bench, dry leaves crunched underfoot. A cool breeze swept their faces.

After finishing their lunch, they walked in the park. The sun appeared between clouds, showing its weak but warm smile.

They talked about the fall foliage, which was at its peak, and the view being just like one of Bob Ross’ paintings. The beauty and balance of nature, not touched by human hand. Then the conversation moved to the cosmos and its perfect balance and its renewal across millions of years.

Does it all happen on its own? Could it be just by accident or nature?

While leaves crunched underfoot, Adam said, “Too bad all of these leaves are dead now. I remember when they were green, fresh, and alive.”

They kept walking.

“They were beautiful when they were attached to the trees, all green and lush. Now they are dead; but they have a different beauty in them: changing colors, falling in slow motion in harmony, drying, breaking under our feet,” agreed Tim.

“It is beautiful to look at, I’ll give you that. I am in awe of their transformation. It’s how nature works. I don’t know how else to explain all of this. Too bad it is all going to be wasted and become part of the carbon cycle and that is the end of them,” Adam responded.

Tim picked up a greenish yellow leaf and contemplated its details—its shape, the veins going across it. He thought that there must be a connection between his eyes and this leaf, as his eyes really enjoyed looking at it. Then he turned to Adam and asked, “You think there is no purpose in these leaves’ existence?”

“Well, yes,” Adam said. “That is exactly how I see it. And you know what is worse is that we, too, will turn into dust and become part of the carbon cycle. I honestly do not care what happens to me after I die, you know. Part of the carbon cycle, ozone cycle, nitrogen cycle, or oxygen cycle; it does not matter to me. It makes me feel like I am here to be part of one these cycles and that is it. This entire world is like a huge recycling center.”

Tim had known Adam for a couple of years now. He was a lively, carefree, and worldly person. Tim heard something different in his tone of voice that he had not heard before: it sounded heavy. A sadness or deep contemplation; he was not sure what to call it, but it was different. Maybe it was the melancholy of the fall.

He heard more than what Adam explained. He heard Adam’s soul screaming “I do not want to be lost. I do not want to turn into dust and be gone forever. I want to live. I want to stay alive forever.”

It was painful to hear. Wasn’t this one of the base desires of human nature? To live forever?

Tim thought about this for a second and then said, “What would you think if dying, going under the soil, becoming dust, so to speak, is not actually the end of your life?”

He waited a second for Adam to take it in and then continued. “What do you make of all of this? How does it make you feel?”

Adam picked up a brown leaf with holes in it and said, “Me and this leaf are the same; we will both live and eventually die, go under the soil, and life will end for both of us.”

Tim asked, “What makes you think of that?”

“How couldn’t I? Regardless of the recycled version of me, I am g-o-n-e! Call it gas, dust, particles, atoms… Nothing matters afterwards, because I am gone from this world.” He continued: “Just like plastic, paper, or glass dumped at the recycling center, I will be dumped into the dark, wet, and cold soil and the recycling will begin. And I am finished forever! Perhaps a new form of life will emerge from our remains.”

Tim asked, “Have you ever seen how a recycling center works?

Adam replied in surprise, “No. Why?”

Tim answered, “You are partially right with your recycling analogy. After all those materials are being dumped into the recycling center, they are sorted, cleaned, melted, combined, and after all that preparation, they are given a new purpose and a new life: something new is made from them, completely different than what they were before. They are new, they work, they have a new purpose and a life to serve us all over again after they are used, broken, and thrown away!”

“And it is humans making it on their own! Guess where the inspiration comes from?” Tim smiled while asking this question.

“Nature?” Adam asked hesitantly. “I had never thought about that.” He scratched his head. “So, are you suggesting we will go into the nature’s recycling center, so to speak, and will be given a new life and a purpose after we die?”

“That was not the question I had in mind” Tim replied.

“What was it then?” asked Adam.

Tim took a deep breath of the crisp, clean autumn air and continued after a pause: “The purpose of being in this world! What do you think?”

“I always wondered about my purpose in this life” Adam said. “But I have never found the answer. And I concluded there is none with all the evil, fights against the evil, egotism, hunger… And we all die in a way; maybe some in pain and some in comfortable beds, and we are soon forgotten.”

Tim asked Adam, “What should be the aim of our lives then?”

Adam replied cautiously, “Maybe, it is living a decent life, making a difference, and leaving a positive legacy behind us?”

“Isn’t this one of the most bewildering questions? Why are we here? What am I doing here? What is my purpose? Isn’t it what everyone wonders?” Tim thought.

Still holding the leaf he picked up a while ago, Tim examined it and showed it to Adam. “Think about it,” he said. “This leaf is perfect in its own way. It has a life, a purpose, and a destiny. Right?”

Adam nodded.

“Does just being a leaf mean being purposeless? Was it just for decoration? Do you think it just hangs there and does nothing other than furnishing the tree?”

“It was part of a big tree,” Tim continued.

Adam said, “In spring, it budded, grew; some turned into flowers, and some turned into fruits, and some buds became a leaf. And now it will die and be part of one of the cycles, I guess.”

“I think so too,” agreed Tim. “And if we agree that it has a purpose, what could it be?”

“Something to do with photosynthesis, oxygen production, cleaning the air, maybe?”

“Agreed. To me it feels like nothing is wasted in nature. They get new lives, purposes. So, how come we don’t get one after we die—or don’t have one already?” Tim asked.

“So, do I need to be happy that I will die and decompose? Is that a good thing?” Adam asked. “Am I right?”

Tim smiled.

“You agreed, you and the leaf are the same: alive now, will die tomorrow, decompose, and turn into dust. Here is the question: if the living leaf cleans the air, produces oxygen so we can breathe, and if your dead body serves many purposes just like a simple looking dead leaf does, don’t you think it is only fair that you, as a breathing human, should have a bigger and more important purpose when you are alive?

“You are as perfect and as complicated as any creature on the surface of the earth; don’t you think we have a bigger purpose than a leaf?

“Can you explain why else people have this brain of ours? Isn’t it only logical that we have a greater purpose than a simple leaf?”

Tim checked the time on his phone, and they realized their lunch break was almost over. They rushed back to work while listening to the music of fall under their feet.

“The grass is always greener on the other side of the fence,” the idiom goes. We tend to underestimate – or ignore totally – what falls on our share, on our side. Our eyes keep scanning across the street and across the horizon seeking more than we already have, which – we feel – is not enough. This is as true for the “earth” on the ground as it is off the ground for the planet Earth – the world is not as “green” as we want, it does not offer us enough resources to exploit, it is not as big as to be home for our growing populations, etc. etc. Wait – could that be because we have been abusing it for a long time now? This by no way means we should stop exploring the outer space; but perhaps we first should work on the easier path by establishing more decisive policies to save our world, which is in fact big enough for all. And we can start doing that by becoming aware of the problem. The lead article laments on the fact that the destruction we have caused “has reached a stage beyond imagination” putting “mother earth” “face to face with the betrayal of her own children.” For Bediuzzaman, the planet Earth is the heart of the universe, while the element earth is the heart of our world. The lead article emphasizes the centrality of both “earths” while exposing the crisis we are facing. The green on our side is not so bad after all.

Exploring the outer space – as long as it does not cause the “earth” to be underestimated – is an inspiring experience to its own credit. The title of the article “Planets – Lined Up Like Beads of a Rosary” speaks for itself. The way planets are in the order they are does not only have a mathematical rationality, but it also displays mind-blowing beauty.

Love is something everyone feels but can hardly define. You know it is there deep down in your soul, but you are unable to put into words. Kemal Atay discusses this undefinable phenomenon we call love. Drawing on from the discussions of giant philosophers like Socrates and Plato, Atay inspires us to realize the fact that true love transcends physical boundaries. Socrates explains that love “in its entirety and true form is a desire for the highest beauty and good existing outside of the physical world. All other intermediate things are veils and stones, obstructing the way.”

Death is only once, isn’t it? Maybe not. A Qur’anic verse says it is more than once. Dr. Mehmet Ates explains how we die and live twice. Dr. Ates interprets this interesting Qur’anic verse by looking into how life forms in the womb.

In his Twentieth Word, Bediuzzaman Said Nursi, a 20^th century Islamic scholar and teacher, uses an interesting phrase, where he argues that the miracles of the prophets represent the highest points that scientific developments would ever attain and as such, they are set as goals which humanity should seek to accomplish. In interpreting the verse about the miracles of Jesus, upon whom be peace, in which it is said that Jesus would raise people from the dead by God’s leave, Bediuzzaman Said Nursi indicates that there is a cure to every disease which can be found through research. He also employs an interesting phrase in this section: “It is even possible to give a temporary tinge of life to death” [1]. While some suggest that with this intriguing sentence Nursi points to recent developments in medicine such as those involving organ transplantation or the use of ventilators, it appears that this phrase implies going one stage further.

The Holy Qur’an relates several miraculous events regarding raising the dead in the present, worldly life. In Chapter Baqara (2:67-73), the Holy Qur’an tells us of the incident upon which the chapter was named: Prophet Moses, upon whom be peace, and his people were told by God to slaughter a cow and strike a dead person with part of the slaughtered cow, afterwards the dead man was resurrected and told them who had killed him. Thus, the Qur’an reasserts that God Almighty has the power to resurrect people. Reflecting on this verse, Fethullah Gülen maintains that in addition to the miraculous nature of striking the dead body with a piece of the cow, the mention of this incident may imply that humanity is guided toward a scientific or technological goal [2]. In medicine, biological drugs used to treat certain diseases are produced from certain animals. Also, certain medications, such as insulin, can be produced making use of the ability of bacteria to produce genetically coded proteins. Perhaps, biological drugs to be obtained with the help of other living organisms may contribute to being able to give a temporary tinge of life to death. In this regard, researchers are particularly interested in stem cells and their potentials. In this method, it may be possible to use a person’s stem cells to produce organs, tissues, and replace malfunctioning organs with new ones without the risk of rejection. We have so far heard no positive results in these directions, but it was demonstrated that stem cells taken from a person and transplanted into an embryo of another living being started to grow [3]. God knows best, but this method may be part of the truth behind the act of striking the man’s corpse with a part of a cow in reference to the verse in question.

Chapter Baqarah gives two more examples concerning resurrection in worldly life. A man passed by a town that had fallen into utter ruin and asked himself in bewilderment, “How will God restore life to this town that is now dead?” God made him remain dead for a hundred years and then raised him to life, and asked him, “How long did you remain in this state?” He said: “I remained so for a day or part of a day.” God said, “No, you have rather remained thus for a hundred years. But look at your food and drink: it has not spoiled; and look at your donkey!” The verse tells us that only bones were left of the donkey (2:259).

The next verse is about Prophet Abraham, upon whom be peace, who prayed God to give him certainty in the heart about resurrection. He had to kill four birds and then put them on different hills which resulted in them being restored to life and flying back to him (2:260). While it may not be related to resurrection fully, the story of Ashab al-Kahf (“People of the Cave” or “Seven Sleepers”) is certainly intriguing and carries a similar theme. God made seven men fall sleep in a cave for roughly 300 years and then restored them to life temporarily, however they had believed that they had fallen asleep for only a very brief period. They were probably considerably skilled and well-educated young people with high positions in society, however falling asleep for three centuries caused them to lose their positions and possibly disappoint those who had invested in them at that time. Yet God Almighty’s wise purpose requires otherwise by making those people send a message to future generations, i.e., us, and giving them praiseworthy remembrance after their death. The same sura also describes the travels of Prophet Moses, upon whom be peace, accompanied by Yusha’ ibn Nun, during which the cooked fish they were carrying with them for supper was resurrected and swam into the sea (18:61-64). In a tradition of Prophet Muhammad, peace and blessings be upon him, it is recorded that he talked to a dead girl by God’s leave upon her parent’s request, but the girl refused to come back to this world as she had found something better there [the Hereafter] [4]. 

The prevention of aging, alongside the wish to attain immortality, has long been one of the greatest aspirations of human beings. Several scientists and philosophers of the previous century argued that this might become possible in the 21st century. Chapter Baqarah refers to a prototypical society with greed for life, noting that people of that society wish “if only [they] might be spared for a thousand years” (2:96). Perhaps, the ultimate goal of today’s medical research is to try to ensure human beings live forever in this world. Prophet Muhammad, peace be upon him, warns that this is a vain thought, although we should seek healing by all possible means: “O servants of God, search for remedy for your diseases. Indeed, God has created no incurable disease except one: old age (or, death, in another narration)” [5]. Nobel laureate Alexis Carrel maintained that human cells are immortal under favorable conditions but Leonard Hayflick, later, demonstrated that cell divisions are limited due to DNA damage and shortening of telomeres [6, 7]. According to the Hayflick limit, the maximum lifetime a person can get even if he or she lives under the best conditions is 125 years. Telomeres are the structures located at the end of the chromosomes that protect DNA, and during cell regeneration, the length of telomeres decreases with each cell division and the number of divisions declines after a critical limit. Scientists dream of slowing down the aging process by reactivating these telomeres, but they have not made much progress despite some positive results in experiments with rats.

Big technological corporations have recently been making considerable investments in order to find ways to further increase human lifespan. Venkatraman Ramakrishan, who won the Nobel Prize in chemistry in 2009, said, “Californian billionaires are having such a good time at the party of life that they don’t want it to stop” [8]. The investments and efforts in this field do not seem very promising because the human body is not suitable for immortality. Instead, scientists are pursuing the idea of merging human brains with machines, which would require uploading a human brain to a computer. In today’s world where research on artificial intelligence is rapidly advancing, a human being’s habits and memory are supposed to be transferred to a computer. Elon Musk, the founder of Neurolink, a company that seeks to restore memory using gadgets planted into the human brain, once said that digital intelligence and biological intelligence would converge over time with increased interaction between the two. This sounds promising for the treatment of certain diseases such as Alzheimer’s. There is, however, another lead in this research according to Josh Bocanegra: “When the time comes and all the necessary advancements are in place, we’ll be able to freeze your brain, create a new artificial body, repair any damage to your brain, and transfer it into your new body” [9]. This may be an artificial body developed using stem cells with possible aid from diverse robotic devices. Ray Kurzweil, who works on Google’s machine learning project, argues that the use of tiny robotics that connect a human brain to computers may be possible by 2029, which will in turn extend human lives considerably. Another futurist, Ian Pearson predicts that in 2050, humans will achieve virtual immortality and a person’s personality transferred to a computer will be able to communicate with people in the future [9]. A recent New York Times article suggests that brain implants could change humanity [10].

Ultimately, it is hard to predict the extent of scientific and technological developments. The idea of eliminating death reminds us of Bediuzzaman Said Nursi’s saying that it is impossible for the lake of Barla (the town he lived in at the time) to be destroyed for the time being, but people can imagine such destruction and this imagination does not change the reality. Yet even the very imagination of eliminating death may serve as a false hope for people who rationalize everything and try to forget about the idea of death, and in this way, they stick to worldly pleasures more fervently. At this point, Prophet Muhammad, peace be upon him, shows us the correct manner of thinking: “Remember death frequently as it dulls out pleasures” [11].

In the Qur’an, the most important verses concerning raising the dead are about the miracles of Jesus, upon whom be peace. It is emphasized that he would breathe into something fashioned out of clay in the shape of a bird, and it would become a bird by God’s leave, and that he would revive the dead and heal ill people (3:49). As a matter of fact, Mary becoming pregnant with Jesus and Jesus speaking when he was a baby are also medical miracles. It is interesting to note that today, just as in the time Jesus, materialistic thought dominates the scientific and medical research, which are mostly construed solely with a materialist perspective. Almost all discoveries are used as evidence for disbelief, and they reinforce the self-conceit of those who make them. Bediuzzaman predicts that as Christianity will be purified from superstitions in the End Times, and that science will have the upper hand in rule and power. If such a purification will occur, then one tends to think it is not going to be only in political and administrative fields. Possibly, the change of scientific, or more specifically, medical perspective may constitute a major stage in the purification process that could save modern medicine and science from materialism and become instruments of discovering the truth. Who knows? God Almighty may make a vulnerable and weak baby speak to send a message to a purely materialistic community as a manifestation of His divine power.

References

1. Bediuzzaman Said Nursi, 20th Word, First Station, Words.
2. Fethullah Gülen, Kurandan İdrake Yansıyanlar.
3. https://www.nytimes.com/2017/01/26/science/chimera-stemcells-organs.html
4. Bediuzzaman Said Nursi, 19th Letter, Letters.
5. Bukhari, Tib 1; Abu Dawud, Tib 1; Tirmidhi, Tib 2.
6. Carrel A, Ebeling AH. Age and multiplication of fibroblasts. J Exp Med 1921.
7. Hayflick L. The limited in vitro lifetime of human diploid cell strains. Exp Cell Res 1965.
8. https://www.livemint.com
9. https://www.entrepreneur.com/article/307675
10. https://www.nytimes.com/2020/08/28/opinion/sunday/brain-machine-artificial-intelligence.html
11. Tirmidhi Hadith No. 2307.

The morning had withheld its sunlight and left only a gray hue to open its doors when the man turned aside to his wife facing him, her Cantu-scented curls waving in his face. The sunlight compliments her already perfect face even though the gray brings gloom to others, but not him. The sounds of breakfast cooking brew an ambience that acts as lenses onto her beauty while her eyes secure her innocence. The appreciation of sunlight comes natural for those who don’t have it, but alternatives are the only option with no availability. As a result, he finds the sunlight captured in her beauty while her eyes take the picture.

“Want some eggs,” she asks, her words softly layered.

“With syrup please,” he replies as his words stick to his mouth.

Her response echoes through the whole house, her laughter bounces off the walls. Her eyes close when she laughs and he wonders what she sees. The sight she sees contains an expression of her love with him at the center of her photograph. In the meanwhile, a whole dictionary was consumed in the process of describing what she feels towards what she sees.

The day passes them by in a swirl of heartfelt emotions. A haze of old music lingers in the house as she takes two steps back while he takes two steps forward.

She asks, “Where did the day go?”                                                                                      

“With you in my arms,” he responds.

“Ha-Ha-Ha,” she says sarcastically.

Her laugh gets softer and softer as he feels the heat escape her body. Her eyes flash red not with pain but with a warning. “Low Battery! Charge Now!” but a recharge isn’t possible, at least not in an electrical sense. With this he holds her memory tightly, tighter than the grip of death itself. He carries her soul in his heart as he steps to the cellar. Her brown hair now twisted with curls, rooted in the insecurities of others. The door creaks open to deliver a gust of contempt for death and a sense of resurrection. Human sized tubes litter the wall. The same face stares back at him at least a dozen times, providing twelve instances of relief. A transaction is made with his heart and mind, and one of the tubes opens. He feels elated but the air still chills around him, and an aura steps out followed by a hand reaching for him.

The morning withholds its sunlight and leaves only the gray to open its doors when the man turns aside to his wife facing him, her strawberry scented hair waving in his face.

We woke at the thud, panicked.

My wife and I had been dozing in bed, squeezing the last seconds of sleep out of our pillows before the inevitable onslaught of little people. It’s something of a delicious defeat when you hear the door creak open and steps on the carpet. You know you’re trading something so precious to you (sleep) for someone so precious, who you just wish would be precious elsewhere. But then they’re all warm and soft and tousle-headed and snuggly and saying things like “daddy, can we have special cereal?” and poking their knees into your side and sitting on your face with a full diaper and sticking cold toes into your armpits.

This morning they didn’t get to do all those precious, horrible things to us because we woke up to the sound of something thwacking against our window. After shaking off the confusion (no, it’s not a child on the roof; they can’t reach the window), I recalled why I knew the sound. It was a bird. And from the sound, a pretty sizable one.

I said as much to my wife, as I tried to open my eyes but managed only a half-squint. She half-muttered sympathy, as if she cared deeply inside but couldn’t get past the early morning fog. I added that since it was a big bird, it probably got away a little dazed, no harm done. I tried to find her to give her a reassuring pat, but I was too drowsy and missed completely. I also couldn’t pry my eyelids open still; they ached a little, as if I hadn’t used them for a week instead of approximately six hours.

I’ve read that birds, reptiles, and some mammals have something called a nictitating membrane, a third eyelid that acts as a translucent shield when they are diving or flying. They can draw it horizontally across each eye to moisten and protect it. For instance, many birds use it when they are regurgitating food for their kids so they don’t get their eyes poked out by little beaks.

I think of things like this when I’m abruptly disturbed from sleep. Things like this, and demonic children’s songs that will not be exorcised for hours.

We turned over and buried ourselves in the blankets for three more minutes before the precious, horrible people came and got us.

Nadia was playing hopscotch out on the sidewalk later in the morning when she found the bird. Robins are always the first birds my children encounter and remember. It was easy for her to name the body she stumbled upon, one story below our window, and quite dead. We had a little flurry of don’t-touch-that’s and daddy-is-it-going-to-be-okay’s, and I managed to deposit it into a small terrarium for them to look at. Animals can die of diseases communicable to humans, but this one died upon impact, and it was still warm. So the kids and I examined it carefully.

It was larger than any bird I’d seen this close. The wings were tucked in beside its impossibly light body. Many of its bones were hollow, for ease of flight. The neck was at a weird angle, a wrong angle. The death in front of me was at a wrong angle. It always has been, but it just felt much more wrong suddenly, because it was also in front of my children. Blood speckled its beak, a dark decoration above the warm red tinges on its chest.

I realized that it was a young one, probably a teenager in robin years. Its feathers were perfect, straight and sleek, pinions just slightly larger and smaller on each side, forming beautiful strong wings. And the roses on the sides under the wings were just barely forming up into a speckled breast. It was about the size of an adult but without the experience, which is why it probably hit our window.

One eye was slightly open and looking like black jelly, like it would spill out of the socket as liquid if you tipped the bird over slightly. The other eye was closed. This teenage robin had eyelashes on the under-lid. It had whiskers. Its feet were curled and delicate.

It was too beautiful. It was too sad.

Nadia was watching me. She told me she was sorry that it died because she could see the sadness in my eyes; but I wasn’t really mourning after the bird. We touched its wings, feeling its perfect form beneath our fingers: the surreal softness, the preciousness of a young fleeting life snuffed out. Not a sparrow falls but that He sees it. God saw this.

Woodpeckers will close their nictitating membrane, then tighten it a millisecond before they hit the tree so that their eyeballs don’t fall out on impact. Perhaps we need similar shields.

Only a few days earlier we had discovered a young robin hopping around the pine tree down in the yard. We took pictures. The kids enjoyed watching it hop around. There was a hawk above, circling around, and I like to think we saved that little robin’s life. There was a little one then, alive and bouncing, and then a bigger one, dead and stiff.

God saw this.

What is it about seeing that is comforting? Wouldn’t catching the sparrow be more comforting? Wouldn’t solving the problem, ending the great horror – death – wouldn’t this be a more lasting comfort? You see me, God. You see my children. But if you were to let them fall…

Sharks close their third eyelid when they attack. This way they can see their victims without getting blood in their eyes.

Kai got out of the house when he was only one year old. We noticed when it was too quiet. He had slipped out the screen door moments after I arrived home from work, and neither Linnea nor I had seen him. I locked the door. It was five minutes before we noticed he was gone, and in those five minutes he was down the outer stairs of the apartment building and toddling along the street.

The terror in my heart: I was running down the sidewalk in my dress slacks, socks, and undershirt, desperately looking for my son, expecting to see him lying in the street, expecting to be one of those parents we pray for, expecting to live with the knowledge that we didn’t see him, we didn’t see him, and then it was too late to see him…

He liked stairs, so he had kept to the house side of the sidewalk, and a kind and observant couple had pulled over and were with him four houses down when I ran up. The man was on the phone with the police, and I heard him say, “Oh never mind, it’s okay. The father’s here.” I thanked them, breathless, and held my son, and held him walking back, and held him up the stairs, and held him for another hour until he didn’t want to be held anymore, promising him I would see him, always, I would see him.

God saw this. How can I say it differently, to ease the pain? God sees… me?

If we mourn this way, how must God mourn at all He sees, at all the flickering lights snuffed out, the bruised reeds broken, the sheep silent before the shearer? Death is nothing new to Him, and in fact, He knows it as an old friend, an old foe, better than us all.

Today, this day, my children are alive and real, perfect in form and surreally soft. They are the preciousness of young life, fleeting, and my God sees them. Lest you think me morbid, think on why this is precious, why as a parent, as a child, as a human I am determined to cherish this thing we call life, why I must defend it for those I love, why death is such an aberration and a destiny and a defeated foe. The thought of death is morbid, maybe, but so is the thought of life without the thought of death. For now, we need both. And God sees us, in both.

God sees us.

Peregrine falcons see too, because as they dive at over 200 miles per hour, they blink their nictitating membranes repeatedly to clear away the debris and clean each eye.

In the midst of holding onto my family’s break-neck life, I find that I am unable to bring myself to accept such a thing as death, and yet… I know that it’s what I must do, for we will all encounter it, sooner or later. This dark thing I wish to dismiss by forgetting, or fighting, or examining on the operating table of a small terrarium: Death will come for us all.  I know, in my spirit, it is good – a gift given so that our difficult, fallen lives will not last forever, but it will never lose its dread, even when it has lost its sting. And perhaps I will embrace it as a friend when more years have passed beneath my feet, or perhaps I will embrace my Savior, and He will carry me through it into the place where it cannot enter.

And my heart holds its breath for all the times I must try to prepare my children for that moment – the one I feel certain I will never be fully prepared for, the one that God sees. I know I am actually only trying to prepare myself. I know it is not up to me, and I wish I could take more comfort in that. Perhaps someday I will. Every day is another reminder that I am not in control, and death is the great Out-of-My-Control.

But I know this. Each day that I walk in the sight of God, He will train my eyes, and my sight can be strengthened by seeing life and knowing it itself is but a shadow of the life to come.

Nadia, my little avian maven, knows that birds need nests. So she settles herself in a patch of fragrant clover and picks flowers as a pillow for the bird. She is kneeling in her pink flowered dress, a lily ringed with gingham, examining the ground and plucking appropriate stems carefully, precisely, preparing for burial. Perhaps, preparing for flight.

And I blink back a tear.

Respect for life is more than a religious value; it is a constituent dimension of faith found in every major religion of the world. One cannot have faith in a creator God (or an all-embracing transcendent reality) and cavalierly exclude any part of creation—the whole natural and cosmic world are worthy of respect. To affirm the inviolability of the person is to affirm the sacredness, the mystery of the cosmos. Creation is inseparable from the dignity of the cause of its being. While the story of Creation in the Hebrew Scripture has been interpreted in many Christian circles as permission for humans to exploit creation, Genesis’ first chapter express a relationship of respect and responsibility for all that God has brought about. And Muslims affirm: “Indeed, God is the cleaver of grain and date seeds. He brings the living out of the dead and brings the dead out of the living” (Qur’an 6:95).

Respect for life, especially among certain radical Christian groups, is viewed by a broader public as an almost exclusive preoccupation with abortion and medically assisted death. The Christian maxim, “love your enemies and pray for those who persecute you” (Matthew 5: 44), is often ignored by both the advocates of capital punishment in North America and the perfunctory trials and death sentences currently being meted out in Iraq. It is not difficult to understand how the obscene presence of evil in the world alienates religious people from the demands of “true goodness, true responsibility, true justice, a true sense of things—all [of which] grow from roots that go much deeper than the world of our transitory earthly schemes. This is the message that speaks to the very heart of human religiosity” (Vaclav Havel).

Human religiosity must have its concrete embodiment in the everyday lives of people. Religious truths ring hollow and defy belief, when they remain concepts outside the day to day hopes and fears, joys and anxieties of experience. The true believer is not one who assents to a series of propositions, no more than one can be labelled an infidel, because a religious teaching seems irrational. In fact, the divine—Yahweh, Allah, or the Father—is imminently beyond comprehension and the communication of the divine reality is always conditioned by the lives of those who embrace one or the other religious traditions.

The United States, Israel, Islamic nations, and lately even Russia are laying claim to their religious roots. But their vision of religion and faith seems more polytheist and politicized. They all acknowledge “one” God, yet fail to recognize that God in the putative enemies. What does a message of peace—Shalom, Islam, and the beatitudes—sound like when so much violence and disrespect for life are evident in daily confrontations? Rationalizations relying on national interest or national security appeal to general bias and reduce rich religious realities to icons of more primitive human insecurity and mistrust. The will to violence, in fact, reveals the religious bankruptcy of many of these powers.

As a practicing Christian I am conscious of the disconnect between the clarity of the Gospel teachings and the political and cultural agendas of many of my co-believers who often take their religious “truths” out of context, then use these truths as ideologies, without exploring the impact of their choices on the core message of Jesus. Often what it means to be Christian is reduced to the vehement insistence on single issues as the touchstones of orthodoxy. Abortion, the fate of the city of Jerusalem, or support for our troops (whoever we are, whatever their mission) have become in many quarters stand-alone issues, without regard for the context and consequences. Legitimate concern for the safety of their family members too often confuses faith with patriotism and blinds Christians to the destruction war brings to the lives of the “enemy” and the millions of civilians whose lives are daily being taken by death or by hopelessness.

Westerners can “reclaim” their Christian heritage and Jews demonstrate moral integrity by figuring out what Yahweh meant when he reminded them: “You shall not molest or oppress an alien, for you were once aliens yourselves in the land of Egypt” (Exodus 22:20). Muslims, Jews, and Christians can share a stronger hope for achieving peace and affirming human dignity, through reviewing their own religious commitments from the perspective of God the Creator, of Allah, the beneficent and merciful.

As a Catholic I find hope in the attitude and actions of Pope Francis. In a most public fashion the Pope has welcomed asylum seekers and reminded Europe of its obligation to receive them. He has promoted an environmental morality that ties the fate of human life and wellness with the fate of our natural environment. He continually stresses that there is no such thing as less worthy and more worthy human beings. But this willingness to hear the cry of desperation in the voices of asylum seekers and to seek social and ecological justice is not limited to religious groups—an indication of the universality of humankind that religious particularism too easily ignores.

At the same time, there are growing movements in Europe that refuse to welcome these quasi-stateless persons, who have lost their homeland. Often they express fear that the predominantly Muslim refugees threaten Europe’s Christian culture, without realizing that integral to that culture are the works of mercy, the care for the marginalized, the victims of decisions of the powerful and mighty of this world. Nations and businesses continue to disrupt the ecology. They are unable to resist the allure of the wealth, which they believe regulation will prevent them from achieving. Morality and faith are two sides of the same coin. Faith brings one into the dynamic movement of divine compassion and creativity. Morality is allowing God’s being to become compassion and creativity in our own lives. We do not hold God to a “higher standard,” as if there are situations in which humans have the right to unleash the violence and blood-shed of war, to irreparably violate the environment, or to destroy the soul of another. “Do not forget your share of the world. And do good as God has done for you. And desire not corruption in the land” (Qur’an 28:77). The Golden Rule may seem on the surface to be a formula for self-protection (if you don’t want to get hurt, avoid hurting others). Yet, in fact, it captures the interconnectivity of all creation. The gift of life underscores responsibility for life, for all life is interconnected. “…whoever saves the life of one, it shall be as if he had saved the life of all mankind” (Qur’an 5:32).

Religion in public life can, at its worst, lead to oppressive theocracy, social hypocrisy, and disregard for the dignity of persons and groups of people. It easily obscures the loving compassion of the God, whose will it claims to honor. Yet, religion—humbly lived and with a consciousness of its own failures—has a right and a duty to speak openly about the values that make human life together a pursuit of the common good, rather than the survival of the fittest. But if religion is to play a constructive role in the public sphere, it will be necessary to find areas where the adherents of different religions share common goals, values, and beliefs. Polarization within and between religions readily cedes its rightful place in the public sphere to divisive ideology and needlessly blocks working together for the common good. In fact, it becomes false religion by fostering a self-referential morality that narrows the universalism of the original creation and selectively ignore some of the most challenging, yet ennobling, teaching of the most sacred scriptures available to humankind. Religion is not about a vague “more than life,” as if life were something less than what humanity and nature really yearn for. Religion is about life itself and the duty of every believer is to protect and nurture life. That is true worship, for all life is the presence of God in our midst.

Hayah, which can be translated as liveliness and being alive, means that a heart which is already dead because of ignorance, misguidance and unbelief, comes to life through belief, and knowledge and love of God. The verse (6:122), He who was dead (in spirit), and We raised him to life, and set for him a light by which he moves among people without any deviation, makes this point clear.

The scholars of truth regard life as being when one is freed from the imprisonment of the body and corporeality and rises to the level of the life of the heart and spirit. The aspect of this favor which is represented by the master of the creatures, upon him be peace and blessings, who, although an individual, gained universality, can be seen in the verse (42:52), Thus, We have revealed to you from Our (world of) Command (the Qur’an as) a spirit (promising life to the hearts). The aspect which concerns all others who promise life is indicated in the verse (8:24): O you who believe! Respond to God and to the Messenger when the Messenger calls you (in the name of God) to that which gives you life (with respect to the religion and the world).

The life of the earth, with all its revival and instances of growth and flourishing, is essentially related to the soil and its content, water with its vitality, air and the gases contained in the air. Similarly, true human life is dependent on the knowledge of truth, a strong will-power and endeavor, a sound character and good morals, a deep desire for God’s company, and rejoicing at the awareness of such a great favor. All these together serve as a runway or ramp from which to rise up to the realm where souls fly and attain the eternal life.

The earth derives all its riches from the source described in (16:65): God sends down from (the direction of) the sky a kind of water and therewith revives the earth after its death; in (50:11): We have revived with that water a dead land, and so is coming forth (from the graves); and in (21:30): We have made every living thing from water. Likewise, dead souls exposed to a dearth of faith, and lack of knowledge and of love of God, are revived through belief; they begin to feel what life really means through their knowledge of God, they dive into its depths through love, and attain a full life through resolution, will-power and determination. Then, as long as initiates realize the goal of Follow God’s way of acting [1] under the guidance of the supreme exemplar of good morals, the one who is praised in the verse (68:4), Surely You stand on an exalted standard of character, they attain God’s company in the infinite air in which they beat their wings, and feel constant gratitude and enthusiasm. When the time is due, they feel so expanded with the rapture of being in God’s presence that it is as if they transcended the limits of time and space and been favored with the rank, When I love My servant, I become his hearing with which He hears and his sight with which he sees and his hand with which he holds and his feet on which he walks [2]. And as stated in (56:89): Then (there is for him) comfort in eternal relief, and abundance, and a Garden of bounty and blessing, their spirits continue, by the Power of the All-Powerful Sovereign, flying toward eternity in the Gardens of Paradise, the Presence of the Lord of the worlds, and the company of the Most Compassionate of the compassionate.

In this rank, which is the essence of true life, there is neither death nor decay. Death and decay only occur with respect to the carnal soul and corporeality, and there is permanence with respect to the heart, spirit and other spiritual faculties. This permanence is also viewed as “self-annihilation in God” and “subsistence by Him and with Him.”

There are three breaths in the life of an initiate who has reached this degree: the breath of fear, the breath of expectation, and the breath of love. As the carnal soul fulfils an important mission on behalf of corporeality and the body, fear, expectation, and love are each an important dynamic for the life of the spirit and heart. Always feeling fear and love of Him causes the conscience of the initiate to feel an overflowing pleasure by far greater than what a child feels upon seeking refuge in the arms of the mother who has just chided him. Thinking of Him as the All-Compassionate, All-Loving Lord, and considering the depth of His Mercy, is such a spiritual pleasure that if it were to take on a physical form, it would appear like a Garden of Paradise. Finding or reading His Names on the face of His works, breathing His Attributes on the climate produced by the manifestations of His Names, and feeling the pleasure embedded in wonder at the consideration of the relation between His works, Names and Attributes, gives such an indescribable pleasure that only those who have been able to realize this degree of spiritual ascension can feel it.

Those who can most swiftly reach this most precious goal, even though they are unable to feel the grace of this sacred journey at every step, are those who set off by being able to ac-knowledge their poverty and helplessness before God, and their gratitude and enthusiasm. They know how to become an ocean while each of them is still a drop; they know how to travel among galaxies while each is still a particle, and although they see themselves as nothing, they are able to live in the wheel of existence in accordance with its ultimate goal. They always travel saying, as Ibrahim Haqqi said:

I have attained pride through poverty,
and supplicating to the Ultimate Truth,
I always utter, O the All-Living, O the Self-Subsistent!

They overflow with enthusiasm and gratitude, and are enraptured with the lights of the true life and existence, which are found a step beyond this horizon. Without considering the assertions of some, such as the Unity of Being and the Unity of the Witnessed, they feel the truth of life and existence beyond all conceptions of modality, and say: This life is not sufficient for such an expanse of pleasure.

O God! Guide us to the Straight Way, the way of those whom You have favored. And bestow peace and blessings on the master of the creatures, the means of the life of the two worlds, and on his Family and all of his Companions, all of them.

References

1. al-Jurjani, at-Ta‘rifat, 1:216.
2. al-Bukhari, “Riqaq,” 38.

Alzheimer’s disease is “an irreversible, progressive brain disease that slowly destroys memory and thinking skills, eventually even the ability to carry out the simplest tasks” according to the Alzheimer’s Association. Alzheimer’s affects mostly senior citizens, and symptoms first appear in most people between 60 and 70. The first signs of Alzheimer’s, though, can be noticed between the ages of 30 and 65. However, it is very rare for younger people to exhibit symptoms. Most cases of dementia are caused by Alzheimer’s disease [1]. It is known that all Alzheimer’s patients have dementia; however, one cannot say that all dementia patients have Alzheimer’s disease. Alzheimer’s is a deadly disease, finishing predictably in death [2].

Alzheimer’s disease is named after Dr. Alois Alzheimer. In the early twentieth century (1906), Dr. Alzheimer observed alterations in the brain tissue of a woman who had expired of an uncommon mental disease. Her signs involved loss of memory, language difficulties, and erratic conduct. After her death, Dr. Alzheimer inspected her brain and discovered many uncharacteristic clusters (now called amyloid plaques) and scrambled packets of filaments (now called neurofibrillary, or tau, tangles) [1].

Based on his findings, he correctly theorized that these anomalous buildups were accountable for the patient’s loss of memory and other mental complications.

The plaques and tangles in the brain are some of the foremost characteristics of Alzheimer’s disease. Another characteristic is the damage of contacts between nerve cells (neurons) in the brain. Neurons conduct communications between different segments of the brain – for example, they conduct communications from the brain to muscles and organs in the body. Many other multifaceted brain alterations are thought to play a function in Alzheimer’s disease.

In the beginning, this impairment seems to take place in the hippocampus of the brain. The hippocampus is the part of the brain that is indispensable in forming memories. When neurons perish, further parts of the brain are distressed. In the last stage of Alzheimer’s, destruction is extensive, and brain tissue has shortened substantially.

How many Americans have Alzheimer’s disease?

It is estimated   that more than 5 million Americans may have Alzheimer’s disease. If existing population developments continue, the number of people with AD will increase significantly. However, this trend can be stopped if the disease can be effectively treated or prevented.

The reasons people develop Alzheimer’s are still not fully understood. One known reason is aging.   Age is the most significant accepted risk factor for Alzheimer’s disease. In 2010, in the United States, close to 5 million people 65 years and older were living with Alzheimer’s illness. A 2013 report from the Alzheimer’s Association suggests that 1/10^th of all Americans over 65 are suffering from Alzheimer’s. The proportion goes up to about a third of the population for those who are over 85. According to the Alzheimer’s Association, AD incidence is between 60% and 80% of all incidents of dementia [3].

Incidence of Alzheimer’s disease in South Asia

Globally, at least 44 million individuals live with dementia, making the disease a worldwide health catastrophe that must be tackled. In excess of 4 million individuals have some appearance of dementia in India [4].

In the Southern Indian state of Kerala, 1066 qualified members who were cognitively regular at reference, 104 of them acquired dementia (98 of them were found to have AD) over a continuation time of 8.1 years. The occurrence rates per 1000 person-years for AD was 11.67 for persons aged ≥55 years and greater for those aged ≥65 years (15.54). Individuals who were aged ≥65 years, the global age consistent occurrence rate, was 9.19 per 1000 person-years, prevalence rate of AD raised substantially and proportionally with growing age. These are the initial AD occurrence rates to be conveyed from southern India. When compared to reports from rural North India these occurrence rates appear to be much greater. But they are comparable with those reported from China, and slightly lesser than that reported from the western world [5].

Signs of Alzheimer’s disease

Memory difficulties are characteristically one of the first signs of Alzheimer’s; nonetheless, early indications may differ from individual to individual. A decrease in other facets of thinking, for example forgetting words, sight/three-dimensional problems, and diminished thinking or decision making, may additionally indicate the precise initial periods of Alzheimer’s disease. Mild cognitive impairment (MCI) is a disorder that can be an initial mark of Alzheimer’s. However, not everyone with MCI will develop Alzheimer’s.

Patients with Alzheimer’s have difficulty performing routine things like paying bills, driving a car, or cooking food. They repeatedly ask the same questions, go astray without difficulty, misplace things or put them in unusual places, and find even easy things puzzling. As the disease advances, some patients become anxious, wrathful, or furious.

Longevity of a person with Alzheimer’s disease?

At the time of diagnosis, if the person is older than 80, they are only likely to live another three or four years. If the person is younger then 80, they could live for as many as ten years or more.

Currently Alzheimer’s disease is graded as the sixth greatest cause of death in the United States. But fresh evaluations show that the illness may be listed as third, after heart disease and cancer, as a source of death for elderly people.

At the present time, there is no cure for Alzheimer’s. However, treatment can help patients cope with symptoms [1].

In the 21^st century, Alzheimer’s can only be diagnosed with 100 percent precision through a postmortem examination that discloses the occurrence of the distinctive plaques and tangles. However, a complete examination and suitable checkup can afford a dependable diagnosis with better than 90 percent certainty.

Malformed accumulations of particular proteins inside the brain interrupt normal brain performance and produce the reasoning and efficient difficulties characteristically connected with Alzheimer’s Disease. Ultimately, as the sediments expand all over the brain, brain material begins to die. This results in additional intellectual damage. CT scans and MRI scans show the subsequent brain contraction. CT scan shows enlargement of the ventricles in the brain and loss of brain tissue in a patient with Alzheimer’s disease. Recent research is endeavoring to ascertain what produces these accumulations and is watching for techniques to avoid or change them before they cause lasting brain destruction [2].

Alzheimer’s is not curable.
Alzheimer’s is not contagious.
Alzheimer’s is not a natural part of the aging process.
Alzheimer’s is not something you get from using deodorant or cooking in aluminum pans.
Alzheimer’s is not inevitable if you live long enough.

In some families, Alzheimer’s disease is hereditary. But these appearances are very rare, and they account for fewer than five percent of all incidents. If a family member like a mother or a brother has Alzheimer’s disease, it doesn’t inevitably mean that you’re prone to contract it as well.

There is no test that can foretell whether you’ll get Alzheimer’s disease, save tests for the very rare hereditary Alzheimer’s. A blood test can tell whether you have a certain form of cholesterol-carrying protein connected with an elevated occurrence of the disease. This examination can’t convey whether you’ll actually contract the condition; at least 50 percent of people who have an elevated risk factor never get Alzheimer’s.

Taking into consideration medical ethics, healthcare authorities counsel against taking this blood test or undertaking other genetic testing because they want to save their patients from unwarranted fear about something that will perhaps never happen. There are others reasons for which they also advise against testing. If a person has the inherited gene or elevated risk factor, it might negatively affect their ability to acquire health insurance or long-term care.

Causes of AD

All types of dementia are a result of brain cell death. As such, Alzheimer’s Disease is also caused by brain cell death. When there is an ongoing brain cell death occurring over a period of time, then it is called a neurodegenerative disease. When the brain tissue has an increasingly smaller number of nerve cells and connections, then the total brain size shrinks due to Alzheimer’s.

Plaques in the brain are a result of the build-up of a protein called beta-amyloid (also known as “amyloid plaques”). These plaques cannot be seen or tested for in the living brain affected by Alzheimer’s Disease. A postmortem or autopsy will show these plaques and masses. Plaques are found between the dying cells in the brain.

These unusual protein clusters in the brain tissue are always present with Alzheimer’s disease. Scientists are not yet sure if there could be an additional primary activity that is really causing Alzheimer’s Disease. This sort of alteration in brain nerves is also observed in other illnesses. Researchers want to find out how these protein abnormalities progress so that a cure or treatment might be discovered. Researchers have not completely comprehended why the alterations that lead to Alzheimer’s disease befall a patient. It is known that several dissimilar factors are believed to be implicated, aging and a family history of Alzheimer’s, chief among them.

Diagnosis

Alzheimer’s disease is not straightforward to diagnose, as there is no single test for it. The first step physicians take is to rule out other complications before validating whether mental indications and signs are stark enough to be a type of dementia or something else.

Signs and symptoms [6]

Phases of Alzheimer’s Disease:

Aging has effects on memory but not AD.

• Occasionally forgetting things.
• Sometimes items are misplaced.
• Slight temporary memory loss.
• Not recalling precise particulars.

Early phase

• Not recollecting incidences of deprived memory.
• Forgetting names of family or friends.
• Only close friends or relatives may notice the changes.
• Some perplexity in conditions outside the acquainted.

Middle-phase

• Enormous effort recollecting newly acquired knowledge
• Increasing misperception in numerous situations
• Difficulties with slumber or sleep
• Difficulty in recognizing where they are

Late-phase

• Low capability to reason
• Difficulties in talking
• Retelling same dialogues
• Extra rude, nervous, or suspicious

Treatment

For Alzheimer’s there is no recognized treatment. The loss of brain cells cannot be stopped or overturned.

Drug therapy

There are no disease-altering medicines obtainable for Alzheimer’s, but some choices may decrease its symptoms and help recover quality of life. Four drugs are available. They’re called cholinesterase inhibitors. They include Donepezil (brand name Aricept), Rivastigmine (Exelon), and Tacrine (Cognex). Another type of drug, called memantine (Namenda), which is an NMDA receptor antagonist, may also be used. This drug may be used alone or with a cholinesterase inhibitor.

Other therapies

As with other kinds of dementia and neurodegenerative illness, a chief part of therapy for patients with Alzheimer’s comes from the patronage given by healthcare personnel. Quality-of-life care becomes more imperative as needs increase with diminishing freedom [3].

There are other treatments outside the US. In India, Alzheimer’s disease is treated with Ayurveda [7]. Ashwaganda, an ancient Herb used in Ayurveda, is confirmed to be a possible cure for Alzheimer’s [8]. It has also been found that Curcumin (in India it is called Haldi) is more efficient at hindering the formation of the protein fragments than many other potential Alzheimer’s treatments. Optimizing vitamin D and vitamin B12 intake, as well as a nutritious diet rich in folate and coconut oil, have also been tested as to their efficacy at treating Alzheimer’s Disease [9].

Daily mental challenges

Mental stimulation, particularly acquiring something novel, such as learning to play an instrument or a new language, is linked with a reduced risk of Alzheimer’s. Researchers theorize that mental tasks assist in developing the brain, making it less prone to the lesions connected with Alzheimer’s Disease [8].

References

1. What Is Alzheimer’s Disease? National Institute on Aging, U.S. Department of Health and Human Services. https://www.nia.nih.gov/health/what-alzheimers-disease
2. Alzheimer’s for Dummies, Patricia B. Smith, Mary M. Kenan, Mark Edwin Kunik, Leeza Gibbons. October 2003. http://www.dummies.com/health/knowing-what-alzheimers-is-and-is-not/

3. What’s to know about Alzheimer’s disease? Medical News Today. Newsletter. 13 February 2018. https://www.medicalnewstoday.com/articles/159442.php
4. About Alzheimer’s and Dementia. org. India, Alzheimer’s association. https://www.alz.org/in/dementia-alzheimers-en.asp
5. Incidence of Alzheimer’s disease in India: a 10-years follow-up study. Mathuranath PS1, George A, Ranjith N, Justus S, Kumar MS, Menon R, Sarma PS, Verghese J. Neurol India. 2012 Nov-Dec;60(6):625-30 https://www.ncbi.nlm.nih.gov/pubmed/23287326

6. Alzheimer’s disease. From Wikipedia, the free encyclopedia. https://en.wikipedia.org/wiki/Alzheimer%27s_disease
7. Treating Alzheimer’s disease with the help of Ayurveda by Hunila. November 1, 2012 org. http://www.alzheimerindia.org/treating-alzheimers-disease-with-the-help-of-ayurveda/

8. Ashwaganda: Ancient Herb Proven to be a Potential Cure for Alzheimer’s by Dr. Mercola April 07, 2012 https://articles.mercola.com/sites/articles/archive/2012/04/07/ashwaganda-effect-on-alzheimers-disease.aspx

9. Coconut Oil and Alzheimer’s Disease By anh-usa (Alliance for Natural Health) on October 5, 2010. http://www.anh-usa.org/coconut-oil-and-alzheimers-disease/