Well, it’s Wednesday morning now, as one might expect, if one lives life linearly and ordinally, which is how I do it.  I’m writing this on my little laptop computer today, because my thumbs have been getting sore from the use of the smartphone for blogging—more precisely, the base of my thumbs and my first MCP joints on both sides hurt quite a bit.  Also, I just type faster on the laptop, and It’s easier for me to express myself, though why I ever bother doing that is not quite entirely clear to me.

I feel pretty rotten still—physically, I mean.  I still have body aches and soreness and weakness (or at least asthenia) and a general feeling of being slightly breathless.  I still had a very low-grade fever as of last night, but I checked my oxygen, which was 95-96% saturation, occasionally pushing up to 97%, and my pulse rate was in the high-90s to low 100s, a bit variable with respiration.  That’s actually slightly low for me.  All my life I’ve tended to have a rapid pulse, possibly related to the atrial septal defect with which I was born, which can affect the heart’s inherent pacemaker and conduction system because of its location.

Apparently, the average number of heartbeats in a lifetime for a human (or closely related alien) is about 3 billion.  This is more than that of most mammals, which hover a little below two-thirds that many, if memory serves.  That number is roughly consistent from shrews to blue whales.  Geoffrey West discusses some of this in his book Scale, which is really interesting, and I recommend it.  As for me, I haven’t read anything in over a week, really, other than a few blog posts.

I just did a quick calculation regarding my chronic, diagnosed “sinus tachycardia”*.  If my average heart rate were 110—which my pulse can hover near, at least some of the time—I should have lived to about 51.8 years.  I’m already slightly past that, but within the realm of rough experimental error.  If 105 were closer to my average, my expected lifespan would be about 54.3 years, which would mean I have less than a year to go.  I figured the first number by dividing 3 billion by 110, then by 60, then by 24, then by 365.25.  I then did the second one by replacing the 110 with 105 and repeating the whole thing, but it occurs to me that I could just have taken 51.8 x 110/105 and gotten the same answer more easily.

So, basically, if my pulse has been steadily tachycardic—which I can only infer roughly based on the moments in which I’ve actually measured it, since I obviously didn’t measure it in between—then I’ve already lived just about as many heartbeats as I’m expected to live, on average.

Of course, there are some big “ifs” there.  There have certainly been times when I’ve been more fit, and that has tended to slow my resting heart rate somewhat.  Also, let’s not be too quasi-mystical about all this; it’s not as though there is some ethereal hourglass that measures out not seconds but heartbeats in the platonic space of life and death.  It’s just a rough average.

If the world is deterministic, then of course, one does, in a sense, have a pre-programmed number of heartbeats before one dies, but there’s nothing about that number that would determine the length of one’s life; it would, indeed, be a consequence of the various things that determine the length of one’s life, just as would the length of that life in seconds.  It wouldn’t be a dispositive fact, merely an epiphenomenon.  It would be casual rather than causal, one might say.

This is all a bit silly, but in many ways it’s reassuring to me that, just maybe, I really have come to what will be the natural end of my expected life.  I’ve read that people on the autism spectrum have shorter expected lifespans than people not on the spectrum (the range is wide, apparently anywhere from 36 to 61 years, which seems pretty imprecise) supposedly largely due to the various difficulties with self-care and social support and the like.

One reads plenty of reported evidence that a key determinant of a long and “happy” life is the degree of one’s social support network—not necessarily its size, but certainly its quality.  Well, when one of the fundamental aspects of a dysfunction is difficulty with ordinary social communication and connection, one can expect a group to tend to have a poorer social support network and ability to self-advocate.  And, of course, the three major proximate causes of death are apparently—according to a quick Bing search—epilepsy, heart disease, and suicide.

As far as I know, I don’t have any form of epilepsy.  I do have a cavum septum pellucidum cyst in my brain, which was discovered by chance on an MRI done for other reasons.  It’s a benign finding, in and of itself, but it turns out to be slightly more common in people with ASD (the neurologic one, not the cardiac one) as does ASD itself (the cardiac one, this time, which I also had).

So, I do/did have at least one form of heart disease, though I don’t know whether it counts in the measure of what they’re describing as such causes.  I think the third thing in the list is by far the most likely cause of premature death for me, if “premature” is really the right word.  After all, my “social support network” is locally all but nonexistent, and is very limited on a distant scale.

Of course, sleep disorders—also apparently very prevalent in those “on the spectrum”—are significant impediments to a long and happy life for anyone, and my sleep has been disordered for a very long time.  As a case in point, yesterday I was so physically wiped out from work and feeling ill that I just took a ride from the train station to the house and tried just to shut off the light, take half a Benadryl, and go to sleep.  Then—to no one’s surprise, but to my frustration—I could not get to sleep until after midnight, and then I started waking up by no later than two in the morning, awakening on and off every ten to twenty minutes until finally there was no point in delaying anymore.

I don’t know why I’m discussing all this trivia.  Maybe I’m just to try to get the message out that, if I do die “young”** in the near-future, which doesn’t seem terribly unlikely, you shouldn’t think of it as something sad, as some kind of tragedy.  My life is pathetically empty, and rather unpleasant most of the time.

I would never say there aren’t people who have it much worse than I do.  Of course there are.  That will almost certainly always be true, by any set of criteria one might choose.  It’s also irrelevant.  There are people who die young who, based on the quality of their lives, would have been better off having died even younger.  And there are those who live very long lives who still could have lived even longer with great happiness and well-being, and so even after a century, such a death could be considered premature by some criteria.  Futility is in the eye of the beholder.

Anyway, I’m dragging this out, as I tend to do.  I just feel very tired, and very uncomfortable, and I don’t have any particular joy, or prospect of future joy, that makes me want to keep going and live longer.  I’m lonely and sad and uncomfortable and awkward and weird, living in a world in which I feel like an alien or a changeling or a mutant, or whatever.

Well, lets call that good for now, so to speak.  I’m going to get a Lyft to the train again today, because I’ve taken longer than I’d like to catch the bus, and anyway, I’m still just wiped out.  I’m going to try to time the train I take so that I get to my destination after the nearest CVS is open, so I can pick up some cold medicine***.  Maybe a decongestant will help me feel like I can breathe a little better.  Who knows?  But I need to do the payroll today, so at least it might help me stay awake for the time being, even if the decongestant effect doesn’t make much difference.  After that, I don’t think it really matters much.

*Nothing to do with the sinuses in one’s head, but with the sino-atrial node in the heart, the intrinsic pacemaker.  It means that one has a fast heart rate—tachycardia—but that its origin is at the usual source of the heartbeat.  It’s not an aberrant source or a reentrant tachycardia such as might occur when the conduction system of the heart develops a loop that keeps feeding rapidly back into itself and generating a truly and significantly over-fast heartbeat.  That can degenerate into more dangerous arrhythmias, whereas sinus tachycardia does not tend to do so.

**Scare quotes added because I do not feel young in almost any way, other than, perhaps, my ability to remain curious about various things in a way that seems unusual in other people somehow.  Many days I feel as if I’ve lived for centuries, but not in a cool, Anne Rice vampire kind of way.  Rather, I feel more like a mortal who has kept one of the Great Rings.  I’ve discussed that metaphor before and won’t bother going into it now.

***I did time it correctly, and the CVS was open…but the pharmacy was not, and will not be until 9 am.  Unfortunately, one cannot get real Sudafed—the decongestant that actually works without causing dangerous elevations in blood pressure—except at the pharmacy counter, and only in limited amounts, because some people have used it to make amphetamines.

This is a truly absurd and sub-moronic standard.  It’s harder for a law-abiding citizen in Florida to get a product containing pseudoephedrine than it is to get a gun, and all so the state can prevent a small minority of people from willingly taking a substance into their own bodies that no one is forcing them to use, just as some other people use beer or potato chips or Big Macs or ice cream…or tobacco.

And, of course, they aren’t actually preventing anything.  If they wanted to prevent drug use, they’d have to try to find out why life is bleak and empty enough for some people that they seek artificial sources of transient mood elevation (even though those sources are dangerous) and perhaps try to remedy or at least remediate the causes.  But, no, the same sort of people who would decry government overreach if corporate or upper-echelon income taxes were raised slightly, or if the government tried to ensure that people are vaccinated to curtail the spread of actual contagion to millions, and who would take up arms in open rebellion against any attempt to restrict gun ownership at any level, are willing to have the state keep people from using a comparatively safe medication for congestion and force them to use more dangerous ones—like oxymetazoline, which I am going to have to use, today.

The law truly is “a ass” and “a idiot”, and it’s written by people who are—and who are voted into power by—cretins and troglodytes who cannot even comprehend the nature of and the science behind the comforts and technologies which keep them alive and relatively safe.  If any readers here have any influence in this particular issue, please try to do something about it.  If necessary, just burn it all—the whole stupid planet—and let nature start over in some new state.  There are still a billion or so habitable years on Earth in which hopefully to bring an actually intelligent species into existence for the first time.