Hello and good morning.  It’s Thursday, February 2nd, and the day of the week on which I’ve long done my semi-traditional blog posting.

I don’t know whether I have the energy to hunt for a Shakespeare quote to alter and/or a picture to put at the bottom, both vaguely related to whatever “subject” I address in the blog.  But, of course, by now, you readers will know what decision I, the writer, will have made, even as you read the words I’m writing while I do not know.

It’s a bit wibbly-wobbly, timey-wimey, isn’t it?

Of course, the biological experience of time is much more malleable and irregular than the actual nature of time, but time is not a simple, straight, linear dimension.  It’s warped by the planet beneath your feet, among many other things.  Your physical body’s tendency to want to follow the most “direct” path through it‒and the fact that the planet is in the way, preventing you from following that path‒creates what we call gravity, locally.

When you’re free-falling, you’re coasting through time (and space, of course), and it’s the ground that actually accelerates you once you reach it.  It’s a hell of an acceleration if you’ve been pursuing your geodesic unimpeded for long by the time the ground throws itself into your path.  Human’s aren’t built to withstand that kind of acceleration.

I’m writing with my smartphone again, today, by the way.  It’s just too annoying to deal with the laptop at the bus stop.  I also wrote more words than I really had meant to write yesterday, probably because I type faster on the laptop, but I don’t think the increased number of words was associated with an increase in actual content.  I think the signal-to-noise ratio, if you will, of my blog post yesterday was lower than it has tended to be with the phone.  That’s not an objective measure, however, and others may disagree.

As for my thumbs, they already feel a bit better than they did, and they’re not giving me too much trouble now.  I have some Voltaren cream (or is it an ointment?) that I can apply to the joints if necessary, though I already take round-the-clock NSAIDs every day for my chronic pain, so it’s not really recommended that I add the Voltaren, a strong NSAID in it’s own right.  It increases the risk for kidney damage and liver damage and stomach issues and so on.  But I’m already at risk for those things (though I take Omeprazole for my stomach protection) and I don’t see easy short-term solutions to the problem.

This is one of the conundrums (conundra?  Probably not) that make opiates and opioids both necessary and yet culturally difficult‒our non-psychoactive pain medications are literally toxic to our bodies above a quite low threshold relative to their analgesic powers.  Yet pain does not easily just go away on its own in many cases‒biology is subject to much stronger pressures for pain to persist than to allow it easily to be relieved, and those incentives will remain so in any evolutionarily stable form of life.

Opiates and the like can work against nearly any degree of pain with limited direct toxicity, but with diminishing success and tolerance, requiring increasing doses over time*.  But they do affect neural circuitry, reward, and motivation, among other things, and so their use is complicated‒and it’s additionally complicated by the fact that the treatment of pain, physical and psychological, is somewhat taboo in our society.

The use of various substances in one’s own body is even criminalized, and so black markets arise to take advantage of the inevitable demand.  And without matters being out in the open and subject to expert scrutiny and monitoring and education, various abuses and issues relating to lack of access to appropriate guidance and treatment and support arise and worsen.

And they will persist.

Do you think continuing to criminalize the use of drugs of various kinds will decrease abuse and death and even violence related to the drugs?  You hypocrites!  I say to you that it is the criminalization of that use that created the black markets and abuse and danger and sordidness‒and, indeed, the majority of the deaths‒in the first place!

You punish people for trying, however imperfectly, to treat chronic pain and those who suffer from it from addressing it, and are surprised that sufferers turn to the market you have created for illicit meds.  You have the temerity to be “shocked” that people die from the unmonitored, unregulated, inexpert use and manufacture of these things which you have removed from the bailiwick of expert awareness and oversight and monitoring.  You took an area that should have been medical and made it criminal and are stupid enough to be surprised that opportunistic criminals (whether they be gangs or governments or otherwise) are not as careful and caring as actual medical professionals.

And sometimes you are so hopelessly moronic as to imagine that further punishments of both producers and suppliers‒and even users‒of drugs will change the problem or decrease it or make it go away.  As if making an already suffering person’s life even more difficult and miserable is going to diminish their urge for relief and escape from at least some forms of pain, and their willingness to risk the permanent end to their pain that is death by overdose.  I’d need to exist macroscopically in all the ten spatial dimensions of M Theory to be able to give that the eye roll that nonsense deserves.

Phew.  That was a heckuva tangent.

I don’t actually use opioids or related medications, though I have been prescribed them in the past.  They interact with my rather peculiar nervous system in ways I find truly unpleasant, though they can help with pain.  So, instead, I suffer constant daily assaults on my kidneys and GI tract and my liver, and I accept that.

It’s not as though I will seek treatment if my organs fail.  I have no insurance, for one thing, but also, I just don’t see any point in trying to preserve my existence.  Heck, I’ve been told I have a possible recurrence or deterioration of my congenital heart problem‒I’m not fully convinced that it’s really any kind of recurrence‒for which I had heart surgery when I was 18, but I have no interest in pursuing possible further exploration or treatment of it, anyway.

Let my kidneys fail, let my liver fail, let my heart fail!  Blow, wind, and crack your cheeks!  Why would I try to preserve or prolong my existence when I don’t even like myself, let alone have anyone else nearby who likes me and spends time with me***?

Anyway, that went off the rails pretty quickly, didn’t it?  It also got longer than I expected.  Sorry.

I still don’t know the answer to my initial wondering about titles and pictures‒but you all do.  And I love you for it.

TTFN

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*Though at least they don’t directly poison livers and kidneys, and the needed doses don’t keep going up without limit, though they are nevertheless often higher than most doctors are willing to prescribe.  This is largely because doctors fear having what happened to me happen to them, and who can blame them?  The only exception to this general hesitancy is with cancer.  People with cancer are allowed to be treated with whatever level of pain medicine it takes to reduce their pain, because in the typical human “mind” having cancer pain is different, and people with cancer are special.  They’re allowed to be dependent on pain medications, because surely they have the only type of pain that can go on and on without resolving and can steal all the joy from their lives, eventually killing them.  Anyone else is just a disgusting drug addict, a scum of the Earth, and deserves merely contempt**.

**The latter portion of the above paragraph is sarcastic.

***I cannot blame them, so don’t be defensive on my behalf.  I find myself infuriating and disgusting.