Well, it probably won’t surprise those of you who read my previous post to learn that I left the office early yesterday‒at lunchtime‒and came back to the house where, after eating a bit, I took a melatonin and half a Benadryl.  I’ll say this for that group of meds:  it was only a few minutes after taking them that I felt a strong pressure to sleep, and so I did.

Some of that may just be fulfillment of expectation, and I was, of course, very tired, but they are supposed to be rapidly dissolving melatonin tablets.  Benadryl never seems to act very quickly on me, so I hesitate to credit the fast onset of sleep to it.

I did wake up quite a lot during the night‒about like usual‒but at least the night was effectively longer, and I don’t mean that in the sense that it felt like it lasted a millennium, as I said yesterday about Monday night.  I mean that I was in bed for a good ten hours roughly, and that at least is something special.  I regret to have to inform you that my pain is only slightly abated, but with a bit of rest, at least it’s slightly easier to tolerate.

I’m writing this on my phone today, by the way, because there was no way in hell I was carrying anything I didn’t really need to carry when I left the office, and that meant no laptop computer.

I think I’m going to try to take just a melatonin in the evening tonight, to see if it works to help me drop off.  The fact that I still reawakened frequently throughout the night at least somewhat assuages my fear that I might oversleep if I take it.  I’m too tense about oversleeping anyway, so short of a general anaesthetic, I’m unlikely to sleep through my alarm.

That raises an interesting point for me.  I clearly have a sense of chronic tension, almost all the time.  I suppose it might be called an anxiety syndrome, but that never feels like quite the right term to me.  I don’t feel “anxious”, like I constantly want to run away, figuratively, but more that I’m constantly ready to fight.  Maybe that’s just an example of different people’s reactions to the same process‒the sympathetic nervous system function of fight or flight, which in me seems to tend powerfully toward “fight”.  Thus, in my song Breaking Me Down, I sing, “I always want to hit someone, but I never get in fights.”

I was strongly trained by my father not to get in fights unless it’s truly, absolutely necessary, and I think that’s good training.  But I always feel ready to fight (not necessarily physically, though that’s always an option).  I even keep weapons (nothing that can accidentally go off!) at my side when I sleep and in the office.

I know, that’s a bit weird.  It’s not that I actually expect to be attacked.  Of all the people I know in the office‒and most other places, really‒I am the one most likely to be inclined to violence, but I have always had exceptionally good impulse control.  I’m not even prone to act on wholesome impulses!  But if I need to get in a fight, I do want every advantage available.

In a sporting situation, fairness is important, but in “real life” I have no interest in fighting fairly.  A fair fight is one where you have a fifty percent chance of losing.  I want to bring that chance as close to zero as I can if things really matter.  I will cheat in any way I can if it’s a fight about something important, and I will feel that I have done right.  The leopard doesn’t offer its prey a head start if it can help it, nor does the prey wait until the leopard has a fair shot at it to run away.

Anyway, enough of that pseudo-macho stuff.  I just mean that, almost all the time, I feel defensive/semi-aggressive, though I strongly dislike getting in arguments (or fights, really), and even feel mortified and ashamed and self-hating if I make a heated comment online.  Sometimes I even feel nervous when I make a positive comment, as though I fear having to deal with anyone responding to me, even if that response is also positive.  It’s weird.  I suppose, to some extent, it’s probably simply the fact that I have always felt weird, like I’m crazy, like I don’t quite function like the people around me, even within my own family.  I think I’ve mentioned that here, before.

All that tension does wear you out, though, and if not tempered, or at least counter-balanced, by positive things, it can make life very unpleasant.  I’m not sure what to do about it, though.  Meditation can soften it, but as I’ve mentioned, meditation often seems to make my depression get worse.  That’s not much of an improvement, if at all.  So, I have my ongoing conundrum.

I don’t know, also, how much‒if at all‒that tension contributes to the worsening of my chronic pain.  It’s possible that it does a fair amount.

In any case, I would say that I probably have some version of chronic anxiety, but that it doesn’t present as what I would call “anxiety”.  I don’t feel worried or afraid, I just feel hostile and often even hateful.  If the Force were real and I had any affinity for it, I don’t see how I could avoid the Dark Side.

Anyway, I’m going in quite early to catch up on things I let go yesterday because I could not focus at all on anything important.  But this pain and this tension and this depression are really grinding me down, and I don’t know how much will and energy I have left.  I’m very, very, very tired.  Maybe if I use the melatonin every day, I’ll gradually feel at least a bit better.  Just because it’s not globally useful doesn’t mean it couldn’t help for certain people in certain circumstances.

If it doesn’t help, I don’t know what I’m going to do.  I keep speaking (or writing) about giving up and dying, but I keep on trying to find solutions or at least palliatives to my physical and psychological difficulties.  And I keep retrying lots of things that have failed before, in a sort of desperation to do something, anything, to see if I can feel less unhealthy.  I’ve not had a lot of luck, but maybe I would have been worse without the various things I’ve tried.  There’s no way to know, since I can’t compare alternate realities.  There’s also no way to know that I might not have been better than I am if I hadn’t tried to combat my dysthymia and pain.

Oh, well.  I’m probably wasting my time and my efforts.  But, if anyone out there knows of any brilliant new ideas, please let me know…but remember, they should probably be truly new, or at least not cliché.  I’m a trained MD, and I’ve read about and tried a lot of things beyond even that extensive training and practice.

The world isn’t made for us, and certainly we were never born to be comfortable.  It’s the feelings of dissatisfaction that prod us to act to stay alive and to thrive and to reproduce.  That’s good engineering, like smoke detectors being hyper-sensitive and fire alarms being extra jarring.  But if the smoke alarm gets stuck in an active position, leaving the alarm always going, eventually you’re going to want to cut power to it, and to hell with the risk of fire.  And if you can’t shut it off no matter what, eventually, you’re either just going to deafen yourself completely or leave the house.

That’s metaphor, of course.

I hope you all have a good day.  If you’re able to get good nights’ sleeps regularly, please make sure not to take it for granted.  And have a nap in my name, if you can!  I know it does me no actual good, but somehow it seems like a nice idea.