“No, don’t think I need anything at all.”

It’s Wednesday morning, and this morning I’m writing this blog post on my laptop computer, which at the moment of writing this sentence is, in fact, resting atop some form of my actual lap.  Actually, it’s more on my right thigh and lower left leg, the latter of which is crossed over the former in what’s sometimes called a “figure four” posture, rather than being a true, traditional “lap”, like you might find in Lapland (presumably at discount prices).  Unfortunately, though useful, that figure four posture puts strain on my left knee—at least if it’s in any kind of sore state, which it is at the moment—so I’m probably going to have to switch that out.

I’m really tired, even for me.

I’m tired of trying.  I feel that I’ve been trying hard all my life, and in many objective senses, I honestly have.

I was never a slacker in school.  I graduated with all “As”, I was class valedictorian, I was a National Merit Scholar, all that bullshit.  I got a full ride scholarship to Cornell, without having anyone with any kind of real background knowledge or connections about how to apply to a high-level university or anything.  We certainly had no “connections”.

Anyway, you all know all that stuff:  blue collar town, scholarship to college, heart defect discovered and heart surgery done during my first summer of college, significant mood and (temporary) cognitive side-effects from open-heart surgery, leading to switched major.

Graduated with honors*, had a temporary (but severe) estrangement from my parents** due to issues involving my now-ex-wife.  Was administratively discharged from the Navy for health reasons related to the heart defect and also to my mood disorder.  Was not able, at that age, to finish my novel-in-progress, and so decided to go to medical school.  Got the distribution requirements easily enough, went to medical school on a partial scholarship, had some pretty bad trouble with mood disorder during third year or so.  Did residency, had kids, moved to Florida to start practice.

Had a back injury, with consequent chronic pain, worsening mood disorder, divorce, “temporary disability”.  Tried to do at least part-time medical work to help other people with chronic pain, but was not the sharpest tool in the shed when it comes to certain things that are beyond the straightforward (i.e., trying to help people with chronic pain but not realizing that some people—some patients and people with whom I worked, as well as the State itself—had ulterior motives of one kind or another) and thus not even recognizing that there was a chance that I could be arrested or charged with anything, since I wasn’t trying to do anything wrong…I was just doing what I saw as the essence of my job (trying to relieve suffering), and had no desire even for personal enrichment.  Seriously.  I gave away most of what I made to other people.  I’ve done that a lot, and consistently, throughout much of my life.

I’m stupid that way.

Then, of course, I went to jail and prison, and I haven’t seen my kids in over ten years.  I haven’t spoken (in any sense) with my son in that time***.  I’m still in chronic pain, my mood disorder is as bad as ever or worse, and I’ve recently discovered that I’m possibly/probably on the autism spectrum, which would explain a lot of my not understanding or expecting the issues that led me to be arrested, among other things.

It probably also explains part of why I had so much trouble with (for instance) dictating charts after I went into private practice.  I don’t know if I’ve ever mentioned that last bit here, but that was a nightmare for me.  I had the most horrible time trying to dictate chart notes, and always ended up getting backed up—a lot—no matter where I was in practice.  It seems all the other doctors and everybody just loved dictating charts; they thought it was so much easier than writing.  For me it was like trying to build a sand castle using knitting needles.  But I didn’t understand why I had so much trouble with it, I thought I was just being lazy or weak or something, and I just had to force myself to learn to do better, so I kept on trying, and I kept on getting backed up (severely) over and over again.

It’s a stupid idea, anyway.  Writing and speaking are two different kinds of processes, and organization and recording of medical notes is better done in writing.  Also, that way there’s also not delay in getting the notes into the chart.  I couldn’t speak and say the things I’m writing here with anything approaching the speed and clarity with which I am typing them.

Nowadays, I think most medical charting is done using portable computers, which—if the system is good—is probably an excellent option.

Anyway, all that leads up to now, when I’m living alone in a single room (with attached shower/bathroom), in a house that is not my home, working at a job that I’ve worked at basically just to keep myself alive and fed while writing fiction…but now I’m no longer writing fiction, I’m no longer doing music, I’m no longer doing anything apart from this blog.

Tomorrow would have been my 32^nd wedding anniversary.  Though I’ve been divorced longer than I was married, it’s still an important, or at least consequential, day to me, though I’m guessing it isn’t as important to my ex-wife.  I don’t know, I think I’m a member of a species that mates for life to a single mate (though clearly that was not the case for her).  I certainly have no desire to get romantically involved with anyone else ever again—it’s not worth the risk.  I also can’t imagine anyone wanting to get involved with me.  The few minor attempts I made after my divorce were laughably bad.

There’s nothing good coming down the pike.

And no one is going to help me, I’m pretty sure of that.  I’ve sent out coded and not-so-coded distress signals, here and elsewhere, over and over again, in various ways, some of which are perhaps opaque, but others of which I think are rather obvious.  Maybe it’s just a case of some form of “the bystander effect”, I don’t know.

I’ve tried to do therapy again**** (online this time), with limited and very temporary effects, and I’ve called 988 and spoken to the very lovely person who was there—they deserve all the plaudits and support they can be given.  (I’ve tried to call it more than once, the first occasion of which involved a misadventure due to T-Mobile’s bad service at the time).

It’s all ultimately not getting me anywhere.  I’m not accomplishing anything or contributing anymore to the net worth of civilization.  I’m certainly not contributing to my own well-being, because I don’t think that even exists.  I’m just adding my little, inconsequential bit of entropy to the eventual (probable) heat death of the universe.

I need to die.  I’m just having a hard time working up the nerve to do it.  I wish I had a drug or alcohol problem, because the use of those is associated with higher rates of suicide, and even “accidental” overdose death, but I don’t seem prone to such things.  I have large bottles of aspirin and acetaminophen and naproxen that I could take, but such means are unreliable, and the process tends to be quite drawn out.  I don’t own any guns anymore.  I did buy two helium tanks and a non-rebreather mask and tubing, but setting that up and applying it turned out to be difficult, and I didn’t have a good place to do it.  I hate the idea of leaving a mess for innocent people, though that may be unavoidable.  That’s also the main reason for not just cutting various arteries open after ensuring that I’m adequately anticoagulated—I’m not afraid of blood (and I’m demonstrably not afraid of cutting myself), but I know other people are, and I don’t really want to traumatize others more than I already have in my life, if I can help it.

I had a rather strong bourbon and diet-Pepsi last night; alcohol is supposed to help one harm oneself, but it’s just made me feel more tired today than usual because of worse-than-usual sleep.

Anyway, that’s enough for now.  I don’t know if or what I’ll write after this.  I hope the rest of you are feeling better than I am.

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*After initially missing the deadline for my honors thesis, thinking it was due a month later than it was, and having to write the whole thing—52 pages!—in one weekend.  I might have gotten more than a basic cum laude if I’d been better able to manage deadlines and all that, but it was never my own idea to try for honors, anyway.  Not that I regret it, but it was not my ambition.

**And more indirectly, in consequence, with the rest of my family, since they were caught between.  I feel very bad about that, and about the time I missed with them and my parents, all over someone who left me in the end.

***His choice, not mine.  We have exchanged one email in that time, and he sends along his thanks via his sister for birthday presents and the like.  He’s a good person, and I love him and am proud of him and do not blame him.  He’s not much better at dealing with things like this and with other people and with radical changes of circumstance than I am, and I think he was badly hurt by everything that happened.

****I’ve gone to at least four or five therapists, and I’ve even been (very briefly) hospitalized once for depression while I was out on bail.  I’ve tried at least seven different anti-depressants with mixed results, at best.  And here I am.