ASD

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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