Medicine

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“Shadows of the evening crawl across the years”

Well, it’s Wednesday morning‒insert your joke of choice related to the Beatles song She’s Leaving Home here‒and here is my blog post for the day.  I will not be posting tomorrow (barring the very much unforeseen), since today is Thanksgiving Eve* here in the US, and therefore tomorrow will be Thanksgiving.  I will not be working on Thanksgiving, so there is to be no “traditional” Thursday post.  I’m sure you’re all devastated, but hopefully you can eat yourself into a stupor tomorrow to flee from your sorrow and loss.

Speaking of stupors, I slept a bit better‒or at least a bit longer‒last night than the night before.  This is because, despite it being a weeknight/worknight, I knocked myself out a bit with an OTC sleep aid.  So, if I seem a bit odd today‒for me, I mean‒that’s probably why.

Of course, I’m well aware that the sleep induced by such medications is not proper sleep.  That’s a very interesting fact for someone who gets proper sleep on their own, but it’s pretty theoretical to me.  It’s a bit like quibbling by saying, “going through a wormhole to get to a distant part of spacetime quickly isn’t really going faster than the speed of light”.  Well, okay, if I can find ways to break the laws of causality** I will, but in the meantime, I’ll use the wormhole.

Likewise, sometimes I just want to be unconscious, and I have a hard time achieving it on my own.  Oblivion is such a relief when and if it happens (so to speak).  Yet, even when I do sleep, there’s always a background watchfulness in my head, a feeling that where I am is not safe in some sense, so I cannot completely relax.

I almost never wake up without some manner of start, i.e., a bit of a jump in place.  I don’t know why***.  Maybe this is just the way it is when you’re nominally a member of a species of pack hunters but you’re functionally completely alone, separated from whatever group(s) there were to which you belonged and surviving on your own as best you can.  The world is never fully safe for such a creature.

Well, the world is never fully safe, period, full stop.  No one here gets out alive, after all.  Nevertheless, natural selection tends to lead to the state where the only surviving organisms are descendants of those who feel fear and who feel pain and who try to stay alive indefinitely, even when that survival is pointless (biologically speaking, I mean‒I won’t get into the deeper philosophical questions that can apply, because that would take too much time and energy).

I’m going to bring this to a close here pretty soon, if I can.  My thumb arthritis is acting up, today, and writing this is more painful than it usually is.  Well, actually, I don’t know that “arthritis” is the proper word, since that implies a process that is primarily inflammatory.  It’s probably more precise to say “arthropathy”, which just means “something wrong with a joint”.  “Arthralgia” works quite well here, also, meaning just “joint pain”, but it’s pretty darn vague in its implications of any possible cause.

I suppose it doesn’t make a great deal of difference.

Anyway, I hope everyone who is celebrating has a truly wonderful Thanksgiving Day tomorrow, and that you spend a pleasant time with friends and family (and maybe some football).  I will be back on Friday, barring (as always) the unforeseen.  I work at a sales office, after all, and Friday is “Black Friday”, traditionally the biggest sales day of the year in the US.  Though, there has been a significant degree of “feature creep” or whatever the best term might be regarding that, so now the whole of this time of year is becoming an extended “Black Friday”.  Natural selection tends to encourage such things.

Anyway, I expect to write a post on Friday, so I will “see you” then.  Or at least you will see me.

*There is no such holiday, official or unofficial, as Thanksgiving Eve, but it’s still obvious what I mean by it.  Isn’t it?

**The speed of light in a vacuum being the speed of causality.  This appears to be a large part of why nothing can travel faster.  How could something move more quickly than causality?

***As far as I can tell, it’s not because of having gone to prison.  For one thing, my sleep problems started way before that pleasant interlude.  For another, I didn’t have any real problems with people starting shit with me in prison.  Apparently, I looked (look?) a bit nuts or something.  Also, honestly, I got along okay with people there, all things considered.

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“They tumble blindly as they make their way…”

It’s Tuesday morning and I’m beginning the process of making my way to the office.  By the time I finish writing this, and certainly by the time it’s posted, I will be there.

I thought I might stay out sick today, because yesterday at the office I felt pretty crummy and almost as if I had a fever.  I checked, and my temperature was normal, but that’s hard to interpret, because I almost never don’t have NSAIDS and other analgesic/antipyretics on board*.  So I could pretty easily have something brewing that would cause a fever, but my fever response is too suppressed.

That’s not an ideal situation, I know, but the alternative is to try to ignore the chronic pain I have.  That’s not so easy, for good, sound, biological reasons.  I’m not saying it’s impossible, and with the proper motivation I could probably do it, but I have no such motivation.

What would I be trying to achieve by not treating my pain as best I can?  Increased longevity?  Hah!  What would be the point of that?  This life that I have is not really something worth prolonging.

If one has a delicious meal one may want to eat slowly, to relish** it.  If one is spending time with a good friend or spouse or other beloved family member, certainly that’s worth making things last as long as one reasonably can do.  But even people who consider themselves masochists don’t really want to prolong their own suffering.  They tend only to want the pain that gets them excited, which is not really “suffering” as most people would think of it.  In any case, I am no masochist; my inclinations are, if anything, in the opposite direction.

I don’t mean to imply that my own suffering is particularly odious or anything.  I’m sure there are many people who suffer much more than I do.  Some of them have to suffer with being moral and intellectual imbeciles, and that’s pretty horrifying to contemplate; many such people are involved in government, even though these are probably the last people one would reasonably want to have the job of keeping the machinery of the state functioning.

I mean, we can all see how badly that works, though some are deluded enough that they would claim not to know whereof I speak.  Still, what are you going to do?  Force the more competent, moral, disciplined, intellectually humble but rigorous people to be governors and legislators and administrators?  What if they got really pissed off about it and decided just to wreck everything as much as they could because they’ve been forced to work in positions of governance?

You think things are bad now?  Beware the wrath of smart, patient, disciplined, creative people.

Anyway, that’s just a tangential thought, something in which I seem to specialize, though it is not deliberate.  I just tend to let my thoughts meander***.

Speaking of which, yesterday, in recognition of that tendency, I titled my post by paraphrasing the catchphrase of the old cartoon character Ricochet Rabbit.  Since then, I had a related memory pop up of the old toy “Ricochet Racers”.  I never actually owned one of those, but I can vaguely recall the jingle that went with their ads:  “Ricochet Racers on target!  Have a real play [or was it a great play?] with a ricochet.”  Something like that.  That second line may be slightly off, but it gets the gist.

I wish I could convey the tune in writing.  Instead, here’s a video with a later version of the toy, and the guy sings a bit of the original theme, but with a changed second line.  He’s not a great singer, though, and these aren’t exactly the original words.

Thinking about it, I realize that the rhythm of that jingle is at least a little bit interesting.  The song appears to be in some version of 4/4 time, but the first line is sung in a set of slow-ish triplets, each triplet being equivalent to 4 quarter notes.  That’s mildly impressive for a jingle written to sell a long-defunct kids’ toy.

I wonder how many truly skilled composers end up doing such less-than-glorified work because they’ve got to make a living somehow.

We know that many movie composers are truly brilliant, from John Williams and Hans Zimmer through to people who primarily work in other genres but sometimes do films, such as Jonny Greenwood.  But those are large scale, respectable composing jobs.  What of the could-be Mozart who must write songs for McDonalds commercials?

I guess if such a person finds joy and satisfaction in that work, then there’s nothing to lament****.  Perhaps they can do enough composing to make a living that way, and otherwise compose things of their own in their spare time, which might one day be played by fancier musicians for more high-falutin’ purposes.  That seems okay, too.

That might be analogous to what I do here, except that none of my writing makes me any money at all, so it’s a bit less rewarding.  Still, if anyone reading wants to send me money, we could probably figure out a way to do it.

I won’t hold my breath.  But, whatever.  I hope at least some of you, some of the time, enjoy my posts.  And heck, if you like them, you could certainly share them, if you can think about someone who might be interested in reading them.

Here, I wrote a song about such liking and sharing.  It’s no “Ricochet Racers” theme, but I think it’s pretty good.

Have a nice day.

*That means “in my system”, in typical medical jargon, in case that wasn’t clear.  It probably was clear, though, wasn’t it?

**Or whatever garnish or condiment one might like on one’s food.

***Like a restless wind inside a letter box, if you will.

****Imagine a lament for a writer of jingles.  Rather “meta” isn’t it?

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I’m back, despite my back holding me back

I apologize for not writing a post yesterday.  I did not go in to the office, because the pain I was having on Monday just continued and worsened, and by yesterday morning I was just exhausted.  I’m frankly not feeling a whole lot better today, to be honest (and to be redundant, since I already said “frankly” which means essentially the same thing as “to be honest”).

In case any of you don’t already know, I have a thing called “failed back surgery syndrome”, which seems a bit unfair to the surgeon, who was a colleague of mine.  He did as good a job as science and technology allowed.  I just had a fairly bad lower back injury:  specifically, a ruptured L5-S1 intervertebral disk.

That’s not a bulging disk, that’s a rupture‒it was torn all the way down into the nucleus pulposus of the disk, which is the delicious jelly center from which the bouncability arises.  I had all sorts of investigations after the pain began, because it didn’t first present as back pain but with pain in my legs.  And then once the disk issue was confirmed, I tried a lot of less invasive interventions to treat my pain, none of which did anything much.

Even after the surgery, I tried and was on various medications, of various classes‒including opioids‒which helped some but which caused their own issues over time.  But the pain has never gone away since its onset, over twenty years ago, and which has contributed greatly to things like the failure of my marriage and the ruination of my career.  Still, the surgery did reduce the pain at least to some degree.

But of course, these last several days have been worse than usual, probably partly because I was exercising (low impact) to try to improve my condition and help my pain.  Irony can be pretty ironic sometimes, can’t it?

Anyway, I have to go to work today because it’s payroll day.  That was the same reason I kind of pushed to be let out of the hospital early with my recent kidney stone:  I had to do the payroll the next day.  That was unpleasant, I can tell you.

Such is my life now, it seems:  Chronic pain with varying intensity, insomnia, tension/anxiety and depression‒both at least partly (probably) related to ASD‒and work, then going back to the house to lie down to try to recover for the next day.  The only real bright spots are seeing my youngest child now and then (this was started by the kidney stone, curiously enough, so that at least paid for itself) and talking to my sister on the phone once every week or so.

In case anyone wonders why I have suicidal ideation, well, all the above should explain at least some of it.  Of course, I’ve had such thoughts since I was a teenager, long before my chronic pain developed, but I did have chronic depression (AKA dysthymia) starting at that time.  Looking back, this was probably at least partly because of my long-undiagnosed ASD (level 2).

I also had the other kind of ASD‒an atrial septal defect‒until I was 18 and had heart surgery for it.  Interestingly enough, there is a higher incidence of the heart-based ASD in people with the other kind of ASD, according to some studies I have read.  There’s also some increased prevalence of spina bifida occulta, which often has its effects very low down the spine.  I sometimes wonder if I might have had a very slight version of this that made me prone to have the back injury I had, but I may be going through “second year medical student syndrome” again with respect to that possibility.

Okay, well, sorry about annoying you with my medical history and medical/psychiatric complaints.  For the most part, it’s all I have to talk about anymore.  I don’t do anything interesting; I don’t do anything much at all other than work and trying to rest and distract myself.  It’s really quite pathetic and pointless.

I keep hoping that all the aspirin I take (among the other strictly OTC meds I now use) will lead me to have some form of hemorrhage and take this all away from me, but I have had no luck so far.  I guess it’s true what they say, that if you want something done “right” you need to do it yourself.

I don’t know if that’s always true, though.  I think what really happens is that people want to do something in a particular way for personal, often aesthetic, reasons, and want to be able to have some control over something, so they do it themselves.  Then, no matter how badly they fuck it up or how much better someone else might have done the job, they convince themselves that what they did was best, since confirmation bias is one of the easiest fallacies of reasoning into which people can fall.

Anyway, that’s enough for today.  I hope you feel better than I do, since that would at least be some comfort for me.  I’ll probably be back to write a post tomorrow, Batman knows why.  But he’s not telling.

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A hot and muggy morning blog post*

Okay, well, it’s Wednesday morning, and I didn’t write a blog post yesterday.  I didn’t go to work yesterday, either, because yesterday was my appointment to get the stent taken out of my right ureterovesical junction—you can look that up in case you don’t already know to what I refer.  In any case, my thought process was that, since to get to my appointment on time from the office would have taken most of two hours, I would’ve had to leave work very shortly after it started, and I was not feeling well at all on Monday, nor on Tuesday.

Now, I am pleased to report, the stent came out without much trouble, though it was terribly uncomfortable.  Nevertheless, it is a true relief to have it gone.  Now, without the access “thread” from the stent hanging out, I can actually not feel like I have to use the bathroom constantly.  That’s a tremendous relief.

The urologist recommended that I drink lots of liquid every day from now on, and when I suggested “At least three liters?” he shook his head and pointed up with his thumb The Accountant style, and told me “Four or five at least”.

I’m not going to resist that advice, of course.  I already live in south Florida, and the heat and humidity are ridiculous.  I probably need to drink quite a bit more than even that if I can; the threat of recurrent kidney stones is a powerful one.  What’s worse, my room’s air conditioner is on the fritz, and it has been for some time.  I looked this morning at a little digital thermometer that I have and that I had forgotten for a while, and the temperature in my room was 89.5 degrees Fahrenheit.  This was at four in the morning.

Well, I already have a new, portable air conditioning unit on the way, which should arrive no later than Friday.  I look forward to it because, although I have quite a good and powerful floor fan, that leaves me with more of a tendency to dehydrate because it cools by evaporation.

I know, all this is rather boring.  I apologize.  I never told anyone I have an exciting or interesting life, though it carries its share of intense drama and angst, I guess.  Still, I can write about much more interesting things than would ever happen to me, and I can even give people happy endings to their stories, which is something that is almost certainly not going to happen to me.

Oh, I forgot to mention, I am writing this blog post on my mini laptop computer, as I suggested I might on Monday (I think I suggested it then, but I’m not going to check to be sure—I’ll have put a link to it, so anyone out there who so desires can go check on my behalf).  It’s been just over a month since the last time I wrote on the laptop computer.  It is a pleasant change to be able to write so fluidly, and in a way that feels much more natural and easier.

That being said, I don’t really have much about which to write other than my recent medical issues.  I continue not to write fiction, and I continue not to play music, let alone to compose it, and I continue not to draw or paint, and I haven’t been reading anything educational at all, whether about physics or mathematics or neuroscience or biology more generally.

Maybe I should get Richard Dawkins’s recent work about the genetic book of the dead.  His stuff is usually pretty gripping, and I like biology.  It’s harder to find physics books that I want to read, because much of the popular writing about physics is stuff that I already know, and about which I know more than is usually discussed in popular books.

I guess that’s just the way it goes.  The world wasn’t built for any of us or for all of us.  It just happened, as did our so-called civilization.  That doesn’t mean it’s not worth trying to make it a better situation for as many of us as we can and to try to avoid committing injustice to others.  But that requires reflection and calm assessment, and humans in general are not strongly disposed to such things.

We can only try, I suppose.  Meanwhile, at least try to have a good day.

*By which I mean that the morning is hot and muggy, not that the blog post is hot and muggy.  What would that even mean?

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Another very brief Monday blog post

It’s Monday again.  In fact, it’s the last Monday in May of 2025, the end of a very small and arbitrary era.  It’s also Memorial Day, a day on which I don’t like to say, “Happy Memorial Day,” since it’s a day of remembrance of the fallen, but I do wish you well on this holiday.

I don’t really have anything to write about today.  My brain is borderline completely fried, not least because no matter how often I use the bathroom, I still feel like I have to go, and urgently.  So, I haven’t been getting much sleep, even for me, and what little I get is interrupted every half an hour to an hour.

This is all nothing new, and I’m sure it’s terribly boring for all of you readers.  I do apologize.  I’m basically a boring person.

I have my appointment with the urologist tomorrow, and hopefully that will spell the end of this current situation, at least.  If not, I don’t know what I’m going to do.

Actually, I don’t know what I’m going to do either way.  I am fairly clueless and at a loss.  I don’t know what to do about the future or whatever.  Life is just so uncomfortable all the time.  The Buddhists underestimated things when they said merely that life is inherently unsatisfactory.  Life is frequently quite a bit more than unsatisfactory.

That’s not exactly a rip-roaring insight, is it?  My brain is so foggy and fatigued.  I’m glad that work has at least been productive over these past two weeks, given how uncomfortable and worn out I am.  I’m glad that the discomfort isn’t a necessary prerequisite for work being productive.  If it were, I’m afraid that I would be forced to withdraw my services, so to speak.

Ugh, I’m tired of writing these posts on my smartphone.  It continues to irritate my thumb joints, and I make so many typos because the “keys” are not suited to adult male hands, and probably not to adult female hands, either.  I should just bring my little laptop computer again instead of being lazy.

Of course, that computer is getting on a bit, and frankly, so is this phone.  But I really don’t feel like replacing either of them.  I’ve had the thought, and the intention, that they, like everything else, should be the last of such things that I own.

I don’t know.  I can’t think of anything else to say.  Move along, folks, nothing left to see here today, you know?

Anyway, try to have a good day and a good week.

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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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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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I have not become comfortably numb

     Well, I misjudged things a bit, and though when I wrote my post yesterday I didn’t realize it, I had developed blisters on my feet from my long walking‒especially the right one, on which I had been wearing a spandex brace (prophylactically*‒I hadn’t yet been having any ankle problems, but wanted to avoid them if possible).  So, today, I am not walking, at least not to the train/work.

     I have realized that topical lidocaine creams, such as the max strength versions of “Icy Hot”, dull the irritation of blisters.  That’s nice to know, in a pinch, though I don’t know if it would dull the pain of a pinch; it seems only to work with superficial pain, not deeper pain.  Curiously, it also seems to dull some of the local signs and effects of inflammation (though Ibuprofen contributed to that).  Don’t worry, I’m not expecting to cover up my pain and forget about it.  That doesn’t seem doable.  I’ve tried.

     If I could slather lidocaine all over my body and thus numb all my pain, believe me, I would do it.  But I always hit a wall beyond which the numbing doesn’t reach.  Heck, I’ve had multiple steroid/lidocaine epidural injections and they didn’t seem to do anything to my pain, even temporarily.

     I should probably study up on the nature of congenital insensitivity to pain, just to see if the metabolic pathways involved in the condition shed any light on the sorts of things that might make a person have their pain sense shut off.  Mind you, given the nature of that disorder**, I suspect that its effects come about through some aberrant development of the nervous system, not by the presence (or absence) of some neurotransmitter.

     If memory serves, the saliva of the vampire bat has significant pain-reducing as well as anticoagulant properties.  I’ve heard all my life about people thinking it would be good to investigate as a source of potential powerful analgesics, but nothing has come of it, as far as I’m aware.  It wouldn’t be all that hard to separate out the molecules in vampire bat saliva and examine them and try to replicate them.  Heck, if you can figure out the bat’s biochemical process for making the molecules, you could develop transgenic bacteria that could produce the substance en masse, like how replacement thyroid hormone is made.

     No, either there were unforeseen difficulties with using the vampire bat’s saliva analgesic, or no one was interested in doing the research (which seems unlikely but is not impossible), or “big pharma” has blocked the research because it would interfere with the sales of opioids and NSAIDs and so on (see picture below for an example of such interference).  I would like to think that’s unlikely; after all, there would be tremendous potential for legitimate profit in a revolutionary new pain treatment.

     Still, if it turned out that anyone in a big drug company or companies did block research into such a potential pain killer, then all the people involved would need to be strapped to tables and have all their joints and other “tender areas”, like genitals and nipples and lips and eyes, injected with some combination of‒for instance‒capsaicin and gympie-gympie leaf extract and fire ant venom, with some uric acid crystals*** thrown in for good measure.  Oh, and also they should be given constant, powerful stimulants so that they cannot escape their pain by losing consciousness.

     That’s if I don’t think of anything even better to do to them.

     Obviously, I take pain treatment seriously.  That should come as no surprise, given my personal, decades-long chronic pain and my own having gone to prison for trying (naively) to treat other people’s pain, only to be thrown under the bus by people who were taking advantage of my naïveté.  I have very little patience for those who would interfere with other people reducing their pain and suffering, or who would make light of the suffering of innocent people.

     Mind you, though I think vindictive thoughts and entertain vindictive fantasies, I would probably (like a moron and a sucker) feel pity even for people who had done such horrible deeds, and I would probably end their lives with minimal pain.

     I would not feel bad about that though.  People who willfully engender greater suffering in others for their own short-term (or long-term) profit, whatever form that might take (unless it is truly and honestly and reasonably something they perceive to be an emergency or an absolute survival need) are more than worthy of being erased from existence.  And while it might be reasonable for those who knew them to miss them, they would not deserve to be mourned.

     Look at me, getting all murderously vindictive about purely imaginary people, when there are so many real people who are thoroughly deserving of such animus.  But, anyway, that’s enough of this weird-ass blog post for today.  I’ll let you go to enjoy something more wholesome.  Please have a good day if you’re able.

*I am pleased to note that my right ankle is in no danger of an unwanted pregnancy.

**And yes, it is a disorder, not just a “difference”, because it significantly reduces the survival and thrival of people who have it.

***Look them up; they’re related to gout.