“I was in the car the first time music seemed the instruments less distinct, the vocals less crisp.”
John Cotter was thirty years old when he first began to notice a ringing in his ears. Soon the ringing became a roar inside his head. Next came partial deafness, then dizziness and vertigo that rendered him unable to walk, work, sleep, or even communicate. At a stage of life when he expected to be emerging fully into adulthood, teaching and writing books, he found himself “crippled and dependent,” and in search of care. When he is first told that his debilitating condition is likely Ménière’s Disease, but that there is “no reliable test, no reliable treatment, and no consensus on its cause,” Cotter quits teaching, stops writing, and commences upon a series of visits to doctors and treatment centers. What begins as an expedition across the country navigating and battling the limits of the American healthcare system, quickly becomes something else a journey through hopelessness and adaptation to disability. Along the way, hearing aids become inseparable from his sense of self, as does a growing understanding that the possibilities in his life are narrowing rather than expanding. And with this understanding of his own travails comes reflection on age-old questions around fate, coincidence, and making meaning of inexplicable misfortune. A devastating memoir that sheds urgent, bracingly honest light on both the taboos surrounding disability and the limits of medical science, Losing Music is refreshingly vulnerable and singularly illuminating—a story that will make readers see their own lives anew.
John Cotter’s first novel Under the Small Lights appeared in 2010 from Miami University Press. Previously, his short fiction and poetry have appeared in Volt, The Lifted Brow, Lost, and New Genre.
Poetry Editor for the review site Open Letters Monthly, Cotter has published critical work on contemporary novelists, poets, and translators.
I think of all the senses we have imagined losing in our worst nightmares, hearing comes up last. What would it be like? How would the world change for us? John Cotter is giving us a first-hand heartbreaking insight. After being diagnosed with Ménière's Disease - or rather after all the other possible diagnoses being excluded and being left with this vagueness, that a Ménière's is - he walks us through how the world contracts when the sense of hearing is (partially) lost. It shows us how we lose intimacy, spatial perception, dignity, a job, and a future - how we become something else. A futureless being constantly feeling fear. Until we accept and the world becomes habitable again. In a new, albeit incomplete way. This book touched me on a deeper level perhaps, than it would an ordinary reader, as I grew up in a family where one of its members had impaired hearing. It pained me to read how not hearing makes one feel excluded, how it cuts away the whispers, being part of the jolly company and keeping up with the banter and how making a phone call is always a dangerous road that could lead to frustration. An important book. A good memoir.
I’m lucky this book showed up in my life when it did. (And in a strange twist, this was one of several books I purchased a few weeks ago at Elliott Bay Book Co. in Seattle — another being an essay collection by Elisa Gabbert. It was only later that I realized she’s married to Cotter.)
I have lived with hearing loss since at least age 4. Mine, like Cotter’s (and like most hearing loss) is mysterious and I’ve yet to meet a doctor who can tell me why I have it. Unlike Cotter, though, I don’t experience vertigo and dizziness in addition to my hearing loss. So in many ways I cannot fathom what he’s been through, not really, but I’m still so grateful to have read his words on the subject. Cotter writes sincerely and beautifully about coping with a new medical condition - a new disability - and the myriad ways our bodies can surprise (and sometimes terrify) us. It’s a lovely book.
And it was such a fitting read for a moment when I learned I have a tumor in my lung, one that’s likely been there for decades. It’s strange and miraculous how my hearing loss is such a refuge right now: a known unknown. Strange how grateful I am for it, how vividly I can see the ways it helps me. Cotter’s book only bolstered this sense, and was a faithful companion in a time of hospital waiting rooms and medical tests and endless appointments. Cotter reminded me: We get through things, of course we do. We are so very lucky to be here.
After reading this heart-wrenching memoir, there is little chance of one taking the simple privilege of everyday hearing for granted. When the mysterious symptoms that turn out to be Meniere’s disease encroach upon up-and-coming college professor and writer John Cotter’s soul-satisfying work and domestic life, its degrading effects on his hearing and sense of balance slam down an unwanted wall between his aspirations and feelings and strengths on the inside and the world beyond of friends, neighbors, and strangers that he has always grabbed such joy and facility in communing with. An ill-understood condition, Meniere’s drives the dispirited Mr. Cotter to pursue any number of clinics and clinicians across the country for helps in dealing with this isolating “new normal” of greatly diminished hearing and unpredictable bouts of vertigo. While a beneficial exercise for him in terms of self-education in coping skills and in forging relationships, his trek reveals that too many of the professionals lack empathy or answers, and the memoirist, with the aid and abetting of wife and soulmate Elisa, rolls with the punches. Mr. Cotter is a grounded and reflective narrator of these struggles, and he envelops the reader in grieving for the losses, little and big, as well as rejoicing in his numerous hard-won but successful adaptations, and concurrent optimism for what is to come. An added bonus: his historical anecdotes about changing attitudes and outlooks towards Meniere’s can be as entertaining as they are, at other times, flummoxing. Losing Music is the outstanding work of a straightforward memoirist with a wry sense of humor who feels very much like a good friend.
This is a beautiful and at times heart-wrenching book about Cotter's journey so far through Ménière's disease, the condition that has gradually taken/is gradually taking his hearing and periodically sends him into waves of nauseating vertigo. It is meticulously written and constructed, from poignant reflections on what he has lost, through gripping notes on what he fears (and the weight he fears he places on his cherished wife), and into diversions such as a deep-dive on Jonathan Swift, who possibly or likely also experienced Ménière's disease; Cotter introduces the genre of "Ménière's criticism" (my term, not his) with his critique of Gulliver's Travels through this lens. His essays touch on shame and disability, anger and fear, through his own travels from Denver to Boston to a writing residency in coastal Maine and another in a Southern Colorado fort-turned-homeless-shelter—the latter an apt metaphor for his sense of displacement in the world he used to take for granted. As Cotter passes from his thirties into his forties and tries to imagine the gulf beyond, it also serves as a meditation on aging that anyone (of a certain age, anyhow) can relate to, and a meditation on disability in general for anyone touched by it.
Cotter's writing is deliberate and dramatic, poetic and what modern readers may view as pretentious. He clings tenaciously to an old-fashioned syntax and vocabulary, although it is authentic to him and his capacious, old-fashioned mind (I've worked with him and that's just how he IS). He selects words for their mellifluence and layers of meaning, not modern usage; thus it is "macadam" and not "asphalt" or "pavement" beneath his tires on the way to Albuquerque, although I would posit that not many Coloradans or New Mexicans born after 1910 would even consider referring to it that way. You might choose an ebook to be able to easily look up unfamiliar words, but don't tell Cotter; he would likely prefer a vintage dictionary on a stand, although sadly, he would only have to imagine the sound of the pages turning.
That said, it isn't tough to read -- I found myself only stopping reading when I was starting to doze off from the late hour and finished it quickly in three sittings.
"Most of the time I could keep all this [former life] in my head without mourning it, but that accomplished, I couldn't make it mean anything. I was between narratives. I didn't have a story for myself. Everything came apart when I fell ill; now I was a little better, for no understandable reason, and could fall ill again at any time, for no understandable reason. Biology wanted me to dwell on this, to constantly review it: the amygdala is surrounded by the hippocampus—our flight-or-fight-or-freeze responses surrounded by the part of the brain that controls narrative memory. Who was this self of mine—what was his story?" (p. 180)
"Insinuation, sex. The old man who sat down beside me on a bench with a drink on the Santa Monica pier. Like my barista, he barely moved his lips when he spoke ("You're old enough to drive Oscar Wilde"). Action items I murmured into the throats of girls at clubs. Instructions in the dark. It wasn't that long ago. Stubbornly, it feels like I was someone else. I'm someone else now." (p. 194)
"In the months that followed, the nightmare of spinning, I caught my brain rolling back—loose as my eyes in their sockets—to moments I wished I might have lived over. My childhood .... The pages I should have filled. The raw wasted time. I consoled myself that at least I'd learn all that could be learned about the disease—or collection of diseases catalogued uneasily under the name of one nineteenth century Parisian.... Following my visit to Fort Lyon, learning firsthand the way bad luck can alter the chemistry of the brain, I came to understand how this condition, the force of it, had denatured me. I accepted that the lost time was now lost, that the possibilities remaining in my life were narrower. (All of this took time; all of this was attrition.) What I took to be triage ... was in fact the scaffolding of my new life. ... I had to choose the way I'd be in the world with [it]." (p. 267-9)
Simultaneously raw and thoughtful, straightforward and contemplative, Losing Music is a beautiful, poetic portrait of navigating the (in one chapter literally) frozen hellscape of diagnosis and cure-hunting. The narrative is frank and intense, and as the music of the surrounding world ebbs away I noticed the music of the prose — a dab of assonance here, a prickly, surprising image there — growing louder.
Almost worth five stars. Learned a lot about hearing loss. Always thought it was something that got quieter and quieter over time, but not I understand better what my dad has been going through, why he was always so angry at us begging him to use his hearing aids, and why he was so desperate for a cochlear implant. With this new awareness, it’ll be easier to be more compassionate toward the Deaf and hearing impaired.
Music is a giant part of my life, so the way John Cotter describes his loss of hearing would destroy me. I thank him for writing his experiences and for showing the world that no matter how highly educated some scientists and doctors are, there is always something new to research. It also portrays just how fucked up the healthcare system is. Always advocate for yourself. And I believe that John Cotter does and always will.
I really did want to love this book, and in a sense I think I do! However, there is a lot of reference to literature, science, and historical background that made this book take a turn, and it just didn’t do it for me. I definitely have more respect and appreciation for things that seem so normal but can get taken for granted easily.
Disclaimer up front: I know John from when he ran Open Letters Monthly, but that has no bearing on how affecting I found this book. This is his story about going deaf owing to a not-quite-diagnosable disease that's a lot like Ménière's but not quite, and how it affected his life, work, relationships. Insightful and beautifully written, one of my best of the year so far. Highly recommended.
Great, somewhat heartbreaking read. The story of an invisible illness, the search for an explanation, desperation for relief, some denial and a ride on the roller coaster between hope and hopelessness. It’s a story of experiences that are hard to imagine and somehow familiar.
incredibly touching! heard john cotter give a reading of one of his new books earlier this month and i was immediately hooked on his prose—this definitely lived up to that. a story that doesn’t give you a list of reasons why *not* to give up, but rather all the reasons you might want to, and why they cower in comparison to the beautiful things still available in this life.
"Following my visit to Fort Lyon, learning firsthand the way bad luck can alter the chemistry of the brain, I came to understand how this condition, the force of it, had denatured me. I accepted that the lost time was now lost, that the possibilities remaining in my life were narrower. (All of this took time; all of this was attrition.) What I took to be triage--hearing aids, a pocketful of valium, time each day to rest--was in fact the scaffolding of my new life. And if the body is the self, if the body is the mind, then the hearing aids behind my ears and the lassitude that fell on me and the sounds in my head were my new bones and skin. I had to choose the way I'd be in the world with them" (269).
dnf’d about halfway. as you know if you read the book, it takes years to get a meniere’s diagnosis. I’m 26, and within the last couple of years, I’ve experienced, to a fairly strong degree, all of the same symptoms as Cotter, and, it seems, more hearing loss. I took 13 years of piano lessons, and piano used to be so core to my identity. you can imagine my elation at finding a book to relate to in this way. I empathize with Cotter, I do. but all that I read here felt so whiny and self-piteous, I just couldn’t do it. this reads like the story of someone who has never faced adversity once in his entire life suddenly encountering a challenge and handling it rather gracelessly. Cotter does point out his own privilege in this regard, so at least he recognizes it. I guess I’m glad this book exists, and for anyone feeling like Cotter, I’m sure there is hope and connection to be found in this book. as for me, though, I couldn’t handle the whole woe-is-me tone that characterizes this book.
I expected to like this book but thought it would be so wrenching as to make it a slow read. I expected to read some, say to myself, “God, I can’t process this, too much” and then return here and there. It is wrenching, but I blew through it, returning with anticipation. You feel little is held back and the writing is artfully balanced between the colloquial and the poetic (with some striking turn of phrase worth underlying every few pages); there’s a vibe of his unending frustration—with his insubordinate body and the bothered personalities reacting to it—provoking him to frankness that’s in combat with the boy who memorizes and mentally recites Shakespeare as a salve. Mirroring the balance in the language, the narrative smoothly shifts between interesting departures into topics such as the ethics of School of Mining engineers and the fragile dynamics of directing one’s spouse in a play. It functions as a traditional memoir as well a meditation on disability.
Cotter references Richard III comparing his prison cell to the world, an analogy which might encapsulate the entire book. The book’s acutely emotional experience turns on him putting you in his shoes in a way that should not be taken for granted—not just the symptoms and losses, but the grief attendant to the losses. I frequently represent clients in disability cases and now re-evaluate whether I really understood what they go through in the way I thought. The book explores the functioning and persona of physicians is an insightful way, and I hope as many physicians as possible find their way to reading it.
Cotter’s father, who was afflicted with alcoholism, looms on every page without being mentioned that often. There’s a book-length analogy (intended or not, but I think intended) between the disease and life with a (demanding, overbearing) alcoholic—the capriciousness, the cruel randomness, things fading in an out, not knowing what’s coming, not being able to really pin down what’s even happening. Bill O’Reilly talks loud and clear, and so does this subtext.
The book may be solicitous of sympathy (& why shouldn’t it be?) but it decidedly does not seek to flatter the author or cast him as a hero—but I think the reader, unprompted, will cast him as a hero, and I hope that’s a nice surprise for Mr. Cotter.
Facing a mysterious acoustic / audio concern of my own for more than a year now (and a genetic history of Meniere's), I approached John Cotter's "Losing Music" with considerable trepidation (even though mine does not nearly approximate the severity of Cotter's). At the same time, how often does an opportunity present itself — outside of the WebMD spiral, doom-scrolling forums on Tinnitus Talk or other research-journal wish-casting / detective work — to read about someone's experience in this way? Something philosophical rather than medical, contemplative rather than curative? I am forever grateful for Cotter's work and moving past my misgivings about reading it. On one hand, I've never seen a more sobering, accurate depiction of the abject misery of audiological healthcare — perhaps the corner of the healthcare industry propped up most by answers that perpetuate the racing mind of wonder and mystery while doing little to ameliorate physical misery. On the other, Cotter's own contemplation of the medical dead-end so many face sparked within me a consideration of the grace afforded to the future life of which I yet have no knowledge. One of the book's many beauties is that you (or someone you know) need not have a similar experience, as it speaks to a universality of loss and how you define it but also — and this is crucial — the discovery it can inspire. This isn't treacly self-help empowerment. It is practical, everyday perspective, with a sense of humor as wicked as its strategies are wise.
This is an incredible memoir about a little-known and poorly understood disease. It’s not the standard there-and-back-again sickness story, and it’s not made for the afternoon talk-shows and inspirational posters, dripping with self-knowledge and advice like so many illness narratives. Losing Music is about losing some things and finding, or, rather, creating other things. It describes the long and winding coping process of acquiring a disability (Ménière’s disease, in this case) in the prime of life and all that entails. And, boy, it is a lot. Our hearing is bound up with so much, after all—relationships, self-worth, our memories, our sense of the world. So of course there’s grief, confusion, fear and exile as the author’s body betrays him (the vertigo bouts are particularly harrowing) and he searches far and wide through the often ridiculous US medical landscape for answers. If there is such a thing as medically Kafkaesque, Mr. Cotter’s frustrating hunt for answers might be it.
But his story’s about much more than that. It’s one person’s search for how he’s going to be in a world that’s in some ways narrowing for him, while in other ways is pointing him to what (and who) is truly worthwhile. It’s in those moments that the prose moves beautifully toward compassion, levity, slow transformation, the forging of a new version of himself. The lessons aren’t tidy, but they’re real and they’re hard-earned, and I’ll take that any day.
I met the author at a poetry reading here, and although I am not "an audio book person" was interested to read the book he had given an excerpt of. Because I had heard his voice and knew that he was the reader of the audiobook, I decided this would be a great book to try out non-eyeball reading with.
I knew from the poetry reading that the book was about grappling with hearing loss that was more complex than I usually thought of hearing loss as being; the section he had read got across (maybe selected for a dual purpose of putting people at ease for the social hour that followed) that things had gotten really bad but were better now but not resolved. Music itself figured less in the book than I expected, and that's ok. The descriptions of winter and balancing difficult social time with also-difficult quiet time were quite excruciating in spots, which, while recalling now for this review, gives me a false sense that I actually read these words on a page. I know I didn't and I don't know why my brain wants to think that a tough story I read must have been with my eyes.
I learned a lot from reading LOSING MUSIC, and I appreciated John Cotter’s insight. He did a lovely job of keeping readers engaged as he walked us through his (probable) Meniere’s Disease. We watch as he tries to find audiologists, doctors, and specialists who might be able to help him. We witness his persistence, his despair, his frustration, his adjustments, and his efforts toward acceptance.
Showing us how a diagnosis (hearing loss and vertigo) impacts relationships with others, he writes about friendship and about his significant other with respect and gratitude without sacrificing honesty about his own short-tempered (human!) moments and understandable pockets of self-pity. He also helps us understand how a chronic and progressive disease impacts one’s relationship to oneself, one’s career, how it affects normal daily tasks, but also how it changes a person’s hope, optimism, and life perspective.
I was very interested in this book - I was briefly acquainted with the author during the years he lived in Denver. At the time he was beginning the search for medical assistance that he describes so well in the book. I was naturally curious to read about the medical search, but the book is so much more than a itemization of doctor visits. Seeking to clarify what a diagnosis of Meniere's disease means for him (and to him) Cotter explores the effect of his condition on his wife; his relationship with her; his friends; his working life as a teacher; and how he contemplates his future. I found reading about his time spent in a rural Colorado residential center for homeless found on the streets of Denver to be the most poignant part of the book. Perhaps not the kind of book I can say I "enjoyed" but I was deeply engrossed as I read and finished the book in one day. That sort of absorption doesn't happen often!
This is a painfully heartbreaking memoir written by a genius of a man who slowly lost his hearing over several long years. I've taken several writing classes over the years with John Cotter in Denver, and he is a brilliant writer, teacher, speaker and actor. I knew he was deaf, but this memoir about the intricacies of how he slowly lost his hearing, and all the tests and surgeries and medical interventions he endured to try to find a diagnosis for what ultimately turned out to be Meniere's disease - were terrifying to hear about. The years of dizzy spells, vertigo, nausea, hearing that comes and goes and disappears altogether and reappears - I felt the awfulness of these years in my heart and soul. This memoir, narrated by the author, had me reeling in agony over all that he endured. I am especially awed because John is SUCH a great writing teacher, and very upbeat - and I would never have guessed he's endured these decades of agony. His memoir - narrated by John himself - is painful to listen to but worth the time to learn of how he overcame the worst of his hearing struggles.
2.5 (Audiobook) This is a low rating for me but this wasn’t a bad book by any means. There are elements to this book and themes discussed that I really loved! I just really did not like how the book was structured. I think telling his story more linear would’ve been more effective and easier to follow, having a greater impact on the reader. The journey of him grieving his past self was very interesting. I also really enjoyed the historical/literary tangents on Ménière’s disease and vertigo. I just found it could be hard to follow his journey due to his personal life experiences jumping rapidly from past to present. The immersive audiobook elements of conversations were really great to put yourself in his shoes in the context of trying to hold conversations in different situations/severity of hearing loss.
Cotter gradually starts losing his hearing, along with vertigo, roaring noises in his ears, headaches, inability to focus, in his mid-thirties. This book is part history, (Jonathan Swift had similar disease), part medical science, part losing oneself and perhaps reimagining that self, a compelling, thoughtful, heartbreaking story of how life changes, without our control, and of our ability to cope with and change, too. Milkweed: “A devastating memoir that sheds urgent, bracingly honest light on both the taboos surrounding disability and the limits of medical science, Losing Music is refreshingly vulnerable and singularly illuminating—a story that will make readers see their own lives anew.”
Just like Meniere's Disease, this memoir doesn't have a satisfying resolution, but it won't kill you or anything. I picked this one up because I have MD, and we in the fake-sounding vestibular disorder community need the representation. If you're hearing (or partially hearing, like me!), the audiobook is well worth a listen, as the author does a perfect impression of the inside of a Meniere's attack. A more apt title might be "Losing Balance Fucking Again," and Cotter nails that experience, too. A thoughtful book from someone who knows things could be worse, and another weird entry from Milkweed.
I often have a heavy dose of skepticism when it comes to books about Deafness, but Cotter managed to win me over. The day to day of living with hearing aids. Discussions about restaurants, bars, conversations with more than 3 people. Cotter gets the little things right. I did somewhat lose the plot a bit around the beginning of part 2, and Cotter treats the memoir as an exploration more of illness than that of disability. His prose, however, reflects a great love for sound. Worth a read, and it's quick.
Cotter writes this book as he is suffering from Ménière’s disease. (Or something like it, with vertigo, hearing loss, tinnitus as symptoms). The first part of the book was very good, and very readable. The 2nd half was more uneven, where he talks less about himself specifically, and more about others (Jonathan Swift), and more medical things. I feel like it would have been better to intersperse those things with his story. He eventually comes back to his story, for a stronger finish. 3 1/2 stars.
I picked up this book expecting to read about complete deafness, but I found instead a story about progressive hearing loss (and vertigo). My 98 year old grandfather has progressively lost his hearing over the last 25 years. This book gave a new perspective to what this experience must be like. I am so grateful to John Cotter for finding meaning for himself in writing at length about his condition, the limitations of modern medicine, and finding a way to live with himself in the face of great fear. Thank you, John Cotter. This book is beautiful.
A clear and affecting memoir about one man's exploration of a rare illness and the ways its progression changes how he lives and who he is. I loved being taken to unexpected places: a homeless shelter in eastern Colorado, the Ireland of Jonathan Swift, a writing class for refugees. And I appreciate the gift John Cotter's given us: a fresh perspective on and deeper appreciation for something most of us take for granted.
Read this bc I like Elisa Gabbert’s work & she promoted Cotter’s (her husband) memoir. Their love story is real+ beautiful. His disease is horrifying as well as the American healthcare system. The through line got lost a bit; read sort of like a series of essays, but I like essays so that’s cool. Life comes down to chance and randomness & I like that nihilistic&humanist takeaway instead of the “here’s the one simple trick I learned to cure my ___”
A heartbreaking and moving memoir about John's emotional journey through his diagnosis of Meniere's Disease. As someone studying hearing and balance disorders, I appreciated how real this book was - how John described his feelings, his grief, his struggles, his relationships, his accommodations...I'd recommend this book to anyone, especially those in any sort of health profession. It shows both how dismissive some clinicians can be, but how helpful others are. A very eye-opening read.
This book is a bit of a mess. Part of it is the story of this guy's loss of hearing and how it affects him and his relationships. Part of it is a dissertation on Ménière's disease, in fairly great detail. And part of it stream of consciousness dissembling. There isn't a clear through line..... so I often found myself wondering how we even got to the current part of the book. He is in some ways a good writer..... but this book is so poorly constructed, I wasn't able to enjoy his writing.
Memoir by someone suffering from an undiagnosable hearing loss and vertigo problem. This was interesting, and I think the parts that stood out for me with most were his struggles with getting a diagnosis and coming to terms with being disabled. There's a lot about how his partner has to take care of him and he feels bad about it/thinks she's awesome, but she somehow never comes across as a fully developed person.