Well, it’s Saturday morning, and I’m waiting at the train station for the first train of the day on this first day of the Jewish year.

I took a long-acting decongestant last night, and though it did make me notice more alertness when I had my frequent nocturnal awakening, I don’t think I actually woke up more often than usual.  If anything, as I’ve long suspected, nighttime decongestants improve my breathing (duh), and thus the quality of such sleep as I get.

I have a family history of some degree of sleep apnea, and I suspect that using decongestants‒as long as the side-effects aren’t prohibitive‒provide protection from, and possibly prevention of, that process (This, I suspect, is especially true if, as needed, inhaled corticosteroids are also part of the treatment).

I’ve long suspected that sleep apnea can be a long-term secondary consequence of chronic allergic (and/or vasomotor) rhinitis, with narrowing of the nasopharynx due to inflammation/swelling of the mucosa leading to snoring and worsening sleep, then the weight gain often associated with certain kinds of inefficient sleep and high carb intake secondary to the nocturnal relative hypercapnia (high CO2) and the elevated cortisol that often accompanies chronic insomnia.  That high carb intake, with consequent elevated insulin, may lead to worsening of the inflammation and further narrowing of the airways and the gradual reduction in the quality of sleep, leading to a vicious cycle.

This is hypothetical, of course, and there are many variables that would need to be controlled to test it; I’ve only ever “experimented” on myself, starting when I first had a cat and realized that I was allergic, and that I was sleeping horribly and developing many signs and symptoms consistent with early sleep apnea.  It worked.

I’ve tried (with incomplete success) to avoid having cats since my first one was no longer in the picture.  That helped some and I have intermittently cut back on decongestants, but in south Florida‒and when living indoors in general, I suspect‒it’s hard to avoid all potential airway allergens and irritants.  Over time, the decreased quality of sleep (especially in someone like me who has a deceased tendency to sleep at all) has its effect on my cognitive function, and on my general energy level and appetite.

I have noticed that, when I am treating myself assertively for congestion, I tend overall to be cognitively sharper than when I am not, and I do not think this is simply due to the stimulating side-effects of the decongestants.  Studies have demonstrated that even true stimulants such as amphetamines do not actually bolster measures of intellectual function, though in the short term, they can improve alertness.

The biggest problem with my use of such things is that they tend to increase my level of internal stress and anxiety, particularly social anxiety.  All chains break at their weakest link (at least when under uniform tension), and social interaction is evidently my weakest link.

I’m not terribly afraid of physical danger, though it could never be said that I am fearless nor even particularly courageous, and I’m relatively used to physical pain.  I also don’t worry much about people being “mean” to me or not particularly liking me, or whatever‒for the most part, I don’t really have a clear notion of what other people are thinking of me at any given time, or indeed, what they’re thinking of anything.  When I’m not in someone’s presence, their presence in my brain seems abstract and ephemeral at best.  There are rare exceptions to this rule, but they are countable on the fingers of one hand.

But I do get stressed out about knowing what to say or how to interact, especially with new people, and I worry very much about being a bother or an annoyance to others.  Phone conversations are particularly stressful, except with people I know very well.

So this is definitely a trade-off situation, as are almost all things in life.  The body is an extraordinarily complex Rube Goldberg machine, and to push down on the system in one place almost always causes something to pop upward somewhere else.  I know, that’s not quite a consistent metaphor, but I think it works to convey my point.

Right now, at least, I want to try to improve my sleep quality‒increasing its quantity seems an unachievable goal without using things that make me feel worse overall‒so I can have the energy to do more walking and the like, including quite long-distance walking.  And I want to try to optimize my thinking as best I can, to decrease the risk that major decisions and changes I hope to make are based on poor thinking.

As for social anxiety, well, my social life is nonexistent anyway, apart from work.  I don’t expect ever to make* any new friends or have any new relationships, romantic or otherwise.  That aspect of life just doesn’t seem to be in the cards for me‒certainly nearly all such things have been disastrous hitherto for me.  Maybe if I could find some other member of whatever species I am, it might be different, but I don’t consider the odds of success, or the probable payoff, to be worth the likely cost and the probable rate of failure.

Plus, let’s face it:  I’m no one’s idea of a good prospect for a long term friend or partner of any kind.  I can be quite useful; I tend to be hard working and disciplined, and I’m reasonably bright, but my skills in romantic interactions, for instance, have always been horrible, and if anything they have atrophied over time.

I used to be tolerably good at friendship, but I seem to have no skill at keeping friendships going from a distance.  I don’t naturally think to try to reach out to people‒those times when I do think of it, I always feel awkward and anxious and am sure I’m just going to be an annoyance to anyone with whom I interact and to find the interaction stressful and even heart-breaking.  I’ve said before, even leaving comments on blogs or videos or what have you often leads me to feel real stress afterwards, and to regret doing it.

I just don’t think I’m well designed for this world, though there are attributes I possess that are useful and effective.  Overall, I’m just not a good fit, and the places where that fit is bad chafe and grate and grind away quite painfully at me.  Every day is painful, and not just physically.

If I could find some other world to try, I might do that, depending on what I judged my chances to be.  But I don’t think that’s going to be an option, probably not ever in my potential lifetime.  So, it seems better to consider and prepare for a relatively straightforward exit from this world.

I could say, “Prove me wrong”, like those stupid Internet memes, and I guess if anyone thinks they can do it, they’re welcome to try.  But I don’t expect any fresh arguments or evidence that I haven’t already seen or considered.  I’ve been dealing with this question since I was a teenager.

Anyway, have a good day and a good weekend.  Thanks for reading.

*Google’s auto-correct tried to make me change this phrase, making it “to ever make”.  Yes, it actually recommended that I split an infinitive where I had not done so, though there would be no improvement in the clarity of my expression thereby.  It’s exasperating.  To quote a very sarcastic young Scrooge, “This is the evenhanded dealing of the world!”