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I
am not deaf or blind, but I have lost a vital link, a means of
perceiving my world. I am
anosmic: I have lost my
sense of smell. Like most
people, I hadn’t even known that this loss had a name.
The recognition that few things smelled as they once did had
taken time to sink in, and at first I thought I scarcely missed it.
Smell
is the most primitive sense, a trigger to memory that instantly plunges
one back to the past. The
fragrance of the first lipstick I ever wore, an orangy-pink wax in a
tiny push-up tube from the five-and-dime, or of my first grown-up
perfume, Interdit, worn for my first real romance, evokes that moment
without conscious thought. I
do not merely remember; I have become that person again.
Smell,
like other senses, does not discriminate.
Smell perceives not only the beautiful, the enticing, the
comforting, but also the odious, the rank, the stink of life.
Aprils of my childhood meant fragrant purple lilacs piled into
the car, spring arriving at our dingy city apartment.
Orange blossoms that saturated the air on mornings after rain
always smelled of hope and promises. Onions simmering in butter made my mouth water with the prospect
of savory delights, and houses permeated by the smell of cakes baking
seemed to be homes filled with comfort and love and happy children.
The
pungent odor of wet dog evoked every beloved pet I have ever owned, and
the rankness of skunk conjured memories of startled awakenings, the
certainty that the stinking visitor was surely in bed with me.
The odors of urine and boiled cabbage lingered inescapably in
dank hallways of
New York
apartment buildings, possible homes with impossible
odors.
After
I stopped smoking, the reek of cigarettes that permeates the clothes of
smokers made my eyes water and my throat close up.
All of these--the pleasant and the unpleasant--all these smells
of my past are outside my experience now.
Anosmia
brings a double whammy: not merely loss of smell but the loss of much of
the sense of taste. Sweet,
salty, bitter, spicy--these tastes reside on the tongue and are
undisturbed by the loss of smell. But
all the subtle odors of food, the definition that makes a banana taste
like itself and not like an apple, a piece of cinnamon toast different
entirely from a piece of toast simply buttered--these tastes are
missing. My husband has to
taste my cooking because unsampled food may be either bland as cream or
spicy and discordant enough to cause its more unwary consumers to
cringe.
Anosmics
in the kitchen tend to oversalt or overspice to make up for the lack of
more subtle flavors. Cooks
rely on instinct and previous experience, but without a sense of taste,
I can never be sure of the effect on my more sensitive audience.
When
I say I have no sense of smell, the response is often, “That must make
you want not to eat.” Would
it were so! Loss of smell
should be a sure weight-loss technique, but it’s not.
Some anosmic people lose interest in food, but I, like many
others, spend my time craving the tastes I remember but can no longer
savor, and I eat, sometimes obsessively, searching for memories of
comfort or delight. Were it
a sure cure for obesity, temporary or even permanent anosmia might be
the most sought after remedy on the planet.
After
I had said to many people, “I can’t smell it,” when they proffered
a fragrant flower or some delicious cheese, I felt deprived.
Friends expressed sadness at my loss and told me how much I was
missing. Although the desire
seemed frivolous, I decided to try to regain this sense which I had only
slowly become aware I had lost.
I
made an appointment to be tested at the Perlman Smell Clinic at the University
of California,
San Diego. The
thought that I might actually smell and taste again buoyed me through
the waiting, the preparatory testing, and the long drive to San Diego.
Surely
these experts could help me!
As
I sat in the crowded waiting room filling out pages and pages of the
questionnaire, I learned that the sense of smell can go awry in more
ways than simple loss. Some
subjects apprehend phantom smells which haunt them while others perceive
unpleasant odors emanating from the most innocent of objects.
When
I saw the doctor, he gave me a test to identify what I could smell.
I sniffed a variety of odors, but I couldn’t tell what they
were even when I saw a list of the choices.
The pungency of cinnamon was my only success, but even that was
more guess than certainty. I
couldn’t even smell chocolate! The
doctor tested my degree of loss by having me sniff a series of plastic
bottles of butyl alcohol in gradually increasing concentration.
I scored three of a possible ten.
No
question--I was anosmic, and the prescribed treatment--a steroid and an
antibiotic--did nothing to change my condition.
The source of the anosmia, whether severe sinus infections or
sinus surgery that removed epithelial cells containing olfactory nerve
receptors, was something no one could say for sure; but whatever the
cause, it didn’t really matter. My
sense of smell was gone for good.
After
all, I said to the doctor, anosmia isn’t a life threatening or
dangerous condition, but
when he responded by asking if I used gas to cook with, I reflected that
he had a point. Anosmics who
have no one to protect them from tainted food are often victims of food
poisoning. The doctor told
me that women sometimes cry when they report that they can no longer
taste their own cooking. Anosmia
reduces the pleasure of physical contact with loved ones because that
special odor unique to each individual is lost.
I remembered the smells of my husband and of my son, first the
powdery sweetness of babyhood, later the pungency of the little boy.
I
hadn’t really hoped for recovery, or I thought I hadn’t; but when
the last possibility was gone, I was sad.
I can see, I can hear, I can touch, but smell and taste are only
memories. The world has
narrowed for me. Some of its
delight has gone: the
fragrance of a flower, the unexpected complexity of an exotic food--and I mourn for what I’ve lost.
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