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So I went in to the doctor on Thursday. I'd been planning to walk in, since I knew she was working the walk in that day, but when I showed up with a bunch of papers they said normally walk-ins don't fill out paperwork but they had an appointment with her that afternoon that had just opened up. So, I went home and came back at 2:30 with a bunch of papers: my summary of symptoms by order of priority and what I'd tried and what I wanted to try next, a work form for a sick note, the article my counselor had sent me for GPs managing autistic clients that talks about comorbidities etc, and... um, something else which I've forgotten, which is why I make lists.

We had an hour to catch up on the last 6 months, decide what to do next, fill out the form, etc. Obviously we did not get through it all. I went in with the intention of taking some time off work. Long story short:Expandblah blah blah )

There's lots of good news though, starting with the "you need to be dead" voice/feeling being pretty much gone since I stopped the vyvanse. That is *huge* obviously.

I've been managing to run the dishwasher once a day because the cats need clean bowls to eat out of, but all other cleaning has been off the table. This morning managed to wash the downstairs sofa for the first time in awhile (Solly gets pretty muddy and goes on it) and sort of clean my pottery area a little.

I put the handles on some pottery two days ago, it's been a long time since I had energy to work on that sort of thing at home.

4/7 house animals went in to the vaccine clinic yesterday. Some hadn't seen a vet since 2018. It completely flattened me for several hours and used everything I had -- I didn't even have energy to make tea and breakfast until after it all, and after a nap. But: cats all microchipped finally, treated with a tapeworm-inclusive dewormer that we're not allowed to get over the counter here, Thea got her vaccine boosters thank goodness, and all the animals hated it but were pretty good about it and have somehow already forgiven me. Thea went in a carrier in the back of the truck and didn't even throw up! She also did well on leash and appreciated three people all petting her at once, and she tolerated a little puppy running up to her very well. Somehow she is officially a senior dog now, eep. Let me tell you though, three yowling cats in the truck at once is a sound I won't soon forget, and I learned that Demon can jump over a door with a standing start. Like, a door door. This goes under health stuff because their health is my health and because literally they kept me alive over the last months, and no doubt will do so again.

I've had the energy to text a little more with partners and friends, though nowhere near enough for a call yet apparently.

I even had the energy to open my mail and see the furikake Josh sent me, which will be nice and easy on rice, or rice and salmon.

I'm starting to think about writing up the ad for the pigs, about taking the last couple weeks of garbage to the dump, and maybe even vacuuming. Not there on any of them yet, but it has at least crossed my mind.
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I planted more seeds last night. Herbs: chervil, fennel grex, summer savory, sage, thyme, that sort of thing. Also some sunflowers. One flat of seeds, with another of melons and another of cucumbers to go, I think.

It's amazing not to be able to remember all the seeds I planted only last night. I have no ability to inhabit that space and time, to access what happened. I used to always remember plants.

I don't know why I'm planting them in some ways. It's a habit of hope over the years but I can't look into the future and see planting or using them like I used to. It's a habit of hope that creates a feedback loop, though, pulling me forward into the world where the seeds sprout and where I'm picking leaves for salads and scrambled eggs.

There's no hope in me right now. I don't have the energy.

I'm used to running out of energy and letting everything release, relaxing back and knowing I did my best and savouring the emptiness of impulse and mind that comes after a push. That's not happening much right now.

ExpandMed update and sui )

I can definitely deal with my body doing all sorts of stuff. I can handle working lying down sometimes, cutting back on animals and improving my systems, working towards a more accessible house and lifestyle. I could craft a life around afternoon naps and even not operating machinery in the afternoons and evenings. I could probably set things up so occasional semi-paralysis is manageable. Even things like the photosensitivity/headache and less screen tolerance is manageable with shifts to routine. And I'm already doing so many workarounds for the memory thing that many folks likely don't notice.

It's really hard to have this loudspeaker in my head telling me I shouldn't live, though. My first priority is that. And I'm not sure whether I'm relieved or not think there might be a long covid aspect to it.

So I'm planting seeds, which I can do on autopilot, pushing back.

I scavenged a bunch of sliding doors from the dump the other day for a greenhouse. I'm not sure if I'll split the double panes apart or keep them together, but it's a ton of glass.

I'm continuing the hunt for a housesitter since the one I had fell through, for May and for pagany stuff in August.

I'm making that doctor's appointment to get time off so I can do all of that without wheels constantly falling off my responsibilities in all directions.

Once I've done that maybe I'll even be able to start planning the garden.

It feels good to know I have more seeds in the ground.
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Thoughts don't come easy on this new medication. It gives me access to physical energy/ability to do things, but that energy is drawn from the same pool I'd use to think, and it doesn't make the pool any bigger. The more I draw on the physical pool, the worse the cognitive pool gets. It's also striking how clean the lines are on what my mind can do and what it can't do when I look at cognitive tests. I'm so curious about it and I'd like to know more.

(think of that last paragraph like a 5 mile run where I pause and just sit, doing the mental equivalent of panting, and decide that's enough on that subject because there are other things I want to write about).

Today I was once again thinking about how PTSD and autism are linked in our society. More specifically, how perception of actual reality is discouraged-- how people with sensory differences are taught from very young that their senses are lying to them. Sunlight, or heat, or cold, or sitting in a chair, or low noise-- those aren't really painful, don't be silly. Twirling, or standing on your toes, or doing proprioceptive activities, those can't possibly be stabilizing, they're distracting, don't be silly.

So it's hard to learn, not just what pain or pleasure or stability feel like, but also what reality is. It's hard to interact with the actual world because we can't share those experiences, we need to keep them secret.

(another pause for cognitive breath, while I give up on where that train of thought was going)

It's beautiful here today. Good crisp below zero, bright sun bouncing off the snow, if you had a south-facing rock you could nap in front of it while the thermometer read -15C and it wouldn't be cold.

I started a ton of pepper seeds on the weekend. Last year I'd tried really hard not to start too many seedlings, so when the garden club started up and started selling seedlings I didn't have any extra. The year before I was going to be moving to the Island so I didn't start much. This year I can go back to starting lots of seedlings and Corrie said she can sell them at the farmer's market, I guess people snap up anything that looks like a seedling no matter what in the spring. So: peppers started. Tomatoes will be started roughly beginning of March. Squash will be started roughly mid-end April, along with cucumbers. Not sure if I should do lettuce etc?

I definitely need to set up my big shelf for seedlings. Right now things are being started, waiting for dividing in a flat, under my one light. Looking forward to this.

Meanwhile my body hasn't been able to do pottery much, and Tucker was here last week, so that's been slowly humming in the background. TS Eliot is always on my mind. At some point my skill may be enough to capture some of this.

Skills

Jan. 29th, 2024 11:28 am
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Taught the new pottery tech to take the specific gravity of glazes yesterday. I had figured it out by reading about it. She had been given a handout and didn't understand it, by someone who had never done it and I suspect didn't care to understand it. I also gave the tech the link to the "for flux sake" podcast which goes into a bunch of nuts-and-bolts stuff around the practical parts of glaze chemistry and running a studio. I wish there were more pottery podcasts like that and fewer "meet this potter artist in an interview and learn about their inspiration, how they started, and how they use art words". Like, I'm not opposed to having those, but there are roughly one to two hundred hours of that kind of podcast for every hour of practical stuff around how to make clay or glazes do things.

We also did a bunch of glazing with the new pottery glazes, and I introduced one of the members to websites where people layer and posts pictures of premade glazes. I don't think she knew that premade non-underglaze things existed. It's fun, I'm pretty sure she's also on the special interest train because she says this stuff lives in her head.

Apparently the new tech can't mix glazes because of her asthma, and she doesn't yet know how to run the kiln, so I'm coming in this Wednesday to run the kiln and... well, they'd likely like me to come in the next weekend to mix glazes but 1) I've been busy too many days in a row and it's causing my body to malfunction and 2) Tucker will be here and I want to spend time with him. So, I'll trust that the folks I mixed glazes with before, volunteers, can do it again if they want glazes.

Workshop last weekend went well, people got to take home plants and craft plant markers and folks chatted and had a good time. No one mentioned my mask -- I was the only person masking in the building -- so we'll call that ok too. Next workshop is kratky lettuces, I should get some started as a demo.

cw sui
ExpandRead more... )

I also continue to lose capacity, especially if I don't spend a couple days a week lying down. I think it might be time to talk more about this with my doctor. I mean, I don't know how or what, but I don't think we've found the solution. Same questions as always, is it "just" autistic burnout, is it some sort of post-covid post-exertional malaise thing, is it some random autoimmune thing that all have the same vague symptoms, who would even know to rule these things out? I'm starting to get a ton of ads from everything from psychiatrists to physios to whatever else to "help navigate the medical system and bring back functionality" and I hate the idea that our system is built so folks who are least able need to pay to navigate this. I'm very lucky to have a job where I can functionally slack a bunch if I need to but I can't do nothing.

This last thought brought to you by trying to type this morning with arms that felt like noodles. Kind of ironic that I finally have community in this town, both a garden club and a pottery club, imagine that! but that my body is just kind of not having any of it.

Meds

Jan. 8th, 2024 07:29 pm
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Well, that was a mistake
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They say this stuff is not supposed to be addictive, however, when I take it and for the day after (sometimes a day and a half after) I can generally do things like walk up stairs without randomly feeling like I might die (say 3/7 times or something like that), I can breathe without it feeling like too much work, I can often think clearly and remember things (these are linked; it's hard to think about something when you can't remember the whole thought) and even do chores regularly.

Downside is that after that time I return to not having energy to do anything and spend a day in bed unable to think. Also my period and PMDD starts to kick in.

This is my first time trying two days in a row, three days off, and now one day on again. I think some of the PMDD lability is easier to control, I guess it is an energy-draining skill like anything else, but we'll see. I've been working from home and avoiding social stuff so many of the tests are easier.

Med soup

Jan. 4th, 2024 10:12 am
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So. I've taken the narcolepsy drug (modafinil) a couple more days (very few, because I'm worried about the hormonal-medication-cancelling effects) and it gives me a bunch more mental functionality than I've had in awhile. My memory works better?

I'm titrating down on the SSRI by 1/3, so it could just be that, or that could be contributory.

The sun is returning, that could be contributory.

But also-- modafinil has mitochondrial action, it helps remove damage from them of the kind caused by... long covid. So it's been helpful in very early, off-label use for fatigue and brain fog in long covid.

Now, my baby brother died of a recessive mitochondrial disease. I've never been tested. My energy stuff has always existed and it's weird.

This drug does not make my energy stuff wholly go away but it gives me a little more ability.

I have no idea if any of these are connected, and it would be funny to get to this point through the narcolepsy route if it is that my mitochondria are just slightly less functional through having a recessive issue (is this one where one allele can make up for the recessive one but not as well?). Back when Eli died I was 10 or so, it was 32 years ago, and in a tiny bit of googling I see that they know now his condition can be caused by mutations to any one of 110 genes, and 20% of cases are mitochondrial and not nuclear DNA, which is amazing. I expect that "recessive" isn't a great fit for it anymore and I don't know which variant his was.

Someday I'd like to get enough genetic testing done to know what things look like in there but I'm not happy about the privacy around that stuff right now. The cheap ones are especially not attractive given everything. I don't know if that issue will get better within my lifetime or not.

Anyhow, PDA still exists A LOT but at least I'm less immobilized than I was, and sitting upright is less exhausting.
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Oof.

Okay, something which cancels out the PMDD moderation is not going to work.

Dammit.

Follow-up

Dec. 12th, 2023 07:54 am
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That went really well. I didn't feel medicated, or anxious, or jangly. It had less effect on me than caffeine as far as unpleasant side effects. I didn't get the death tired thing in the afternoon and I was mildly more productive. So that's good?

On the other hand I can feel the hormone-cancelling effects kicking in: night sweats, dizziness, nausea in the morning. Probably worth it maybe?

Trying another one today, and another tomorrow, then taking a couple days break. We'll see.

Well

Dec. 11th, 2023 08:29 am
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Just took the first pill of my narcolepsy/hypersomnia med this morning. I've been sitting on them a couple months because I haven't had the space to take a pill and then wait it out if there are bad side effects. Today allows for that.

Enjoyably, this med interferes with the birth control pills I have been taking as part of the package to manage my PMDD and my gynecologist has not been returning my calls, so if it works then we move on to the next thing there with, I guess, my GP.

Will update.
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Ok, well, whatever is in those birth control pills they definitely make me much more tolerant of sweet things and general US-type snacks (chips, candy, ice cream). Now that I'm off it I'm back to normal again, which is too bad because I still have like 1.5 pkgs of oreo cookies and a thing of ice cream and half a bowl of chips. Oh well.

Definitely being low on calories is a mood issue. Not "hungry" but "below 1500 calories for a couple days in a row" or whatever. It's surprisingly hard to eat enough home-cooked stuff to meet that threshold; my pork is super fatty but my body doesn't want a ton of it, and I honestly struggle to eat three meals a day. Soylent is helpful there but it would be nice to find something more, I don't know. Cheaper would help for sure. I'll fill the calorie gap with fruit if it's available but it has to be good fruit, and that's so seasonal.

Watching hydroponics videos lately and pulled my hydroponics stuff out. I have 41 tomatoes in pots already and 160ish in the ground, so I guess I need some planted in another way?

I'm resigning myself to needing ~12 hours of rest per night. There's less time to do things, obviously, but being in less pain and not feeling dead is pretty amazing. We'll see how long this whole thing persists. At this point I should probably have a thermometer in the house.

As I think I mentioned when talking about poetry, phrases come into my head and float around or recur for days, months, years. It's not usual for my thoughts to have words associated, so it's kind of neat when they do. And since I gave up on moving I have these flashes where I'm doing something, often petting the cat or planting something in the garden, and I look around and think, "what if I'm happy?"

Tucker mentioned something about how the spaciousness in their life is healing and regulating but not possible to maintain while working etc. It's so healing, and it can't be permanently maintained, but I think it can be a baseline I return to and where I most often rest. I think I'm surprised to find happiness here in this sort of minimalism. I know I can find happiness in people and being full of connection, and it seems I can find it elsewhere as well, in company with myself.

Gotta decide what to do with my couple hours of good time today. Planting things seems good for solstice, as does making soap. Whatever I do, I'll do it while feeling grateful. This self I have is very, very tricky but it's there for me with kinds of defense and support other folks only dream about.

200 tomatoes and still planting. How would I ever have thought I'd achieve this sort of joy?
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So it seems like if I'm not in bed 12-14 hours a day, my pain gets worse. If I am in bed more than 12 hours, my pain gets better. I basically slept all weekend (freezer lasagne, soylent, chores, and planted 14 tomatoes into pots is pretty much all that happened) and my pain is substantially reduced. Then last night it was more like 7 hours and I hurt more than I did yesterday. So I guess the pain was the result of pushing through. Bah.

I've gone off the birth control pill, had a little bit of a bleed, and now I'm staying off it, so I'm only on the sertraline now. My emotions are wobblier but I am having fewer vision etc issues so far. Pretty sure I need to lose these ovaries.

Ended up with something hundred western larch trees, some of the northernmost redcedar, a little ponderosa pine and some western white pine as extras/trash from work. Can't really bring myself to kill them all. So I have something like 500 - 600 trees this year to plant. Some of the larches are being distributed, but I think they'd be great to replace my aspens -- deciduous trees are so good for shading/sunning habitable areas in the appropriate season. I'm thinking a mix of aspens and apples along the south where the aspens came out. I'm starting to think of my work as adorning Threshold, as a way to make her beautiful. Larch and apple in the fall would be beautiful, and they might help compete with the aspens which I'll be cutting back suckers from for the next ten years.
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A week ago I had an appointment with my PDA counselor. The idea was to sort through my symptoms, medication, figure out what was resolved and what wasn't, what I should pursue and what I shouldn't, what my next steps were, etc. The whole thing is honestly pretty overwhelming.

So we spent the hour on that, and during that hour she mentioned that autistic folks are super prone to autoimmune conditions. I knew this. We're hugely gender diverse and, er, ability-diverse? Hypermobility, fibromyalgia, etc. I was talking about my skin symptoms that I'd had for so many years, and about the tiredness, at various times. She mentioned MCAS. Now, I'd looked at MCAS way back and hadn't really thought much about it. I was on allergy pills for my skin stuff for a long time, though, and maybe that was correlated with better physical welll-being?

It's an easy one to test for, though. Take allergy pills. There are two kinds of histamine blockers and over the counter allergy pills are one class. Those mostly deal with skin, airway, etc. There's a second class that I think needs a prescription and it deals with GI stuff. I have both sets of symptoms so--

I bought allergy pills and started taking them a week ago.

My tunnel vision/eye stuff is functionally gone. My memory is much closer to normal. My mind doesn't feel like a frozen ten-ton molasses blob I'm trying to roll uphill. I feel energetic in the mornings.

I still get super tired and need naps, and I'm still a little slow off the mark, but I've been going outside and doing things. My heart still pounds kind of erratically (like one out of fifteen times I walk up the stairs to my bedroom, or one out of seven times I carry the feed buckets) and my muscles feel slow/achy, but I don't feel like I'm hauling dead meat around.

This is basically amazing.

Now I'm thinking, what if the H2 histamine blockers remove my GI stuff? I've had that forever, it's mild enough that it's inconvenient but I never starve, but I remember waking up to stomach pain most days in high school even. That endoscopy I had last year wasn't conclusive. Low-level nausea is pretty common for me. I also don't know what level of discomfort normal people have, folks talk about things like indigestion all the time. So I've been accepting all this stuff as just normal, but what if it could go away?

They say as you get older things hurt more. A lot of this stuff has always been like car noise in a city: background, the brain usually cancels it out, no point in complaining, everyone deals with it and it feels like an inevitability. I don't class "normal stuff" as pain because what's the point? But what if, as I get older, I could have days without pain? Regularly? And not just without acute pain, but without the background stuff?

Either way it's amazing to be able to focus my eyes fully again, to be able to think my way through a sentence without having to reread it as I go because I've forgotten the beginning. I'm very curious about how the allergy pill impacts my brain function. I'd heard something about mild anaphylaxis, narrowing air passages or something, from MCAS. I can't find it now. Could that have been what's going on? Something else acting directly on my brain? I'm so curious.

Edit to add: I spoke too soon, it doesn't seem to be fully better but it does ebb and flow and it's less intense for sure
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My family is made to make babies. Birth control that's close to 100% will be somewhat less reliable for us; our hip structure tends to lead to easy pregnancies, easy births, and lots of kids. I know mom had really heavy periods, and I did for a long time. My cycle was always blessedly regular and came with obvious communication from my body. It only started to wobble by a couple days in the the last several years.

So with the PMDD thing I went on birth control pills. I started them about 100 days ago.

I bled for the first 40 days or so. That backed off for a couple weeks, then I had a very light period for a normal amount of time, 4-5 days. I stopped bleeding. Now I'm bleeding again, lightly, and I seem to have had some of the accompanying emotional stuff right before the bleed started.

So I'm still cycling even though I'm on pills specifically designed to stop that. I don't even know if this is supposed to be possible? On birth control pills one "normally" goes off them to cause a pseudo-period every month (there aren't the same hormonal and ovulation things going on, so I think medically it's not the same thing, but it does get rid of the accumulated endometrial lining). Lots of people take them back to back to prevent periods and medically it seems there's little evidence to suggest that's a problem. I know some people can spot/bleed lightly kind of continuously on the pill, but I don't know if that's normally in a cycle pattern.

It's notable that, like endometriosis, one of the things older-school doctors prescribe for PMDD if they acknowledge it exists is "get pregnant, that will give you nine months where it doesn't bother you".

Meanwhile on the lower dose of sertraline I'm obviously back to being able to enjoy my hobbies but I'm having progressively longer bouts of dissociation of various kinds. I'm also still ultra tired and some of the weird stuff around heartbeat, dizziness etc that I got occasionally will hang around for several hours in the morning. Vision is also still weird. So I'm still way, way better than I was without it but still just super not functional.

It's definitely possible that this is autistic burnout (a lot of these are pretty classic symptoms) and that the sertraline is erasing most of the hormonal stuff and letting me keep powering through, which just makes the burnout worse and clearer.

But anyhow, this is mostly an administrative note about renewed bleeding.

Nice

Mar. 27th, 2023 08:29 am
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Tired but not completely dead after going to the thing on the weekend.

I think the medication reduction (and shift in time of taking it) is helping. I seem to have roughly 12-14 hours after taking the pills that I need to be able to sleep, so if I take them a couple hours before bed I'm lucid a little earlier. But also 75mg just makes me way, way less exhausted than 100mg.

I probably gave away 70-80 packets of seed on the weekend, maybe a little more? I like doing that. I need to come up with a better system for packaging seed, though. Portioning it out and labelling it is slow and if I wait to do it till right before the seeds go out my PDA kicks in. I think I need to leisurely design labels and fill packets earlier in the winter. This is significantly less seed given away than a year or two ago (I think my max was a thousand packets one spring?) but it's all local, and that's nice.

I should explore how I feel about taking money or not for things I make with my therapist, probably with the one who I vibe with more spiritually/nature-relatedly. I haven't seen that one in awhile, and I should. The one I'm seeing right now is the PDA strategies and therapy modes geek, which serves a very different need. I'm pretty glad I have both of them. I feel really good when I give away what I make, but I also feel like "the weird one" again and that can be kinda rough? I don't get that feeling too often, since I don't often violate important social norms (like our capitalistic mode of reciprocity).

Geese are laying. Swans are coming back to the next town over, where they will blanket the fields in what looks like living snow as they glean grain before continuing on their migration. They're usually here for about a week, and I should probably drive down and soak them in. They are beautiful. I hope they're not hard hit by Avian Influenza this year: the migratory birds carry it and spread it.

Landscape

Mar. 17th, 2023 08:19 am
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It begins.

The first trickle of running water down my driveway showed up yesterday. Four feet of snow has sunk to three. Somehow, I never know how, the earth under the snow is warming: my house is staying much warmer in the basement even when the thermometer temperature is low, and streamlets are running down the sides of roads and puddles and small floods are gathering in the inner elbows of the highway.

It's not yet slippery, there's still enough snow for grip.

At solar noon the sun is finally reaching a height within the bottom range of what scientists argue may allow skin to produce vitamin D, though it needs to be a little higher to reach the consensus level.

Geese are squabbling and pairing off and there are eggs starting. The dogs are working hard at night over the whole perimeter.

It's almost time to put seeds in pots.

Against this backdrop I'm sleeping a lot. When I'm not working, and sometimes when I am, I'm lying on the couch with 2 - 3 cats and sometimes a dog or two right there in front. The woodstove is on, light comes in through one window and the other is entirely buried under snow. I'm still wanting to sleep a long night and 3 - 4 naps during the day so I think the medication I'm on needs to be adjusted. With all this sleep and quiet animal companionship I feel like I'm slowly healing in some ways. For most of the winter I was on birth control drugs that put me in the worst part of my cycle. For some time before that my natural hormone response was drifting more and more towards that state. I had no skin. Every thing that happened, every tiny interaction with living things or with the environment, raised crescendos of usually negative, corrosive, painful sensations in my head.

Sitting there quietly, kept loving and concerned watch over by the five house animals, occasionally venturing out and responding to the geese with old instinctive goose chatter: it's giving me practice at the world not hurting me. Cats acting like cats, dogs acting like dogs, geese acting like geese, ravens acting like ravens, and pigs acting like pigs: it's ok. It's becoming ok for the world to exist. It's a small world and it's going from a refuge to a womb. After a couple weeks I started experiencing love again in little flickers while looking at a sleeping animal that has been seeking me out and caring about me this whole time.

It's healing, yes, but my capacity is almost zero. I am incredibly tired all the time, I think from the sertraline. I barely manage to stay awake on my office days; on work-from-home days I nap at lunch, on breaks, before work, and after work. On weekends I sleep. My home is suffering since I can barely drag out the trash, let alone tidy things. I'm eating sandwiches and freezer meals.

And... I still don't have my passions, my enthusiasms, back. I feel indifferent towards my hobbies: cooking, butchery, pottery, even gardening just hold no interest for me. I'd be fine watching shows with the animals and going to work and coming home and watching shows and going to work and coming home for the rest of my life. Talking to Josh or Tucker is nice in the moment but not something to seek out. People aren't something to seek out. I just don't really care. Things are fine. I'm going to do my best to start seeds because I think future me will appreciate it, but it seems unnecessary.

Of course, that's not fine. I'm reasonably sure it's the medication, and obviously that needs to be tweaked. Luckily I set up doctor's appointments for next week before I started on the meds, because between sleeping all the time and not caring I wouldn't have done it while on them.

These are significant issues, of course, but I am at least safe and healing and the first whispers of spring are here.

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