Problems with One’s Nose: It Just Doesn’t Make Scents

I think we can all agree—that whether you’ve experienced it firsthand or not—having Covid is no fun.

I can’t think of any illness that would actually fit into the “fun” category, so perhaps the above statement is a bit of a no-brainer declaration.

Still … there is an aspect of this affliction that is forcing me to do something I do find to be pleasurable—research­­—as I (along with millions of other humans) are desperate to determine when, if ever, our sense of smell will return to our bodies.

The symptoms of SARS-CoV–2 are dizzying, to be sure—one of them including experiencing dizziness. That evidentiary concurrence aside, other symptoms include the typical sniffling, sneezing, coughing, aching, stuffy head, fever, so you can’t rest for lack of medicine annoyances. Some of these ailments arising to the level of not just vexing irritations but life-threatening pathologies.

The non-life-threatening, but definitely life-depressing disorder of anosmia—or smell blindness—is a fairly reliable indicator for the Average Joe lacking an at home Covid test to determine if they have been infected with this miserable and unrelenting virus. As an individual whose job relies upon her sense of smell, I long ago created a list of all maladies of the disease that I knew might reliably express themselves and highlighted in yellow and then orange and then pink the one that I absolutely, under no circumstances could tolerate. And then promptly began agonizing over its possible appearance until, I’m guessing, my brain finally took to heart all those self-help, yogi meditations I spent years fostering and “manifested” my thoughts into intentions.

Here you go. You think it, you become it.

The loss of smell for most people is dispiriting—especially if you’re a human who likes to eat.

The loss of smell for a person who is surrounded by hundreds of small alcoholic vials filled with aromatic compounds that are no longer aromatic is panic-inducing, terrorizing, and humbling in a collapse into a puddling heap on the floor type of way.

What now? Is the question of the day, although it really wasn’t a daily query as much as it became an hourly one.

So much of my life’s work is dedicated to identifying odorants—the good the bad and the ugly. They’re all incredibly fascinating to me and important to the labors I’ve been employed to pursue. I have never taken my ability to smell for granted—in fact, I’ve protected its presence and fostered my olfactory skills like a zealot chasing after the title of “Olympic medalist” in that category.

I walk into a room and the first things I notice are the odorants—the primary, the secondary, the tertiary. Has someone burnt toast? Has a dog passed gas? Is that woman wearing the same scarf from yesterday when she slipped outside into the alley to have a quick cigarette?

I walk into a patch of someone else’s presence and can oftentimes flesh out a rhinal history. The cologne they wear, the detergent they use, the curry they ate. It’s a Sherlockian mystery that unfolds itself one odorant at a time.

And now it’s gone. Poof.

Coincidentally, two weeks ago, I noticed a side-effect to a new medication I’m on which revealed that I may experience hyperosmia—an increased sensitivity to odorants. Hot diggity, I thought. A dream come true, right? Until I’d been stuck in a car with a person who, whenever speaking, gave off the exhalating perfume of someone who had perhaps dined on the soup made from the sewer on a hot August day. It wasn’t their fault. Their stomach was appropriately breaking down breakfast with the human chemicals assigned to that job—it’s just that it felt like I was in that organ with them.

Being on the opposite ends of the scent spectrum in such a short period of time provides—along with a bit of whiplash—an opportunity to experience the edges, to assess this bodily sense with the effect of a volume dial. Too much and you whirl with nausea, too little and life becomes monochrome—a dull gray, monotony that snatches away all color, absconds with your anticipation, and tosses you into a steeply descending pit of “why bother?” (Or, at least, for me it did.)

I have a phrase—a formula—I use to describe a concept when teaching on developing the skills of nosing and tasting: scent + taste = flavor.

Scent involves our olfactory epithelium—a small patch of tissue high in the nasal cavity that houses around 400 of our body’s olfactory receptors. When aroma molecules attach themselves to the receptors—either singularly or in combination with others—we can identify somewhere between 100 million to 1 trillion different odorants.

Taste is defining sweet, sour, bitter, salty, and umami compounds.

Putting the two together is how we experience flavor. Strip one away and the pow and wow factor of food is crippled. Hamstring both and you’re left with … what??

If I allow my freaked out, blubbering inner doomsayer to answer that question, it would be search for a cliff tall enough to leap from. If I am to respond more appropriately, more hopefully, more like an individual who gravitates toward solid science than pointless hysteria, I would say, a not unsubstantial amount.

I am forced to hunt for the other. To seek out what else contributes to the sensory experience of flavor, as there are a few more things than one might expect to include.

  1. Viscosity – a measure of thickness, glossiness, syrupiness, adhesion.
  2. Chemesthesis – this occurs when the receptors on the skin react with a chemical placed upon them—where your mouth and nose are concerned, we have the examples of:
    • Menthol (a cooling sensation—your toothpaste, gum, or minty herbs)
    • Capsaicin (a thermal impression—your hot sauce, spicy peppers, or chili powders)
    • Carbonation (a tingling of the receptors—think soda, sparkling water, fizzy champagne)
    • Alcohol (a prickling phenomenon—might as well go for the gold and make it high proof)
  3. Sounds – the oral and sonic experience that comes from the crunch of your sugar snap peas, the squeak of your cheese curds, the crackle of your potato chips, the smacking stickiness of your peanut butter, the effervescence of those Pop Rocks.
  4. Temperature – No need to explain, you know the scale.
  5. Mindfulness—It has been studied and believed that “expectation” contributes to flavor as well, as scent and taste stimulate the limbic system and ultimately stir up memories.

I cling to the fact that the nuances of what contributes to flavor is fairly rich with examples. And paying particular attention to the extra sensory “we’ve always been here, but you’ve just ignored us” elements highlights their contribution to an experience rich with stimuli.

Is it the same?

Nope. Not even close. For me, anyway.

Will it suffice?

It will have to. At least until biology rights itself, a stem cell transplant program is offered up by my GP, or Mark Zuckerberg finds a way to “meta” my olfactory receptors back into reality. But for now, I will sniff, sip, slurp, and swirl everything I find—to invite back into my brain, to welcome back into my realm, to appreciate with renewed vigor the one thing my mental health hinges upon.

Until all returns, I will remain annoyingly and worrisomely … scent-o-mental.

~Shelley

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Don’t forget to check out what’s cookin’ in the Scullery and what we all gossiped about down in the pub. Or check out last month’s post and catch up.

Otolaryngologists: They Sound too Good to be True

“Pardon me?”

This was phrase I was uttering with more and more frequency. Along with huh?, what?, and For Pete’s sake, speak up!

I knew something was amiss. I used to pride myself with the fact that I could hear a truck coming up my mile-long driveway before my dog could. I used to consider unplugging the refrigerator, two rooms away from my desk, because its electrical hum was hugely bothersome. I used to be able to hear a mouse pass gas at fifty paces.

But it all came to a meteorically headlong halt, upsetting my world and disrupting my work.

And by fast, I mean over the space of about 3 months. But it seriously felt like lightning speed if I don’t pay too much attention to the fact that I refused to pay too much attention to it.

This is what I told the otolaryngologist when I first went to see him—the part about sudden deafness being a near overnight happenstance. The fact that he raised one eyebrow clear up to his hairline makes me think I was less than convincing, but we’d never met before, so it’s likely he was unfamiliar with my “fiction author”-like ways of creating more tension in fairly bland scenarios.

Wording is everything.

But so is hearing, because without it, I must use my third eye—or third ear—to metaphysically conjure up the sound of those sweet words I love.

“It’s not too bad when I’m on my own and the world is quite silent, but the second any sound is a part of the landscape, I’m keenly aware I’m going profoundly deaf.”

The doctor narrowed his eyes at me.

“It’s a massive challenge to read people’s lips on any good day, but it’s near impossible to read my dog’s lips now as he’s way behind on facial grooming.”

Again, the doctor said nothing, but his own pursed lips spoke volumes. He motioned for me to lie back and turn my head so he could investigate one ear. After a muffled bit of rooting around, he grabbed one of the smallest vacuum cleaners I’ve ever seen and deftly earned his fee.

I sat up, wide-eyed and thrilled.

Sound is amazing after you’ve lost most of it. Everything is distinct, crystalized, and heightened. Likely I would welcome the hum of the fridge once I got home. But we still had one other defunct ear to attend to, and I also had questions.

“I’m actually really glad I was forced to come see an ENT, as part of what I do for work is teach people about aromas and flavors, and we spend a fair bit of time discussing my favorite part of the body—the olfactory epithelium.”

“Really?” he said, as he motioned for me to switch sides for the second ear.

“So, as I’m here, I was wondering if you could tell me what you would say are the most important things the average person would find interesting about this organ?”

He leaned down to peer into my ear and said, “That … is a wonderful question. I would definitely make sure they know—”

And then I heard nothing but the sound of the world’s tiniest Hoover.

I panicked a little, as this was my one chance to chat before being rushed out of the building so that the physician could continue seeing the long line of people fearing they’d gone deaf, all pacing the waiting room.

I tried lifting my head just a smidge, and he suddenly paused the Miracle Ear Electrolux. “Did that hurt?” he asked.

“Nope. I just missed what you’d said.

He chuckled. “I said—”

The doll-sized Dyson started back up again.

Surely, he’s doing this on purpose, I thought. Perhaps he feels his service fee should not include a month’s worth of his schooling crammed into a five-minute lecture.

He sat back and gave me a smile. “Did you get all that? There’s some marvelous science to share, for sure.”

I felt my face arrange its features into a bleak visage. “Nearly,” I tried to say convincingly.

He turned to his assistant. “Go grab the packet, please.” The doctor then turned to me as his assistant slipped out the door. “No worries. I’m having Charles bring you one of our anosmia sourcebooks. It’s a fat pamphlet full of everything I tried to tell you, plus some remarkable scratch and sniff pages that help identify whether you’ve lost your sense of smell or taste. You’ll love it. Everything you need and a ton of stuff you’ll want to share.”

I smiled, thrilled. Both because I could mostly hear now and because I was getting a free bucketload of captivating science. Scratch n Sniff! I couldn’t wait.

Charles returned and happily handed me the packet. “We’ve only got one left,” he mentioned to the doctor.

The doctor reclaimed my prize. “Pardon me,” he said apologetically. But now I was positive he was enjoying the tease. “Maybe next time, as this packet is hard to come by.”

I sighed. “I’m sorry to hear that.”

“Ah!” he patted my knee as he moved swiftly toward the door. “A pun! Very good!”

And then I knew I had my sharp-eared sense back because I could hear the sound of my own eyes roll skyward.

~Shelley

For the time being, the blog is closed to comments, but if you enjoyed it, maybe pass it on to someone else. Email it, Facebook it, or print it out and make new wallpaper for the bathroom. If it moves you, show it some love and share. Cheers!

Don’t forget to check out what’s cookin’ in the Scullery and what we all gossiped about down in the pub. Or check out last month’s post and catch up.