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The Guardian - UK
The Guardian - UK
Politics
Ian Black and Helen Harris

My brain is shrinking – and so is my world. Could I find out what’s wrong with me?

Ian Black, photographed in July this year.
Ian Black, photographed in July this year. Photograph: Cian Oba-Smith/The Guardian

It was in the summer of 2020 – at the height of the Covid-19 pandemic – that I first noticed a problem. I was having difficulty speaking. It wasn’t a casual chat with my wife, Helen, or our two daughters, or my son who lives in the US, but a Skype or Zoom interview about international affairs with a TV channel. I can’t remember which one or what the topic was – probably the Middle East, my main area of expertise, or possibly Brexit. I felt embarrassed because I was less articulate than usual – “lost for words”, as the saying goes.

Apart from myself, I didn’t think anyone would have noticed, particularly as the interview involved an Arabic interpreter. Still, my slow response, and not being able to answer an entirely reasonable question in sufficient detail, were worrying. I hesitated about what to do. Finally, I contacted my GP, who was initially dismissive about my speech concerns. “You sound fine to me,” he told me during our phone consultation. Despite his reluctance, I insisted a few days later on being referred to a specialist at a nearby London hospital.

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