Health

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Let him that hath understanding count the numbers of the words

It’s Friday, and I’ve already heard, from the boss’s own mouth, that we are not going to be open tomorrow.  I think everyone at the office (including the boss!) has been working quite hard this week, and they’ve been doing things they wouldn’t usually be doing in addition to their regular duties, which they’ve all (well, almost all) been doing quite well.  Everyone could use a break, and I am certainly no exception.

I’m planning to make this post pretty short, today, because I am under the influence of steadily accruing fatigue.  Of course, I’ve said such things before, haven’t I?  And then I often go on and on and make quite a long post.

I wonder how many words I’ve written on this (and my other) blog since I returned to the outskirts of this world in about 2015.  I can do a little “back of the envelope” calculating, I guess.  I’ll slightly overestimate the daily word count as an average of about 1000, then balance that by underestimating the number of days I write per week at just 5 even, so that would be 5000 words a week or 260,000 words in a given year if I were only writing the blog, not working on (or counting) fiction.  So, that would make probably something over a million words since I started blogging, probably more (there were long stretches when I only wrote one post a week).

Of course, just one of my fiction works was half a million words long (though I had to split it into Book 1 and Book 2 to be able to publish it).  I wish I could have kept writing fiction, but it gets so dispiriting just to fire your fiction out into the void, and I am not good at promoting myself.  I think if I had just one actual fan, someone who liked my stuff for its own sake and wanted to read more just because they like my writing (even though they don’t know me or owe me) then I would probably be motivated and keep writing fiction.

Speaking of fans and promotion and all that sort of stuff, there was a weird thing that happened on Wednesday.  WordPress gives you daily statistics bar graphs when you sign into the account, and normally, my blog gets in the high 20s or 30s of visitors every day, but on Wednesday there were over 900 views or visits or whatever they call them.  I have no idea how that happened or what it might signify.

Possibly it’s a glitch, or perhaps there’s some form of LLM searching through blog posts.  Who knows?  It’s curious, though.  So, if any of you has any ideas that seem plausible, I would be interested in hearing your thoughts; please leave a comment below.

Okay, well, I guess that’s about it.  This work week has not been as horrible as the last one, but it has not been easy.  I really look forward to being at least able to sedate myself with Benadryl and the like this weekend so I can try to recover as much as possible.  I wish the AC in my room were working, but at least I have a good quality, powerful floor fan.  Unfortunately, it’s not a fan of my fiction, ha ha, but it is good at what it does.  Still, I have to be careful, because there’s somewhat more of a risk for dehydration with a fan.  That’s okay.  I mean to keep myself aggressively hydrated.

I hope you all have a very good weekend, whether there are 900 of you or 90 or 9.  Heck, if there were 9 billion of you, I’d still want you all to have a good weekend.  Imagine that, if the entire human race (and then some) all had a very good weekend.

Maybe someday.

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The wine of life is drawn, and the mere lees is left this vault to blog of.

Hello and good morning 

It’s Thursday, the day of the week with which DentArthurDent always had so much trouble, and also the day of my prior once-weekly blog posts.  So, you know…welcome back if you’re returning, and welcome if it’s your first time.

We started working at the new office during the day yesterday.  It’s smaller than the previous one, but that’s okay, though I need to figure out where I can lock myself away to give myself a sensory break and to rest my back during the day when I need to do so.  It’s also going to be somewhat more difficult to have a restful lunch, if other people are making noise.

Still, the area around the office is nice, relatively speaking.  It’s much quieter and more tree-lined than our previous place.  There are even some reasonably nice apartment buildings across and down the way.  I can’t help but fantasize about living in one of them and just rolling out of bed to walk across the street in the morning.

Of course, the odds of that ever happening are extremely low.  I don’t think I could pass a background check for an ordinary apartment or whatever because of my record.  So, here I am, where I am, and it’s where I’m likely to be for some time, possibly for the duration.

Also of course, I’m still having significant urinary discomfort and urgency, but the spasm in my flank appears to be dying down, though I fervently hope that I won’t end up being mistaken about that.

I got the reading on my abdominal X-ray through the hospital app, but it seems a bit uncertain in its findings.  It claims that there is not very good visualization, so I don’t know if the stone is there or not. I would give slightly greater odds that it has passed than that it is still there, since one of the possibilities if it were there‒that it be clearly visualized in the ureter‒is definitely not the case.  It would be better, though, if everything were visualized with crystal clarity and there was still no trace of the stone.

I am still very, very tired.  As I think I mentioned yesterday, I don’t think I’ve had more than about an hour of uninterrupted sleep at a time since this whole kidney stone thing began.  I’m not counting general anesthesia, of course, because that’s not actually restful or restorative sleep.  Nevertheless, if someone offered to put me under until this situation is resolved, I would probably take them up on it.  Yes, there is always some risk associated with general anesthesia, but I’m not worried about that; if you die while under anesthesia, it’s just a situation where you go painlessly unconscious and then…stay that way.

It doesn’t sound like a horrible way to die.

I wish I wanted to live, but a fear of death is not the same as a love of life, and will not give you a reason to want to stay alive.

Of course, right now I’m exhausted and miserable, even for my pathetic self, so my outlook is tainted.  I suppose such outlooks are always tainted, but this seems more than usual even for me.

I would love to love my life and myself.  I even went a long time trying to say that I did, as a sort of mantra, a form of autosuggestion, but gradually I got to where I actually could not continue even saying it in my head.  I still can’t so much think the words, “I love my life and I love myself” without feeling very uncomfortable, because I know it isn’t true.

Saying that you love yourself and your life when you know you don’t is not much better than telling someone else you love them when you don’t.

I still think I need to get into a meditation habit, start a serious practice, at least for the time being.  It would be nice to be able to quiet my mind and hear the midi chlorians speaking to me, as it were.  It would be even nicer if people in the public sphere, at least, would practice mindfulness and even metta meditation.

I guess we’ll see if I do it.  In the meantime, I hope you all have a good day.

TTFN

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What shall we do now?

Well, it’s Wednesday now, and since I have no appointments for X-rays or anything similar, I am heading on in to the office.  It’s continued to be a hectic time, and today is supposed to be the day on which we finally begin to do business in the new office, though many things have been moved during the day over the last few days.  I would have thought that the uprooting and shifting would have made working more difficult, but we’ve had very big days, especially yesterday.

It’s good I guess, but it’s annoying, because it means I’m very stressed out by more than one thing.

I’m still quite beat, by which I mean I’m so very tired and worn down and exhausted.  I told the boss yesterday that this last week plus had been one of the top five hardest weeks of my life‒and I pointed out the various other horrible weeks I’ve had so I could try to put it in perspective for him‒but I really don’t think he quite got the point.

I think my inability to convey how I feel, or the tendency for it not to show, as well as my own inherent tendency toward a kind of nihilistic stoicism, means that people don’t really know or at least don’t understand when I’m feeling truly horrible.  I’ve said before that this is why the line from Pink Floyd’s Brain Damage resonates with me so much:  “And if the cloudbursts thunder in your ear, you shout and no one seems to hear…”

I don’t even feel I’m at some breaking point anymore; I think I’m already broken, but I’m hobbling along because of inertia, holding the remnants of me together with paperclips and twine and baling wire.

Anyway, I’m exhausted.  I wish I could get back into writing or drawing or creating songs and doing music or studying more science and math, but though I have had passion for all those things at various times, there is only so much one can do to produce creative things in a vacuum, with nearly no feedback or appreciation, before one gives up.

Van Gogh had a similar situation, I guess (not that I am comparing my ability with his) in that he produced many brilliant works of art, but only one was bought by anyone in his lifetime and no one but his sibling appreciated his ability.  And, of course, finally, he shot himself in the torso and died from the wound not long after.  I can sympathize very much, even with his choice to shoot himself in a way that would not be immediately lethal.  It’s both a fear thing‒a lethal shot is scary to do‒and a form of self-punishment and self-hatred‒one doesn’t feel that one deserves an easy death.

I don’t know what I, myself, am going to do.  I’m just too exhausted from my current situation, and from the feeling that I need to use the bathroom 24 hours a day.

Okay, well, that’s enough for today.  I’m very tired, as I said, and it’s only early morning.  But, of course, my sleep is even worse than usual because of the whole bathroom urgency and flank pain thing.  Ah, whataya gonna do?

I hop that what you will do is have a good day.

***

Addendum:  Well, I’m at the office, and even though the Wi-Fi was supposed to be still active this morning in the office, it seems the movers, such as they are, took the router over with them.  My phone’s mobile hotspot function doesn’t get good enough reception here, and so far the public Xfinity Wi-Fi doesn’t seem to have any ability to do adequate data, so I cannot get anything done at the office.

Why did I bother to come in?  Well, of course, that was largely because I couldn’t sleep and there was no air conditioning at the house, but I also like to get a head start on office stuff.  I’ve even finished the last of the series’ of “light novels” with which I was trying to distract myself, so I can’t even count on any reading to help me.

I apparently will not have a closed area in the new office where I will be able to be at least partly cut off from the noise and all.  I wish I had just stayed at the house today, and maybe never left again.  I don’t even have a guitar here anymore, because I gave away my black Strat.  That action was one of those “gesture” things, to be honest, and I was hoping someone would pick up on the point of it, but either they didn’t recognize it, or‒more likely‒they don’t really much care.

I shouldn’t be surprised.  There are very few people for whom it would actually matter if I die.

I’ve finally been able to get the Xfinity thing working a bit, so I should be able to post this.  After that, I don’t know.  There’s just too much for me to deal with right now.  I wish I could just go to sleep and stay that way.  I hate this life.

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A quick, belated post

This is going to be brief (I suspect) in addition to being late (already).  I have an appointment for an X-ray this morning to follow up and see if the kidney stone has passed, which I hope it has.  So, I’m going to the office late, and writing this‒well starting this‒as I wait for my ride to the hospital to get the study done.  I don’t expect to finish it until afterwards, but who knows?

I wonder whether the little app thing for the hospital system will give me the result of the X-ray when it is read, before I see the urologist.  That would be kind of cool, actually.  I like being able to review my labs and radiology reports without needing the priestly intervention of the physicians, especially since I am one, though no longer in practice.

***

Okay, I’m done with the X-ray, which went very quickly.  They seem to be a very well-run place over there.

It’s terribly frustrating that I have to quick duck into the restroom at every full stop (and even some commas).  There’s just a never-ending sense of urgency, probably because of the stent in place and the thread that goes from it to the outside world, and I don’t want to ignore it, of course, because the last thing I want to do is create circumstances for more kidney stones.

It’s a bit of a negative nostalgia situation, as well.  I was the youngest of 3 children (well…I still am) and I tended to have to pee a lot, certainly more than anyone else in my family.  So I ended up having to hold my urine in much more than did my peers*.  Not that people were unkind (though my sixth grade teacher gave me the nickname “Straight Pipes” which is somewhat unkind, I guess, but I took it as affectionate teasing).  But it just means that I have quite a lot of nonspecific memories of desperately trying not to wet my pants while waiting for, for instance, the family car to get somewhere I could use the restroom.

I don’t know, maybe that tendency has something to do with ASD.  I wonder if it could be some sort of sensory sensitivity.  I’m probably overthinking it.

Anyway, this’ll do for now.  Sorry for the delay, and please have a good day.

*Sorry, I couldn’t resist.

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It’s Saturday now

And I’m in the office.  I haven’t come to the office this time, of course, I’ve just been here since yesterday, as I noted in my confusing and single-paragraph post yesterday evening.  I slept at the office, on the floor, and it was just as comfortable in many ways as if I had been at the house.  True, I couldn’t shower, but I’ve buzzed my hair down to 1/4 inch after seeing how it looked after I was in the hospital, and so it’s impossible to tell just by looking that I’ve not showered.  I usually have deodorant and other toiletries at the office, but those are already moved to the new office now, so I’m going to need to go over to the convenience store and get some deodorant and mouthwash this morning.

As for the house, well, there’s a reason I don’t refer to it as home.  It’s not a home to me.  I haven’t felt like I have a home since before I went to FSP.  No, it’s just a place I can hide for a while at a time, and not have to interact with anyone, and where it’s just my stuff inside, such as it is.  But I don’t feel at home there, I don’t feel comfortable, it’s just a place I’m existing.  I don’t even have a real chair there, though I have a piano bench and a folding metal chair tucked into a corner.  When I’m at the house, I just recline on a pile of pillows on the futon on the floor.  It’s good for my back in the short term, though after I stay there for a while it tends to backfire*.

Everything in my existence orbits around pain.  I guess it’s no irony that one of the two songs I have had memorized on piano for decades now is the Police’s King of Pain (the other is Eleanor Rigby by the Beatles).  Maybe it’s because I memorized that song that my life took on its current aspect.

I don’t really believe that, of course.  That’s absurd, magical thinking, and there’s no evidence that it’s the way the real world works, except through confirmation bias and the like.

Right now it still hurts to urinate, with spasms up in my right side and flank, which lingers a little even in between.  It’s nothing compared to the acute onset of the issue, but it’s still there.  And my back and hip and leg pains haven’t ceased to exist out of some strange courtesy.

I’m overwhelmed, and not in a good way.  There is too much happening in my head and around me right now, too many stupid little, annoying changes, too many deeply unpleasant surprises, too much chaos and randomness even in the day-to-day routines.  I am overwhelmed.

I used to be a person who could accomplish things, at least partly because I had people around me whom I loved and for whom I wanted to make things good as much as I could.  I cannot do good for myself.  I cannot live for myself.  But I used to be able to do good and make good things and relieve suffering.  I’ve saved people’s lives and even helped ease people’s deaths when it was appropriate.  Some of the most copious thanks I’ve ever received were from the families of patients who had died.  I was told by one family that, before he died, their 96 year old father/grandfather said I was the first doctor he’d had that he felt that he could trust.

Now look at me.  Or rather, don’t look at me.  I’m disgusting to start with, with my teeth that used to be good but have been ravaged by years of pain killers and prison and then just an inability to have the energy to take the very good care of them I used to take.  Also, I’m currently crying, and there’s snot on my face.  I don’t look great at the best of times anymore, and certainly no one is going to want to look at me now.

I’m caught in the pincers of some kind of weird metaphorical tweezer.  I cannot stand the thought of trying to change my situation; the idea of moving, of trying to change jobs, of trying to find something, is literally horrifying–imagine needing to wade through a swimming pool filled with roaches and centipedes and maggots and other larvae, above which soars a nearly-opaque cloud of mosquitoes, all female.

But staying where I am, doing what I’m doing, is just as horrifying, and now there are a bunch of new stressors, not the least of which is my fresh, new pain problem, which hopefully will be temporary, though it isn’t gone yet.  I guess a week is a relatively short time, and maybe I’m expecting too much, but it’s a fucking huge level of discomfort, and I don’t have the mental resources to deal with it, not on top of everything else.  Why I am I continuing to endure my already-existing chronic pain, my anxiety, my depression, all the other things associated with my hitherto undiagnosed ASD, and then now dealing with newly discovered problems?

I’m overwhelmed.  I cannot summon the will to make a change, or even the conviction that I ought to do so, because I cannot really think straight.  I cannot imagine what to do.  I don’t know that there is any way at all to escape, except by dying.  And I am always afraid.

You might think that after having pain every day for decades and having lost basically everything that ever mattered to you and for which you had worked so hard for so long you wouldn’t have any need to be afraid anymore.  What do you have to lose, after all?  But fear is not a rational thing, it’s not the conclusion of a thought process, it’s an emotion, one in which nature has invested heavily, and having pain after pain for a long time, of various kinds, can cause a “learned-helplessness” reaction related to depression, but even then, fear doesn’t go away.  One is always afraid of yet more pain.  One is afraid of facing another day with the same old pain.  One is a afraid that one is going to live a long, long life and never for one day of the rest of it not be in significant pain.  One is afraid that one will also be alone for the rest of that long life, with no comfort and little joy.

I don’t know what’s going on.  I mean, I’m writing this post, of course, that’s going on.  But I don’t know what else.  I’m falling apart, I think.  I’m breaking down.  Like I said yesterday, I can practically smell the melting plastic and circuitry in my mind.

Whatever.  Nothing I do or say matters, nothing I am matters.  I don’t know what I expect to happen because I’ve written about this.  I feel a bit like Frodo crying out for his friends in “Fog on the Barrow Downs” after they’ve been separated, but the only answer I will probably get will be from some foul undead spirits.  There’s no Tom Bombadil out there to come rescue me.  I wish there were.  And I could really use Elrond’s healing power, or even Aragorn’s.

That’s enough.  Go on, go read something else.  No one wants to feel miserable, and that’s how I tend to make people feel, so you should probably find something comical or at least entertaining to explore, and just try to have a good weekend.

*Honestly, no pun intended.  I didn’t even notice it until the editing process.

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A nameless Friday blog post

It’s hard to believe, but something truly obvious didn’t even occur to me until yesterday afternoon as I was getting ready to leave the office.  I was really worn out and tired and grumpy, and I said to my coworker, who was very kindly giving me a ride to the train station, “If I were a sane person in a civilized world, I wouldn’t even have come to work at all this week.”

That’s when I thought: the people at the hospital probably didn’t expect me to go back to work this week.

Meanwhile, this has been one of our busiest weeks in a very long time at the office, and the office is in the process of moving to our new location, and I had to iron out the details of the records from Monday and Tuesday, which were a bit off, and then I had to do the payroll on Wednesday all while having the busiest day of this very busy week so far.

Yesterday was not quite as hectic as Wednesday for me, but on Wednesday I had kind of maxxed the pain med dose so I could get done what I needed to do.  Not so on Thursday.  I want to make sure not to overuse the meds in the short term, since I don’t know when a really bad spasm might happen.  Of course, I’m not taking my usual aspirin either, per recommendation, nor any other go-to NSAIDS, so things are complicated.

Anyway, the meds situation wasn’t what I wanted to discuss.  I just wanted to note how pathological I must be to have not only come right back to work after being discharged from the hospital, but to have applied pressure to get me discharged Tuesday afternoon.  I can’t believe that I even said I would sign out AMA* if I had to do so.

But I am basically on my own; if I don’t work, I don’t eat, so to speak.  Even that is misleading, though, and is not my real reason, which is that I have to be productive or useful to someone, in a way that I accept, or else there is no point to the fact of my continued existence.

I mean, I know no one wants to be around me or to have me around them for fun and pleasure; the copious evidence for that is glaring and even blinding.  But I am capable of being useful in quite a few different ways; even my misautonomy doesn’t force me to deny that I have gifts that can be productive and useful and even sometimes beautiful.

So, if I can’t be useful, well…what’s the use of me?  If I were not at work, what would I be doing but lying around in my one room (plus bathroom) with a malfunctioning AC unit?  

Meanwhile, I still haven’t made my follow-up appointments or any of that.  My sister has offered to help, and I think I’m going to have to take her up on that, though she’ll have to be doing stuff from long distance and second-hand and I still find the process daunting.  It’s really quite pathetic.

And if not being useful is a feeling like being in an intergalactic void, it’s even more horrible to feel like I’m a burden or even an inconvenience to someone else, especially someone who really matters to me.  That’s a failure worthy of fire.

Also, I am tired of being in pain.  Everything in my life centers around pain.  I suppose it should have been obvious for quite a while, but at least since the time I was sent to be a guest at FSP West, pain has been the central fact, the only consistent thing, about my existence.  Now I’ve just added another color, another flavor, another timbre and type of pain to my usual mix.

I suppose one could almost call it refreshing as a change, or one might if it weren’t just absolutely overwhelming at its peak, and none too pleasant when it’s at a lower level.  And while, if one’s pain is in one’s back and legs, it is possible to rest them to some degree, you can’t really rest your urinary tract when it is where the pain is focused.  If you try to drink less, you’ll only make the primary problem worse, but of course, drinking more (hopefully to get the stone to pass) does mean more of the acute discomfort in the meantime.

Why am I doing any of this?  Why am I continuing?  It’s certainly not out of any sense of my personal value.  I’m just a maggot-ridden turd lying by a dirt path in a humid, stagnant, pollen laden drizzle that doesn’t refresh anything or allow anything but mold and fungi and coprophagic organisms to grow.  I’m so tired.  I have no purpose, and I am so tired.

Anyway, this ought to be it for this week.  I don’t think there’s a plan for the office to be open tomorrow.  If it is, by rights I ought not to come in anyway.  But since the alternative is just lying around by myself, and since I’m stupid, and I don’t live in a civilized world, and I am certainly not sane, if they open the office, I will probably be here.  If so, I’ll probably write a blog post.

Until my next post, whenever it is, I truly and sincerely and urgently hope you all have objectively good days and nights and everything else.  If my words have the power to make anything real, that is what I would want.

*Against medical advice.

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You blogs, you stones, you worse than senseless things!

Hello and good morning.

It’s Thursday, and here I am writing another blog post to prove that yesterday’s was not a fluke nor a false flag nor any other term beginning with “f” other than perhaps “fair play”.

By the way, I may have previously used the Shakespeare-based title above‒it’s just so easy to make, and I’ve always loved that line from Julius Caesar‒but I don’t care.  It’s too perfect for my current circumstances to miss the chance now.  I mean, blogs and stones?  Come on!

I’m on my way to the office, and speaking of stones, I am far from being over the process of having, let alone passing, my kidney stone.  I’m trying not to overuse my pain meds, largely because they tend to have diminishing returns, and I want them to work when I really need them.  Also, they are quite…well, constipating.  Now, it’s true that I didn’t eat all that much over the course of the early part of this week, and of what I did eat, much of it didn’t stay down.  Still, I went Sunday through Wednesday without doing anything but peeing.

I have been doing a lot of that of course, deliberately.  It is not pleasant.  The pain is not like it was Saturday night, Sunday, and Monday, but it still doesn’t let me forget.  And, of course, we’re moving office this week, and that adds extra hecticity*.  

I don’t know how much you all would want to hear (that I haven’t already said) about what went on in the hospital.  I did talk about it a great deal yesterday.  I suppose I’ll play it by ear and just bring up things that occur to me as interesting.

I have not yet made my follow-up appointments, but I need to try to do so today, if I can.  Even writing about it makes me feel very tense and anxious.  I know there’s no good reason for feeling anxiety and resistance toward such things, but at least now I know something of the cause:  It has to do with ASD, with possibly some pathological demand avoidance, but also just with associated, fairly severe, social anxiety.

But I have to try, and I want to try.  I’ve been rather impressed by the hospital and its associated staff and attending physicians and their network and such, and I would like to get myself plugged into their system if I am able to do so.

They seem quite generous and caring as a tendency and policy.  They do everything from providing free meds for when you go home to getting you a Lyft if you don’t have a ride.  I think that’s pretty nice.

It was oddly nostalgic, being in the hospital.  Well, I suppose it’s not so odd.  I spent much of my earlier adult life in and around hospitals, from med school to residency to medical practice, nineteen years in total.  I guess I miss it.  It was nice working with intelligent, disciplined, professional people at all levels and being able to relieve and even prevent suffering, all while getting a good amount of intellectual stimulation in the form of understanding and solving complex problems.

I don’t expect that I will ever do it again, though.  There are ways, I am sure, to fight to try to get my license back and so on, but it’s not the sort of process for which I have any avidity.  When civilization falls apart, as it appears to be about to do, I can perhaps find a time and reason to lend my skills to the survivors, if I am one of them, which seems unlikely.  Otherwise, I don’t feel a lot of enthusiasm for supporting the world as it is.  Humans have revealed themselves over and over‒by and large‒to be inadequate to tasks that require actual cooperation and consideration and compassion and humility.

It’s ironic that humility is so challenging for humans.  Given how profound their limitations and failings are (despite undeniable strengths, as well) you might imagine that humility would be easy.

But somehow, the default setting even of those who try to be humble is to characterize themselves as absolutely worthless‒which from a certain point of view is always true, but which misses the point of real humility.

Humility is not self-hatred or self-contempt or self-destruction (from which, to some, the only rescue is through some imaginary supernatural being); it is a recognition that one is and will always be limited, capable of error, and incapable of being perfectly objective about oneself and the nature of one’s existence.  With such self-knowledge, one will tend to be better able to make good choices about oneself and others.

Maybe I should try meditating again, to try to keep myself calm when possible.  It might help with my serious social anxiety.  It would probably also help me to get less upset over the idiocy of the current administration**.  And perhaps my mind would then be more useful overall.

Anyway, that’s enough for now.  I hope you all have a good day and try not to get too upset, yourselves.  The world is going to end soon, but that has always been the case‒it’s just a matter of time scales.  On other scales, even a single mayfly’s life is practically eternal.

TTFN

*I think I made that word up, but it seems too good not to use.

**It would be nice to administer a fair amount of current to the members of this US administration, though‒alternating current, with enough voltage and amperage to cause serious discomfort, but not enough to kill them…at least not quickly***.

***See?  Upset.

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I am not Thorin, son of Thrain, son of Thror…

…nor am I King Under the Mountain.

Nevertheless I return.

I hope no one was too worried about me these last few days, though I have probably given you cause to worry.  Honestly, though, I was in a fairly dire situation.  On Saturday night/Sunday morning I woke up just after midnight with what started as right lower quadrant abdominal pain, which at first I thought was some “normal” GI cramping, maybe from something I ate that I shouldn’t have eaten.

As it rapidly worsened, I became more concerned.  I checked myself for fever (didn’t have one) and for abdominal tenderness, including rebound tenderness.  That wasn’t really there either.

If you are a medical professional, you might recognize that I was worrying about my appendix.  And though the location was right (lower quadrant, ha ha), there were some things missing.  Still, I was concerned, and the pain was worsening.

To make sure I wasn’t being reckless or silly, I bothered my poor sister with a phone call in the middle of the night (she was very kind about it).  She asked me a few questions, tried a little light-hearted banter to try to relax me (I was, regrettably, not amenable, and I fear I might’ve been rude).  The final thing she said was to point out that I have chronic, often severe, pain.  If this was much worse than that‒and it was‒then I needed to get it looked at.

She is wise, my sister.

I had to finish the call quickly and call 911 because the pain continued to increase.  There was no other credible option but an ambulance.  I don’t have a car, but even if I did, I was not capable of driving at all, let alone safely.  There was no one who could drive me, nor was I going to call an Uber or Lyft.  The delay in that, both at pre-pickup and at the hospital, would be intolerable.

As I tried to keep speaking with the 911 operator, I went outside, onto the back patio, where I eventually laid down on the concrete, confusing at least one cat to a level that would have made Monty Python proud.  I figured it would be easier to get to me there, outside.  The lying down part was because I didn’t want to sit or stand, and didn’t care about getting dirty.  I also didn’t have any shoes on.

Then it occurred to me that I didn’t want to awaken my housemates, who have dogs that would bark if people walked up beside the house with a stretcher, so I made my awkward way to the front of the house, to the sidewalk, where I sat down, first with my back to the gate post.  Then the first real right mid-back (or flank) pain added itself to the mix and I think I cursed as quietly as I could and slumped to my side, trying to ease the pressure.

The 911 operator told me the EMTs were just arriving, and she was right.  I thanked her and said goodbye (my Mom and Dad did not raise their children to be rude to those who legitimately and professionally help others in emergencies).

The EMTs were very professional, and they were the first to recognize what turned out to be the case, though the ER doc also took one look at me and ordered an immediate non-contrast abdomen and pelvis CT which revealed the specifics of what he and the EMTs had clearly recognized:  I had a kidney stone in my right ureter.

So, to bring an already drawn-out explanation to a provisional conclusion, that’s why I’ve not written a blog post either on Monday or Tuesday of this week.  I’ve been in a torture chamber of my own body’s making.

Still, there are some compensations.  One gets pretty thorough evaluations when in hospital.  I learned, for instance, that though my blood sugar was rather high at first, largely due extreme physical stress, it came down to just above normal.  A hemoglobin A1C that was added on showed that I was high normal/low abnormal, or pre-diabetic.  Diabetes does run in my family, and also, I’m sure I have chronically elevated levels of cortisol and related hormones in my body that make such things worse.

Of more mild interest was that I had lowish hemoglobin and hematocrit, and my blood concentrations of hemoglobin and RBCs were low.  In other words, I was borderline anemic.  This was a mild surprise until I thought about how much aspirin I take.  As part of taking that aspirin, I also take acid blockers to protect my stomach (and to combat GERD).  So, from two ends, that can explain a bit of anemia:  some low-level blood loss over time from aspirin’s antiplatelet effects and probably chronic gastritis, and somewhat decreased iron absorption, since the acid in one’s stomach facilitates that absorption.

I know this much in such detail because of a cool service the hospital offers, which is an app on which you can access your test results and (to some degree) other medical records.  It’s really quite nice, because too often, people have only vague ideas of what their tests mean, and they arrive when the occasion might already be fading in their minds.  That doesn’t happen to me, of course‒mine is the superior mind, like Khan, who was even more in his own way than I tend to be.

Ha ha.  I am of course exaggerating, and not just about Khan being more in his own way than I am.  This app’s data is great information to have.  They even give you little notification dings when new stuff is added.  It can be handy.

I’ll go more into what happened in the hospital at another time, but I will give a spoiler or two now:  I have not passed the stone, but I have a stent in my right ureter and I am on meds to try to help that to let the stone pass.  My pain is not completely gone, but there is only a bit of right flank ache and spasm sometimes when I use the bathroom*, and a fair amount of blood and irritation in the urethra from the stent placement.  That’s always fun.

Also, I kind of pushed to get out earlier than they really wanted me to leave, because I have to do payroll for the office today.  It would be possible for my coworker or my boss to do it, but when you’re doing something you don’t usually do, there are much more likely to be errors, and I don’t want people to be accidentally underpaid (or overpaid).

Even before I finished the first draft of this blog post, I already found two places where that would have happened had I not come back.  So, while I was probably somewhat foolish‒I’ll tell you later about another extremely foolish thing I considered doing when my pain first subsided a bit on Sunday‒I am also confirmed in my judgement.  And the needs of the many (ceteris paribus***) outweigh the needs of the few or the one.

One final thing, the most important of all things, before I go.  While I was in the hospital, my youngest, Ezra, having followed my little comments on Threads or Instagram, realized that I was in the hospital and why and contacted me and came to visit me in the hospital!  That’s right, for the first time in almost 13 years, I got to hug my child.  They also made plans to get together with me more regularly.  

So, let me address the notorious question:  Is a kidney stone the worst pain I’ve ever experienced?

Absolutely.  And I’ve been through open-heart surgery and fractured my right scapula and had back surgery and “failed back surgery syndrome”.  We ASDers, supposedly, do not like to exaggerate if we can avoid it, but there was at least one time, and I think several, when I was asked what my pain was on a scale of 1 to 10, and I said 10 with no hesitation.  Sometimes I only said 7 or 8.5 or 9 or 9.5.  I try to be as precise as feasible.  But there were 10s in there, and I normally treat 10s on such scales like massive objects trying to go the speed of light, or probabilities in the real world trying to get to 1.

Was it worth it to get to see my child again?  Well, I would be afraid to offer to experience it again with that outcome in mind, but I would be willing.  Yes, it was worth it.

I will speak more about this tomorrow.  Thank you for your patience and apologies for any anxiety you might have had on my behalf.

*Perhaps because I’m not using it for that for which it is intended, which is, obviously, to bathe**.

**That’s an attempted joke.

***In the real world, ceteris is almost never paribus.

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The blogger, learning, physic, must all follow this, and come to dust.

Hello and good morning.

It’s Thursday.

I was inclined to make that the whole post today, just, “Hello and good morning.  It’s Thursday.  TTFN.”

I still don’t think I’m going to make it much longer than that.  I don’t have anything new to say.  Everything I have to say has surely already been said here.

Nothing is any better than yesterday, or the day before, or the year before, or the decade before.  I have no reason to expect that anything will be better tomorrow.  It’ll just be another day gone by, so I’ll be a little more used up and fatigued and probably a little more pessimistic.

I’m waiting for the train now.  I expect today to be pretty much as always.  There is nothing to which I look forward.  Music isn’t interesting, whether playing or listening.  I can’t eat foods that give me any kind of even momentary surge of pleasure, because those foods also tend to give me GI problems (and then apparent metabolic problems).

I don’t really even know the full state of my physical health; I haven’t been to see any kind of doctor for several years, maybe almost 10, not since the time when I went to an urgent care because a respiratory infection I had was persisting longer than expected.  They found that I was desatting* a bit, so they told me to go to the ER, where I was admitted.  While I was there, they did an echocardiogram, and supposedly (I never saw the actual echo myself) there had been a slight…I don’t know, a recurrence, a reopening, a relapse of the ASD** that I had that required open heart surgery when I was 18.

I was supposed to follow up on that recent echo, but after my infection was treated, I felt much better, and I didn’t and don’t have insurance.  Honestly, the thought of going through all that shit with my heart again now, almost 40 years after the first ordeal, is not acceptable.  Besides, honestly, there wasn’t and isn’t any reason for me to try to preserve my life and/or health.  I’m disappointed the thing hasn’t caused me any problems so far.

Many days I wish I would just have a heart attack or something, or get a severe infection.  After my little semi-humorous footnote yesterday, I thought about just trying to inject some shall we say less-than-sterile liquid into myself, and I even ordered some syringes from Amazon for that purpose.  If I do still have any kind of irregularity in my heart, that would provide a good nidus for the beginning of an endocarditis.

I may do that.  It’s simple and straightforward, but it could be a very long process.  It’s probably not a very rewarding option.  It’s too slow and too reversible.

I’m so exhausted.  I’m so tired, mentally, physically, and “spiritually”.  I wish I could just go into a field somewhere and collapse and just lie there not moving until the elements took me.  And I feel so tense and angry so much of the time.

Never mind, this is all stupid.  Sorry, again.  I’m sorry that I’m whining so much.  Yeah, yeah, life is hard, the universe is hard, the world is idiotic and no one is in charge or in control of much of anything, but it’s nothing new.  Humans‒at least some of them‒do have the potential to do great and relatively enduring things, but all the other idiots who want to think of themselves as special and important to some divine creator, but who are, ironically, much more akin to chimpanzees and savages than are those who reject superstition, get in the way almost inevitably.

Anyway, enough of this.  Again, I’m sorry.  You’ve been kind and optimistic to read my daily excretions, so here’s a slight break for you.  I hope I won’t write a post tomorrow, but I probably will.

TTFN

*Short for desaturating:  when the percentage oxygenation in the blood drops below normal, healthy levels.

**Atrial Septal Defect in this case, not Autism Spectrum Disorder.  Apparently it wasn’t much more than a patent foramen ovale at this recent stage, but that still shouldn’t be there.  I mean, my heart surgery was done by the guy who literally wrote the textbook on the procedure.  That was in 1988, of course, so things have surely improved, but still.

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How long should one keep smacking the bottom of that bottle?

I made it through Monday again, it seems.  It wasn’t particularly easy.  Starting in the morning, I developed a nasty, unilateral headache that I couldn’t seem to get to go away.  I finally left the office at lunchtime and went back to the house, where I mostly laid around and tried to sedate myself, with some success.

The headache didn’t really start to fade until around midnight, so I didn’t have quite the rest I might have desired, but at least I got some rest.  And now, only a faint residue of the headache remains.

It didn’t feel like a typical migraine, which I have from time to time‒thankfully not very often‒but almost more like a bad, unilateral sinus headache.  Hopefully, it has pretty much run its course now.

It might be nice if there could be a situation in which one could go through some period of painful illness, but then come out afterwards with one’s prior, chronic pain somehow eliminated.  Of course, that’s not likely to happen in real life.  It certainly hasn’t happened to me.

It is true, apparently, that a bad measles infection can effectively wipe out prior immunities, making one vulnerable to diseases to which one had previous resistance.  I suppose that might even be a boon in someone with an autoimmune dysfunction, though it would be difficult to time the infection just right.

I’m not aware of anyone having tried such a therapy, and I don’t think it’s something I would recommend, even if it were workable (which it really isn’t).  Better just to keep vaccination for measles and other preventable illnesses going and look for other avenues to treat autoimmune disorders.

As for what else to discuss…I’m coming up empty here at the moment.  Actually, it’s not just at the moment, is it?  I’ve been squeezing the dregs out of the mustard bottle that is my life force for a long time now.

Sorry, I know that’s a terrible metaphor, but I don’t feel that I’m really worthy of anything fancier.  Anyway, I’ve certainly spread that condiment out over a lot of sandwiches (that’s my continuing the rotten metaphor, with a sandwich representing a day).  But there’s hardly anything left in there, and there are no refills available, as far as I know, and now I’m really just going through the motions.  There’s just a dribbly little, watery remnant, with no flavor left and very little color.

I really pushed that one to the crumpling point, I fear.  But I hope I at least got my point across.  If I didn’t, that would be a real shame.  What a thing not only to have used a truly lame metaphor but to have it fail to do what one intended.  What a tragic joke that would be.

It wouldn’t be very tragic, of course‒it’s hardly anything of consequence.  But still, it would be sad.

I’m really tired and wiped out, even though I went back to the house early yesterday.  Well, I mean, I did just say that my headache didn’t really start to go away until about midnight, and as per my usual self, I was awake today well before three in the morning.

I know, I know, this is all so boring and repetitive!  I’m very sorry.  I wish I could be telling you all about a new story I’m writing, or about my return to a past story, or about some new music I was learning or writing, or even some new drawings I might have done.

Heck, I’d like to tell you I was making progress in studying quantum mechanics and general relativity or differential geometry or computer programming and computer science in general.  I wish I could tell you (and do so honestly) that I was learning more Japanese, or refreshing my Spanish or learning Russian or German, or even French, all of which languages are interesting.

But I’m not doing any of those things.  I’m not doing anything creative or productive or even just distractive (that’s probably not a formally recognized word, but maybe it is).  I don’t have the energy to do anything creative other than this, if this even counts.

Of course, I go to work and do my job, and that’s all well and good as far as it goes, since I don’t like being a burden to people.  But that’s as good as it gets, I think.

I don’t know what else I can do.  I’m just a mess.  I feel like a tattered and smeared old wrapper from a cheap, fast food hamburger.  I suppose some of the smeared matter on the wrapper might be mustard, if we want to keep the metaphor‒or simile, in this case‒consistent.

Well, my train will be here soon, so I’ll bring this to a close.  I hope I haven’t been too much of a downer.  If I have, well, take comfort in the fact that you are only reading these thoughts.  You don’t actually have to experience them.

Please try to have a good day, and try to have better thoughts than mine.