ASD

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“…my mind is on the blink.”

It’s Monday.  I almost don’t know what more needs to be said.

I’m probably going to make this relatively short, because I’m having quite a bit of pain in the bases of my thumbs as I write this on my smartphone.  I took three aspirin* already this morning, but it certainly hasn’t kicked in.  If it’s not going to help my pain, I wish at least the anti-platelet action would make me have a massive GI bleed or something.  I know, it’s kind of gross, but it’s one of those things where no one can claim you’re malingering or lazy or whatever.  If you’re vomiting blood, only a fool could say, “It’s all in your head.”

Speaking of it being all in your head, though, it’s of course a worry that aspirin could cause a hemorrhagic stroke instead of a GI bleed.  Obviously, since my brain is my greatest strength, I would prefer not to have that happen.

On the other hand, it’s not as though my brain is my friend or anything.  It’s where my greatest difficulties lie, as well as my strengths, and those difficulties dominate most of my days and‒to say the least‒my nights.  I’m depressed and “anxious” and angry and pessimistic, and I cannot sleep properly, and I am in constant pain, and I also have all these attributes that led me to have my assessment done last Friday to try to determine if I have the second kind of ASD or not.  So I can’t exactly feel too worried about my brain.  I don’t even wear a helmet when I ride my bicycle.  If I get brain damaged, it seems like the least my brain deserves.

I’m tired.  I’m so tired.

I know there are people out there who are able to try to put the best possible spin on events, and who can honestly say that they love themselves, and that’s great.  I envy and admire that.  And I have tried very hard to develop those habits, through self-hypnosis and autosuggestion and meditation and even pharmacology, but I have not been able to alter my programming so far.  Maybe I need a factory reset or something.

Anyway, I’m supposed to receive my report about my autism assessment within a week, so I should have it by this Friday at the latest.  I can’t say I’m not nervous about it.

Well, I can say it, I guess.  “I’m not nervous about it.”  See?  But saying it doesn’t make it so, no matter how loudly you say it, or how often you repeat it, or what oaths you proclaim, or what authority you cite.  It doesn’t even matter if you really believe it, even if you believe it so fervently that you’re willing to die for the belief.

If that were any measure of truth, then suicide bombers would be more likely to be right than Nobel Prize winning scientists, and such people are not more likely to be right.  They are almost certainly wrong about everything important that led them to blow themselves up.  In fact, certainty of anything beyond literal mathematical and deductive, logical conclusions is the hallmark of a mind less likely to be right than would be a mind that is full of doubt and willing to criticize itself.

So, I am nervous, but there’s nothing I can do for now but wait.  In the meantime, I really should start writing on my laptop computer again.  This phone writing is losing what charm it had, since it’s making my thumbs hurt worse over time.

With that said, I’m going to end the first draft of this now.  I don’t have more to say that I’m sure I haven’t said elsewhere, before, probably eight-thousand times.  I tend to repeat myself a lot.

I hope you have a good day and a good week.

*Sometimes I feel that the plural of aspirin should be “aspirins”, but I think it’s generally just “aspirin”, like “deer” and “fish”** being both singular and plural.

**Sometimes one sees the word “fishes”, but that is generally used, I believe, when one is discussing more than one kind of fish.

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It’s not the size of the blog post, it’s what you do with it

Well, it’s Saturday, and here I am writing a post of sorts, which means I am working today and‒of course‒I am still alive, at least by some definitions of the word.  I don’t think I could write if I were not alive.

I’m not going to make this very long today, since I’m quite fatigued.  I had my assessment yesterday.  It wasn’t any kind of ordeal or anything, but I was quite nervous.  I don’t have any idea what my results will be.  Well, okay, at some level they’re just going to be either positive or negative, but I can’t give any kind of objective assessment of the probabilities.  I’m too much in the middle of it, so I’m disrupted by my emotions.

I guess I’ll have to wait and see what the outcome is.  I don’t know what I’ll do (if anything) if it’s positive and I really don’t know what I will do if it’s negative.

As for other things, I don’t know.  I haven’t been walking really in the last couple of days, except of course basic getting around a room or something.  I’ve been having a lot of pain in my joints and as always my back.  I also haven’t played guitar in a while.  I guess it’s good that I didn’t buy a new acoustic, huh?  Anyway, with the evaluation, I spent more money than I usually do, so I don’t need the added expense.

I don’t really have much else to say right now, I think.  Maybe I’ll add some more in the edit, but as far as I’m concerned, the first draft is over.  Have a good weekend if you can.

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“I’ve seen that road before”

Well, I’ve already walked about 5 miles this morning‒that’s the distance from the house to the train station.  I gave myself a break yesterday, since I had exercised pretty seriously for 4 days before that, but it seemed a shame not to take advantage of at least the slight improvement in my condition over the past several days.  I considered biking, which would have taken about a third as much time as walking, but I just get nervous when I’m biking.

No matter how much I do it‒and there have been times when I did it a lot‒biking always feels profoundly unnatural and uncomfortable to me, and I’m always worried about getting a flat tire or having some kind of accident, like the time I flipped over on a bike and fractured my right scapula.  I also worry about locking the bike up at the train station, because even if I secure it thoroughly, with the two thick cables and the U-lock that I have, it can still be vandalized.

At least with walking, there is no serious maintenance other than maintaining my body, and to that end I have spandex braces on both ankles and my left knee, and these seem to be helpful.  My boots are good quality, so they’re not going to give out all of a sudden (like even a good bike tire can do) and I’m trying hard to keep from exacerbating my underlying arthroses‒thus the spandex.

My feet and ankles and knees are less troubled now than they were on Monday, and if I can keep this up, they should adapt more and more, asymptotically approaching some optimal configuration.

It didn’t hurt‒so to speak‒that I woke up at about 2 am today, and after a while decided I might as well just get up, get ready, and walk the 5 miles to the train.  It wasn’t as though I was going to be late, just later than I usually am.

Yesterday at work was pretty stressful, and I felt very tense, especially for the first part of the day, when a few people asked how I was.  I mean, my boss called it a vacation, but it was not that.  It was an emergency mental health break, and it was far from adequate, though it did provide some help.

I like to say that I don’t need a vacation, I need a dirt vacation, which is like a dirt nap but longer, if that’s even possible.

I finished filling out the pre-appointment questionnaires for my autism assessment this Friday, and now all I can do is wait.  I’ve not really done a video appointment before; I’m not sure that I will like it.  Or, rather, I’m not sure how natural it will feel to me.  I mean, I guess it really isn’t “natural” in a certain sense of the word.  But from another point of view, it is natural, because everything is natural.  Anything that actually exists is part of nature.  Nothing unnatural exists, not can it exist.

I intend, at least half-heartedly, to walk back from the train station this evening.  This would mean that, even if I get a lift to the station from work, I would (will) have walked about 11 miles today.  That’s something of a long distance, though it’s not as far as I walked Monday, and then I only took three 19-minute breaks, whereas today I have the train ride(s) and, of course, work in between the two main legs of the journey.

I want to get to the point where I’m fit (and thin) enough that my joints and so on are no longer bothered by the walking, but have adapted well enough that I can walk indefinitely.  Of course, it would be nice also to be able to do a little jogging now and then.  And if I have trouble, I can always hop on one of those horses that wishes turn into and which beggars ride.

I am also receiving a pair of “trek poles” today, which are being delivered to the office.  I’m hoping these will help me avoid overtaxing my lower body and will make walking more of a total body workout.  We’ll see.  I may hate using them.  I may love using them.

The latter would obviously be nice, because then I would be more inclined to stick with my “program” and keep exercising regularly.  I’d like to get used to it all at least before the weather down here gets truly hot and humid.  I can readily handle that if I’m already in shape, but if not, it just makes things more difficult.

I sound relatively optimistic, at least for me, this morning, don’t I?  Perhaps I have already begun to develop some of that “runner’s” high‒or walker’s high in this case.  I used to get that in spades when I ran longish distances.  By the end of my runs, I felt like a superhero.

We’ll see if I ever get that feeling again, or any other truly positive feelings like joy, friendship, love, enthusiasm, positive anticipation…what have you.  Or will I just need to take that dirt vacation after all?  I suppose I can only wait and see.

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“Pull me out of the air crash…”

Well, it’s been a short while since I posted here.  I intended‒vaguely‒to write a post on Friday and then Monday (which was yesterday), but I had a surprise situation happen that I haven’t really discussed with anyone yet, though I might have mentioned it on Threads.

It seems at least some of my underlying distress was evident to some people at work‒I certainly know that I’ve been feeling like I’m coming apart at the seams, and at times in between the seams.  So, on Thursday morning, my boss somewhat quietly came to me and “suggested” that I take a bit of time off.  He suggested 5 days, but if I had come back tomorrow, there would be too much backed up work, so I got it down to 4 days (plus Thursday afternoon).

He said he could tell that I was really getting stressed out and irritable, and that I needed a break; I hadn’t taken any non-sick time off since my mother died.  In and of itself, this was truly kind of him, and that’s completely in character.  On the other hand, he doesn’t understand me all that well.  It’s hard to blame him; I’m a weirdo, after all.

Anyway, he suggested all sorts of absurd things, like getting a hotel room on the beach, drinking cocktails, getting laid, and so on.  Imagine that:  me getting laid on short notice!  I wouldn’t have the comfort level with strangers even to pay to have sex with someone, let alone to pick up or be picked up.  When he made those suggestions, I started to giggle hysterically‒it was a sound that worried and sort of even frightened me‒and I had to suppress it pretty quickly, because if I didn’t, I knew I was going to start to cry.  In any case, I left the office at noon and went back to the house.

As for the beach…

Well, I did do some biking, trying to get used to riding so I could do more, and after riding around the local area a total of about 9 miles on Friday, I decided on Saturday to ride out to the beach and (of course) back, about six miles each way.  It was quite a ride for only my second day back on the bike, but I managed it.  Then I walked down to the beach and saw that at least every human in the western hemisphere was there, so there was no way I was going to remain for long.

I didn’t bring beach gear anyway, having no intention of swimming.  The waves on the Atlantic coast make swimming at the beach there irritating.  The beaches on the Gulf of Mexico are much more pleasant.  Also, I’m about as fond of sand as is Anakin Skywalker.

So, I stopped at a 7-11 for some Gatorade, drank it, and rode back.  Then, on Sunday I biked to the train station and back, which is only about 10 total miles, but it was harder than the day before, probably because I hadn’t fully recovered.

Yesterday, on the other hand, I took a very long, 12-mile walk.  I wore spandex braces on my ankles and my left knee, and these seem to have helped a lot.  I do have a minor blister and a half on my left foot, but otherwise there were no real ill effects.

I probably look as though I partied in some fashion, because I am pretty sunburned.  That’s okay; for some reason, sunburn doesn’t really hurt me much.

So, anyway, I at least got some exercise.  I bought junk/comfort food for a few meals (deliberately) but even my old comfort foods are becoming unappetizing.  That would be okay with me.  In fact, yesterday I ate only a total of around 1000 calories, despite my long walk, because I just wasn’t hungry.  I didn’t even finish all that I “cooked” myself for dinner yesterday.

Being off from work has been at least somewhat fruitful for me, in this at least:  that I have worked on improving my physical condition and have tested my endurance a bit.  Otherwise really, what mostly happened was a harsh, undiluted confrontation with just how empty my life is.

Work is in some ways the most positive part of my current existence; I have to be productive to be worthy of staying alive, and I can interact with my coworkers in ways that are couched in work-related situations.  It is far from fully positive; the noise alone is terribly frustrating.  But then again, I’m pretty much a net negative wherever I am, so it’s hard for me to be judgmental.

When I am at the house, I am fully immersed in how alone I am*.  And things like being at the beach just cement that even more for me.  I do not feel like the same species as everyone else out there.  I don’t know what I am or should be‒I’ve had great past success in all the ways I thought were success, but that all just blew up in my face in the end.

Honestly, I was more than half hoping for a heart attack or some other health crisis or life-threatening occurrence while I was biking and walking over this surprise long weekend.  Perhaps it would have been good to be hit by a car.  One thing I did note was that there are a lot of tall buildings with balconies down along the beach.  That’s something at least a bit interesting.  The bridge over the intercoastal, unfortunately, is rather low there, so it’s not much use.

In all honesty, speaking as a physician about myself, I think what I needed was not a “vacation”.  What on Earth would such as I do on a solitary vacation other than be solitary?  Instead, I would probably recommend that I be hospitalized, if that were available, or at least get some intensive kind of treatment.  But of course, I don’t have insurance, and whatever my boss might think about my finances, I don’t have the wherewithal to pay for much of any medical or psychiatric care.  I also don’t have the mental wherewithal to seek out any such help.

I am finally getting an autism assessment this Friday, and I’m slightly anxious about it.  I fear that it’s going to be utterly negative, and that I’m not autistic, I’m just a defect.

I do find that, even when I try to lurk around autism based sites and feeds and so on, I feel that I still do not fit in with any of them.  Maybe if I get assessed and it’s positive, I will feel differently.  I don’t know.

In any case, I am back to work today, and if I survive until tomorrow, I will punish you all with another stupid blog post.  In the meantime, I hope you have a good day.

*I did have a very nice phone call with my sister on Sunday night.  That’s always enjoyable.

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And I looked, and behold a pale cat

Well, I have some relatively good news, which is why I decided to write a post today instead of just leaving it:  Dorian, the light gray cat, has returned.  Well…he was back last night, at least, though this morning he was nowhere to be seen once again, which is itself somewhat unusual.

He was a bit scraggly, with some traces of dried blood around his fur on the side of his head and neck, but it didn’t look like it was his blood.  He actually looked lean and healthy, moving very much like the hard-ass stray cat that he is.

I’m guessing that he got into a pretty big fight at some point‒he seems prone to them‒and then hid away somewhere while he recovered his strength.  Then, that pale grey shadow took a new shape* and grew again.

I think stray cats, like defective and damaged people, don’t like to show any weakness to those around them.  Perhaps it’s more accurate to say that they are unable to show their weakness, even though they may crave acceptance and support.  There are good, sound biological motivations for this in stray cats and other mammals; showing weakness or injury can invite further aggression from other cats and even encourage predators.

Of course, human males (or anthropoid creatures living among humans, such as I) are no exceptions to that tendency.

It’s also been said that, in many ways, people on the autism spectrum are like cats, at least in some ways, and I can see the point, though it is an oversimplification.  Still, it leads me to speculate that, sometime in the relatively deep past, perhaps two separate subspecies of humans (maybe the legendary Neanderthals and Cro-Magnons) existed, one being more naturally ultrasocial, the other more constrained but with other capacities that aided their survival.  We know that Neanderthals, for instance, had bigger brains than so-called modern humans, but the structure appears to have been slightly different.

Perhaps it’s the genes from such a separate subspecies that led to some people having ASD or other versions of “neurodivergence”.  To be clear, I don’t know that there’s any good evidence that this is the case.  I did encounter at least one study that looked for markers known to be associated with the autism spectrum and the DNA residua of Neanderthals present in people of European descent.  There seemed to be some correlation, but I didn’t think it was particularly impressive.  So there’s not a lot of data to support the hypothesis.

It would be nice‒in some ways‒to think of oneself as just a different kind of human, not as something alien.  But I think that’s probably a silly dream for me.  I do not belong here in any serious sense; I am an alien, a mutant, a replicant, a stranger.  And to humans, of course, a stranger is presumptively an enemy unless and until proven otherwise.

Anyway, Dorian was back last night, but gone again this morning.  We’ll see if he returns.  There are other cats who come around.  But, of course, there is no real affection from most of them.  They come to me opportunistically, because I put food out for them.  I am useful to them.  Similarly, I am often useful to humans in the world.  I have many skills and abilities, so I have frequently found that people like to have me around to help them get things done.  But eventually, the negatives of my presence outweigh the positives, and people go away (or send me away).

I don’t blame them.  I want to go away from myself, though I have never had any desire to be anyone else.  I would prefer oblivion.  Or maybe I would just prefer rest.

Speaking thereof, I slept almost four hours last night, and of course, I awakened and couldn’t go back to sleep in the wee hours of the night, and I am now at the office finishing this post.  I don’t look forward to the weekend‒there’s nothing good about it‒but at least I can collapse and try to recuperate.  I don’t know if I’ll write anything next week, or just leave everything be.

I feel perched on the borderland between life and death, and the Undiscovered Country beckons.  It must be really great there, because no one who goes ever comes back.

*To be honest, it’s pretty much exactly the same as the old shape.

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And thus the native hue of resolution is sicklied o’er with the pale blog of thought

Hello and good morning.  It’s Thursday again—the first Thursday of the new year, the first Thursday of the month, and the second day of 2025 (AD or CE depending upon your preference).

I’m heading in to the office already this morning.  It’s not the first day back to work in the new year, though; we worked yesterday, as well, and it was quite a longish day.  We also worked on New Year’s Eve, though we got out an hour earlier than we would have because I shook my head and expressed some outrage (I was in an even more foul mood than usual) that we were not getting off early.  I didn’t have any celebration to attend nor anyone waiting for me, but I thought others might want to get to something of the sort, and anyway, I just really wanted to escape the noise.

It was ridiculous that we worked yesterday (though unfortunately it turned out to be a successful business day).  In the plaza in which our office sits, we were the only business open, and this is a full-scale strip mall with dozens of shops and restaurants and offices.  The people at work who wanted vapes or to get something from the bakery or from the nearby restaurant were all out of luck.  The only places open were gas stations and our office.

Oh, and also my coworker, the one with whom I share various duties, was out sick Tuesday and left early yesterday.  This is not his fault, obviously, unless you mean it’s a design fault, but that fault is true of everyone, and my coworker certainly didn’t design himself.  But it meant that, especially on Tuesday, when I had to do payroll in addition to the other stuff, I was particularly frazzled.

It didn’t help that I knew, quite painfully, that I was not going to be “celebrating” the new year.  Why would I celebrate it when I had wished or yearned throughout the year for 2024 to be my last year?

In fact, on Tuesday—that was New Year’s Eve, in case you didn’t put that together and/or you’re reading this well after it was written—when I was feeling more horrible and stressed out and angry and sad than even I have felt in a long time, I developed a plan, if it merits that term.  I was not hungry during the day, and so I did not eat anything at all.  It occurred to me that I had a half a bottle of Jack Daniels at the house and about half a bottle of vodka as well.  They have both been there for quite some time, since I rarely drink.

My thought was this:  I’ve been on a relatively low carb diet for a few weeks, so I have relatively little stored glycogen relative to the usual amount; what glucose was in my system was probably largely the product of gluconeogenesis, which is the creation of sugar from various amino acids, mainly by the liver.  I figured on stopping at a gas station near the train station when I was heading back to the house and picking up some bottles of Diet Coke (which also has no sugar, of course) and then that evening drinking vodka and Diet Coke and Jack and Diet Coke, all on an empty stomach.  This would have not only the obvious effects of alcohol in disinhibiting behavior, but ethanol also suppresses gluconeogenesis—this fact is responsible for at least some of the typical effects of a hangover.

My thought process, if it merits those words, was basically to hope to get drunk enough and hypoglycemic enough either maybe to have a seizure (unlikely) or just to loosen my inhibitions enough that I would have the courage to use one of the means of suicide that I keep always nearby nowadays*.

When I thought about my plan, though, as the day went on and I finally headed back to the house, it seemed like a pain to stop in the gas station.  I was already exhausted.  I figured, okay, well, I can just drink liquor straight.  Once you get started, once the alcohol begins to take effect, drinking it becomes easier.  However, the thought of being drunk felt very unpleasant, and more importantly, I knew that if I did not work up the strength to go through with my “plan”, drinking the alcohol, especially with no food, would probably lead to a severe exacerbation of my chronic pain.

So, instead, I watched some stupid videos, feeling regretful but not willing to risk worse pain in an attempt to do an end run around the bastard urge for self-preservation and escape my constant physical and psychical pain.  I took something to help me go to sleep (which I don’t usually do on work nights), and I puttered around listening to the sound of all the amateur fireworks going off, feeling annoyed by them, for several hours, and I did not die—not even of natural causes.  And despite my attempts, I slept less than usual, largely because of the noise, but also partly due to my (very inner and apparently unrecognizable to others) turmoil.

And here I am, writing the first blog post of the new year.  I’m alive, and I’m not happy.  I have no friends, my family is far away, and I certainly have no capacity to try to upend and alter where I am, anyway, not on my own—the very prospect of trying to change my life, to move, to go somewhere else, these things are horribly stressful inherently, and I have no strong reason to think any of them would make any difference for me.  I am fundamentally alone, and I probably have always been so, despite past temporary delusions to the contrary.

Of course, so is everyone else, I guess, depending on how you mean it.

Anyway, here we are.  I’m working this Saturday, so I guess I’ll probably write a post then, too.  How lucky for you and for me, right?

yippee.

Well, my train’s about to arrive.  I hope you enjoyed this little, shitty blog post, and that you’re having just a wonderful new year already.  Yeah, right.

TTFN

*I have no fewer than two good lengths of rope, both tied into quite good nooses; a goodly supply of flammable liquids (more than three gallons) with which I could self-immolate; of course I have numerous blades, including very sharp razors and scalpels and box cutters and the like, with which I could open up some arteries; and I have various OTC medications that, especially in combination, could be toxic enough to be lethal.  Also, I’ve been scouting the area for easily accessible high places without closed-in roofs (mainly parking structures) which are high enough that, if I jumped, it would probably be fatal.  I have no guns anymore, alas, but there’s always the nearby Atlantic Ocean, always within sensible walking distance, and then again, there’s always just the long, open road.

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I’m too tired to think of a good title for this post

I’m writing today’s blog post on my phone in the back of an Uber.  I could not sleep and figured I’d just head into the office, since it feels slightly more like home to me, at least when no one else is there, than does the house in which I sleep, .  I have my laptop (computer) with me, so I could write this post on it, but I think I would feel more awkward doing that.  It can be trying enough writing on it when riding the train, and the shifts and bumps and other minor accelerations in a regular car tend to be more irregular and pronounced than those in a railroad car.  There’s no track, for one thing, and also a car is much less massive, so it is more prone to lurch noticeably than a train is.

It’s a stupid waste of money to take an Uber, of course, but it’s not as though I’m saving up for the future.  I don’t expect any significant future, and to be honest, I don’t really want one, at least the way I feel most of the time lately.  Even the present is barely worth it, moment to moment.

I’ve recently learned that, in the UK at least, the average lifespan (the arithmetic mean, remember?) is only 55 years for people with autism spectrum disorder.  This average is no doubt weighted down by those who die quite young, but still, this is the UK, where there is a National Health Service.  Here in the US, where the average lifespan, at least for men, has actually recently begun to fall for the first time in any of our lifetimes, the average autistic lifespan is very likely to be lower than in the UK.  I’m 54 now.

I realize that there’s nothing magical about a statistical average when applied to an individual instance of a circumstance, but numbers mean a lot to me at least, and frankly, right now, the idea that there is a maximum predicted cutoff for my lifespan‒and that it is arriving soon‒is more of a relief and even a comfort than it is a horror.

Of course, I don’t carry an “official” diagnosis of autism spectrum disorder, but as one who has, as part of his now-dead career, given who-knows-how-many thousands of “official diagnoses”, I know there’s nothing magical about them.  They are educated, best-available descriptions of what’s happening in particular instances in a medical situation.  They are useful for steering thought and decision making, but because they cannot address all details of an individual case, they can also shackle one’s thought processes and lead one astray.

One thing is clear:  I have some manner of atypical neurology.  I certainly have trouble with dysthymia and depression; I have little doubt about those diagnoses.  I have rotten chronic insomnia, which may be a symptom/sign of that probable neurodevelopmental disorder.  I also had a secundum atrial septal defect, and I have a slight cavum septum pellucidum cyst in my brain, and these things both occur more frequently in people with the neurodevelopmental version of ASD (as opposed to the cardiac Atrial Septal Defect, see above).  They are far from diagnostic thereof, but their presence does shift my Bayesian estimates.  They can also be associated with other diagnoses as well, of course, but I don’t have nearly as many hallmarks of those disorders…at least as far as I’m aware.

Of course, each thing can also happen and stand on its own, being indicative of nothing but itself.  But I think we can all agree that there’s something atypical and dysfunctional happening in my brain, even if it doesn’t actually connect causally in any way to those other findings.

I did write a bit more than a page yesterday on Extra Body, which I guess is a worthwhile accomplishment.  I know it hasn’t been all that long, but I feel as if this only-one-page-a-day pattern is not giving me the benefit that I used to get from writing fiction.  Maybe it’s that I just get my juices going and then shut them down.  Maybe it’s that the story is taking so long to get on with itself.  I don’t know.  Maybe I’m just hoping for too much.  Hope is dangerous stuff.

I don’t know how to adjust my behavior, though.  I already tried to cut back on doing this daily blog, but found that not doing it made me very tense and stressed, since I’ve gotten into the habit of doing it.  It’s almost an OCD-like pattern.

I wouldn’t call it exactly anxiety that I feel if I think about not writing the blog (or doing any of a number of other things that I do by habit). It’s more of a kind of tension, a stress, and it can rapidly escalate into hostility.  Of course, all of these are associated with the sympathetic nervous system, the whole fight-or-flight mode, so maybe one could call my experiences anxiety.  Certainly, the physiological responses are related and quite similar.  But my mental state doesn’t feel fearful as much as angry, and even hateful.

Maybe that’s all just part of Yoda’s cliché little response to young Anakin admitting he was afraid in The Phantom Menace:  “Fear leads to anger; anger leads to hate; hate leads to suffering.”  I always wished Anakin would reply, “Yeah…the suffering of the people who made me afraid and angry.”  Oh, well, much of the Jedi philosophy in the prequels is kind of stupid, and it contributed to their downfall, but they’re fictional anyway.

Speaking of fiction, I’m not sure what I’m going to do about my fiction writing.  I intend to keep writing at least a page a day, but writing it after I write my blog is stressful.  But not writing my blog is stressful.  And writing only one page a day of fiction is stressful.  And dealing with people being late to work and the noise and nonsense and the internally created rules that are not enforced when it’s inconvenient is stressful.  And commuting is stressful, and neither of the places between which I commute are places of comfort to me.

A large contributor to these problems is that, no matter where I go, there I am, and I am not comforting to me.

The Buddhists are supposed to have said that life is suffering‒or was that the Dread Pirate Roberts?  I suppose they might have agreed on that statement.  Still, you’d think that would be enough to counter Yoda’s little admonition, with the reply, “Everything leads to suffering.  What’s your pointy-eared point?”

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Near-catatonic dysthymia with sensory overload and the difficulty they engender in writing fiction at work – a personal case report

Well…

I tried to write some on HELIOS yesterday‒even just a page would have been nice.  I got my clipboard down, put the title at the top of the first page, and I even worked on a few names for characters and places.  I chose a good name for the school in which some of the action takes place, one that I like (this happened before the workday started), and a couple of tentative names for three main characters.  I’m not sure about sticking with any of those.

As I’ve noted before, I made up the rough idea of HELIOS when I was quite young, as a comic book superhero.  I don’t remember what name I had given to the main character, but knowing me, it was probably some ridiculously simple and probably alliterative name.  For instance, I once made up a completely ripped-off-from-the-Hulk character called “the Cosmonster” (!) and his regular, human name was John Jackson.

To be fair to my past self, I was quite young, and I was influenced by Stan Lee, who made such characters as Bruce Banner, Peter Parker, and Reed Richards.  So, there was precedent.

Still, a decent name for the main character is rather important.  “Doofus Ignoramus” is unlikely to be the secret identity of a memorable hero, though it could be an interesting genus and species name for some newly described creature.

Anyway, as I implied, I got no actual writing done on the book.  It’s just too noisy and chaotic during the day, and it’s almost impossible for me to block it all out, since I have to attentive to work matters.

Also, my dysthymia/depression and probably some other things were in full swing yesterday, and I was all but catatonic through at least two thirds of the work day.  I barely moved when I didn’t need to move, I barely spoke‒even when someone spoke to me, except when necessary‒and I don’t think I showed any facial expression before about 4:30 pm, though it can be hard for me to tell.  I’m trying not to exaggerate here.  I really felt more or less completely empty.

I even did a quick Google search for the official clinical meaning of catatonia, to see if I was close to meeting it, as I felt I might be.  It wasn’t quite the right term, but it wasn’t ridiculously far off, either.  There were times during the day that, if I had somehow caught fire, I probably would have looked at it and thought something along the lines of, “Huh.  I’m on fire.  I should probably put that out.  But is there really any point to doing that?  It’s too noisy in this world, anyway…maybe I should just let myself burn.”

Eventually I thawed slightly as the day went on‒I do fit the typical pattern of depression in that my overt symptoms tend to be worse in the morning.  Weirdly, despite that fact, I find it far easier to get many things done in the morning, when it’s quiet and I’m effectively alone.

I’ve always been that way, or at least as long as it’s been pertinent.  Even in junior high, I used to get up and go to school very early, so I tended to be the first student there and have quiet space and time to feel like the surroundings were just mine before everyone else showed up.  I carried this on through high school.  In my undergrad years, I used to set my watch fifteen minutes ahead and then still make a point to get to class early, by my watch, even though I knew it was set ahead.

That would be harder to do nowadays, since all the effing digital devices display time based on local corrections to UTC, getting updates and adjustments through 5G or Wi-Fi or whatever other connections are there.  This is good around daylight savings time, I guess‒it’s harder for people to make the excuse that they forgot to set their clocks forward in the spring and that’s why they’re late for work the Monday after.  But the whole uniformity of time and whatnot seems overrated‒and it certainly doesn’t seem to stop people from being habitually late in the morning and then keeping other people late at the end of the day.

Not that I am bitter.

Going back to writing:  despite my emptiness and disconnectedness yesterday, and my inability to write any fiction, I decided to order two good spiral bound notebooks, thinking maybe I can at least bring them on the train and write on my way back to the house or something.  If I brought the clipboard with the paper in it, the pages would get all shmushed and mangled in my backpack, and that would be very aesthetically unpleasant.

So, I’ll be getting two of those lovely, sturdy “5-Star” spiral bound notebooks delivered today.  They were quicker to arrive and cheaper than if I had bought them in a stationery store, and I had better choices of colors, though I still had to settle for one green one along with the black one to get a one-day delivery.  That’s okay.  One of the nice things about black is that it goes with every color quite nicely.

I guess I’ll let you know how things go today.  I’m not too optimistic, especially given that work is more sensorially overloading and distressing than is even riding on a commuter train, a fact which at first glance might seem rather contradictory.

It makes a certain amount of sense, though.  On a train‒or a bus, or similar‒one is actually much more alone than one is in an office.  There are other people, but they are each also alone.  You are all mutually alone, and there is no impetus to communicate or interact.  It’s much more pleasant than working where people feel they can just come up and interact with you without warning, whether or not you’re already doing something.  And then, they’re all talking and interacting and there’s overhead music, and there’s stupidity, and you can’t even hear the useful, pertinent information that you’d like to hear.  It’s too chaotic and noisy, certainly for someone with constant tinnitus in one ear and other sensory difficulties.

Oh, well.  Whataya gonna do?  The forces that brought the world into existence never bothered to get my input when they did what they did.  The morons.  Things could have been so much better than they are, but they didn’t bother to ask me.  Then they give the poor excuse that I “didn’t exist” at the time.  Whose fault was that, huh?  Not mine!

Maybe it’s not too late for me to fix everything.  But it often seems hardly to be worth the effort, even if it can be done.  For the most part, life in general does not merit help or protection.  Macbeth had its number:  it’s a tale told by an idiot, full of sound and fury, signifying nothing.

Speaking of tales told by idiots, I’ll let you know tomorrow how it goes today with respect to fiction writing after my notebooks arrive.

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Who would fardels blog, to grunt and sweat under a weary life?

[The initial part of this blog post was meant to be published a week ago, as will become clear.]

Hello, good morning, and good Thursday (it’s also the day before “Good Friday”).  I’m feeling rather poorly this morning, and I am, in fact, going to the doctor before work today.  Yes, I’m planning to go to work afterwards.  It’s not as though I have health insurance or anything, so if I’m going to go to the doctor—ironically—I needs must pay for it out of mine own pocket, even though I’m a qualified medical doctor myself.  This is the eminently sane and rational society in which we live.  Isn’t it grand?

As per last week’s posting, I’ve been focused almost entirely on editing this week, so I’m making significantly faster progress than before, though the road is long.  Also, I’ve just not felt well at all for a while, now, and it’s taking some of the wind out of my sails.  Ordinarily, it’s difficult to get me to slow down and shut up, and I can’t completely rule out the possibility that I’m being subtly poisoned by someone (or more than one) who finds me too annoying.

I’m kidding.  I really don’t suspect some nefarious plot.  It’s just the sort of thing that crosses my mind when I think of myself, so I occasionally imagine that other people might feel similarly.  Actually, other people tend to be more patient with me than I am with myself, but then again, they can get away from me, can’t they?  No matter where I go, as they say, there I am.

I have a few things in the works for IoZ, which might or might not be interesting.  I have an audio blog still to post, and I’m trying to write some posts long-hand (in first draft) to see if that makes me produce them more often.  I also have plans for another post that began its life as a response to a Facebook meme about the tides, stating that, since the moon affects the oceans, there’s no reason to think it wouldn’t affect us since we’re 70% water.  This meme was so misguided and riddled with misunderstandings about basic physics that I couldn’t resist going through the whole Newtonian universal law of gravitation, why there are tides, why they are not dependent upon water, and how tiny the tidal differences due to the moon are from one end of any given person to  the other end.  Yes, I did the math, and shared all the numbers (to significant figures, or thereabouts).  And I’m going to post a version of it on Iterations of Zero once I tweak it a little.

That notion of someone poisoning me doesn’t quite sound so crazy and paranoid now, does it?

I haven’t been promoting my already-published books much lately.  I’ve felt a bit of aversion to Facebook and so haven’t much wanted to give them money, but they really are the best venue I have through which I can promote, unless anyone out there has any better suggestions.  I ought to get back into it.  I just feel kind of obnoxious pushing my own stuff overtly.  I suppose this is why people hire agents and advertisers and marketing firms, but I don’t have that kind of money to spare.

Anyway, the editing of Unanimity and on Free-Range Meat is going well.  As far as short stories go, I still plan both to publish the stories from Welcome to Paradox City as individual Kindle editions and to eventually release a new collection, in hard copy and Kindle, of such “short” stories, so that’s something for you all to look forward to.

Always assuming I live long enough, of course.

TTFN

 

***

 

Okay, well, as you might have noticed, I didn’t, in fact, publish my blog last week, so I’m just going to do a follow-up now and continue the story, as it were, where I left off.

The reason I never posted last week was because, after going to the walk-in clinic and telling them my symptoms and my history, and after the doctor there gave me a once-over, he said (more or less), “Look…I can do some tests here and charge you for them, but unless they show a clear and easily treatable cause of your symptoms and problems, I’m going to recommend that you go the emergency room anyway.  So, let’s skip a step, I won’t charge you for this visit, and I’m going to give you a referral to the ER.”

I thought this was, perhaps, a little alarmist, but I was persuaded—not happily—to follow his advice, and I went.  I guess the ER agreed with the clinic doctor’s assessment, because they admitted me for about thirty or so hours, ruled out heart attack and DVT/pulmonary embolism, and did an echocardiogram (among other things).  They also, thankfully, gave me some antibiotics for a chronic/recurrent ear infection, which quite temporarily relieved it…though it’s already recurring even as I write this.

Then, at the beginning of this week, after a reasonably restful holiday weekend in which I neither celebrated any of various potential causes for celebration nor had any interactions with those with whom I would have wanted to celebrate, I got calls from both the cardiologist who read my echocardiogram and from the attending physician who managed my care during my brief hospitalization.

Before I get into what they said, let me give you a bit of back story:

When I was eighteen, I was diagnosed with an atrial-septal defect, secundum type (read about it here if you like), quite a good-sized one, with a greater-than-two-to-one shunt.  This was promptly evaluated, and I had open-heart surgery to close it, performed at Children’s Hospital in Detroit by the man who wrote the textbook on the surgery.  This experience, which was quite painful but at least interesting, was influential on my decision eventually to go to medical school.  Subsequent follow-up was unremarkable, the surgery was a success, I was discharged from ongoing care, etc., etc., etc.

Anyway, it turns out, based on this new echocardiogram, that my previous defect did not remain completely closed through the intervening years, and that I have some equivalent of a patent foramen ovale with, apparently as indicated on the echo, a shunt that is sometimes reversing…i.e. some blood from my pulmonary circulation is shifting to the systemic circulation without having passed through the lungs to blow off CO2 and get oxygenated.  This is why (as was the case before my initial surgery) I seem to have a high resting heart rate (or did when checked at the clinic and the hospital) and now tend to have a lowish oxygen saturation, at least in the right circumstances.

This is all not imminently life-threatening, but as I know, the fact that there is even occasional right-to-left shunting means that there is a potentially serious problem.  And the attending internist recommended that I start seeing the cardiologist before even coming to her for general medical follow-up, with plans for eventual intervention and closure of the defect.  But, of course, as stated above, I don’t have health insurance right now, and as it is, I’m going to be paying for this hospital visit for quite some time to come.  It is true that closure of such PFO’s nowadays is much less of an undertaking than it was thirty years ago, but I still don’t think it’s going to be cheap.

And, finally, what’s the point?  Apart from the inherent drive to stay alive that’s been beaten into my genes by hundreds of millions of years of multi-cellular evolution, I honestly don’t have any compelling reason to try to improve my health and/or prolong my existence.

I have neither colleagues nor close friends with whom I can really have any enjoyable conversations, or with whom I ever do anything fun…mainly because the things I think are fun are rarely what those around me find enjoyable, and vice versa.

I have a housemate who’s a good guy, and we get along well, but we don’t have a great deal in common (though I’ve bought some great guitars from him).

I’m a divorced, ex-con, MD who can’t practice medicine anymore, whose son won’t talk to him, and who is only able to interact with his daughter through Facebook and similar venues, who works merely to stay alive so he can write and publish sci-fi/fantasy/horror stories that few if any people will ever read, and who occasionally diddles around with writing, producing, and sharing songs, and drawing pictures, and stuff like that.

Oh, and I also make blog posts like this one.

I come from a line of people who tended to be somewhat socially restricted, by nature and choice, but my mother and father at least had each other through their natural life-spans, as was the general rule in the past.  I, however, am a card-carrying inhabitant* of the easy divorce era, bereft of my chosen and beloved family by the will of the love of my life.  I have no strong desire to go through the gauntlet of trying to find some replacement love who is no more likely to have a sense of enduring commitment than the one who came before her, especially when I have so little to offer anymore.

I’m inclined to think that this story’s gone on well past any reasonable degree of interest.  I guess I might change my mind; who knows?  But for now, it’s hard to see the point of bothering to go through all these medical processes again, even if the interventions are less severe and relatively less expensive than they were in the past.  What, as they say, is the point?  I’m basically a weird, weary, and alone person in a world in which the forces of stupidity seem not only to be ascendant now but always to have been so.

It’s enough, I’m thinking.

TTFN

*I don’t actually carry a card