Pain

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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 want this all to end

It’s Tuesday now, and I’m writing this blog post on my laptop computer (the little one, not the regular sized one).  The laptop is slightly more awkward for typing on when there are bumps and shakes in a vehicle, but the vastly greater speed with which I’m able to type on it more than makes up for that—though it does not assuage the frustration.

I’m already exhausted (mentally) after only one day of work.  I don’t think it’s the work per se that’s so exhausting, it’s the environment, the people, the noise, the frustrations, the fact that other people arrive late or not at all, so many little frustrations.  There’s so little predictability in their behavior, and what there is is so often illogical.

I have, in general, identified more with Melkor than with Sauron in Tolkien’s universe—largely because he’s the Big Boss—but sometimes I can understand Sauron’s desire for order, and for forcing other creatures to be more orderly.  Of course, the way he goes about that is pretty stupid, but whataya gonna do?  As Gandalf said, he is a “wise fool” (a great expression).

Anyway, I like Lord Foul better than either of those two, and I like Doctor Doom most of all.  Doctor Doom is the sort of character about whom Christopher Nolan could make a movie trilogy, presenting him in a more down-to-earth fashion in a nearly realistic story, as he did with Batman, because Doom is not the product of radioactive spider bites, nor is he the last survivor of a star faring people with powers because of his alien nature, nor is he otherwise enhanced.  He is a human, but with a brilliant, inventive intellect and an obsessive drive.

Why am I writing about this stuff right now?  I have now idea.  This is all stream of consciousness, and that stream flows faster when I’m typing.  I’ve written all this so far in less than ten minutes (first draft), and I’m already almost halfway to my target word count.  I have to set a target, not so that I don’t go below it, but so that I don’t go too far over it.  I could probably gabble on here interminably.

But I want it to end.  I’m so very, very tired, and I have very little joy in my life.  I mean, I’m pleased that The Chasm and the Collision is still an enjoyable read even now.  But of course, I’m probably one of two people in the world who has actually read it.  My mother died just days after it was published—I tried to read some of it to her in her hospice bed, from her own miniature Kindle, but it was clear she wasn’t even following.  That’s too bad.  I think she really would have liked it.  I think she had been looking forward to reading it.

It’s such a me fact that my most wholesome, family-friendly story involves a threat of destruction to two universes and a villain who is unknowingly in the thrall of a much greater, larger scale “villain” or destructive force that threatens all universes, potentially.  That’s my meta-level villain; its influence is felt in many of my other stories, though I don’t always make that explicit.  I have so many ideas for my large-scale omniverse (formerly thought of as a “metaverse” before Schmuckerberg stole my term), so much backstory and intersections and connections and so on, but none of that is ever going to happen or be revealed or anything.  It’s sad, but, as a character in my darkest ever story says, “Life’s like that, I suppose.”

I wish I could sleep for a really long time, just to rest and recreate myself, but that’s not an available option.  I don’t simply long for “suspended animation” because that’s just like pausing a game; you wake up in the same state you were in when you laid down.  The only point to that would be living to see a future you wouldn’t otherwise have seen.  It’s not any kind of a cocoon, a chrysalis, an Adam Warlock kind of thing, where you change and grow and heal.

I don’t know why I’m writing about comic books and other wildly fictional characters.  Perhaps it’s because the real world is not only so stressful but is also so stupid.  This emergent system that is the whole human race interacting with itself is just an astonishing example of idiocy on performance enhancers.  I really am sick of them.

If I were Doom, I would decide to commit myself to saving them, correcting them, trying to make the world as good as I know it could be.  But of course, that leads Doom to be thought of as a villain (he has other psychopathology that contributes to that, of course).

Okay, well, I’m approaching my target, and obviously I have nothing to say, but that doesn’t stop me.  I’m really tired and depressed and discouraged.  I cannot go on like this for long.  Right now, I’m trying to hold on until at least next Friday, when I’m finally getting an autism assessment, but I don’t even know if that’s enough to cling to even for so short a time.

We shall see.

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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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By medicine life may be prolong’d, yet death will blog the doctor too.

Hello and good morning.  It’s Thursday, and so—as I mentioned yesterday that I would—I’m writing a standard blog post.

I’m writing in the back of an Uber right now, but I’m using my laptop, and that combination is a first for me, I think.  I know that taking Ubers is probably an unjustifiable expense, and I mean to cut back on them, but this week I’ve had very little useful energy*, and anyway, I’m only too happy just to burn through the quite small amount of money that I have, since I have no reason to save for the future.

I was briefly puzzled as I did the initial “save” for this document, since I save my blogs by date and day of the week, when I saw that last year the 23rd of May fell on a Tuesday, not a Wednesday.  Each year generally shifts the day (of the week) of any given date one day later than the previous year, since a standard year is one day longer than a multiple of 7: [52 x 7 = 364].  I think that the official mathematical term is “modulo” when you’re just looking at the remainder.  And I vaguely recall noting, earlier this year, that the dates this year were one day later.

But, of course, this is a leap year, in which we “add” a day to the year, specifically on February 29th.  So it makes sense:  early in the year, this year’s dates are one weekday later than they were last year, but after the end of February, they are two days later.  I suppose that means that next January and February will be two days later than they were this year, but after that things will revert to one day later.

Hold on to your hats, folks!  If the whole blog post is this exciting, goodness knows how you’re going to be able to stand it.

It’s a bit tricky writing in the back seat here, because my laptop computer doesn’t have illuminated keys.  When the bouncing around of the car throws me off too much, I have to re-find my typing location by trial and error.  Once I do, I don’t really need to be able to see; I know my way around the keyboard pretty much by proprioception.  After all, I’ve been typing at least since I was eleven.

Not to say that I don’t make plenty of typos.  My coordination isn’t all that great, and I often get ahead of myself.  But at least with modern word processors, it’s so easy to correct for errors that it’s not a big deal.

Actually, I suspect that if I’d been forced to keep using my grandmother’s typewriter, which is what I used to start my typing career, and on which I needed to use correction film to erase mistakes, I would probably be a better, or at least cleaner, typist than I am now.  Once word processing programs came into play, there was no longer as much of a price to pay for minor errors, and so there was less pressure to be more accurate.  As I’ve noted many times, everything responds to local pressures and incentives and disincentives.

I warned you that this might be exciting, didn’t I?

I almost didn’t go in to work today.  That was why I let myself get the Uber:  to help me to clear that activation energy barrier.  I am not particularly physically sick, though I feel a bit of a tickle in the back of my throat.  I just didn’t want to go in.  Yesterday, all day, I was extremely tense and stressed out, and the noise was particularly irksome, and I had payroll to do, and I was always just sliding along what felt like the razor edge of a true breakdown or explosion.  Yet no one seems to have noticed.

I banged my head on the wall quite hard at one point, and did several other things to cause myself pain throughout the day.  I don’t want to go into specifics too much; I don’t want people to think I’m a weirdo or something.

Ha.  Ha.  Ha.  Ha.  Ha.

Anyway, I’ve actually just arrived at the office.  I hope my hands and thumbs won’t feel too sore, today.  Yesterday, my thumb bases were painfully tight, and most of the rest of my finger joints were sore and stiff, albeit to a lesser degree than the thumbs.  It made it quite difficult to try to play guitar, so I didn’t do much of that.

Actually, because of the trouble with my hands, and my shoulders, and of course, the ongoing issues with my back and hips and knees and ankles—especially with my back—I decided to buy a huge bottle of Ibuprofen, and I’ve taken some of them starting yesterday afternoon.

I have been “off” Ibuprofen for quite some time, now, though it was my go-to anti-inflammatory for many years.  I started to avoid it when its use was associated on two or three occasions—possibly just by coincidence—with a relatively high occurrence of what I presume were premature atrial contractions, with associated palpitations.  It was nothing terribly severe, of course, but at the time, I wanted to live, so I switched mainly to naproxen.

I also use some aspirin, as well as acetaminophen for headaches and other things that don’t benefit from any suppression of cyclooxygenase.  But, despite its longer action, naproxen has never worked quite as well as ibuprofen seemed to work, though perhaps that’s been confounded by other variables.  It’s hard to do a double-blind test on oneself.

In any case, at this point, I don’t much care if I get palpitations, although if they happen, maybe I’ll find them unpleasant enough that I’ll change my mind.  Frankly, I don’t mind if I have a full-fledged arrhythmia.  Sudden cardiac death due to ventricular fibrillation, for instance, is probably one of the best ways to die.  You basically just faint, since your brain is no longer getting blood flow, and that’s that.  If no one defibrillates you, and if the arrhythmia doesn’t spontaneously resolve, you’re done.

It’s probably not quite as quick a death as being at ground zero of a thermonuclear explosion, and it’s certainly not as quick as being obliterated when the vacuum energy of the universe quantum tunnels down to a lower level**, since that process would spread throughout the cosmos at the speed of light, and no information within spacetime can exceed the speed of light, so it’s fundamentally impossible to know such an event is happening before it arrives.  It’s also impossible to know about it once it arrives, since everything currently existing in our universe, right down to fundamental particles, would by obliterated by the vacuum state decay—again, at the speed of light, which is far faster than the rate at which the nervous system can experience anything.

Unfortunately, even more than the thermonuclear explosion possibility, vacuum decay would involve taking other, “innocent” people along with me, at least some of whom both wish and deserve to continue living.  That seems a bit unethical—or at least rude, which I sometimes think is worse—and anyway, it’s not as though anyone knows how to make it happen.

It’s better to keep things confined to my person.

I guess even a hemorrhagic stroke wouldn’t be too bad, to be honest, and given my tendency to bang my head against the wall when I get too frazzled and stressed, it seems immensely more likely than vacuum state collapse.  I suppose I could even tolerate death by bleeding ulcer, though I really don’t like nausea***.

Probably, though, in the end, I’m going to have to take a more active and deliberate hand in things.  I suppose we’ll see.  It’s hard to work up the courage to face the discomfort and even frank pain associated with most such interventions, but practice makes better, and I already have a fair amount of experience deliberately causing myself pain, as noted above.

That’s enough blog post for now.  I’ve already droned on and on.  My tentative plan is to do some fiction writing tomorrow morning, and if I do (or even if I don’t) I plan to leave a little report about it here.  I am off work this weekend, so I won’t be writing anything on Saturday (barring, as always, the unforeseen).

I truly, honestly, and fervently hope that each and every one of you feels better than I do right now, and I mean substantially better.  You probably do; it seems likely that, in the phase space of physical and emotional states, there are many more possibilities in that direction than in the other.  But I could be wrong.

TTFN

Addendum:  While editing, I found that MS Word had underlined a sentence in the draft above, in which I wrote, “I think that the official mathematical term is….”  The editor gave the comment that “expressing opinions with certainty adds formality”.  I don’t think I could possibly disagree more than I do with that sentence. 

Bad advice in editor marked up

 PLEASE DON’T DO THAT, PEOPLE!!!!!!!!  Opinions are opinions.  Expressing them with certainty when you are not certain is tantamount to outright lying, and is a huge problem with human discourse!  I’m ashamed of MS Word for making that suggestion.  What a horrible, horrible recommendation!  What a nightmarish thing to say!

*And yet, my level of tension has been exceptionally high.  That’s a frustrating bit of irony, as I probably don’t need to tell you.

**This is purely a hypothetical possibility.  The vacuum energy of the universe may well be at its lowest/ground state, though it is patently not quite zero.  If it were, cosmic expansion would not be accelerating.  Indeed, I often say that cosmic inflation is happening now, based on all the data we have.  That’s what “dark energy” is doing, albeit at a slower rate than what is proposed to have happened 13.7 billion years ago.

***Weird, right?  I don’t like nausea?  How unusual!

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This is not an altered Shakespearean quote, in case you couldn’t tell

Hello and good morning.  It’s Thursday, and for the first time in quite a while, this is my weekly blog post, the way I used to do things.

I’ve not been very well lately, even by my standards.  By which I do not mean that I haven’t been writing.  Monday morning I wrote just under 1400 words on Extra Body, which I guess is a good thing.

Then, Tuesday I did not go into the office.

I’ve had a particularly bad time lately regarding my insomnia.  Since Friday night, I haven’t had a single night with as much as four hours of sleep, and many of the nights have seen significantly less.  On Tuesday morning, I just stayed home and took some Benadryl, which only made me doze off for about two hours.  Then, Tuesday night I got another few hours, and went to work Wednesday.  I felt a little loopy during the day yesterday, to be honest, and occasionally I even acted a bit silly.  I suppose everyone at the office thought I was feeling better.

But even my pain has been worse than usual, too, probably largely because of the sleep deprivation.  I don’t think that the causality works in the other direction, because it’s usually not pain that wakes me up; it’s the semi-panicked feeling that I must have overslept by hours and hours, even though it’s only been about five minutes or so since I dropped off.

In any case, I have some kind of feeling of anxiety or vulnerability while I’m asleep.  You’d think I was a Vietnam veteran or something, except I was born in 1969, so I would have been very young indeed to serve.  Whatever it is, I don’t feel safe, or at least secure, when I’m asleep.

Still, it’s not as though I’m safe when I’m awake.  The thing is, no one is safe, not entirely, and no one ever has been (as evidence, note that almost all people who have ever lived are currently dead).  And I frankly find life mostly painful and stressful and exhausting and lonely and dreary, so I don’t know what exactly I’m afraid of such that I’d feel worried about having anything taken away from me.  It’s weird.

Anyway, I didn’t even bring the little laptop computer with me on Monday when I left the office, so I didn’t have it when I was on my way to the office (extremely early) on Wednesday morning.  Instead, I decided to use the Word app, which I’ve mentioned before, and I started to write the beginning of HELIOS.  I did not plan to go far, and I didn’t, writing just over five hundred words‒just beginning to introduce the setting, really.  Then I got to the office and wrote a bit over 800 words on Extra Body, bringing my total new words that day up to nearly the same as on Monday.

On Monday morning, I even strummed the guitar just a little bit.

Unfortunately, there has been no joy in writing fiction‒nor in playing guitar, come to think of it‒since I’ve restarted doing it.  I don’t blame the fiction, of course.  Nor do I blame the guitar.  The problem is my own faulty hardware and/or software, my operating system or particular programs or I don’t know what.  To quote C3PO, “He’s faulty!  Malfunctioning!”

I wish I could get some kind of system update that would fix some of the bugs.  Or at the very least, I wish I could reboot from time to time‒in other words, that I could just get a restful night’s sleep.  I feel that if I could get just a good night’s sleep, it might be almost like a little resurrection.  I still recall how good it felt on that day in the nineties when I had my last (or at least my most recent) good night of sleep, from which I awoke refreshed and rested the next day.  I don’t recall what I did that day, but I felt amazing.

I don’t know how I could accomplish that, though.  I’ve tried medications of various kinds, but they’ve tended just to make things worse.  I can force myself unconscious with Benadryl, for instance, but I awaken feeling groggy and confused and more out of it than when I went to sleep.  I’ve tried getting massages of various kinds, from real massage therapists and so on, but I guess I can’t really relax with a stranger.  And massage chairs, unfortunately, just don’t do it.

So it sucks, and I’m tired, and I’m in pain, and I see no light at the end of the tunnel, not even a glimmer, not even a glint.  All I see is a vague sort of swamp-light haze, a sort of sickly phosphorescence.  There’s just enough light to be able to take in the dreariness of my surroundings.

Blackness would be better, honestly.  Black, silent, empty oblivion seems quite preferable to my life, in which the only joys I know are the guilty (and steadily diminishing) reward of food, and‒as Steve Martin said‒a dishwashing liquid.

I need just to opt out.  I need just to work up my nerve.  That’s the hard part.  Fighting against those ingrained drives to stay alive even though it’s not merely utterly pointless but almost entirely without joy (yet almost never without pain, both physical and psychological).

It’s been getting old for a long time.  I’m sure you’ll all agree.  From within, I feel about a thousand years old, or a million, or a billion‒but I’m not an organism built to live that long.  So, again, I’m faulty and malfunctioning, held together by gaffer tape and twine and mud and twigs and clothes-hanger wire and paper clips, with modeling clay stuck in some of the holes to keep the damp from getting in.

Anyway, that’s my status for now, which is nothing new, just more (and gradually worse) of the same.  I hope you’re all feeling much better than I am.  At the very least, you deserve it for being patient enough to read my blog.  That’s a definite trial by ordeal.

I will do my best to keep writing fiction tomorrow, and I plan to do next week what I planned to do this week, though hopefully with at least a little bit more sleep.  By which I mean, I want to try to write fiction every day but Thursday.

If you see a post go up on some other day, it means I lost my resolve for that plan, at least temporarily.

If you don’t see a blog post at all, not even next Thursday, then either I’ve gotten sick, or I’m dead.  The longer time passes with no posts, the more likely it is to be the latter.  We can always hope, right?  I don’t know, maybe you think it would be a negative thing for me to die.  I’ll even admit that I am afraid of dying, by which I mean the process.  I don’t so much want to die as I want, most days, to be dead.

Silence.  Oblivion.  These things so often seem so much better than the noise and stress and tension and pain of awareness.  If I could just become “comfortably numb” it would be a vast improvement.  But that’s not likely.

TTFN

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Mad morning musings and “The End of All That Is”

It’s Wednesday morning again, and here I am, reverting to habit, writing a blog post (this time on my smartphone) because I frankly can’t seem to think of anything better to do with my time.

Well…I could sleep.  That would be a better use of my time.  Except I can’t sleep.  Even on weekends, the only way I get myself to sleep through the night is to take two Benadryl™ before I lie down.  But that’s not really effective, restorative sleep, and though I stay in “bed” later, I can tell the next day that I’m not really rested.  Or maybe that’s just residual effects of the antihistamine, I don’t know.

The best thing about when I was taking Paxil for my depression‒which didn’t work overall, and gave me bad side-effects‒was that it made me not just able to go to sleep at night, but to actually feel good going to bed and going to sleep, to enjoy the process.  I had never experienced that before, nor have I since.  But, as I said, there were other side-effects that made it quite bad.

Also, it made me gain weight, which would be particularly bad now, because I’m already heavier than I’ve ever been.  That’s what can happen when one’s only reliable pleasure comes from eating, and when one also eats as a sort of “stimming” and soothing thing to try to ease a constant sense of anhedonia and stress and dysphoria.  And it’s not as though I could simply “embrace” my body size, because it comes with worsening pain and other unpleasant consequences.

Unfortunately, I don’t get immediate worsening of pain when I eat.  It’s delayed.  If it were immediate, I would probably develop a habitual avoidance, and that would be great.  I try to remind myself, when my ankles and knees and back and hips are hurting a lot, that this is caused, at least partly, by eating too much, but that auto-suggestion doesn’t seem quite to work.

I’m pretty sure that I would eat less if I slept better.  Chronic sleep loss tends to affect one’s regulatory and stress hormones, and can stimulate appetite (especially for carbohydrates) in many people.  I appear to be one of these people.

I wonder if I could figure out a way to cause myself pain while eating‒maybe I could put a clothespin on the end of my pinky when I eat, every time I eat.  I don’t know if you all remember, but having a clothespin clamped on your fingernail hurts quite a lot, and hurts even more (albeit briefly) when you take it off and circulation returns*.

If I could arrange something like that to happen whenever I eat, that would be useful.  I did have a TENS unit that never helped my chronic pain, but some of its higher settings could be quite uncomfortable.  I suppose it might be useful to train myself, though it would require setting it up and activating it every time I ate.  Also, I’m almost sure that I threw it away in frustration because it didn’t work.

It would be really useful if I could somehow trigger nausea any time I ate, as in the style of aversion training seen in A Clockwork Orange.  I suppose I could try to force myself to eat eggplant with every meal…but no, I don’t think I could.  It’s very hard to force oneself to eat things that make one feel sick.  That’s the whole point of this line of thought.  I guess I could look for some syrup of ipecac.  I’ve never used that, but I think they used to use it to make people throw up if they’d eaten something poisonous or the like.  It might be worth a try.  I think I’ll send myself a reminder to look it up on Amazon.

The train just arrived.  I must say, Tri-Rail seems to have deteriorated slightly since changing their schedules, but maybe they’re just in the middle of making adjustments.  I try to give other people and organizations the benefit of the doubt when I can.  The Principle of Charity is one that I think would be very useful for society as a whole, or at least for humans:  the idea of trying to see what people say and do from the best possible light you can, instead of reflexively assuming the worst, of getting judgmental and self-righteous and assuming anything you find even slightly uncomfortable is a personal attack on you, precisely because you feel uncomfortable.

If I took that attitude, I could definitely see myself trying to destroy the world or even the universe, because a lot of reality bothers me a lot of the time.  Fortunately, I know that my feelings are my problem and my responsibility, not anyone else’s.

Not that I don’t fantasize about global and even universal destruction when I’m feeling particularly pan-antipathic.  I imagine working to perfect technology to adjust the course of asteroids.  I could even sneakily get government funding to do so, but then I could actually use the technology to steer near-Earth objects toward the Earth rather than away from it.  Some good asteroid hits might be extinction-level events, and a comet impact (of sufficient size) could wipe out nearly all life on Earth.

I say “nearly” because some microbes are remarkably resilient.

Of course, if one could study the possibility of vacuum decay‒causing, for instance, the cosmological constant or the Higgs Field to quantum tunnel to a lower energy level‒that would produce a wavefront process that would obliterate all forms of matter, a wavefront that would expand at the speed of light and wipe out everything.

Well…it wouldn’t literally wipe out everything, actually.  First off, it would leave behind whatever cosmos is entailed in the new Higgs (or other field) set-point.  And, of course, beyond our cosmic horizon, there are bits of reality that are moving away from us‒carried by the expansion of spacetime itself‒at faster than the speed of light.  So the vacuum decay wave would never reach them.  But it would obliterate everything in the observable universe, and that might be heartwarming enough.

Vacuum decay, though, may not even be a physical possibility‒it’s not a consensus prediction, though there are reasons to think it might be possible‒according to the best models we have of cosmic history, the Higgs field did settle out in a non-zero state after the electroweak era, and if inflationary cosmology is correct, then the “inflaton” field similarly decayed.

Still, we also have no idea how (or if) such a decay could be triggered.  There is no apparent risk of initiating it through highly energetic physics, because there are constant, extremely high energy processes happening in the cosmos, and everything we can see is all still there, as are we.

Oh, and contrary to the X-Men comics’ Phoenix/Dark Phoenix saga, unfortunately, a “neutron galaxy” would not be “The End of All That Is”.  If such a “neutron galaxy” were to “appear” in the middle of the Milky Way, that would be bad for us, though its effects would take a while, since even gravity doesn’t travel faster than the speed of light.  But effectively, a “neutron” galaxy would be no more cosmically devastating than a supermassive black hole with the mass of a hundred billion suns or so.  That’s a big black hole, bigger than any we’ve seen (and probably too big to be expected to exist at the current age of the cosmos), and as with any black hole, if you get too close it can be bad news**, but from a distance its effects would be no more harmful than an ordinary galaxy of equivalent mass.

Oh, well, I’ll have to keep brainstorming ways to destroy the world or humanity at least.  Maybe biology is the way to go‒it might be possible to genetically engineer something like the Blob or the Chicken Heart that Ate the World.  Or one could deliberately make an AI that has the terminal goal to turn everything into paperclips, not by accident but on purpose.  That would be humorously ironic.  Or one could just make an AI nanobot, Von Neumann probe-style thing that literally had the sole programming to replicate itself as much and as fast as possible, using every available resource.

I’ve written before about how such a thing could even instantiate a new kind of galaxy-level natural selection.

I wonder what would happen if I tried to crowd-source a project to end all life in the universe, maybe with a “GoFundMe” page…

Anyway, my station is coming up, so I’ll draw my insane musings to a close for now.  I don’t know if I’ll write anything tomorrow.

*Don’t worry, this was not something anyone else ever did to me.  This was something with which I experimented on myself, because while it was painful, it was quite fascinating that the pain got worse when I first took the clothespin off.

**Although, with one that big, you could probably traverse the event horizon without tidal forces killing you‒at least not just yet‒by spaghettification, so it might at least allow for some interesting final experiences.

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The undiscovered country from whose blog no traveler returns

Hello and good morning and all the rest of that stupid bullshit.

I’m writing a blog post today—obviously—which means I’m going in to the office today, which means that, unfortunately, I am still alive.  I cannot give you any good reasons for these facts.  They simply are the case.

There are explanations, of course, as there are for all things, but they entail nothing more than the mindless churning of physical and, at the next level biological, and, at the next level psychological forces that happen more or less on their own.  They carry a certain metaphorical inertia; to divert them requires a deliberate application of some manner of force.  But since they are not literal, straightforward cases of inertia, it’s not always easy to tell just what the proper application of what “forces” should be to cause them to change their direction into one which one might prefer.

I’m at the train station now, waiting for the 2nd train of the day.  I had a terrible day yesterday, pain-wise.  It let up ever-so-slightly in the afternoon to evening, thanks to lots of Aspirin and Tylenol and Icy-Hot and all that stuff, but it still felt as though I had recently tried to do some fairly serious acrobatics without stretching and had not only failed, but had fallen hard on barely-padded ground.  I still feel stiff and sore.  Also, the bases of my thumbs ache severely; for that reason, among others, I’m typing this on my laptop computer rather than my cell phone.

I don’t have much else to report, and I certainly have nothing positive to relay to you.  As my pain eased slightly yesterday, my mood improved slightly, but it was never very good, and it’s now nearly as low as it was yesterday morning.

I’m also a bit nauseated.  That’s probably partly because of the excessive use of analgesics over the last 24 hours, even beyond my ordinary intake.

I really feel horrible, and I don’t know what to do.  I feel no sense of any future other than one of stress and pain and further alienation, or alternatively, of being a burden to people I have no right to bother.  I wish, I wish I had the strength of will just to stop eating and waste away until I die.  That wouldn’t be so bad.  After a while without food, once one gets into deep ketosis, there is little or no real pain, just lassitude.  And I have lassitude anyway, so I don’t think it would be all that much worse.

But it’s very difficult just to say “no” to food when it is available; billions of years of evolution has sifted things so that not eating when food is available is quite difficult.  I’m probably going to have to find some other way.

I’ve looked into things like hemlock—it seems like it might be nice and “classical” to go the way of Socrates—but although some descriptions of his death involve acceptance and serenity and the like, it seems they are highly fictionalized, which should come as no surprise.  Apparently, actual death caused by hemlock poisoning is quite uncomfortable, and associated with nausea and cramping and neurological symptoms of various kinds that might lead one to seek “help”.

Likewise, unripe ackee fruit—which grows in abundance around the house in which I live—is associated with quite uncomfortable symptoms and is not even close to universally fatal.  And again, the urge to try to relieve one’s symptoms might lead to one aborting the whole project.

Of course, asphyxiation via inhaling pure nitrogen or pure helium (for instance) is actually quite benign, since it is not associated with any feeling of suffocation—especially if one has a non-rebreather mask, so one does not retain carbon dioxide, which is the actual source of the feeling of not being able to breathe, and is indeed the primary driver of respiration.  I have two non-rebreather masks, and tubing, and even a regulator valve, but though I ordered helium tanks, I couldn’t figure out how to hook up the party-type helium tank output valve with the tubing and respirator mask—so I let people use the helium for balloons.

Also, one really needs a decent space and privacy for something like that, and one needs to make sure one’s mask doesn’t slip as one loses consciousness.  If that happens, one could live but have hypoxemic brain injury.

I’ve looked into ordering nitrogen tanks, but you can’t just get them delivered already filled; you have to go to some welding supply place or similar to get the nitrogen, and it’s hard to cart a nitrogen tank around when one does not have a vehicle.  There are similar problems with liquid nitrogen.  You can order a crucible (or whatever the term is) in which to carry it from Amazon (as you can the gas tanks) but to get the liquid you need to go to restaurant supply places or medical supply places or similar.  And, again, it’s hard to carry such things around without a vehicle.

Of course, there’s always simple use of blades—the proverbial bare bodkin—but though I am not afraid of cutting myself, to cause life-threatening bleeding thereby is not easy, and it is also supremely messy, leaving behind a horrible spectacle for some poor slob to find.  It’s likewise not entirely reliable and requires privacy.  I could lay down in my shower with water running and do it, but then my “housemates” and the landlord would eventually have to deal with the situation—at the latest by the time I started smelling—and that would be inconsiderate and traumatic.

When I think of the people I’ve known in recent years who have died of overdoses of narcotics—usually heroin—I again find myself wishing I had a drug problem.  But I don’t like opiates, though I was prescribed them for a few years for my chronic pain.  They didn’t work as well as I would hope, and the side-effects were annoying and unpleasant.  Of course, a goodly dose of an opiate plus a goodly dose of a benzodiazepine has a goodly chance of shutting down one’s respiratory drive, but as with asphyxiation above, that can sometimes just lead to brain damage.

My brain is dysfunctional enough.

A good fall from a high building (or mountain or cliff or bridge) is pretty reliable, of course, if one can muster the courage to throw oneself off.  However, there aren’t very many buildings or similar near me that are aesthetically high enough, and I don’t really have access to any of them, anyway.  Also, again, it leads to one making a mess for innocent passersby, and I would rather not do that.

There’s always the prospect of just swimming out into the Atlantic, which is truly close at hand, until exhaustion leads inevitably to drowning.  There’s not much mess that way, and most of what there is might be cleaned up by ocean life.  If I were more comfortable in the water, that might be a good option, and I still do consider it.  But it requires real determination, and I am not all that strong a swimmer.  I mean, I’m a good enough swimmer to swim out far enough to drown, but there’s enough stupid animal fear built into this operating system that I worry I wouldn’t be able to force my way through it.

I really don’t know what to do, or what I should do.  I’m still brainstorming ideas.  Meanwhile, I’ve really got loads of physical pain…but the psychological pain is worse.  The former wears down and eradicates one’s resistance to the latter, and the latter makes it difficult to keep a useful attitude about the former.  And I have so much trouble sleeping.  I’m really very tired all the time.

TTFN

standing on ledge newer

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Yeah, yeah, whatever.

It’s early morning and I’m waiting at the train station again.

It’s also relatively cool out, and it looks like it’s going to be so for most of the rest of the week, if the forecast is correct.  I should probably have walked to the train today, but even though I woke up hours ago, I just didn’t feel up to walking.  Actually, I didn’t feel up to much of anything at all, and I still don’t.

I almost just stayed at the house today, even though it’s payroll day, because I didn’t want to get up and move.  I’m really feeling that each and every thing I do or can do is utterly pointless, even taken from the scale of an evanescent mammalian lifetime.

Our boss apparently intends for the office to be open on New Year’s Day, but I am not going to be there.  I think it’s bullshit to make people try to work after New Year’s Eve and also to expect to sell anything.  In past years on those occasions when we have worked on January 1st, we barely made any business, and a good percentage of it was canceled.

I have no interest, and I have no motivation, to do anything at all, and certainly not to come in to the office on New Year’s Day.  Other people had their three-day weekends last weekend, and their family holidays, and you can bet dollars to donuts that most of them will not be coming to work next Monday, anyway.

Of course, it’s not as though I have anything better to do with my time by staying at the house; that’s one of the reasons I’m going to the office today.  I have nothing better to do.

I have nothing.

I had been looking forward to the 60th Anniversary and the Christmas Doctor Who specials, but now they are done.  They were good, and I’m glad I watched them.  But the regular season isn’t starting until May, apparently, and I’m sorry, I can’t wait around for that.  Five months is way too long.

I am tempted not to go to the office the rest of this week, or next Monday…or ever again, really.  I’m tempted not to go anywhere ever again.  What’s the point?  There’s nothing to which I look forward.  Life is just a series of discomforts‒many of them not at all minor.

My whole body has been hurting more than usual lately, despite aspirin and Tylenol and naproxen and icy hot and a massager and ankle and knee braces.  My back, especially, has felt as if the spine is becoming completely disconnected at its base and I am about to split in half.  And I’m getting some new form of sacro-iliac/coccygeal inflammation/arthropathy, too, the source of which I do not know.

I wish I could go into a coma.  I wish I could simply sleep.  No more.  ‘Tis a consummation devoutly to be wished.

I’m tired, and I feel horrible (and horrifying, come to think of it).  I hate my life.  There’s no point to it, and it gives me very little in the way of positive things.  Even thinking of my kids‒the best part of my life, ever‒just makes me miss them.  Since yesterday morning, I feel that I’ve just been fighting back tears most of the time.  It’s pathetic and disgusting.

I really do often wish I had some kind of drug problem (other than OTC analgesics, ha ha), but even alcohol gets unpleasant really quickly.  I bought a few bottles of wine for the holiday weekend and ended up pouring out as much as I drank, or more.  It doesn’t even do a good job of blunting my anxiety and tension, let alone making me feel good.

I don’t really want to see 2024.  I have no optimism about the year, and if anything, I feel that more and more of the little, stupid aspects of my life are falling apart all the time.  I’m just a net detriment to the world‒not that it deserves anything better, but still, I don’t enjoy that fact and process, and I don’t want to keep feeling the guilt and shame of my life.

I don’t know what to do.  I’m useless, even to myself.  I hate this world, I hate the social and political state of things (see yesterday’s post), I hate my body for its chronic pain, and I hate myself above all else.

I think I’m pretty close to being done, here.  I hope you all are having a more pleasant holiday season/experience than I am.  Tomorrow is Thursday, so if I do a post, it will probably be in my old “traditional” format.  If I don’t, you’ll know that I decided not to go in to work.  If I don’t ever do any more posts, I guess that will become evident after a while.  Though, of course, as with the halting problem in computation, you could never truly know that I was never ever going to release another blog post until you had waited until the end of time.

You could pretty sure, though‒sure enough to bet your life on, after not very long.  You could even bet my life, but that’s not worth much, so it’s not much of a bet.  It’s also a bit too self-referential and potentially paradoxical, given the subject matter.

Anyway, I’m sorry.  I know this isn’t pleasant, and you all deserve better.  But, it’s in my nature to disappoint and to bring people down, so that’s what I’m doing.  Have a good day if you can, nevertheless.

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I’ll rack thee with old cramps, fill all thy bones with aches, make thee roar that beasts shall tremble at thy blog.

Hello and good morning.

It’s Thursday again, and I’m writing one of my old “Thursday-style” blog posts, or at least I’m trying to do that.  I’m not sure how well it’ll come out, since I’m feeling rather poorly right now, but that’s mainly pain-related.

Yesterday afternoon, I had a brief respite from pain, or at least a significant reduction in it.  It got to the point where my spirits rose, and I joked a bit with coworkers, that sort of thing.  Nothing major, of course, but in the morning I had been thoroughly anti-social, wanting to snap on everyone from my boss to the few particularly irritating people in the office.  One of these latter had the gall to pat me on the shoulder from behind—while I was working on something—and I snarled at him not to touch me.

Mind you, that’s not new; I feel very awkward about people touching me, especially when they’re being irritating yet are trying to display some kind of manufactured camaraderie, and I’m trying to work on something important at my desk.  Also, this person had arrived late, as he frequently does, yet suffered not so much as a rebuke, and even got paid his “spiff” which is supposed to be forfeited when someone is late with good excuse.

As he walked away, I grumbled, “I’ll cut your fucking hand off.”  At the time, I meant it, but I’m not sure he heard.  Apparently, I don’t have a good sense of how to speak up so that people can hear me, even though I feel like I’m speaking just fine.

Anyway, in the afternoon I had less pain than usual, for unclear reasons, and that was good.  As I walked to the train station after work, it was cloudy and a bit drizzly and windy, but far from being displeased, I felt almost as if someone somewhere had decided to give me weather that felt at least a bit autumnal—which it did—as if in response to my blog post yesterday.  It was quite nice.  And I started thinking about getting back into long walking, and maybe some hiking and whatnot.  I was absurdly optimistic for a brief time.

I even brought my little laptop with me when I left the office.  That’s what I’m using to write this.

Overnight, however, my pain has resurged with a vengeance.  First my low back and down my left hip and knee and calf and thigh and foot and ankle flared up, waking me in the night, and I applied my little massage gun as best I could—after taking some analgesics, of course.  I soothed it enough to go back to sleep, but shortly thereafter woke up with my right side doing the same thing.  Now they’re both acting up, and it’s hard to stand up from a seated position because both of my hips hurt a lot when I do.  I’ve tried all along to exercise and stretch and adjust, and to do all the other interventions I can bring to mind, all the time, over and over, but it’s difficult to tell what, if anything, makes a difference.

I don’t know what led to my brief lull of pain yesterday afternoon.  I don’t know what made it act up again last night and through to now.  I don’t know if weather changes affect it, I don’t know if that’s just a bias or a random, illusory correlation.  I try very hard to be objective, but I can’t figure out what to do.

Of course, my hands—especially my thumbs—and my shoulders and my neck are also sore and stiff, but compared to the chronic pain in the entire lower half of my body, they’re almost pleasant by comparison.

I’m sorry to keep boring you all with this.  I would love to discuss something interesting and likely to incite wonder or at least curiosity.  But evolution has shaped pain to be difficult to ignore, unfortunately.  If you find it tedious and irritating, just imagine how it is for me.  You already have preemptive revenge upon me, for I have to live with it, and can’t even walk away to get a break, at least not in any predictable fashion.  Right now, on both sides, my entire body from about umbilicus level or so on down is one contiguous, 7 out of 10 ache, and my hands and my shoulders are stiff and sore.  And I can’t take anything else in the way of meds at the moment without it being frankly toxic, and also probably making me want to throw up again.

I have had various epidurals and other more invasive interventions in the past—including surgery, as you may recall—and yet here I am.  I have no desire to be put on prescription pain medicine again.  I’ve been through that, and I think the way it affected my thought processes didn’t help with the whole crash and burn through which my career and my life have gone.

The weather is so hot that it’s hard to deal with going for walks because I get so sweaty, but maybe what I really should do is just do what I’ve so often thought of doing:  go out and start walking, and keep walking (with rests as necessary) until it kills me or until I feel better—or both, I suppose, that’s not out of the realm of possibility.  I really don’t know what to do.  But, of course, I’m still doing this blog post, so I haven’t headed off into the sunrise yet, and right now, the process of even walking to the bus stop is daunting.

I may order a Lyft to get to the train station, or an Uber, whichever is cheaper.  I hate to waste the money, but I haven’t the energy to do other things.  By now, I could have bought an electric-assist bike or one of those electric scooters, and it probably wouldn’t have been much more expensive than car services.

I honestly and strongly hope that every last one of the people reading this feels much better than I do right now.  That would at least be some consolation for me, and not a small consolation at that.  I want you to have good lives and be happy, and to have friends and family around you, and to live among people who make at least a modicum of sense to you.  I hope you don’t feel like aliens in your own environments.

It doesn’t feel like too much to ask.  Maybe it is.  Anyway, I’m done with the blog post today, but there will very likely be one tomorrow.  Why would I stop rolling this boulder, after all?

TTFN

skelington