Category: Neuropathology

Sleep phases

In reverse chronological order:

19) Feel a momentary crunch of the small bits of eggshells embedded in your scrambled eggs. Think about easter. Type about it

18) Watch that rubbery pile of protein wobble. Realize silently that you forgot that water.

17) Use your hand. Germ theory is overrated

16) Fuck forks

15) *awful metal sound of fork scraping off the rim of the plate, awful cold feeling of fork on the inside of my forefinger*

14) Sit-fall down into the couch. Think of how accomplished you already are

13) A moment of guilt as you walk past your cats with any type of food: you know they don’t really eat your eggs, but one of the cats at least wants to, even though he just ate his food, , , , , ,

12) Hope that your cats won’t burn themselves on the burner. Put another pot of water on it as it’s cooling off. Don’t forget to bring some water over to the couch in the living room.

11) Eggs done – you resisted dusting them with salt – in your mind a toilet flushes and carries with it dissolving bits of ‘i’m not hypertensive but hey I skipped the salt, good job me’

10) Heat a pan (hear Anthony Bourdain’s voice saying pre-heated. Look at the 2 eggs you removed from the fridge and (hear Anthony Bourdain’s voice saying intermediate, uh, vessel) decide not to use a separate vessel for the eggs. Wonder if Anthony Bourdain would be weirded out that his voice comes into your head as you’re cooking eggs. Cook the eggs.

9) Be a fucking man already

8) Stare at blueberries and strawberries. Stare at freezer. Stare at blueberries and strawberries. Stare at freezer. (they are in the freezer and so you are looking at the frozen blueberries and strawberries inside of the freezer) Let out your first big yawn of the morning. Gleek onto the rim of the freezer. Smile and feel your face stretch in a weird way and think about crow’s feet. Remember that you need to eat. Remember that strawberries and blueberries won’t get you too far.

7) Remember that you need to eat

6) Flush your old coffee grounds and filter down the toilet and make sure that you don’t feel guilty about it whatsoever. Your coffee machine gurgles

5) Get up now you are feeding your cats now you realize you’re fucked get into the kitchen

4)

3)

2) After you agree to sleep separately you take some Benadryl to pass out. You take two benadryl to pass out. Instead they jazz you up for a while until

1) Tell your girlfriend she can’t come over, even if you’d like to sleep next to her. You are already so tired

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I knew not to stand up

but I stood up anyways.

I knew not to feed the cats

but I fed them anyways.

I knew not to take my meds

but I took them anyways.

I knew I should smoke (instead of resisting),

but I resisted anyways.

I knew not to stay awake

but I stayed awake anyways.

I knew not to eat breakfast

but I ate breakfast anyways.

I knew not to exercise

but I exercised anyways.

I knew not to shower

but I showered anyways.

I knew not to shower or shave

but I showered and shaved really well anyways.

I knew not to go to class

but I went to class anyways.

I knew not to stay in class

but I stayed in class anyways.

I know that after all of this I’m not supposed to feel shitty

but after all of this I feel shitty anyways.

Tripping in context

Let’s say you’re sitting at a bar. You’re 1.5 drinks in: confidence blows in the sail of your diaphragm, smiles are beginning to seep from your cheeks, and the voice in your head informs your sad, previously sober-self: What the hell – I really can achieve my goals, and I really do take myself too seriously, and thank the lord for alcohol! We have to do this more often, you mopey fuck!” As GABA floats across the lanes of your head-highways your brain – rather, you – find yourself settling into a disorganized and disinhibited state of bliss. Euphoria is too complicated a word for a feeling this normal. You’re calm once more.

You’re alone in that sense. Somehow your eyes receive some brainspace from your nose, which has utterly hijacked your experience with an awful perfume smell. An older woman 2 seats over is the hare to your tortoise and the current colonizer of your nostrils. You see that she is already a walking (sitting) vessel for a bottle of wine. She orders another. Some song that your dad really likes plays on the bar speakers as you peek down at her right ankle. No mistaking the Louis Vuitton purse at her side, nor the 3 prescription bottles inside of it. Your background in medicine, druggery, and institutionalization have taught you about privacy, but being medication savvy, 3/4 of a second is all you need: notice that the pill bottles all look fresh but bear different logos: St. Paul Corner Drug, CVS, Walgreens Pharmacy. Citizen-healthy-voter you shouldn’t peek, shouldn’t judge, so you look away and try to mind your drink. Hospital-you sees the after-image of the bottles in your mind’s eye. Amphetamine, Xanax, Prozac. Yet another rich lady with a gaggle of doctors. A gaggle of neuroses, sure, and based on her medication choices she’s well aware of her own difficulties. The problem is, these medications shouldn’t be prescribed together. Any legitimate care provider would know not to prescribe an antidepressant with a benzo with a stimulant anywhere other than a college basement. The bartender asks if you want another – in the 1/2 second before answering you have a moment of sadness for all the doctors who are persecuted for prescribing. Yeah, America, blame the doctors for your kids taking adderall. Keep blaming the doctors for Prozac being ineffective. Keep blaming a bunch of debt-laden medical students for doing their best to please you. And then jump onto the next miracle cure, why don’t ya, until the next miracle cure fucks you up. And fuck wine, you think to yourself loudly. You try to remember that there’s no need to be judgmental. Even though you won’t ever relate to this lady she’s ruined your state of mind, which honestly isn’t her fault. So much for the calm.

Then, Grandma-Glamorous yells something that actually resonates: GOSH, I MEAN FOR A MAJORITY OF PEOPLE WITHOUT MAJOR DEPRESSIVE DISORDER, NONE OF THESE ANTIDEPRESSANTS WORK ANY BETTER THAN LIFESTYLE CHANGES ! THEY SAID ON THE NEWS THAT THEY’RE USING THOSE MAGIC MUSHROOMS TO MAKE THE BLUES GO AWAY, HAVEN’T YOU HEARD? DOESN’T A LITTLE WOODSTOCK SOUND MORE FUN THAN WHINING? Fearfully, you almost glance down at her purse again to see if she’s carrying any tabs. She isn’t. What is this lady onto, anyways? She’s not like you: She’s never hallucinated (recreationally or clinically), she prefers medication over lifestyle changes, she drinks like a fish, and – despite her ability to rattle off study findings – appears completely medically irreverent. She’s also upper class and has uttered words supportive of the Trump administration. You wonder if she has a therapist and realize that it doesn’t really matter. She is a consumer and she wants what she wants what she wants. So how do these folks, abusive yet wary of all things prescription, come to love magic mushrooms?

What about the clinicians who are eager to publish? Their credibility requires that they not abuse medication, and that they be less wary of prescriptions. In fact, they must plunge headfirst into pharmacological interventions despite any wariness they experience. Their patients rely on it.

What about you? The nerdy, liberal-leaning undergrad? You have seen in your own body the disastrous effects of various prescription drugs. You’ve also seen in your own body the disastrous effects of various psychedelic drugs. You’ve also seen the benefits of both of these classes of drugs. So, let’s get serious.

What do psychedelics have to offer to the everyman? To the world of clinical psychiatry? Are psychedelics like psilocybin, LSD, or MDMA beneficial for mental health? Are they harmful for mental health? How do their effects differ between younger and older people? Between men and women? Are these drugs more effective for people with diagnosed illnesses? Less effective? Dangerous? If I have major depressive disorder, and medications aren’t working for me, should I ask the young fella at the bar if he knows where to buy some shrooms?

 

 

Do you cry after caffeine intake?

I do. It’s weird

Coffee is a devilish drug with a tendency to cultivate dependence and craft caffeinated chains between itself and the user. As I type this I’m maybe a few ounces (probably 30-50mg of caffeine) into a cup of coffee &, as often happens, I started crying in what totaled to a brief 10-second spurt. Playing on my mental radio was a sudden dialogue with a formless stranger about how beautiful my cats are, how grateful for them, etc. An image of myself much older came to mind; I was seeing an old picture of the cats and hadn’t seen that old picture in some time and I was crying tears of gratitude.

This mental trip took place in less than 4-5 seconds, was profound, colorful, and detailed, and took me straight out of the room I was sitting in. There was a glowy feeling of being decades older and shown these gorgeous pictures of these gorgeous cats. It was less a thought process and more of a vision or fleeting headline on the newsreel of my frontal lobes.

It immediately passed and I felt funny for having had the experience yet again. Self aware, un-emotional, and nonreactive to what had just occurred. This type of thing occurs very often after coffee but it was quite some time before I realized that. I thought I was the type of person who had an early morning cry session, or a few chaotic ones (always of about 10-20 seconds maximum) but the link with caffeine became clear after a long period of daily journaling. Will post an excerpt soon but just wanted to leave this note here for myself later. With that said, I’m off to finish this coffee