The world is filled with perfect words.

Sometimes, it’s because of the way they sound. Is there a better term to describe the sound mud makes under your boot that squelch? Could bacon do anything other than sizzle in the pan?

Other times, words possess a certain rightness because they’re the ideal way to express a mood or feeling. Take languish for instance, a word that means “to become weak; to droop or fade.” With all its long vowels, it slides slowly from the tongue and softens the mouth. Even the “g” in its center hangs like a fat cat’s belly, as if it barely has the strength to hold itself upright.

There are words like décolletage, anathema, palimpsest, and paronymous, all desirable for their rarity. There are also well-worn ones —friend, laugh, peace—that are threadbare from being frequently pulled from our linguistic back pockets. And like the Velveteen Rabbit, they are all the more loved for their familiarity.

Some words are so precise that they don’t have an equivalent in another language. French has retrouvailles, which means “the happiness of meeting again after a long time.” And German—a language known for plosive and guttural sounds—boasts backpfeifengesicht or “a face that cries out for a fist in it.”

English speakers know all to well that our mother tongue favors quantity over quality. So finding the perfect word means we must rummage through piles of synonyms to it suss out. Why, even a simple word like happy has more than fifty cousins—everything from cheerful and merry to ecstatic and jubilant. And like the crayons in a child’s color box, each one is a slightly different shade, a degree warmer or cooler, brighter or dimmer than those around it.

But there are also times when there is no perfect word, no combination of consonants and vowels can capture exactly we want to say.

My grandfather has Alzheimer’s disease, and his mind has declined to the point that institutionalized care is necessary. Thankfully, I can use the term in the loosest sense of the word. Far from institutional, the place where he lives has fewer than thirty patients and is filled with the trappings of home—everything from vases full of fresh flowers to hand towels in the bathrooms. People volunteer to read to and play games with the residents. A hairdresser comes in once a week to give the men a quick trim and the ladies a wash and set. Home cooked meals and snacks are served at the same time each day in the communal dining area. I’ve stayed in hotels that didn’t boast such amenities.

But this isn’t a cozy bed and breakfast. It’s a place for people who will never improve, and like the Eagles say of their symbolic Hotel California, “You can check out any time you like, but you can never leave.” This was made clear to me when I realized the doors there required a code to get out as well as in. It’s a simple sequence: 2-0-1-5. The current year. Four digits visitors can’t forget but that their loved ones can barely remember. Because when memories are scattered like Pick-Up Stix across the kitchen floor, keeping track of time isn’t as simple as it once was.

Because I live several hours away from my grandfather, I was the only member of my family who had yet to visit him in this place, and that made me feel as if I was letting him down somehow, shirking my duties as a granddaughter because I had yet to take stock of his situation.

So I went with my mother, grandmother, husband, and kid cousin to sit with him for a few hours. We planned on enjoying the mild Florida weather in the large screened-in porch out back, to sit in the swings and talk of pleasanter times. But the instant we walked through the door, one of the patients saw my grandmother and cried, “Play! Please play!”

Unlike me, she visits daily, and part of her routine involves sitting down at the wheezy, grumbling piano to plunk out familiar tunes like “God Bless America” and “Yankee Doodle Dandy” in addition to the many hymns she can perform from memory. She nods and pats the poor woman’s spindly hands reassuringly.

As she plays, her cherry red acrylic fingernails clicking on the plastic keys like a woodpecker jabbing in search of a juicy beetle, many of the patients grow still and close their eyes. Some sing. For others, the verses and choruses vanished long ago, but the tune is still there, stubborn until the end. And so they hum.

My grandfather is one of the latter. And as my grandmother finishes the final verse of “He Hideth My Soul” and switches over to “The Old Rugged Cross,” I watch his trembling lips struggle to form the once familiar words….

“On a hill far away stood and old rugged cross, the emblem of suffering and shame…”

How many times has he sung this? I wondered. How many camp meetings, gospel sings, and Sunday services? And the words are just gone?

What was it I felt in that moment? It was both pity and something deeper. There was pride too, because Alzheimer’s hadn’t claimed every inch of him. Frustration. Rage. Confusion. Heartache certainly. And there was also love—a tenderness so fierce it could crush bone. They were all correct words in their way, but there wasn’t one that represented the sum total.

I could see it on my cousin’s face however. It was the mix of sadness, confusion, and grief that comes when you realize your life has been irrevocably changed—and not for the better.

I knew he saw the same expression on mine as we both sat fighting back tears, the kind that constrict your throat and make your eyes burn but never quite spill over. For that small mercy, you’re grateful. Because once you start sobbing, it will crack you wide open and release those emotions words don’t dare lay claim to. And despite the fact you are finally able to voice your hurt, you do so in a language only you can understand.