COVID-19 & Smell Loss: The Case for Critical Thinking

Sniffing out the truth regarding smell loss requires critical thinking.

When we skim the surface of a news story we risk indifference to the facts. Goldman Sachs allegedly believes that a post-peak reduction in "loss of smell" inquiries on Google Search is "a positive sign for the pandemic" (language embedded in CNBC's hyperlink to the news story). Is this a fact, opinion or clickbait? You need to be a critical thinking ninja to figure it out.

Smell loss and the return of the sense of smell is not a linear process independent of COVID-19 infection. Dr. Eric Holbrook's description in the Harvard Health Blog clarifies this in a pre-COVID-19 perspective of the world as it relates to smell loss:

In some cases, the loss of smell is complete (anosmia), while in other cases there is only a partial loss (hyposmia). In many instances where smell loss occurs, remaining smells are distorted. The distortions are either experienced as odors smelling dramatically different from what was remembered (parosmia) or smelling an odor that isn’t present (phantosmia).                                                      —"Smell Disorders: When Your Sense of Smell Goes Astray," (December 12, 2018)

The first disconnect in "Goldman Says Fewer ‘Loss of Smell’ Google Queries Suggest Better COVID Outlook" is the image used in the article. The caption reads, “A woman wearing a face mask smells flower blossoms.” Let’s put a pandemic perspective on the image because what the caption says and what appears in the picture are slightly different.

A woman wearing a non-medical protective face mask has drawn her mask below her nostrils so she can smell cherry blossoms. The woman will have to touch her face a second time to pull the mask over her nose so it can protect her (assuming it wasn't contaminated the first time she moved it below her nostrils).

Critical thinking begins when we question our perceptions.

Were there other people who smelled the same cherry blossoms before her? Will there be others afterwards? What does that means regarding potential virus transfer? Was the image taken during the pandemic? If it was, where was the photographer? The image that accompanies the article doesn't follow COVID-19 protocol. Strike one.

The picture gets your attention for the wrong reason. It riffs on the desire for post-pandemic normality. This may fuel irrational forecasts on lifting quarantines before science says it's the right time because of the way the picture looks. Strike two.

Let’s revisit the prediction of an organization asserting an opinion that isn't based on the relationship between COVID-19 and smell loss in a controlled study (e.g. the use of Google Trends). It's important to note that CNBC emphasizes this opinion more than Jon Hatzius of Goldman Sachs does when you watch the video embedded in the article.

Goldman Sachs is an American multinational investment bank and financial services company. Is their intention to report news or promote data that encourages investor confidence because it supports their business model? This is the kind of question a critical thinking ninja asks (a recent article on Poynter calls it "growing a third nostril" to sniff out the truth).

Wake up and smell the facts, including opinions masquerading as facts.

Goldman Sachs used one phrase (loss of smell) to generate an outcome on Google Trends. Anyone can use this tool, which provides results based on the country in which a query is made. Anosmia, hyposmia, parosmia and phantosmia aren’t included in the analysis and there are additional words and phrases that can be used to gather results regarding smell loss.

Smell training, which supports patients with smell loss, isn't even investigated and it's an approach supported by scientific research that helps patients with smell loss (lemon, rose, clove and eucalyptus essential oil are commonly used, which is informed by research). That's not a surprise because most of the population knows little about smell and taste disorders and what it's like for patients.

The article referenced in this post appears on CNBC, which is a news source specializing in financial markets. The deduction made by Goldman Sachs doesn’t include expert opinions from scientists as well and multiple points of view. There's nothing “fair and balanced" about it. Strike three (you can S-M-E-L-L it).

Critical thinking is important. It applies to opinions you agree and disagree with when chasing down facts to create an informed opinion. If you believe that people who don't think the way you do are ignorant, check yourself because the ultimate in ignorance is the inability to respectfully weigh facts and opinions. It's how you lie to yourself and others because of what you want to believe. There's another word for this and it's denial. Denial is also a stage of grief and grief is a collective experience during a pandemic like COVID-19.

These are difficult and highly emotional times for everyone. It's tempting to create divisiveness based on personal opinion or that of your pack, but searching for truth and call out misleading statements in your own head helps manage the effects of the pandemic on physical and mental health—your own and that of family, friends and your community. There will be PTSD echo effects when the pandemic is under control and when a cure for COVID-19 is found. The time to build better habits that support clear thinking and common humanity is now.

Smell the May roses at a distance with gratitude and a face mask.

Think before, during after interacting with media. Most importantly, think before you speak (or in the case of the CNBC article, publish a story). Practice being a critical thinking ninja on a daily basis. If you're one of the lucky ones who survive the first cycle of the COVID-19 pandemic in the United States, you might smell the roses in May. Just remember to catch the scent of roses in the breeze and keep your protective face mask on as required.

Notes:
Some people who contract COVID-19 and become anosmic say they can't taste (ageusia). They may be misarticulating their symptoms without knowing it. I've come across this in off-the-record interviews with people who've had mild symptoms of COVID-19 that presented with smell loss. I am continuing to investigate this.

Smell + Taste = Flavor and we often refer to flavor as taste (e.g. "that tastes delicious"). Taste is sweet, sour, salty, bitter and umami (savory) as well as trigeminal sensations for temperature, texture and spiciness.

If we want to understand patients who lose their sense of smell and/or taste because of COVID-19 we have to go below the surface of what they're saying and ask clarifying questions. This is a doctor's job, but it's also a scientist's job and it's why medical professionals and scientists need to be included in articles that reference medical conditions.

COVID-19 Chronicles: Grief, Camay and the Wailing Wall of Soap

Image of Rachel Krell ©Michelle Krell Kydd 

I built a small wall of soap in the lower section of my linen closet after my mother died in 2017. It started with a few three-packs and eventually became the Wailing Wall of soap. It got started after I overheard a conversation between my sister and my cousin regarding our mothers' hoarding habits.

My aunt collected boxes of classic Camay soap like they were bars of gold (the original pink "classic" bar is no longer in production, but available from international distributors online and on eBay). My mother, G-d rest her soul, collected cleaning products to support a housekeeping habit driven by obsessive-compulsive disorder. After she died I took up Camay hoarding. It made no sense.

The last conversation I had with my aunt was not a pleasant one. She had a knack for being mean-spirited and uncouth. I still remember how she upset my mother at my father’s funeral. My mother grew increasingly teary as my aunt badgered her about headstone placement on my father's grave. Mom was too grief-stricken to respond.

I told my aunt that headstone placement was a family issue and that we’d take care of it. “I am family," she insisted, her tone more autocratic than loving. “You are not immediate family," I said. My eyes shifted towards my mother as my aunt went silent and walked away. Years later she and my mother are separated by one grave in the same cemetery, reconciled by death.

I collected classic Camay soap after my mother died because it's one of three beautifully scented soaps that I remember from childhood; Camay, Jergens and Cashmere Bouquet. It wasn't until the COVID-19 pandemic that I understood why I built a Wailing Wall of soap after my mother died. The comforting scent of Camay helped me integrate stages of grief I couldn't wash away.

Bars of soap, from humble bargain brands, expensive luxury soaps and everything in between prevent COVID-19 infection via hand-washing. I have three bars of Camay left. I want Camay to remain an olfactory madeleine of comfort. I don't want to confuse the smell of Camay with the dislocating grief of the pandemic, which deserves its own madeleine.

Note:
A madeleine is a sense object that triggers a memory. The term is derived from a passage in In Search of Lost Time, by Marcel Proust. The transporting memory is triggered by the taste of a madeleine pastry dipped in lime blossom tea.

Recommended reading: You are Proust: The Case for Developing Your Olfactory Mind.

"When a Trusted Brand Disappears," by Ricki Morrell unpacks nostalgia for Camay in the November 20, 2010 edition of The New York Times. You can find the article here. Login or subscription is required.

A Leap of Faith on Leap Day: How to Evaluate Smells

The temple bell stops,

but the sound keeps coming
 
out of the flowers.
—Matsuo Bashō (1644—94)

For the past 29 days interesting patterns have appeared in double digit annotations for each day. Something new appears between 02 and 20 and today it ends with 022920, which also happens to be the hex code for a very dark cyan at 0.8% red, 16.1% green and 12.5% blue. Humans gravitate towards harmony and meaning, but in doing so may lose sight of the value of being present. This is especially true when it comes to learning how to evaluate smells.

The formula for getting better at evaluating smells is simple and counterintuitive. Smell beyond what’s there and what you think you can smell. This approach is true for every sense, but it’s especially true for smell because the human experience of smelling is hardwired to emotion and memory. Attachment to likes, dislikes, and ephemerality independent of vision inhibit the embodied experience of smelling. It’s really that simple. You need to get out of your own way.

Think of smell as a haiku that dissolves after you’ve read it. If you trust the experience, a distillation of meaning beyond words will take up residence within you. If you grasp at each word in an attempt to fix the experience in time you’ll lose the haiku's essence. This is not often articulated, but it’s the lived experience of people who follow their nose in life and for a living. Listen. Can you hear the sound coming out of the flowers?

Notes:
You can see the dark cyan color in lower right side of the temple bell image.

Smell and Tell: Brian Eno Smells

A journalist was interviewing musician/producer Brian Eno in candlelit room when the artist opened a faded lime-colored metal briefcase filled with “an array of phials” containing raw materials used in perfumery. The year was 1982 and the article was titled “An Evening with Brian Eno”. This was the first interview where the subject of scent became the main topic of discussion—it wasn’t the last.

Brian Eno is a full-on smellaholic who continues to collect raw ingredients used in perfumery for private enjoyment and inspiration. What is it about the art of perfumery that continues to fascinate the renowned founder of ambient music? How does Eno’s passion for smells shape his creative output? (Hint: if you download his Bloom app on iTunes you’ll find a breadcrumb trail of synesthetic clues).

What are Brian Eno’s favorite smells and why do they have the impact that they do? Recode your concept of creativity. Get inside Brian Eno’s olfactory mind and find out what happens when normal instruments are abandoned and disconnected events are smelled in circuit.

The Smell and Tell series of art+science programming is led by Michelle Krell Kydd, a trained nose in flavors and fragrance who shares her passion for gastronomy and the perfume arts on Glass Petal Smoke. Smell & Tell builds community through interactions with flavor, fragrance and storytelling. The unique and popular series celebrates its eighth anniversary year in June at the Ann Arbor District Library and is ongoing.

Smell & Tell: Brian Eno Smells
Date: Wednesday, February 19, 2020
Time: 6:30-8:45PM
Location: The Ann Arbor District Library, Pittsfield Branch
Address: 2359 Oak Valley Drive, Ann Arbor, MI 48103
Phone: 734-327-4200
Admission is free and is sponsored by AADL
Link to Event: https://aadl.org/node/398023

Notes:
Recommended reading for insight into a collaboration between Brian Eno and Maurice Roucel that's curious and mysterious: Brian Eno, Maurice Roucel and the Perfume of Unfinished Business.

Brian Eno Smells debuted at the Ann Arbor District Library in 2018. Attendees and new fans of Smell & Tell at the library wanted an encore. Et voila. There's a new smell added to the scent flight; a perfume that a woman Eno encountered declared as aphrodisiac. Eno associates it with biblical Nard (Spikenard), but it's something completely different. You'll have to attend the program to smell Nardo and find out what it really is (I have it and production is officially discontinued).

Lesson? Don't rely on aphrodisiac lore when you get a sample of of Nardo perfume from a woman in Ibiza: "...a woman I met in Ibiza gave me a minute bottle containing just one drop of an utterly heavenly material called Nardo (I later came to think that this was probably spikenard oil, extracted from a shrub growing at between six and eight thousand feet on the Himalayas and used by wealthy Indian ladies as a prelude to lovemaking)." Tsk-tsk, Brian.