It’s Friday, as you know if you’re reading this on the day it’s posted. I’m writing this on my smartphone because I didn’t feel like bringing my laptop computer with me when I left the office yesterday, but I’m beginning to regret it slightly. My thumbs have still not completely recovered from their inflammation. Perhaps they will never fully recover. Who knows? But it’s certainly the case that writing on the computer is much easier and more “natural” for me.
I will be working tomorrow if the office is open, and if so I will probably write a blog post. For the past two weekends the office has not been open, since we had so few people willing to come in. But maybe this weekend will be different, though we still have a lot of people out of the office.
As for anything else, well…I haven’t backslid on what to eat so far, in that I am following a path that should be good or at least useful. I must say, though, there were times yesterday‒there are such times many days‒when I thought that maybe what I ought to do is just lock myself in the house and eat ice cream and cookies in huge quantities until it kills me.
Unfortunately, it takes a very long time to kill oneself that way, I’ll wager. The body has a very high capacity to store calories before it completely breaks down and falls apart. Individual mileage will vary, of course, but the mileage is long. Such a course might be enough to make me stop liking ice cream and/or cookies, but that’s not the specific goal.
Yesterday I was also contemplating, both to myself and with my coworker, what I might be like if I had not had my back injury a little over 20 years ago. I think I said something like, “You should see what I would be like if I didn’t have chronic pain. You have no idea.”
I don’t have specific ideas myself either, but I do know that I used to be someone who‒when not suffering from too much chronic depression and apparently autistic burnout‒could do just about anything to which I put my mind. For instance, I decided to apply to medical school more or less as an afterthought, but I never doubted that I could get in or that I could become a doctor.
It’s not that I was cocky. Self-confidence of that sort has been something I occasionally pretended to have, but it’s not my natural state. I just considered medical school an eminently soluble problem and proceeded to solve it.
Medical school does not involve a mentally super-challenging curriculum. There’s a lot of information to internalize, of course, but none of it involves dealing with any counterintuitive notions. There are rarely any complex numbers or linear algebra or calculus or differential geometry involved in medicine! Quantum mechanics essentially never comes into play, except perhaps in describing vaguely how MRIs and PET scans work.
Anyway, things being so stochastic, it’s very difficult to imagine what I or my life would be like if I had never developed my chronic pain and back problem. I might still be working in Winter Park as a doctor; I might still be married; and I would be much more likely to be with my kids, or at least to be able to see and interact with them. I would also probably be much less grumpy than I am. I don’t know how my autism itself would change its presentation. Maybe I never would have sought out or even considered the diagnosis.
I guess it’s pointless to contemplate these things. We cannot change the past. Still, one of the big strengths of the human brain (or a pseudo-human brain) is the ability to contemplate counterfactuals as simulations so one can make decisions based on assessment of potential outcomes, colored by past experience and knowledge, rather than having to do everything trial-and-error, with death weeding out the worst local failures.
Still, all I can see stretching before me if I cannot reduce my pain and try to get better sleep at the least is loneliness (which is what I deserve, I guess) and pain and never-ending fatigue, with intermittent forced distraction. That’s not worth the risk, especially since, in that scenario, an accidental or medical death would be one of the better outcomes.
Anyway, my resolve hasn’t changed since I discussed it earlier this week. In the meantime, I hope you have a good day. If I work tomorrow, I will probably write another post. If not, I won’t.








