health

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

…nor am I King Under the Mountain.

Nevertheless I return.

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

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

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

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

She is wise, my sister.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

**That’s an attempted joke.

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

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Nothing very interesting

It’s Friday.  I wish I could feel happy about that.  I can remember back in high school, especially, when I would look forward to Friday, because my friends and I would probably be getting together at one of our houses to play role playing games over the weekend.  Other kids might sometimes abuse certain drugs (usually nothing worse than marijuana) but we just abused coffee.  We were often up waaay into the night.

I was almost always the first one to wake up even after a long night of gaming.  I was also the first one in my house to wake up during the week.  I guess one could see the shadow of where the insomnia tree was growing already, but I didn’t know to recognize the signs.

In college, I would often go downtown on Saturday to the city center where there were some shops and stuff, just to wander around (though there was a pretty good comic book store there).  For a while, I would go to temple downtown on Friday evening and Saturday morning.

Anyway, enough reminiscing.  The good days of the past are not going to return, so whatever.

I’m on my way to the office as I write this, though editing and posting will take place after I get there.  It’s already way too humid down here, such that I sweat just while standing still outside.

We’ve been packing some things from the office and so on to bring over to the new place.  Yesterday, I gathered my science books and my black Strat (see below) at the office and put them in a big, industrial garbage bag.  I was planning to bring them to the dumpster, but my boss asked to take the guitar and stuff for either his brother or cousin, who apparently has only an acoustic.  So, he took that yesterday.

I still haven’t brought my science books to the garbage yet, partly because they are heavy, and I have been having particularly bad issues with my chronic pain this week, as you may know if you’ve read this.  Also, the dumpster was ridiculously full.  It seems we’re not the only people moving.

Actually, I would have thrown away much more of my stuff, but much of it is little things people gave me over time that I never would’ve gotten for myself, like Funcopop(?) figures or whatever you call those.  One doesn’t throw away things that were gifts‒that would be rude.  One of those figures is of Hannibal Lecter, and he would not approve of me being rude with him especially.

Anyway, that’s it.  No more delusions that I’m going to play guitar at the office anymore‒there isn’t even going to be a space for me to do so.  Also, no more deluding myself that I will actually read the various science books ever before the end of my life.  It would be cool, but I don’t see how it’s going to happen.  I don’t expect (or hope) to live much longer, honestly.

Oh, I got a box of syringes delivered yesterday, with needles, in case I want to try the idea from yesterday (nothing drug related, for those of you who don’t go back and check it out).

It’s all a bit frightening, these ideas of how to complete my personal arch of time.  I’ve said before how hard it is to override the idiot biological drive to avoid injury and pain and death.  That’s probably why so many suicides are associated with alcohol and other psychoactive substances.  Maybe I should take up heavy drinking.

That’s not likely to happen.  When I drink alcohol, it seems always to lead to my chronic pain worsening afterward.  Neurochemical stuff is probably involved, a reaction of my nervous system with a rebound after the alcohol.  Anyway, I’ve never been much of a drinker.

I can’t think of anything else about which to write.  Nor to sing, not to draw, nor to play, nor nothing else.  I know, that was technically a sentence fragment, just now.  Sue me*.

If I come to the office tomorrow, I’ll probably write a post.  I apologize again to all those dedicated readers who keep hoping for something interesting or good or amusing or whatever in these posts.  I’m out of fuel, out of ammo, out of pocket, out of this world, and out of my mind.

I hope you have a good day.

*That was not a sentence fragment.

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Morose, meandering musings of a misautonomous moron

Every time I write a blog post on a Wednesday morning, I feel the urge to include a reference to the Beatles song She’s Leaving Home, as in “Wednesday morning at five o’clock as the day begins…”

There, see, I just did it again.  At least it was self consciously done, not some quote put in as if it were my own words, intended only for those “in the know” to recognize.  I guess that’s a way for me to feel vaguely clever‒and sometimes funny‒while actually just following the often irresistible compulsion to quote shit* at every turn.

In high school, when I was a senior (and maybe when I was a junior?) I was pretty confident in my place as one of the “leaders” of our school orchestra, and I used to go to the orchestra room first thing in the morning before school, usually arriving before the teacher, and then I hung out there (with other orchestra members and friends who arrived a bit later) until time for classes to start.  While there, pretty much every day, I would write a quote from something‒Shakespeare**, Tolkien, Stephen R. Donaldson, Poe, etc.‒on the board.  I even won the “Dusty Cello Award” at our end of the year orchestra party because of it.

I’ve always had that habit of quoting books and movies and plays and shows and so on, and even doing the voices of people when I could.

I think reading fiction in particular was very good for helping me to understand what goes on in other people’s minds, at least in principle.  But I also just liked being able to go to those other worlds and other lives.  It’s better in general than watching TV or movies, though the latter are easier and also easier to enjoy with other people, if you have other people with whom to enjoy them.

Anyway, that’s neither here nor there.  My past and my thoughts about it are of no moment to anyone but me, and even I find them boring.  It’s just that they’re all I really have.

I’ve tried to interact with people to some degree online, but that just gets me weird feedback, like getting almost 3,000 “likes” in less than 24 hours for pointing out in a comment that the biblical Jesus would not approve of a particular, supposedly religion-based, exclusion reported in a thread about a shopkeeper toward a trans woman (ironic for a nonbeliever to be pointing out Jesus’s very clear attitudes, but I am one who remembers characters and quotes).

On the other hand, when I noted yesterday on the same site that the office where I work was 3.4 miles from the nearest “beach” (and a fishing pier) and I thought it might be good to walk down to the shore, kick off my shoes and socks, and just start swimming east into the Atlantic and not come back (pointing out that it would leave no need for cleanup, and it wouldn’t mess up anyone’s day, or anything of that sort) I got 3 likes (after quite a while) and only one comment by a person saying she doesn’t like to dwell on such thoughts.

This is, supposedly, Mental Health Awareness month, but I don’t know what good such a thing does, especially if such is the response to someone expressing suicidal ideation.  I’m aware of mental health in general, but it’s been a long time since I had any personal experience of mental health (if I ever have).  It’s been at least 13 years since I’ve had even moments of mental pseudo-health.  That was the last time I saw my kids in person, for one afternoon.

I’ve only recently realized that it’s now been a longer time since I saw my children than how old they were when I last saw them.  So, I’ve missed more than half of their lives now, and that fraction is only going to get bigger.

What would I possibly know about mental health?

Physical health is not my biggest attribute either (not many people had open-heart surgery at age 18).  But I know it gets very boring for people to hear about‒for instance‒the fact that I feel right now as if my entire right side from the lower ribs on down to the ball of my foot feels as though it’s filled with molten lead, which is quite painful, in case you were wondering.  But that’s always the way it is, for much longer than 13 years (more than 20, actually) and though it waxes and wanes and shifts locations, pain never fully goes away while I’m conscious (and probably contributes to the worsening of my insomnia).

Anyway, I know, Waah, waah, waah, shut the fuck up, Robert, no one wants to hear all this shit*** over and over again!  It’s tiresome to face nothing but complaints.  I’m sorry.  I’m very, very sorry.  I really am.  To everybody.

I really should just try that swim.  There isn’t much to prevent it.  I’m not particularly afraid of drowning (other than in an instinctive sense) though I do have misgivings about sharks and other sea creatures.  That’s probably silly, since, even in shark infested waters, statistically people are far more likely to drown than to be attacked by a shark.

I have to do something, or at least to have something done to me.  I don’t have the will or the wherewithal to take action to save myself in any way (and wouldn’t know where to start if I could) but I don’t have the strength to keep living, not for much longer.  And I don’t have any good reason to keep living.

But that same problem with “executive function” or whatever it is makes it hard for me to take action to kill myself.  So, for the moment, I just hurt myself to try to distract myself from other pain and to punish myself for being such a lame and shitty person, but weirdly, I have a hard time making such things hurt very much anymore.  Maybe I’ve always got too much pain medication in me, but I just don’t realize it because it doesn’t do all that much for my back and joint pains.  It’s weird.

Then again, I’m weird, so I guess I shouldn’t be surprised.  Like the song says, “I’m a creep.  I’m a weirdo.  What the hell am I doing here?  I don’t belong here.”

I don’t belong here.

*This is the nonjudgmental version of the word “shit”.  It’s more or less synonymous with “stuff” but it flows better (so to speak).  I don’t mean to imply that the song to which I refer is in any way shit.  It’s one of the most beautiful songs I know.

**Yes, I loved Shakespeare even back then.

***Here, the use of “shit” is much more in the derogatory, excrement-related vein.  Though if someone had excrement in their veins, they would be in big trouble, because that excrement would be carried to the lungs and then heart and could cause horrible endocarditis and pneumonias and so on.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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I have not become comfortably numb

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Monday morning nonsense

     It’s Monday again; aren’t you all just delighted?  I’m writing this on my smartphone, starting at the train station, after having walked here from the house.

     I did a lot of walking this weekend:  about ten and a half miles on Saturday, then a little over six on Sunday, then just about six so far today.  My new shoes seem to be a good choice so far.  Of course, I have some modest blistering on my right foot (I’m not entirely sure why it’s only on the right, though I have a hypothesis or two) but not enough to cause serious trouble.  The goal is to try just to do more and more of my traveling on foot and to get in better condition‒not just because of the sort of things that filled me with rage on Friday morning, but also just to try to get myself healthier, or at least stronger.

     Of course, the popular wisdom is that regular exercise like walking can help with depression, though I’ve never been completely convinced by the data I’ve seen on that.  Also, to be honest, I had some of my worst trouble with depression in college when I was doing pretty serious exercise.  I was running six plus miles and doing ridiculous numbers of push ups and so on at the time.  Perhaps my episodes of depression had (and still have) more to do with burnout, possibly from masking and related ASD based issues than with more garden-variety depression.  Who knows?

     This was a momentous weekend, holiday-wise.  It was the end of Passover and yesterday was also Easter (they tend to fall around the same time of year and that’s no mere coincidence‒remember that Jesus’s “last supper” was a Passover Seder).  And for those for whom marijuana is a bit of a modern sacrament, yesterday was 4/20, which for some reason is the number related to marijuana use.  I’ve heard some rather dubious explanations for that association, but since I don’t have any convincing reasons to believe any given one, I won’t get into it.

     Yesterday was also a day of very important remembrance for me, and for some modicum of hope related to that remembrance.  But that hope was unfulfilled, which unfortunately comes as no surprise.  I really need to stop with any and all “hope” nonsense.  What’s the line from A Christmas Carol about comfort?  It comes from other regions and is conveyed by other ministers to other kinds of men.  That about sums up the notion of “hope” when it comes to me.

     I really don’t have any hope for anything good at all in the world, and particularly not for me.  Look at the state of things, and the degree to which reason and ethics seem to have deteriorated.  Is human civilization even worth saving?  I suppose there are many innocent people among the throng of humans, and it would be a shame for them to suffer unnecessarily just because a vocal, moronic minority causes so much trouble.  But good grief, it can be frustrating.

     As for me and my life, well…there’s nothing much to say.  I suppose we’ll see if, after enough time doing it, my walking will help my outlook and my mood.  At the very least, it might help my physical condition.  That’s a positive thing, assuming all other things are equal.

     I’m not going to get into political discussion right now, though I will say that I would rather hear the thoughts of the dead worm in RFK, Jr’s head than whatever nonsense he voices with his own minimally functioning brain.  He’s just pathetic.

     Of course, pathetic is the typical order of things, and I certainly match that adjective, myself…but not in the way he does.

     Anyway, I’m a bit sleepy, probably from the long walk, and I’m on the train now.  I’m going to make this blog post short today; maybe tomorrow I’ll write more and something of greater interest or consequence.  Or, maybe I’ll get hit by a truck while crossing a street or something.  That wouldn’t be such a tragedy, though it would be a shame to screw up an honest truck driver’s workday.

     In any case, I hope you all had a very good weekend and that you also have a very good week.  Actually, even if you didn’t have a good weekend, I hope you have a good week.  You might as well.  You are readers, and readers are the people who embrace the greatest invention of the human race.  Please do your best to encourage and spread that love.  Written language is still the best thing we have.

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With purpose to be blogged in an opinion of wisdom, gravity, profound conceit

     Hello and good morning.

     Yes, I am continuing to indent the beginnings of my paragraphs, and it still is not a whim.  I’m not ready to reveal why I’m doing it; that’ll depend on how it works out for me.  But if any readers are interested enough to speculate, I will let you know if you get it right.  It’s not really important or consequential, but neither is anything else from a sufficiently broad perspective.

     I was awakened very early this morning, even for me (I’ve noticed that a lot of the time I do a quick gasp or exclamation when I wake up, as if startled that I still exist or that the world does), by a combination of needing to use the bathroom* and a particularly severe exacerbation of pain, which continues even now.  I have no idea what made this exacerbation happen.  Yesterday, my pain was just at its baseline level, and while that’s not pleasant, it was basically that to which I have become‒out of necessity‒accustomed over the course of more than twenty years.  With adequate, slightly higher than recommended, doses of combined OTC pain medications, I can keep it to the point where I’m reasonably functional.

     Then shit like this happens and I start hoping that they’ll stop the flow of illegal fentanyl by making OTC fentanyl legal.  I’m being unrealistic there, of course; I was on a prescription fentanyl patch for years, and though it did keep my pain suppressed enough for me to function, it never eliminated it, and it had various long-term side effects on hormones and on neuropsychological function, so I stopped it unilaterally.

     Anyway, that’s all boring ancient history.  The bottom line of the point I was making is that I am not likely to be as chipper today as I was yesterday.  Yesterday I even tried to make some intellectually stimulating use of social media by going back and starting to watch/rewatch the videos on Numberphile from the oldest one on.  I got to the second video before I saw that Veritaseum had released his own new video about “the biggest misconception in physics”, discussing Emmy Noether’s theorems on symmetries and conversation laws, showing how, and why, on cosmologic scales, there is no conservation of energy.

     It’s a fascinating video.  Veritaseum always does good work and explains things very well, and of course, the more airtime Emmy Noether gets, the better.  Part of the substance of her story is how she showed where Einstein and Hilbert were missing some things, and it’s not just anyone who could understand let alone correct the insights of those great minds.  Watch that video, if you have any interest in the subject.

     From there I jumped to a guest lecture he (Derek Muller, who created Veritaseum) was giving at the Perimeter Institute for Theoretical Physics about AI and education and prior predicted revolutions in education.  I haven’t quite finished this because work and other things interfered and intervened.

     I have to admit that sometimes I think about trying to set this blog up as a subscription-option-available site, or to open a Patreon associated with it, or to start a Substack or something, so that I could try to make a living learning and thinking and writing and discussing and educating about various things**.

     Some people have been able to do it.  I doubt anyone would even be willing to pay tuppence (figuratively speaking) for my stuff, though.

    Anyway, by watching educational videos I was trying to avoid getting caught up in interacting with Threads (and to a lesser extent other social media) because while I’ve certainly had enjoyable interactions there and have found useful services, like the place I got evaluated for ASD, I never really feel like I have or am interacting with friends there.  When I do feel like I’m getting some degree of connection, I suddenly become awkward and feel I’m overstepping or being cringeworthy or just being too weird, which I probably am.

     I should give up on ever having any new actual friends, let alone any kind of relationship or pseudo-family or any such thing.  I just don’t seem to have the knack, though that fact makes me almost unbearably sad.  And, of course, my pain is showing no sign of diminishing, at least none that I can detect.

     If any of you think it could be doable‒in a practical sense, not just in a “physically possible” sense‒for me to make money on my nonfiction writing (or even audio or video), since the fiction writing hasn’t worked out, let me know, please.  In the meantime, I guess I’ll keep writing this, like this, as this, until either I am able to get my pain under better control or I give up on that possibility.  Also in the meantime, my “social” interactions with almost everyone will continue to be a bit like being in orbit around Mars or Jupiter and trying to make friends back on Earth.  Actually, those interactions could happen with as little as 3 minutes lag time due to the finite speed of light, so maybe Saturn or even Neptune would be a better metaphor.

     TTFN

*This is not a BPH thing; it has been this way all my life.

**I could name it after my short story collection, Dr. Elessar’s Cabinet of Curiosities, since it would probably be pretty eclectic.

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Please eschew sour grapes, or at least don’t chew them…they’re sour.

I don’t really remember what I wrote yesterday; I remember that I was angry, but it wasn’t really about anything solid or sharp, more just a general sense of frustration and despair.  I really felt and feel at a loss, with no sense of meaning or purpose or deep value.

I can’t claim to think that feeling is unreasonable; the world provides plenty of evidence for the pointlessness of all things.  I suspect that most people just try to avoid thinking about it.  They distract themselves with religions and other ideologies and with social interactions, whiling away their time until everything finally breaks down and they die.

Some surely die in a state of bewilderment and fear, never having accepted or even having truly contemplated their own mortality.  Some probably find comfort in the aforementioned religious ideas or just in community.  Having the love of family and friends, especially if such people are with them near the end, must help relieve at least some of the dread and pain as things wind down.

It must be at least some comfort if, when one is dying, one has loved ones nearby, helping to provide reassurance or at least just company.  If one has loved ones who willingly and lovingly attend to them while they are dying, or even just want to be there with them, one must at least be able to think that one has done something right in life.

Anyway, I’m on my way into the office, still rather sick but definitely improving.  I’m coughing, but not as badly, and the goo I’m bringing up is thinning out and looking less like some weird, opaque resin made from peas.  I’m still far from optimal, but then, I only started getting sick about six days ago.  If I’m substantially over it by, say, Friday, well that will have been a decently circumscribed illness, especially considering just how badly I’ve been feeling.

Somewhat ironically, my illness at least distracted me‒temporarily‒from the degree of my back, hip, ankle, and shoulder/arm pains, and those are becoming more prominent again as the illness recedes.  This leads me to wonder to what degree interferons or “tumor necrosis factors” and other aspects of the immune response can have beneficial effects on chronic pain, or if indeed they can do so at all.

It might be interesting to do a retrospective study involving, say, people who were treated with strong doses of interferon (with ribavirin) for Hepatitis C, or even for cancers such as melanomas, and who came out the other end healthy, then to try to learn whether any of them had chronic pain before starting treatment, and how the pain responded to the treatment.  We could compare them to age (and otherwise) matched cohorts who did not receive any such interferon treatments but who had similar amounts of chronic pain and see if their courses differed in a statistically significant way.

Of course, those high-dose interferon treatments for Hep C had their own serious complications and side-effects.  For instance, they could trigger serious depression even in people with no previously known disposition to have mood disorders.  These outcomes were generally worth the risk, if one could thereby eliminate chronic Hepatitis C, which is associated with significant morbidities and pathologies, not the least of which are potential liver cancer and sclerosis.

Still, if I could go through, say, a six week course of such treatment and thereby reduce (or eliminate) my chronic pain, I think it would probably be worth it.  I’m depressed and suicidal anyway.

Of course, we’re a long way from such a study outcome, even if we had unlimited funding and could start the study tomorrow.  Money can help make a lot of things easier to do, but as Kansas pointed out in Dust in the Wind, money has no effect on time*, and some things just take time.

I don’t expect to see such a study done, let alone to be able to benefit from the results, and honestly, I don’t have a high credence that it would show clinically useful effects.  After all, my own pain is not diminished now as I’m getting over my illness; it’s just changing back to baseline.  And, unfortunately, taking a vacation from one pain to another only to come back to the original one is probably not something anyone would really seek out***.

That’s enough for today.  I hope you all have a decent one‒do please try, at least.  Someone should, and it would be nice if most such people were reader-types who like blogs rather than wealthy assholes who don’t give much of a shit about anyone else, though those are the people who seem most likely to have happy days most often.

Not that wealth means someone is undeserving of happiness; that’s a non sequitur, really‒sour grapes projected onto the world by those who resent and envy the wealthy (sometimes with good reason, sometimes without).

Do your best.

*Okay, if you had enough money, all in one place**, you might form a massive enough object that it would measurably slow the local passage of time.  Heck, you could make a “money black hole” if you could get enough of it together and compress it enough, and at the event horizon, time would stop (to an outside observer, anyway).  Of course, according to GR, a black hole is a black hole is a black hole, with only mass, angular momentum, and charge differentiating one from another, so it wouldn’t matter if the black hole was made out of money.  Quantum mechanics demands otherwise, though, and thus we have the famous “black hole information paradox”, which isn’t really a paradox, anymore than is the “Fermi paradox” (When you come to an apparent paradox or contradiction, that’s just an alert, saying “something you’re doing here is incorrect or incomplete.”)

**Even if you’re just storing that money as information, with no bills or coins, there is still energy associated with the information, always.  So enough information about enough money could still have gravitational effects.

***Then again, there is the phenomenon of deliberate self-harm, and I can tell you from experience, it is sometimes a way of diverting oneself from a pre-existing, chronic pain to another pain, one deliberately and personally chosen.  Does that count as a pain vacation?

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“Don’t you know you’re gonna…”

It’s Friday morning, at last.  I don’t know whether or not I’ll be working tomorrow, but either way, I’m glad the main week is done.  I feel as though these five days have lasted for months.

My pain seems to be creeping back toward its baseline level, which still sucks, but it’s way better than it has been earlier this week.  I hope it doesn’t just bounce back up once I’ve become relieved (relatively).  That would really bite.

I’ve been trying to exercise carefully and consistently, and that’s at least been okay.  I’m also always trying to adjust my shoes and socks from day to day, just to see if they make any difference.  Sometimes they seem to do so.  Of course, I’m being quite unscientific about this, changing more than one variable at once (and of course it’s very hard to do blinded studies, let alone double-blinded ones, when one is working on oneself).  There is a fair amount of desperation involved in all of this, which is probably not too surprising when one is trying to relieve or at least diminish pain.

I have had no ideas or inclination regarding any new stories, nor have I even touched a guitar.  I’ve spent a fair amount of time puttering through Threads and occasionally Instagram to distract myself (and sometimes BlueSky and the other one).  I’m following them at least partly out of novelty; they are websites I’ve never really used prior to recent weeks to months, so they haven’t gotten too boring yet.  Also, it was through Threads that I found the place that did my autism assessment, so that’s a real benefit.  But such short-format, chaotic sites discourage (albeit unintentionally) any depth and nuance of discussion.

Of course the Website Formerly Known As Twitter has always been a bit of a cesspool, precisely because it just encourages the equivalent of interaction via sound bite.  And since Musk®, by Elon™  has taken it over, both it and he have gotten worse.  I almost cannot believe that he indulges himself in such illogic and irrationality as he seems to do on the site, and that it has so leaked over into his real life.  Then again, even Ayn Rand, a fierce advocate of reason, fell victim to her own personality cult.

These are examples of the fact that it can be very difficult to maintain one’s clear-headedness without any input from others, and firm input at that.  This is why we have peer review in science (and various incentives to disprove each other in rigorous ways).

No great mind is ever error free, not even the greatest, whoever that might be.  It’s probably not possible for any finite mind to be error free*, and I’m not sure that even an infinite mind, if such an idea makes sense, could be error free.

Of course, none of it really matters in the long run, but in the short run there is much needless suffering in the world that could at least be mitigated if people would just calm down a bit and try to let reason govern them.  Alas, that’s an awful lot to ask of naked house apes.  They are saddled with all the evolutionary history that leads such jumped-up monkeys to hurl their feces at each other more often than to seek mutual understanding.

They also have a regrettable tendency to feel that they are right, that they just know something, and to be aggressively opposed to self-doubt.  That, I suspect, may be the attribute that will lead to the demise of the human race and possibly all other life on this planet.

I know the studies have been inconsistently replicated, but there are some experiments that indicate that people with depression evaluate themselves (and presumably the world) more realistically than those who are not prone to it.  Other people all tend to rate themselves above the median in most things**, whereas depressed people seem inclined to accuracy, not merely to downgrade themselves (at least when not actively depressed).

I’ve said it before and I’ll say it again, self-confidence beyond a certain minimum requirement is inherently suspect.  I don’t trust people who trust themselves too much; they are much more likely to make errors and not to correct them, and then to compound and double down on such errors.  Current US politics is awash with this monkey-work, as is big business, and it can only be sustained for so long before the bubble must burst, and a bursting bubble is a violent event that can cause a great deal of harm.

This dysfunction of thought and communication is not isolated in the political right, though currently their pathologies are more immediately consequential and potentially disastrous.  But the left has its share of unthinking monkeys, too, and they often encourage and trigger the monkeys on the right.

As for me, I don’t consider myself a member of either camp.  I am orthogonal overall to the left-right axis of human politics.

And with that peculiar statement, I’ll bring this post, and hopefully this week, to a close.  If I work tomorrow, I’ll probably write a post.  Either way, please try to have a good day and a good weekend.

*Though errors are free in that you don’t have to pay for them in advance‒but they can cost you after the fact.

**It’s possible, in principle, for most people to be above average, when by average you refer to the arithmetic mean, but it is not possible‒by definition‒for the majority of people to be above the median.

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Why would mice and men plan things together? Small wonder such plans go awry.

It’s Friday, as you know if you’re reading this on the day it’s posted.  I’m writing this on my smartphone because I didn’t feel like bringing my laptop computer with me when I left the office yesterday, but I’m beginning to regret it slightly.  My thumbs have still not completely recovered from their inflammation.  Perhaps they will never fully recover.  Who knows?  But it’s certainly the case that writing on the computer is much easier and more “natural” for me.

I will be working tomorrow if the office is open, and if so I will probably write a blog post.  For the past two weekends the office has not been open, since we had so few people willing to come in.  But maybe this weekend will be different, though we still have a lot of people out of the office.

As for anything else, well…I haven’t backslid on what to eat so far, in that I am following a path that should be good or at least useful.  I must say, though, there were times yesterday‒there are such times many days‒when I thought that maybe what I ought to do is just lock myself in the house and eat ice cream and cookies in huge quantities until it kills me.

Unfortunately, it takes a very long time to kill oneself that way, I’ll wager.  The body has a very high capacity to store calories before it completely breaks down and falls apart.  Individual mileage will vary, of course, but the mileage is long.  Such a course might be enough to make me stop liking ice cream and/or cookies, but that’s not the specific goal.

Yesterday I was also contemplating, both to myself and with my coworker, what I might be like if I had not had my back injury a little over 20 years ago.  I think I said something like, “You should see what I would be like if I didn’t have chronic pain.  You have no idea.”

I don’t have specific ideas myself either, but I do know that I used to be someone who‒when not suffering from too much chronic depression and apparently autistic burnout‒could do just about anything to which I put my mind.  For instance, I decided to apply to medical school more or less as an afterthought, but I never doubted that I could get in or that I could become a doctor.

It’s not that I was cocky.  Self-confidence of that sort has been something I occasionally pretended to have, but it’s not my natural state.  I just considered medical school an eminently soluble problem and proceeded to solve it.

Medical school does not involve a mentally super-challenging curriculum.  There’s a lot of information to internalize, of course, but none of it involves dealing with any counterintuitive notions.  There are rarely any complex numbers or linear algebra or calculus or differential geometry involved in medicine!  Quantum mechanics essentially never comes into play, except perhaps in describing vaguely how MRIs and PET scans work.

Anyway, things being so stochastic, it’s very difficult to imagine what I or my life would be like if I had never developed my chronic pain and back problem.  I might still be working in Winter Park as a doctor; I might still be married; and I would be much more likely to be with my kids, or at least to be able to see and interact with them.  I would also probably be much less grumpy than I am.  I don’t know how my autism itself would change its presentation.  Maybe I never would have sought out or even considered the diagnosis.

I guess it’s pointless to contemplate these things.  We cannot change the past.  Still, one of the big strengths of the human brain (or a pseudo-human brain) is the ability to contemplate counterfactuals as simulations so one can make decisions based on assessment of potential outcomes, colored by past experience and knowledge, rather than having to do everything trial-and-error, with death weeding out the worst local failures.

Still, all I can see stretching before me if I cannot reduce my pain and try to get better sleep at the least is loneliness (which is what I deserve, I guess) and pain and never-ending fatigue, with intermittent forced distraction.  That’s not worth the risk, especially since, in that scenario, an accidental or medical death would be one of the better outcomes.

Anyway, my resolve hasn’t changed since I discussed it earlier this week.  In the meantime, I hope you have a good day.  If I work tomorrow, I will probably write another post.  If not, I won’t.