I’m a bit wiped out this morning, so I may only write briefly. For those of you who may not know it, I developed a migraine headache yesterday. It started with the surprisingly rapid onset of a “classic” migraine aura, which is to say a deficit in one’s visual field, marked by apparent, weirdly twinkling, almost rainbow-like lights. It is not as lovely to see as one might suspect if one has not had it. This first time it happened to me, way back in my early teens (while I was caddying), I worried maybe my retina had become detached. Weirdly, this concern did not lead me to panic, nor to seek help, nor even to stop in the middle of that golf round‒work is work, after all.
The classic migraine, which is what this migraine with twinkling lights is called, seems to begin with a rapid, spreading depolarization of cells in the brain cortex, particularly (in this case) in the occipital lobe (thus the visual aura, because that is the region of the vision centers of the brain). It spreads from there, and as part of its spread it seems to lead to vascular swelling and pressure in the meninges, which causes some of the pain.
The science has probably improved since the last time I studied it, so some of this description may be inaccurate.
In any case, as soon as I realized what was happening, I took steps to head things off. Although I had taken a naproxen that morning, I popped three ibuprofen right away. After a few minutes, as the aura progressed, I added two acetaminophen (extra strength) as well. This was probably not ideal for my body‒kidneys, liver, and to a lesser extent, stomach come to mind‒but I didn’t really hesitate, because I have experience with migraines, and not just with treating them. I also made sure to drink lots of water.
Anyway, I did get some dull pain (as well as just dull dullness) centering loosely on the left side of my head, but the Motrin™ and Tylenol® seemed to have done their work well, since I took them so quickly. I did have pain, but it was not nearly as severe as it usually is, though I took one more ibuprofen a bit later when it seemed to be increasing.
With migraines, though, the pain is more an effect than a primary part of the process. In a way‒and only in a way‒a migraine is a bit like a slow-moving seizure. As such, it tends to cause quite a lot of fatigue in one’s central nervous system, and I certainly felt that yesterday and continue to feel the after-effects today. For instance, I am making many more typos than I usually make right now.
I do seem to have slept slightly more than usual last night. Tiring one’s nervous system by internally, directly causing the hyperactive discharge of whole populations of neurons seems to lead to slightly deeper sleep, no doubt because for the nervous system, it is something of an emergency and it must be cleaned up. Trust me when I say, while the slightly longer sleep is nice as far as it goes, it is not worth it.
Even though I was able to prevent the worst of my migraine pain, the other effects were still quite palpable and unpleasant, and their after-effects remain. They aren’t good.
This is not to say there aren’t many, many worse things in the world, and certainly when one has only two choices, one should choose the least bad of the two. For instance, I would choose many migraines over a kidney stone. The lesser of two evils is, mathematically, the greater of two goods.
If this fact is confusing‒I don’t know why it should be, but apparently it is, and that confusion has been consequential on large scales‒think of the old grade-school level number line, centered at zero. If you have two negative numbers, such as negative two and negative twelve, you can certainly say that they are both negative. But that’s a function of where you put the origin (where the zero is), which you can shift and put anywhere else, given the infinity of the number line and its inherent symmetry.
But even if you move the origin 100 places to the left, so that you now have 98 and 88 instead of -2 and -12, the distance between the two numbers, and their mutual relationship based on that, is unchanged. One of the numbers is still less negative than the other. And if that number measures the usefulness or the desirability of something, and if one has only the two choices, then one should pick the less negative one, which is by mathematical definition the more positive one.
A billion is less negative than a million. And negative a million is less negative than negative a billion.
I’m not sure how I got from migraines to here, but that’s okay. I’m sure it will make at least some sense during the edit.
Anyway, I hope that my mental fog will clear a bit today. It would be nice to be able to sleep better without requiring general neurological, pathological exhaustion. But then again, many things would be nice that are simply not so. By which I mean they aren’t real, that they don’t exist, that they aren’t the case, not “many things would be nice that are simply not nice”, which wouldn’t make a lot of sense.
If wishes were horses, we’d all be drowning in horse shit. And then we’d probably wish for it to go away, which would just produce more horse shit. Alas.
I hope you all have a good day.
[PS: I tried to do a brief audio recording on the way to the office from the train, while walking, because a thought had occurred to me and an occurrence had gotten me thinking, and I also wanted to “experiment” to see how well I’d be able to compensate for the noise of traffic and (to a lesser extent) wind. It was unfortunately something of a disaster, and to correct it all would have required many hours of audio manipulation that may be beyond my skill. So I just deleted it. But I thought I would at least mention it.]

