Medicine

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Detritus

Well, I’m getting ready to go to the office this morning.  It’s payroll day, which means I’ll be more stressed out than even I usually am.  It’s really gotten to be more complex over time, with different people being paid in different ways and rates and with different incentives, and people in our new, other office.  Oh, and now we’re getting yet a new “product” to sell which is going to require more differentiation and so on.  Huzzah!

I don’t know why I keep writing this blog.  I feel like I’m just continually rehashing the same things, saying the same things over and over again, not even really expecting different results.

Incidentally, there’s no actual (reliable) record anywhere of Einstein saying words to the effect of “the definition of insanity is doing the same thing over and over again and expecting different results”.  Frankly, it doesn’t even seem like anything he would have said.  It doesn’t make sense, either‒it flies completely in the face of the idea that someone can improve with practice at something, or that in some circumstances retrying something over and over again occasionally brings about different outcomes.

Einstein apparently did say that there are two things that are infinite, the universe and human stupidity, and he wasn’t sure about the universe.  Of course, as a Jewish scientist, he left Germany in the 30s (I think) because he saw the products of the breed of human stupidity that arose there at around that time, so you can understand why he might take a dim view of human intelligence.  I wonder what he would think of us now.

Anyway, I’m still taking my “antidepressant” and also trying to adjust things better to control my chronic* pain.  I can feel the immediate effects of the St. John’s Wort, which I always do when I take it.  Dry mouth, slightly less reactive, and feeling a bit stiffer (metaphorically) and more socially withdrawn in the morning for a while after I take it.  It’s not making a difference for my sleep, that’s for sure.  But, again, maybe it will at least give me enough of a boost finally to act on my desire just to stop existing.

It would be nice if it at least gave me more will or drive to exercise, which it has done in the past, though not every time I’ve taken it.  At least it doesn’t tend to give me the asthenia that I would get with SSRIs, and it doesn’t give me the rampant and intolerable tension and anxiety that Wellbutrin and Effexor gave me.  It’s closest in character to the old tricyclics‒amitriptyline and nortriptyline‒but not as groggifiying.  Anyway, hopefully it does something to help me make some changes.

I think of depression as being at least partly a disease of gumption, a disease of the will, where the sense of motivation is impaired.  Or perhaps it’s more of a psychological autoimmune disorder, where the mind turns upon itself.  That’s an oversimplification, and there are certainly more aspects to it than that, but that is at least part of it.

Of course, there may be other factors at play in my brain.  I’ve encountered a place online that does reasonably priced autism assessments (I found it through Threads) and I may avail myself of that.  It is slightly worrying, of course.  It sometimes feels nearly certain that, if assessed, I would be told, “No, you don’t have ASD or anything related to it.  You’re just fucking out there like Vega, you don’t even count as human.”  Which would come as no real surprise, but it would be somewhat disheartening.  How does one treat, or at least accommodate, someone who is an alien?

I don’t know what I will do with any knowledge I gain through that process, if I do it.  Maybe I won’t do anything.  Maybe I’ll just flush it all away with every other bit of information I’ve ever taken in.  I guess that’s what’s going to happen one way or another, anyway, right?

Whatever.  I hope you all have a good day, or have good days, if that should be plural to match the subject.  I suppose I’ll probably write another blog post tomorrow.  I’m sure you can hardly wait.

In the meantime, here’s a little “video” (really more of a slide show) that I threw together this morning, to the tune of Another Brick in the Wall Part 3.

*I originally made a typo there and wrote “chromic” pain, which sounds like something from which a synesthete might suffer‒a chronic discomfort that they experience with all the colors of the rainbow.

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Fetter strong madness in a silken thread, charm ache with air and agony with blogs.

Hello and good morning.

As anyone who has read my recent posts will know, I have not been doing well, depression-wise*.  Yesterday afternoon, after sharing a “memory” on Facebook (a picture of my son from one of the last times I was with him) and explaining in the comments that the reason I hadn’t seen him was that he didn’t want to see me, I felt particularly low, and had to fight to keep from crying openly in the office.  Thankfully, it was a slow afternoon (as opposed to a very stressful morning, in which I was working on payroll among other things), or I wouldn’t have been involved with Facebook, anyway.

I was so low that I started Googling (on my phone) the lethal doses of everything from CBD gummies** to aspirin to Benadryl to a combination of fentanyl and Valium.

That latter combo, of course, is the only reliably life-threatening thing among the many that I searched, but honestly, I knew all that already.  I am a trained medical doctor, after all, and I have a long-standing interest in ways to make one’s quietus‒including, but not limited to, a bare bodkin.  I was mostly reviewing things like the mg/kg dosage needed to be more or less certain one would die.

The biggest downside of the opiate/benzodiazepine combination is that they are controlled substances.  Just try to get a prescription for the two of them without a terminal cancer diagnosis or something similar.  Go ahead, try.  If you succeed, please get in touch with me.

Of course, there are illicit sources of both classes of medicine, and I even know some people who might know where to get them.  But such people, and such illicit medicines, are supremely untrustworthy, so that’s not great.  I probably wouldn’t accept anything that wasn’t a name-brand pill, like the Valium tablets that at least used to have a big V stamped in them.

I suppose one could try to con one’s way into getting a veterinary cocktail such as might be used to euthanize a large dog or something similar.  I can do injections, obviously, even to myself.  But I am not good at conning people, and I certainly wouldn’t want to deceive a kindhearted veterinarian.  That seems very uncool.

Alas, most OTC medicines are unreliable for many reasons, including limited absorption, nausea/vomiting, and other rather unpleasant symptoms that would precede death by quite some time, and might be awful enough to cause even the most committed would-be suicide to seek relief.  It’s very hard to fight deep-seated biological survival drives, believe me.

Oh well, there are always many options, I guess, and I have the necessaries for many of them.  I even used to have some helium tanks and a nonrebreather mask, but I gave the helium to people making balloons for parties‒they didn’t have the right kind of connectors for the regulator and mask I have, and I wasn’t confident of my ability to jury-rig something.

I don’t want any of you to think I simply wallow in depression, and my chronic pain, and my horrible sleep issues, and possible neurodevelopmental difficulties.  I am constantly attempting new exercises, new habits, autosuggestion, self-hypnosis, meditation, dietary adjustments, postures, medicines, and so forth to try to help my problems.  I don’t ever stop doing all that, which is exhausting in and of itself.

It’s likewise exhausting to keep trying to act as normal as I possibly can, because I don’t like to cause other people more trouble than I absolutely must.  Also, it’s just my lifelong habit to try to act upbeat or to try to be funny, at least during direct interaction.  But it’s very tiring, and over the years, my grumpy side has definitely gained more ascendance, particularly at work.

Not that I’m an asshole at work, at least not any more than I’m just an asshole in general.  But the noise in the office and people making really unreasonable, sloppy mistakes, stress me out quite a bit, and the frustration bleeds through more than it used to.

Sometimes that happens literally.

Anyway, more and more I’ve been just working and struggling merely to survive.  I haven’t been working anymore on Outlaw’s Mind since the last time I mentioned it here; I haven’t even been taking my little laptop back and forth with me, though I type much more quickly on it than I can on my phone.  The closest thing to any creativity I’ve done recently is as follows:

On Tuesday morning, something I read (I don’t recall what) made me think of infrasound and low-pitched noises that are reputed*** to be able to instill a sense of fear or dread in people.  There was some indication that a 7 Hertz noise would be troubling in some way‒I don’t recall how‒but one needs a serious sub-woofer to be able to generate such a pitch at all, let alone with useful volume.

However, the low range of the human audible threshold starts around 40 Hertz, so I thought I would do something at least mildly interesting.  I pulled up Audacity and generated two tones:  one at 47 Hertz and one at, I think, 73 Hertz, and merged them.  I chose those frequencies because, since they are both prime numbers, their waveforms would not tend to overlap very much, and so their constructive/destructive interference would tend to be relatively chaotic, producing a pleasing (so to speak) deep and unsteady rumble.

Then, I recorded myself doing an impromptu recitation of Hamlet’s soliloquy****, which (of course) I know from memory.  I first lowered the pitch of that recording a bit, but not using the optional maximum quality pitch change (I didn’t want it to sound normal) after filtering out background noise and even breath sounds*****.

Then, I copied that track and shifted its pitch a step and a half, then copied that and did the same again.  This produced three simultaneous recordings of the same thing, but with pitches at intervals that make it into a constant diminished chord (that’s where the third and fifth tones of a major triad are each reduced by a half step, making an eerie, haunting, somewhat dissonant chord).

Then I combined those three vocal tracks into one, put a bit of reverb on it, lowered the pitch again until it was at least close to that of my background tones, and combined them all after trying to adjust the balance to make sure that the vocal stuff was not quite clearly present against the background sound.

I then turned it into an MP3 file and put it on loop on the big TV we use as our room sales board, starting it once people came in, and only very slowly increasing the volume from too low to hear to just audible.

One coworker noticed it, and she kept trying to figure out what it was saying, or if anything was being said at all.  I explained what I had done, to her and to my “main” coworker, who also sort of heard the noise and looked puzzled.  They both thought it was odd but funny, but it was apparently also mildly irritating (almost the point of it, really), so once they said that, I stopped the playback.

I’ll embed the audio file here, below, in case you want to listen.  Feel free to use it to annoy or unnerve other people, if you wish.

And that’s it, that’s all I have for now, from the most creative to the most wishfully self-destructive (not in that order).  I hope each and every one of you is feeling better than I feel.  On any given day, at any given time, I think my odds of that being the case are good.  If I were able to bet even money on it even once an hour, I think I’d pretty quickly have an excellent return on investment.  Though, that might improve my mood and so alter the expected payoff rate of my investment…damn those economic feedback loops.

TTFN

*Though my depression, if considered as an entity with a “life” of its own, is thriving, thank you very much.

**There more or less is no practical lethal dose, it seems.  The sugar in a gummy would probably kill you before the CBD would.

***Almost certainly untruthfully.

****The most famous one, “To be or not to be…”

*****Removing these throughout a recording has a curious way of deadening it, and it’s rather unpleasant if you’re trying to produce something that sounds good, so was ideal for my pseudo-purposes.

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An impromptu post I wrote but did not edit

It’s Tuesday, and I’m on my way in to the office, and since I’m not writing any fiction right now, I figured I’d see if I can write a brief blog post.  This is my only real interaction with the outside world, and apart from my sister, this is the only form of conversation I actually have with anyone in any depth.

As you know‒well, maybe not‒I’ve tried using my YouTube channel to express thoughts and ideas, but I get no real feedback or engagement there.  I even posted a little video recently on my hitherto fallow Instagram account, but though I got about two “hearts” on that, I don’t expect much more.  It’s a peculiar venue, anyway.  I enjoy the videos of the guy reading silly signs in a silly fashion‒he’s surprisingly funny‒and the people doing skits and especially the woman who does skits acting as everything from planets to fonts to the brothers Romulus and Remus deciding what to name the city they’re founding.  I also enjoy seeing some of the cosplayers, though the music they tend to put in the background is often terribly irritating.  I guess a lot of that is influenced by TikTok.

It’s the first of October, of course.  The month of the Autumn People (of which I suppose I am one, certainly by birth date). “We are the hungry ones. Your torments call us like dogs in the night. And we do feed, and feed well.” “You stuff yourselves on other people’s nightmares.” “And butter our plain bread with delicious pain.”

Of course, none of that sadistic nonsense really appeals to me.  I’m not a tormentor by nature; I’m a destroyer.  If something (or someone) irritates me, I want to obliterate it, not “punish it” or “hurt it”.  I don’t want my enemies to suffer, I just want them to die.  So I am more sympathetic to Melkor than to Sauron*.

And, of course, my greatest, most enduring‒possibly my only‒enemy is myself, and so…

I think what triggered me to want to write a post today was the fact that yesterday, on Why Evolution is True, Professor Coyne wrote a post about his previous night’s insomnia and his unpleasant dream and experience.  He has intermittent insomnia, it seems, and it causes him real discomfort.  I was one of the oodles of people who shared our own experiences in the comments, noting how I almost never remember my dreams, but haven’t slept well in almost 30 years, and that when I sleep I feel like a soldier in a battle zone, never willing to sleep deeply and always alert as if potentially under attack.  I don’t know exactly what’s behind it.  Maybe it’s just that I don’t ever feel safe, anywhere, at any time.  Which is an accurate feeling, of course.  Safety is an illusion and a delusion, and it always has been.  It’s not safe in the world, and no one here gets out alive.

Anyway, I guess I was perhaps hoping that maybe the erudite readers of PCC(E)’s website might have some new ideas about things that might help my problem, but alas.  Nothing so far.  I think I’ll quote the whole thing here, though:

“I almost never have any dreams that I can remember, because I almost never seem to sleep deeply enough (though that’s probably an illusion). In any case, I can remember (roughly) the last time I had a good night’s sleep: It was in the mid-1990’s. My sleep has never been great, even when I was a child, and it has gotten worse over time.
Even taking Benadryl (or similar medications, OTC or prescription) only gets me about four hours, and then I am groggy–but not SLEEPY–for the rest of the day. Alcohol only makes my sleep and chronic pain worse. Mostly what happens when I wake up–several times a night, usually starting about 1 am–is that I long for something like a V-fib arrest in the middle of the night. I feel like a soldier trying to sleep in a battlefield, always watchful lest some emergency happen. That was useful when on call during residency. It’s not so useful now.
I don’t remember the last time I woke up to my alarm. But I do remember that it used to make me rapidly hyper-alert, as if someone had just called General Quarters, and I would tend to sit up instantly and shut it off as quickly as possible. Nowadays I usually just give up on sleep by about 3:30 in the morning.
I SINCERELY hope that PCC(E)’s insomnia resolves or at least improves. This is no way to live.”

I received one comment reply suggesting Remeron, but I’ve tried that, along with various other antidepressants and sleep medications, prescription and otherwise.  I’m not sure what the issue is with me, but I really do wish I could get a good night’s sleep even just, say, once a month or something.  If I could get one regularly, I’m not even sure what would happen, but I feel that I would be so much better in every way.  I suppose I have a sort of gift of extra time because of the fact that I don’t sleep as long as normal people, but the time I have is miserable.  It’s a bit reminiscent of one version of the “Repugnant Conclusion” regarding utilitarianism.  One gains for or more hours per day of extra time awake, but that leads to all time awake being only barely tolerable‒and sometimes not truly tolerable except through the hope that perhaps the next day might be better, and the brutal biological drives to stay alive, even when life is miserable**.

It’s not clear to me that this is the proper or best or even a good choice, but there are so many pressures upon one to stay alive, even without purpose, without meaning, and without any real hope.  Of course, hope is insidious; even those who would seek ruthlessly to expunge illusion and delusion, at least from myself, cannot seem to embrace the freedom of despair (so to speak).  Again, I attribute this to “pre-programmed” biological drives, ruthlessly honed into us by natural selection.

Anyway, that’s enough.  Including my quote, I’ve given you all more than enough dreariness to imbibe on a Tuesday afternoon.  It’s bad enough that Tuesday afternoon is never-ending***.

Try to have a good day.

*When I began writing that, it autocorrected to “Sharon”, which seems a bit unfair to whomever Sharon is.

**And the desire not to cause pain to those one loves.

***If that were literally true, of course, then once the first Tuesday afternoon arrived, there would never be another day, and we would all, always be living in Tuesday afternoon.  That is, unless perhaps each Tuesday afternoon bifurcates in time, with the initial Tuesday afternoon going off on a higher-dimensional tangent and continuing in its course without end, while the other branch continues to cycle through “normal” time, but every week shooting off new, eternal branches of Tuesday afternoons.  That’s a weird thought.  Sorry.

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Blog post for 4-10-2024 Wednesday

I’m not writing any fiction again today, it seems.  I just don’t have any urge to do it.  The very prospect of it feels almost entirely pointless, though that could be at least partly due to the fact that I’ve felt so gormy these last few days.

I’m not as nauseated as I was yesterday (though I’m probably just as nauseous, ha ha ha), since I took two omeprazole tablets last night, and also I didn’t take any aspirin or naproxen yesterday.  I did take a few acetaminophen, though those don’t tend to work as well on their own as they do in combination with aspirin and so on.  Still, I hate the feeling of nausea*, and would rather have at least a little pain than be nauseated.  It would have been one thing if I were sick enough just to throw up and get it over with, but all I had was just general gastro-intestinal distress and discomfort throughout the day, which really sapped my energy.

I don’t know what I’m going to do about my fiction.  This week I just haven’t had any enthusiasm for it (nor for any other positive thing in life, really).  Maybe I should try to reignite my energy by sharing more of the links to my pre-existing fiction on Twitter and Facebook and the like.  Maybe if I got any feedback of any kind on any of those posts or shares it might stoke the fire of creativity a bit.

Of course, it’s hard to see why anyone other than the people who already read my stuff would respond to my posts, but who knows?  It’s difficult for me to predict what might motivate other people to do something, at least some of the time.

I feel slightly awkward sharing my links and stuff on the various anti-social media, particularly because I’m currently reading Jonathan Haidt’s new book The Anxious Generation, about the detriments of social media and smartphones to younger people.  On the other hand, unless you’re asking an elf or a vampire, I probably would not be considered a younger person.  Also, I developed my neuro-psychiatric issues long before smartphones and even before the Worldwide Web—I come by them naturally, so to speak—so I shouldn’t have to worry too much about them twisting me in some negative way.  My personality, such as it is, is already formed.  Though, as I discussed yesterday, I do seem to be reasonably good at learning new things even though I’m an old geezer.

I guess maybe I will share my stuff on at least X** and Facebook, and maybe even LinkedIn, though I have less interest in the latter, since I don’t do the whole networking thing.  I might as well make those old posts in which I “advertised” my new stories and such work for me.  And I might as well make Zuckerberg’s and Musk’s endeavors serve some useful purpose, since it’s not as though they pay much in taxes or anything.

I don’t knew where I’m going with this today, otherwise.  At least I’m not going off on weird tangents about playing with infinite series that have obvious outcomes once you work them through.  I mean, yes, it’s rather fun to fiddle with such things in the moment, particularly when one has nothing better to do, and it’s even good when it comes back around and you realize it’s revealed something that should have been obvious with much less work***.  That’s okay.  There’s nothing too wrong with coming at something in a complicated way and finally realizing how simple the answer is.  As I mentioned yesterday, at the very least, it’s good mental exercise.

Still, I shouldn’t go off on too many tangents like that too often.  I don’t think people like those posts very much.  Though, for all I know, they might think they’re the greatest thing anyone’s ever done, they’re just too shy to say anything about it.  I simply don’t know.  It’s like firing a photon off in the direction of an intergalactic super-void:  I’m not ever going to get any feedback about what happened to that photon if it doesn’t interact with something relatively nearby very soon****, and even if it does, unless it reflects back, or unless some intelligence sends a signal in response, it’s still going to be lost.

Anyway, that’s enough for now.  I expect to write my usual Thursday post tomorrow, so if you look forward to such things, you can look forward to that.  If I don’t write it, it will be either because I’m not feeling well (more so than is typically the case) or I’m dead, or perhaps that some other, unpredicted alternative possibility has interfered.  I’d give well over 50% odds that I’ll write a post tomorrow.  But for today, this post is already too long and is almost entirely without substance (and I don’t mean that just because it’s written on a word processor and shared online).

I really do hope that you all have a good day.

*I know, how unusual, right?

**Does Mr. Musk realize that by calling his platform “X” and putting its symbol in the upper right corner of the various X-cretions, he makes it look as though one is supposed to click on that symbol to make a “tweet” go away?  I know that’s the way I feel, and I’ve even tried to do it once or twice when I was distracted.

***In this case, for instance, if you add some (single) fraction of an original number to that starting total, the amount that you added is now one integer step smaller fraction of the new total.  In other words, if you start with some number, then add a ninth, say, of the original number, you now have ten of those ninths in your new total, i.e., 1 and 1/9.  But that 1/9 is now 1/10 of your new  total, trivially.  So, if you want to tip, for instance, 20% of the new total (including the tip) then you need to tip 25% of the original amount before the tip.  In other words, to tip one fifth of the total including the tip, you tip one fourth of the original, pre-tip total, since then you will have five fourths.  Anyway, let me stop this now.

****Unless, I suppose, the universe if both closed—i.e., it loops around on itself like a torus or a sphere—and smaller than anyone has any reason to suspect.  It would have to be small because, based on the expansion rate of the universe as currently measured, any photon of reasonable wavelength would probably have red-shifted into undetectability long before the time I could receive it from the other direction if it circumnavigated a closed universe on anything like the minimum scale we think the universe is.  A photon of too tiny a wavelength, i.e., of high enough energy, would have too high a chance to spontaneously decompose into some particle-antiparticle pair somewhere along the way…I think.

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If you prick us, do we not blog?

Hello and good morning.  It’s Thursday again.  At least, I think it’s Thursday.  I’m fairly sure it’s Thursday.  I have on my Thursday trousers*, at least.

Yep, it’s Thursday; I checked my phone’s readout.  I was pretty sure anyway, but when my memory jibes with an external measure of which I have no current reason to be suspicious, that drives my credence even higher than it already was.  Most days I don’t need to double-check.  Most days, my internal experience of reality is persistent and consistent enough that I’m well aware of what day it is, usually even when I “first” wake up, to such a degree that if my smartphone’s readout gainsaid that, I would suspect that the phone was malfunctioning.

Today, though, I am mildly fuzzy-headed, relative to how I usually am.  I spent most of yesterday with some manner of persistent and non-peristaltic abdominal pain that left me very grumpy; it was good that I got started on payroll early and finished it early.

I didn’t leave the office early.  No, no.  I didn’t leave until nearly 7 pm, though it was different people who kept me late this time.

That’s part of the problem with things being so lax for my coworkers:  I have to be at the office first every morning (I do get there earlier than absolutely necessary, since I can’t sleep in the morning, anyway, and it’s better to travel before rush hour).  And I am also the last to leave at night, since I lock up the office.  Yet I live farther away than almost everyone else who works there, and I don’t drive.  So I am subject to the vagaries of each day’s least time-sensitive person, whoever it might be on any given day.  Often, the people who stay late do not arrive on time in the morning.  They are often also the people who work into and sometimes through lunch.

I ought to find a way to punish these people.  I ought to take extreme vengeance upon them, “in this life or the next”.  But I probably will do no such thing.

Anyway, that’s that.  I’m a bit fuzzier than usual because I didn’t even start eating any dinner or winding down until 9 o’clock or so last night.  And here I am at the train station slightly less than eight hours later.  So, plainly I did not have a full night’s sleep‒but that never happens, anyway.

On to other matters.

I still don’t know what to do about my fiction writing.  Writing this blog every day increases the daily readership by a significant margin, such that, in the few weeks in which I was doing 2 days a week, there were only about two thirds as many visits per day that I posted.  But, of course, it’s not as though I reach very many people even on my best days.

I am probably wasting my time doing this, both in potentially boosting the reach of my fiction, and in trying to improve my mental health by talking about it (there’s no sign of that making any difference, is there?).

I don’t know.  I suspect that if I suddenly just stopped writing this blog, there are only maybe two people in the world who would notice quickly, and they are both family members.  A few others might eventually vaguely realize that they were no longer getting posts from that weird guy who has insomnia and depression and goes on and on and on about it all the time.  Perhaps they’d wonder whether I just stopped blogging, or if I died, and if so, whether that was due to accident or illness or suicide

Actually, it’s reasonable in many‒perhaps most‒cases to call suicide a death due to illness.  It’s just a kind of illness that hasn’t been recognized as such throughout most of history, and still is not met with the attitude that would be useful from most people who interact with its sufferers.  Of course, it isn’t caused by any virus or bacteria (as far as we know) and so is not contagious in any straightforward sense (though memetic contagion cannot be ruled out in all cases).

Then again, people have only known about the contagious nature of things like smallpox and typhoid fever and the black death and the flu and various other infectious and parasitic diseases for a very short time.  But those are the comparative low-hanging fruit of illnesses, prevention and treatment-wise.  When a disease is caused by a definitive pathogen, an invader, there is a target that can be eliminated, if possible, to the unmitigated benefit of the one invaded.  It was a clear and definitive good for people when, for instance, smallpox was eradicated.

Problems related to malfunction or dysfunction or conflicting function of the organism itself, on the other hand, are much trickier.  The structure and function of a biological organism is akin to a vast and vastly complicated Rube Goldberg machine, where interventions in one region can have hard-to-predict effects elsewhere.  And, of course, once we’ve eliminated or at least significantly curtailed all the “easier” targets, then only harder ones remain.

Then people will complain about the slow pace of medical progress and the fact that some people must take lifelong medications to treat things like diabetes and high blood pressure, imagining that this fact is only and entirely due to, say, profiteering on the part of pharmaceutical companies.  Meanwhile, some of them will actually complain about and even resist the use of such things as vaccines, which have given them the luxury of being able to worry about things other than, say, how many of their children will die of measles encephalitis or will be crippled by polio.

It’s enough to make one want to paraphrase Colonel Jessup from A Few Good Men, and remind people that they rise and sleep under the blanket of the health and longevity provided by medical science and then question the manner in which it has been provided**.

I don’t know how I got onto that tangent.  Neither do I know why I got onto that tangent.  It’s all pointless, anyway.  I hope this hasn’t been too disjointed a blog post.  I also hope that you all have a good day, and a good rest of the week, and a good upcoming month, and a good rest of the year, and a good rest of your lives, and a good rest of eternity.

As for me, I’d be pleased just to get a good rest.  But I don’t expect that to happen any time before I die.

TTFN

*Yes, I have a pair that I wear specifically and only on Thursdays.

**But they don’t question it in any honest, serious, intellectual sense, such as would entail actually studying and deeply understanding even basic undergraduate level biology (to pick up a  weapon and stand a post, so to speak).  It’s remarkable how many problems seem so simple to those who don’t really, actually know Jack Shit about them.

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Late-arriving, futile “justice” and reminders of a life that has been all but annihilated

I read the news yesterday, oh boy.  And yes, it was about a lucky man‒luckier than I am, anyway, at least in some ways.

There was a doctor in the heartland of America somewhere, I don’t recall where, who had been convicted of, apparently, inappropriately prescribing very large amounts of pain meds, the report quoting the number 500,000* (It seems unlikely that there were 500,000 prescriptions**, so it probably was that number of pills).

Anyway, his conviction was overturned on appeal, because apparently, in 2022, the SCOTUS handed down a ruling that the prosecution had to prove in such cases that there was “intentional or knowing” inappropriate prescription for it to rise to the level of a crime, and the jury hadn’t been appropriately instructed regarding that fact.

I looked up the case, and I’ve even downloaded the PDF of the case.  Although I haven’t read through it yet, the summaries make it clear that, yes indeed, this is a new and specific requirement.

Silly me, I had always thought that mens rea was a crucial requirement for nearly any criminal case, certainly one that rises to the level of a felony charge.  I brought that up with my (public) defense attorney, trying to point out that I shouldn’t be convicted of a crime since I literally had never intended to do anything but treat patients who had chronic pain‒which I did because I had chronic pain, and it had already severely harmed my life.  I knew how hard it was for even a physician, who at the time had good health insurance, to be able to get adequate treatment and even to get his prescriptions filled by often-judgmental pharmacists who looked at him as if he were a criminal just because he wanted to try to mitigate his pain with the most effective medicine that was available.

But no, apparently, according to my attorney, the prosecutor didn’t have to prove any such thing specifically; it could just be inferred.  And apparently I’m not exactly the sort of person to elicit sympathy from a jury in south Florida, because my voice tends to be monotone and my face tends to be expressionless and I don’t look like someone who is frankly worthy of sympathy.

All the charges against me were created by the PBSO, who sent in undercover people with (evidently) faked MRIs and fake complaints, who complained of chronic, severe pain and said they were in pain when I examined them***, and whose own secret recordings and records showed that there were often only one or two other patients in the whole office when they were there‒hardly what one would call a “pill mill” I should think.

Anyway, I was offered a plea bargain and I took it, because unless you’ve got a lot of money or you literally have nothing to lose, you will take a plea bargain in the right circumstances, even though you know you’re innocent.  I’ve written a blog post about how the plea bargain system is an extortionate game slanted against especially the underprivileged.

The statutes involved in my charges were designed by that <sarcasm> bastion of intelligentsia and morality, the Florida State Legislature </sarcasm>, to give judges no leeway, and to grind away maximally at anyone charged with “trafficking”.   If a jury decided that they should convict on at least one charge, since the state had created so many charges against me (each prescription being a charge, and twenty something having been conned out of me by various lying police officers over time) and the number seems impressive, I still could have faced a minimum of fifteen years in prison.

In retrospect, I think I would have been little worse off if I had, given the mockery and shambles my life has become.  But at the time, I hoped to see my kids again, perhaps sometime before they were adults.  Three years was better than fifteen (or potentially the rest of my life), and I had no one else to help me with a legal fight, and certainly no reservoir of money, so I took the deal.

The way things are now, though, I might not have been charged, or might have been offered some misdemeanor plea deal.  Or I might have gone to trial and won with relative ease, since the fact that I never knowingly or intentionally mis-prescribed medicine was a fact I knew for certain, at a Cartesian, cogito ergo sum sort of level, since it was a fact about my own mental state.

I may be naïve, and I often do not understand humans.  I am often easily misled and manipulated and used and misused and probably abused, because I am socially and emotionally very clueless and believe in giving other people the benefit of the doubt (to hold them innocent until proven guilty, in other words).  But I have never been greedy or unscrupulously opportunistic, and I took the practice of medicine and my duty and goal to relieve suffering very seriously.  I was never into making a lot of money, though it was good to be able to buy books I wanted and to take care of my kids.  I lived in a one-bedroom apartment and drove a ten-year-old Toyota Sienna.

Before yesterday, it had been a long time since I’d bothered thinking about what my life might have been like if things had not gone the way they did.  There didn’t seem to be any point.  I was a lost cause and that was that.  But this has made me feel acutely once again the cut of all the lost time with my kids and my lost ability to practice medicine, and all the other losses I’ve experienced as part of this debacle of a life.

What’s more, there’s been salt and vinegar rubbed into the wound by the fact that it took a Supreme Court dominated by many justices who’d been appointed by The Donald to require courts to require prosecutors to prove something that was supposed to be a necessary element of almost any serious criminal charge:  actual criminal intent.

That’s all leaving aside the un-ethics and illogic of the government of the “Land of the Free” dictating what people can put into their own bodies when it doesn’t directly harm other people in the first place.  I won’t get into that because it had no bearing on my medical practice‒I was not in the business of dealing in euphoriants, I was trying to relieve actual suffering.

One cannot really apply new jurisprudence to old cases in which a sentence has already been carried out and finished, and when the consequences thereof are already irrevocable.  I cannot regain the time I have lost with my children or the time I have lost when I could have been practicing medicine, or the time I spent at FSP West or in the Palm Beach County Main Detention Center, where even the people who worked there frequently asked why the hell I was there, or still there (I spent 8 months in the place, on the mental health floor, because I couldn’t make bail, but finally my former girlfriend’s mother helped secure it‒at least she got all her own back after I was sentenced, and I appreciate her very much, though I might as well just have stayed in jail, since at least the whole sentence would have ended earlier given “time served” and I was basically homeless when out on bail, having lost everything I owned and relying on the generosity and kindness of friends/former coworkers).

So I am stuck with a ruined life and a twisted mockery of myself.  The fruits of a considerable number of years of time and effort and thought and creativity on my part**** were all taken away by the mindless grinding of a huge stupid machine of “criminal justice” that has little to nothing to do with the latter part of the term.  I don’t claim not to be stupid or foolish or not to have ever made mistakes in the whole situation.  I make many mistakes.  But it is maddening to see how misapplied the law can be and to experience it for oneself, especially when one is now by oneself, partly thanks to that misapplication, and then to learn that now the law is changed (or correctly applied) such that I could have been in a better situation had that change come sooner.

I often consider the possibility of going to the Palm Beach courthouse, dousing myself in various flammable liquids, and turning myself into a “bonfire of the unsanities and inanities”, to bring attention to some of the costs of misapplied “justice” and to bring an end to my own mis-called life.  I even have two gallons of paraffin lamp oil and six liters of charcoal lighter fluid and a big enough backpack to carry them all, in case I decide to do it.

Death by fire is intimidating, though‒I am no Buddhist monk by any means.  And I also dislike causing inconvenience to other people, even those involved in an institution that had no qualms about recklessly “judging” me and ruining my life.  But it is tempting, and I feel right now even more than usual the utter pointlessness of continuing, even while stupidity in the office in which I work grinds away at me further (though, to give him credit, my boss tries hard to keep things as sane as he can).

I feel rotten enough and alien enough even at baseline, and all this doesn’t help.  I have lost almost all that mattered to me, and I live alone in a stupid one-room (plus bathroom) “in-law” suite that is smaller than many hotel rooms.  All my previous friends are far away, and most are doing much better with their lives than I am and don’t really have much in common with me anymore.  In any case, I don’t really talk or otherwise communicate with them, though it would be nice.

There are also plain few people where I am now who have anything in common with me.  Very few people have much in common with me:  a disgraced physician unable to practice, with a love of math and physics and biology and of Shakespeare and horror fiction and science fiction/fantasy (reading and writing it) and of science and rationality-oriented podcasts and books and videos, who wants to learn or relearn more about modern physics at a deep level and whose brain doesn’t seem to run the same operating system as most of the people around him‒a Linux in a world of iOS, or worse.

So, I don’t know what I’m going to do.  Knowing me, I’ll probably just grind along until I’m worn to a nub and then tumble into the trash can, unmarked and largely unlamented.

I know that I won’t be sorry‒not about that.

*This sounds like an awful lot of pills, but it’s deliberately chosen to sound that way in a manipulative, rhetorical tactic as used by reporters and prosecutors alike.  Let’s run the numbers, as I am wont to do, to see how impressive they really are.

Now, if there were one patient, taking one pill per day‒perhaps the person only takes one prescription, say an antidepressant or a cholesterol med or a long-acting antihypertensive‒it would take nearly 1400 years to use that many pills.  Plain few patients live that long (see my recent blog post), and most pills would long since have expired and become inactive before the end of that time.

Still, the average physician is responsible for the care of 2,000 to 3,000 patients (see here and here), meaning that if, on average, their patients each only took one prescribed pill a day, they would go through 500,000 pills in 6 to 9 months.  But many prescriptions call for more than one pill per day, and uninsured patients cannot tend to afford the long-acting pain meds that claim to allow for steadier doses and thus slightly less risk of rebounds and escalations and all the horrors involved in that.

Now, presently, I take three to nine aspirin a day, sometimes more, and I also take two naproxen and some supplemental Tylenol as well, all of which are more directly toxic to the body than opioids, but are nonetheless over the counter (as they should be).  If I averaged ten total pills a day, then it would take me only 137 years or so to take 500,000 total pills.  That’s longer than I’m likely to be taking pills, but I’m only one person (that, as Dave Barry said, is the law).  An average practice of patients who took only six pills a day would go through 500,000 pills in one to one and a half months.  Many ordinary, non-pain-specific patients, especially those middle-aged and older, take that many and even more prescription meds a day.

In any case, an ordinary general practitioner with a light patient load of two thousand patients, each taking only an average of two pills a day, would prescribe 500,000 pills in 3 to 5 months.  So don’t be too impressed by the carefully curated numbers that prosecutors and media choose to elicit your alarm and disgust.

**Even 500,000 prescriptions, in a modest 2000 patient practice, would require only 250 prescriptions total per patient.  That would certainly take quite a bit longer than 500,000 pills would take, but given an average of only one prescription per patient per month (counting refills) it would only take a bit over 20 years, a decently short length of practice.  Many doctors see more than 2000 total patients and many patients get more than one prescription per month.  And, of course, one cannot even apply refills on “controlled substances”, they have to be literally re-written every month, and patients have to come to the doctor’s office to get them, assuming they can even get them filled.  Monthly doctor’s visits can be hard for someone trying to work a regular job while dealing with chronic pain.  Thus, the whole “mill” part of the “pill mill” trope is created by the law itself, leading to greater costs in time and fees for the patients who are trying to survive after job-related and other injuries or conditions that have caused them chronic pain and make it difficult for them to find consistent, gainful employment or to sustain health insurance.

***Pain is a symptom, not a sign, in medical terms.  We have no reliable ways of testing it, beyond patient report.  We try to find physical correlations when we can, often to see if we can find some treatable cause, but even Harrison’s Principles of Internal Medicine (I think it was on page 80 or 81 of the 14th or 15th edition, whichever one I had at the time) has clearly stated that, for instance, back pain does not correlate well even with specific injuries noted on MRIs and the like.  As large a number of people without pain will have nerve root impingements and bulging discs and the like seen on spinal MRIs as do have pain.  NO ONE KNOWS all the wherefores of this situation, but there is no serious doubt that such pain is quite real.

****It did not all happen during medical school or residency‒one does not coast along from K-12 and undergraduate college and only then start to work hard in med school, especially if one grew up in a blue-collar, factory town outside Detroit.

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Monday’s blogger at least still likes to learn

Hurray, hurray.  It’s Monday.

It’s probably hard to tell from the printed words, there, but I was being sardonic with that opening pseudo-exclamation.  I’m not excited that it’s Monday and the beginning of a new work week.  Then again, I’m not excited by much of anything.  Staying at the house doesn’t seem likely to be exciting, either.  There’s not much I can think of doing or any place I can think of going that seems exciting.  Nearly all the things in the world are on some spectrum from boring to stressful.

I don’t recommend this as a way of being, not even to myself.  I’m trying to find ways around it, or rather, to counteract it, but all my previous attempts have not succeeded in any durable fashion, as should probably be obvious.  Various medications, various therapies, lifestyle changes, exercise‒none of it has worked.  Some time ago, I had some hopes that trying marijuana that a former friend had would at least help my pain, if not my depression, but it did neither after two tries, and when I tried too much when I was in particularly bad pain, it made me quite sick to my stomach.  I was throwing up for a few hours (not continuously, of course, but it was still pretty bad).

It’s ironic that THC is used to treat nausea in many cases.  Evidently, my nervous system is too atypical for such things.

I recently happened upon some videos about psilocybin, specifically that there’s a study beginning on using it to try to treat some of the negative symptoms of autism spectrum disorder.  I know it has been used to treat recalcitrant depression and related disorders, including depression in people facing terminal cancer.  Psychedelics have always sounded intriguing, and people make much of them, but I think, given my experiences with other meds, I would be very frightened to try any of them.  My mind is not my friend, and I worry that I would be particularly prone to a “bad trip”, and there’s no way to abort such a thing once it has started; one just has to go through it to the other end.

Speaking of being anxious and frightened of things that many people find beneficial, I had meant to retry riding my new bike yesterday, and perhaps to ride it to the train and then into the office today, but I find myself subtly terrified to do so.  The beginning of last week was just so exceptionally painful and horrible that I am frightened of reinitiating it.  I wish I could know that it’s something that would resolve after a time, but it seemed to worsen over the course of the three or four days I was riding, until by last Monday I was bed-ridden, and I was even grumpier and more cheerless than usual on Tuesday, if you can imagine such a thing.

I think I’ll have to forgo it.  My boss really liked the bike, and offered to buy it from me if I can’t use it, but then I need to get it up to the office, which would mean riding it.  I don’t see myself carrying it.

My train is coming in five minutes.  I’ll pause and then return to this once I get on the train.

***

Okay, I’m on the train now.  What was I talking about?  Oh, yeah, the bike.  I guess I could have it shipped up to the office.  I think Uber even provides services like that, or I could try to see if there’s a way to set up an Uber in a vehicle that can carry the bike.  It’s a thought.  I don’t see my boss making a trip all the way down to my place to pick it up.

I guess I should stick to walking, even though it’s slower.  At least I can listen to audiobooks and podcasts and such while walking.  Nothing beats The Fellowship of the Ring as walking accompaniment, since it’s all about a journey on foot.  Even walking has its troubles, of course‒I have spandex braces on my left knee and right ankle to address the little bit of walking I did yesterday, and the right side of my back is in moderate spasm.  But that sort of stuff is par for the course.  If/as I lose weight, some of that will decrease, and some of it may even disappear.

Life is annoying on so many levels.  But at least there are lots of videos on things like hyperbolic geometry and computers and tensors and matrices and Einstein’s field equations and things like that.  It’s often the case that if I find several different people explaining the same thing I end up with a much deeper understanding.  Each teacher or author or whatever approaches things in a slightly different way, with different emphasis.  When one sees a subject from multiple angles, one tends to get a more complete and thorough understanding of it.  In this, I guess it’s analogous to binocular vision, which gives us depth perception.

I really want to read Zee’s book on quantum field theory, but although these new glasses are better for such smallish print, I think maybe I should have gone even higher on the strength.  Maybe I’ll go to the drugstore over lunch and pick up a stronger pair.  It would get me a bit more exercise, at least.

Please don’t emulate or internalize my negative outlook on things; I have no desire to see a world where more people are depressed.  Do try to keep learning.  Try to build as accurate a map of the world‒in all senses‒as you can.  Be ruthless with yourself in that process.  Your biases will try to trick you, and they will never stop trying, so you need to apply active countermeasures against them.  It’s a pain, but it’s important (and often satisfying and even thrilling) to work toward as accurate a map as you can get, not one that shows a world the way you would like it to be or you believe it to be.  A poor map will be less likely to get you anywhere you might want to go.

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Laptop computers and steroids in noses; rough economics and thoughts on typos-es; multiple footnotes with time travel zings; these are a few of…well, you know the rest

After yesterday’s brief discussion about the pitfalls of using the smartphone to write my blog posts, I decided to do this one on my laptop computer, so I brought it back with me at the end of the day.  So far, so good:  my typing speed is definitely faster, and though there are certainly mistakes being made (and, yes, by me…obviously), they are relatively easy**** and quick to correct, and are of a much more typical kind than the ones I make on the phone.

Mostly, these mistakes are the products of trying to type too fast and so not completely pressing down on some of the keys as I go along.  Occasionally, my brain finishes the wrong word once I start typing, because it’s used to typing that other word much more often than some word that begins with many of the same letters.

Shifting topics abruptly:  Last night, for the first time in several months, I did not take any nasal steroids at all.  I’ve been using them to treat my allergic rhinitis, and they seem to have helped some of the symptoms thereof, but unfortunately, I suspect—because I have been using the maximum dose for quite a while—that I’ve begun to have systemic corticosteroid effects, among which are weight gain, glucose intolerance, weakening of various tissues, and so on.

This would explain at least some of my physical travails.  Corticosteroids can, of course, have mental effects as well—the brain being a physical organ, after all—but these are more subtle and difficult to recognize, let alone ascertain.  It is, alas, not likely that stopping the fluticasone will have a significant effect on my depression.  That is something with which I’ve dealt* since I was a teenager, and probably is at least partly a consequence of my apparent ASD.  If someone wants, I can get into how I think that happens in my particular case, but otherwise, I won’t discuss it, at least for now.

I still haven’t done the “videos” for my last two audio blogs; I’m sorry if anyone is waiting with figuratively bated breath.  On the other hand, this means that, for the moment, those audio blogs are exclusively available for people who follow my blog directly.  That’s almost like the Patreon rewards people offer to their patrons, but I don’t use Patreon, so I don’t even charge you for them.  Aren’t you lucky?

I sometimes think that maybe I should sign up for Patreon—as a creator, I mean.  I do follow two creators on Patreon, so in that sense, I’m already signed up.  And, of course, episodically, Patreon tries to encourage me to start using it for my content.  I mean, they would, wouldn’t they?  It’s how they make their money.

Not that I hold that against them; I don’t.  We all have to make a living one way or another, and since none of us animals (or fungi) photosynthesize—even coral polyps need algal cells living within them for that kind of thing—we’re forced to scrape our continued existence out of the various resources and means and skills and whatnot in the world around us, which includes all the other people.  Economics is really a branch of both biology and thermodynamics.

It was easy enough for John Lennon to sing of imagining no possessions, but I wonder if even he could, sitting at his white grand piano in his very fancy place, with his rock star money***.  I don’t think he really imagined a plausible  world in which there were no possessions.  Hunter-gatherer societies might be the closest realistic version of such a thing, but I strongly suspect they were not the sort of society about which John was singing.  They certain do not entail any “brotherhood of man”, especially if other tribes were encountered—see Steven Pinker’s The Better Angels of Our Nature.

Soon, my train will come—though it’s running ten minutes late, it seems.  The auto announcement is calling it a southbound train, even though it’s northbound; at least it has the track correct.  This error has been going on for several days now, at least.  I’m guessing it’s a software problem, perhaps due to some virus.  If it were a simple mistake, I imagine they could have fixed it by now; I don’t think they’re that incompetent.  Also, the Wi-Fi on all the trains seems to be hosed, lately, as do at least some of the position signals for the Tri-rail tracker app.

I’ll wrap this up for now.  By all means, give me feedback if you’re interested.  And “thank you” to those who already do so.  I’ll try to work on those “videos” I mentioned, but I make no promises.  Have a good day, if you can.

*That is an example of a word my brain often accidentally mixes with another.  When I start typing d-e-a-l-t, although my system finishes the intended word, it also seems to call up the subroutine that spells the word “death”, and so, frequently—maybe half the time—I add an “h” to the end of the word, producing “dealth”.  It’s odd**, but mildly interesting.

**And I often write “off” when I intend to write “odd”.  Indeed, I did it just now.  This typo, however, is at least partly due to the fact that “d” and “f” are adjacent on the keyboard.

***Don’t get me wrong; I revere John Lennon.  All the money he ever could have had in any reasonable version of reality could never have adequately compensated him for the beauty and joy he and his bandmates brought to the world.

****I only caught this typo on the edit, not while I was writing the first draft:  I had initially typed this word as “east”, an error at least partly due again to the position of the letters.  I left it as footnote four—with four asterisks—even though it will now be the first footnote in the linear reading of the blog post, because its content and subject matter make it, still, the logical fourth one.  Is this an analogy for time travel stories?  Perhaps.  Maybe I’ll write about that some other time*****.

*****Or maybe I already have.

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Thoughts on confident statements about scientific fallibility

This is some audio I recorded this morning trying to follow up on the subject I brought up near the end of my last “audio blog”.  It relates to overconfidence about scientific pronouncements and so on both by the experts and by those who think they know the “real” motivations of the experts, particularly relating to the issues in the pandemic and so on.  It was triggered by a snippet of a conversation between Bill Maher and Seth MacFarlane, but I’m not sure where to find the original snippet.

As you will note, I did NOT make it shorter than my last audio.

[There is an interruption in the middle–presaged and followed by three chirps–in which I say what I had meant to say upon bringing up a particular subject, but then distracted myself completely by discussing some excellent YouTube channels about science and math.]

Here are some links to the YouTube channels I mentioned (along with one or two I did not) and which distracted me.  I heartily endorse them:

PBS Spacetime

PBS Eons

PBS Infinite Series

Be Smart

Numberphile

Sixty Symbols

Deep Sky Videos

Periodic Videos

Computerphile

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“Check it and see…”

Well, I’m writing a post today, again, for some unknown and unholy reason, and I’m doing it on my smartphone, because I did not bring my laptop computer back to the house with me last night.  I was not up to carrying it.

I’m writing in the back of an Uber that’s bringing me to the gas station near the office, because I am feeling quite under the weather and do not want to face any train travel today.  I spiked a fever overnight‒not a huge one, but my pulse really raced for a bit there (about 136 at rest).  I don’t have much in the way of specific symptoms, other than a general achiness and malaise that is different from the general elevated pain I’ve been having lately.  Also, I feel just a slight sense of breathlessness.  It’s not literally difficulty breathing, but just a feeling as if I were exerting myself even while sitting still.  My pulse ox is fine*.

You may wonder why I am going to the office at all, if I am sick, and you are not foolish to wonder this.  Unfortunately, my coworker who shares some of my roles was out yesterday because his wife and baby are both sick, so I had to pick up the slack, such as it is, despite exacerbations of chronic pain and being suicidally depressed.  And I don’t know if he’s going to be out again, today, but by the time I find out, it will be too late for me to get to the office on time from where I “live”.

I feel just a little bit queasy, now, also.  It’s not like I’m in danger of throwing up, as far as I can tell.  It’s just a bit unpleasant.

No matter what, I swear I am not going to switch and fill in tomorrow, even if my coworker cannot make it.  The boss will just have to figure something out.  Or he’ll have to close the office.

Sorry, I know this is all boring.  I don’t know what you’re hoping for from me, but this is probably not it.

Oh, I took delivery yesterday of a four part book collection compiled from the writers of the Less Wrong website.  Collectively, the set is called The Engines of Cognition, and their individual titles are: 

Trust

Modularity

Incentives

Failure

In the inside front of each book, on the first page, there is a little quote from some famous thinker, such as Richard Feynman.  This is particularly fun because, in the first volume, the quote is uncredited, but I knew right away Who had said it.  The quote was, “If I always told you the truth, I wouldn’t need you to trust me.”

That quote is from the 11th Doctor, in series 5, episode 5, “Flesh and Stone”.  I think it’s cool that the luminaries from Less Wrong chose a Doctor Who quote for the inside of this book.  There’s a bit of a spoiler associated with the quote in the show, so I won’t get into it any further.  Maybe some of you will eventually want to watch Doctor Who, and I wouldn’t want to mess you up with spoilers‒though that’s always a potential part of any time travel adventure, I guess.

Here’s a related thought:  I don’t understand why more of the companions in Doctor Who don’t ask to learn about the science of the TARDIS and the Time Lords in general.  The TARDIS is “bigger on the inside”’ thanks to “dimensional engineering” but how is that actually accomplished?  How does time travel work?  If the past can be rewritten, what does that say about the many worlds interpretation of quantum mechanics?  If the past can be changed and have within-universe consequences, just rewriting reality, then why (and how) are there parallel, nearly identical universes, such as the one to which Rose was sent?

I know, the writers have no idea of the answers to such questions.  But why aren’t the characters curious about them?

Anyway, that’s enough of that.  I’ll just close by mentioning something related to health insurance.  My sister said (in a comment on Facebook instead of here‒I’m not sure why) that she would very kindly help me with filling out forms.  Unfortunately, the forms aren’t my issue, really.  It’s the actual starting of the process, the picking up of the phone and the calling of the insurance broker.  That’s the main barrier, partly due to social anxiety‒though that feels like too mild a term‒and partly just my resistance to taking care of my health.  I mean, think about it:  how hard would you work to help protect the worst person you know, your least favorite person in the world?

Those are rhetorical questions, of course.  But I would like to remind people that I prefer it if they leave comments here rather than on Facebook or other social media.  For one thing, it apparently helps boost my blog via whatever the WordPress algorithm is.  And I don’t really need my personal Facebook page boosted.

I suppose it matters very little.  Maybe this illness I’m fighting now will end up killing me, and everything else will be moot.  🙂

I doubt it.  It just feels like an ordinary virus.  But who knows?  Maybe I’ll get lucky.  And, as part of that, maybe all of you who read my blog out of kindness and/or obligation, will get lucky and not have to do so anymore.  It would be appropriate for it to happen on the weekend of New Year’s.

Fingers crossed!

*Of course I have my own pulse oximeter.