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I was taking pictures that were pushing the boundaries a little bit, but they just sat in my darkroom. When her book Immediate Family was published in 1992, the work took on a life of its own

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Originally, it was called Blue Velour. But at some point while I was writing it, I was listening to the folk singer Cassandra Jenkins, and her song American Spirits came on, and I thought, Thats it. Not only are the main characters smoking American Spirits cigarettes throughout the book, but the novel is also about channeling the ghosts of American music and how creative expression often derives from a haunting of sorts

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Accumulating evidence from observational studies suggest that brain changes leading to dementia including vascular changes probably take decades to accumulate and may be detected as early as midlife, 10,11 but the contribution of these earlier changes to cognitive aging is unclear