WillSpirit!

Where Will meets Spirit
∞ Love, Clarity, Balance, Peace, & Bliss ∞

A science, mental health and spirituality blog written by a physician.








  • Red_Exclamation_DotDisclaimer
    • Dear Visitors:
      Although I trained and practiced as a physician, my background does not include formal instruction in psychiatry beyond basic medical education. This journal presents ideas about treatment philosophy, but must not be considered therapeutic advice. Abrupt changes in one's psychiatric medications can trigger profound cognitive, emotional, and physical symptoms, including suicidal thoughts and actions. Consequently, pharmaceutical agents should not be increased or decreased without supervision by a mental health clinician.

    • ON THE OTHER HAND, your brain belongs to you, and your opinion counts. If you decide that changing your medication regimen will serve your best interest, then I believe your providers have an obligation to help you try to achieve your goals. I want everyone to be educated about their options, and do what will be most helpful for themselves. No one should feel pushed around by dogmatic and/or limited viewpoints, whether those of psychiatrists, anti-psychiatry advocates, or myself.


Picking Up the Pieces

puzzle

When younger, I never worried about success. If I applied myself, my grades stayed high. Scholastic achievements translated into acceptance to the next stage of training. Through a series of steps, education led to good jobs. Nothing to it.

Times have changed. A decade of unemployment and mental illness has stripped me of possibilities and confidence. How can someone with a medical degree from a top university worry about work? Easily. It boils down to the stock Hollywood question, “what have you done, lately?” I’ve been out of work for most of ten years. And how many ophthalmic plastic surgery skills can be used in other jobs? Not many.

Better than before, I understand the plight of the poor. Childhood abuse convinced me I’m nothing special, so it’s not like I was an arrogant surgeon who thought lowly of those ‘beneath’ me. But it’s one thing to understand that underachievement is not a reflection on worth when you look at it from the outside, and another when you have to face it in yourself. I find it impossible to separate my unemployment from my self-esteem.

Neck problems ended my surgical career at age forty-two. As I’ve said elsewhere, losing my job, status, and pay landed me in psychiatric wards. Afterwards, an incompetent psychiatrist pushed me to accept ‘retirement.’ There are few things worse for a middle-aged man than to be told he is too mentally ill to work. That message undermined the attempts I made at employment. I now see that my doctor was wrong, but it is hard to reconstruct a working life after years of inactivity.

I’ve been driving myself (even more) crazy with this problem. How will I support my wife? What can I possibly do to earn an income? How will we survive? Creative writing will not feed us. Maybe technical writing? But can get into that field at this age, without experience? Do I even want to? Should I teach biology in high school instead? Could I stand it? Would I be any good? Where do I begin? What should I do? There are hundreds of demoralizing questions.

The confusion tires me so much I can hardly imagine doing anything productive. I feel fury at myself for wasting youthful time and energy learning medicine, when I knew it wasn’t right for me. Trying to build a career in my fifties, after ten years of failure and sickness, feels overwhelming and impossible.

It must be worse for those who’ve never achieved at a high level. Success must look like a pipe dream. For those burdened with depression, failure snowballs into despair all-too-easily. How many people out there feel hopeless and uncertain about what to do?

The solution must be to do a little at a time. For me, it meant starting this blog. I know my writing is too wordy, my topics inconsistent. I know my promotion skills are poor, and the product amateurish. But it keeps me writing. I remain busy while I work things out. It’s a small step, but it’s a step. If I can write 150,000 words in six months, then I should be able to make an income as a writer. Maybe not with a memoir or spiritual text, but perhaps writing science articles or even medical editing. Who knows? At least I’ve proven that I like to sit at the computer, and fashion language.

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Grandiosity Extinguished

DioceseFire

When I returned from my Thanksgiving retreat, my spirits flew high. So much positive feedback had come my way during that weekend, it seemed to confirm my suspicion that my past has given me an outlook I should broadcast to the world. That grandiose intuition first ignited during my religious ‘visions’ ten years ago, and has waxed and waned ever since. Soon after the retreat I dove into a heartfelt poem, followed by a string of rambling essays about spirituality. In the throes of feeling ‘called’ to speak out, I envisioned myself becoming a bit of a celebrity, offering wisdom to the world. I did not see this coming notoriety as something my efforts had earned, or my ego devised, but as something handed to me by fate. Or ‘God’ if you want to look at things that way.

Would anyone be surprised to learn that the response to my spirituality posts has been underwhelming? Or that my rosy optimism has been replaced by a more jaded perspective?

The cold waters of reality have doused the flames of grandiosity. For one thing, I read the book ‘How to Write a Book Proposal’ by Michael Larsen. Browsing in the library, I wanted input about how to deliver my message to a large audience. The book offered lots of advice in that regard. Problem is, much of it sounds like it’s beyond my grasp. If one wants to be a messenger in today’s world, it takes more than sitting at a computer and writing. You start by joining Toastmasters, work to build your presentation skills, scramble for every opportunity to speak, network widely, join societies, offer workshops, etc. I have a friend who is doing all these things, and has done so for years. It is finally paying off, but it has been a mammoth effort, and in my most sober moments I have to admit it does not look like something I could accomplish.

To start, the basic necessity of hard work daunts me. Back when I slogged through medical school and residency, strenuous labor and long hours were second nature. But that was long ago. Nowadays a productive day sees me writing for four hours. Even that can’t be done all at once, or my neck pain builds to breathtaking extremes. If I manage four such days in one week, I am doing well. I’m just being honest here. I know it’s whining to complain of my inability to work. At least I have the luxury of living without a job, thanks to a good disability policy that kicked in as soon as I lost a surgeon’s earning potential. I am fortunate that my physical limitations and psychological vulnerability have not driven me into poverty. With that acknowledged, it is also true that becoming a person people flock to for insight requires a level of effort that I have not achieved in a very long time. Not to mention the professional socializing and cold introductions I’d have to master. I’m an introvert both by innate personality and as a result of an upbringing that taught me the safest approach to life is to hide under a bush.

The spiritual series will continue, though today is a break from all that. What I’m setting aside is the dream of widely dispersing my method for moderns to feel spiritual. Instead, this project will bolster my sense that life means something, but will only provide a bit of amusement for a few others. I hope to intrigue those who find my blog and are persistent enough to wend their way through my prose. But I fear that will be the extent of my voice. Not that this would be insignificant. I believe it to be a worthy pursuit, but it will not improve many lives. I have not completely discarded the ambition of building a larger audience, but right now that seems unlikely.

This dose of reality leaves me free to ask what it is I most enjoy writing. Is it memoir? Is it philosophy? Is it ranting against pharmaceutical malfeasance? If the audience will remain small no matter what I choose to say, then why not say what gives my heart wings? And that, of course, is what I’ve done with this site all along.

Did my bout of grandiosity rise to the level of clinical mania? My sleep suffered, and I’d have gotten almost none without Ambien. The pace of my speech accelerated. My grip on the reality of my limitations relaxed. I opened to others in unprecedented ways, and if I had not been married might have pursued a fling. On the other hand, I did nothing impulsive. Did not spend unwisely, did not have an affair, did not gamble, did not drink. My behavior remained more or less acceptable, though I displayed more emotion at the retreat than normal for a fifty-year-old man. But isn’t that one of the points of retreats, to open up?

Why am I tempted to make a mood swing into an illness? Probably because it would make me feel less uncertain of ‘me.’ If I could ascribe my recent excitement to a disease separate from my core person, I would not be left asking what’s wrong with me. I would not have to puzzle over who this person is that can be silent, withdrawn, and discouraged one day, and voluble, intimate, and excited the next. But cutting myself off from the loopy side of my personality would be a copout. Better to embrace my occasional quirky behavior and soaring ambitions. Even if I fail to rescue the world from its rigidity and insistence on limiting the human mind, I can at least be me. I can be a person with turbulent emotions, passionate dreams, and creative visions. I can continue my efforts to combine logic with lyricism. It may be that others will see me as odd. Or maybe it’s only me that does. Either way, I can love myself, be happy I differ from the norm, and speak up. Isn’t that one of the goals of life, after all? To be ourselves, to be proud, and to give voice to our most heartfelt values?

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The problem of prolixity

prolix

I just wrote an awful post. So I’m not going to put it on the site. As I reviewed the essay, it seemed so wordy, dense, and dry, that I felt like writing it had been a waste of time. I don’t want ‘dry.’ I would rather find my writing to be ‘organic,’ ‘warm,’ ‘vital,’ and ‘passionate.’ Sometimes, however, the muse takes a break. My analytical machinery is in control today, and my little heart, with its moist and throbbing voice, sits quietly. The post I spent thirty minutes on, the one I’m not posting, talked about why doctors overmedicate psychiatry ‘patients.’ After several paragraphs of drivel, the conclusion was: they don’t encourage conversation. Case closed.

My vision for a book becomes more clear each passing day. I am reading a text about ‘how to write a book proposal’ (that’s actually the title.) It helps me see what might work commercially, versus what might just be an exercise in writing without broader appeal. Naturally, I want my book to be read. One key to that success, however, will be to minimize dry analysis. Others write with concise clarity, and can give factual information in an engaging way. To date, my own analytical writing sounds too dense to appeal to a broad audience. My better writing, the kind that spurs the most engaged commentary, possesses more fire. The trick will be to write something filled with feeling that also gets across some important information. My project will probably use memoir vignettes to introduce points I will follow-up with more clinically-based discussion. But even the writing based on objective data needs to sound heartfelt, or people will get bored.

My time is up. I set aside 60-90 minutes, from about 5:00 to 6:30 am (PST,) to write my posts. I spent much of today’s time on the essay I’m discarding. So all that’s left is this musing on what works in my writing, and what doesn’t. This blog gives me a chance to try out different directions, and I appreciate that some take time to read my posts in their busy days. There are so many excellent web journals out there, it humbles me to think anyone would stop and read mine.

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Decisions, Decisions.

forkinroad

How do other people make big decisions? I am trying something new: to look at what matters to me rather than what I ‘want’ or ‘need’. Art and beauty and creativity have long been fundamental forces in my emotional universe. But when I’ve thought about what to ‘do with my life’ it always comes down to practicality. How do I make sure of an income? How do I salvage something useful from my old career? How do I avoid looking unrealistic, or selfish, or immature?

But if I ask what really matters to me, it is my writing. If I ask what gives me satisfaction, it is my writing. If I ask what I would like my life to be about it is (you guessed it.)

This is another short post, to keep up my connection with this little web site. I owe the topic and approach to ACT (Acceptance and Commitment Therapy.) Right or wrong, I’m using ACT ideas to guide my next step in life. Any suggestions others have for how to make decisions would be quite welcome.

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Hello. Redux.

Before long, I may get back to posting more regularly. My memoir class finishes soon. No other big projects loom. So it will make sense to come back here. But I feel different. Stronger, perhaps. The break restored me after my marathon writing about the sexual abuse, etc. That took much of my energy, and left me feeling like there was little left to tell.

There is much to tell, of course. As long as there remain sentences which have never been written, there is more to write. To pen my thoughts has become such a vital part of my life, in fact, that I am thinking of going to graduate school to learn to write better. I’m exploring programs, preparing applications. The best schools are out of state, and probably out of my reach anyway. The ‘low-residency’ schools, where you only spend two weeks at the place once or twice a year, are more in line with what I want, anyway. Moving at this stage seems unlikely. And even the constraint of traveling to class several times a week would prevent us from coming here to Yosemite as often as we like. The low residency are expensive (the best full-time programs provide funding,) and I don’t know my chances of acceptance. So whether this happens or not is still a very open question. But that’s my current aspiration, in case anyone is reading, and in case you are interested.

This little post is just a warm-up. It breaks the barrier between not working on this blog, versus starting in again. So now I’ve written something. Now, I hope, it will be easier to open the site and post. It is high time I went around to everyone else’s site, even if I don’t get going here again. I’ve missed you.

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A memoir fragment.

mustang-adThis time away from blogging provides opportunity for some other writing projects, one being work on an online memoir-writing class. I’ve put off most of the assignments until now, and have only a month left to complete the course. Today I finished revision on an earlier assignment. I’m posting it on the memoir section of my site. If anyone is just dying for some of my writing (lol), they can check it out. Cheers to all.

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‘Progress, not Perfection”

(Click image to go to the 'Vintage Calculator Museum')

(Click image to go to the 'Vintage Calculator Museum')

Although no posts came out of it, I have actually been working quite a bit on WillSpirit. In the first step, I found software that would allow me to run Internet Explorer on my Mac. I had tried this before with a product or two that did not work, but at a local ‘Mac’ store I came across a sale copy of ‘Crossover’. I am now able to run IE6 and IE7. Crossover won’t run IE8, however. Despite that, I was able to move on to figuring out what the problems were when I saw my blog behaving so shabbily at the library. Just being able to use IE7 and IE6 puts enough in hand for me to feel comfortable putting the old WillSpirit theme back up. It appears the problem was limited to IE6. For instance, the pernicious gray box around the ‘roots’ photo only shows up there, not in IE7, or Firefox, or Safari. Also, the ‘disclaimer’ did not work in IE6, but did in everything else. (Actually, the footer is way too long with Opera, but so few people use opera on home computers I’m not going to worry about it.) Something got fixed between IE6 and IE7 so that it complies with the standards better. I’m assuming Microsoft would not have gone backwards and made IE8 noncompliant, so I put the old theme back in place. (If you are using IE8 and see problems, however, you would win my eternal thanks if you told me about them.) I am also grateful to anon, who pointed out that many of the glitches I saw at the library may have just been one-time loading errors. I believe that to be the case now, since they have never reappeared. Sadly, I was forced to set things up so that IE6 users no longer get to see the awe-inspiring ‘roots’ graphic, and might have to suffer with a small but always-visible disclaimer (that will probably be temporary). In case these awful losses prompt some people to upgrade their browsers, I am providing the link to the free download for Internet Explorer 7 and/or 8. That’s the technical update.

As for a personal update. My mood has lifted. I had a session with a therapist (and to tell you the truth, I’ve just about given up on therapy), that really made a difference. The experience could have been out of a movie: deep seated wounds, fears and anxieties that I’ve repressed since childhood came roaring to the surface. I wept with a mixture of sorrow about the past, and relief that I can finally let it go. The therapist validated the trauma I suffered and guided me through the pain. I actually feel freer today. It’s only taken about a thousand (literally, a thousand) therapy appointments over thirty years to finally have a session that made a decisive difference. There are a number of reasons why this happened, one being that coming off Cymbalta has released my emotions. Silly things, like cheesy inspirational emails, right now have the power to spur a rivulet of tears. I don’t want this to be my emotional condition for the rest of my life, so that my eyes well up at the slightest suggestion of something sad. But it is nice being able to let down my guard and experience some deep emotions. For years my feelings have been limited to little more than an oppressive fist of depression on my chest. I am tired of watching the angry teeth of cynicism bite the flesh off my experience, in service of guarding my most sensitive wounds. Yes, without flesh there is less pain, but there is also neither movement, nor passion, nor embrace.

Adding to the good feelings brought on by that ‘breakthrough’, I came home to find my email box holding messages from members of Lon Gallagher’s family. Lon was my very good friend during the years after my hospitalization in 2000, until his death a little over a year ago. I posted a tribute to Lon in July, and his daughter came across it. She and some others of Lon’s family wrote nice comments and/or emails to me. It feels good to know they saw my little piece, and so understand how much Lon meant to me, and also what I observed as he deteriorated toward the end of his life. Best of all, it seems to have brought them some comfort, too.

The internet continues to astound me with its power to help people communicate despite the distances that separate us, and the fact that we are lost in an ocean of six billion people. Just to give a sense of how many human animals the planet holds, if you said one person’s name every second, it would take 190 years to say the name of every individual on Earth. The internet helps people with similar interests and concerns find one another in this unfathomable crowd.

Such a thing was unimaginable when I saw my first hand-held calculator in 1971 (or so). It cost almost $400 (US) at a time when you could by a VW bug for $2000. All it did was add, subtract, multiply, and divide. Not long after, I hitchiked over a long distance in the middle part of the US. I got a ride from a man in an unremarkable light blue sedan, covered with dust on the outside, and reeking of tobacco inside. We talked for hours as we rolled through miles and miles of late season cornfields, the stalks froming green walls on either side of the road. The terrain had no hills, and the road had few curves. As we travelled through this monotonous landscape, I told him my grandmother’s story. She had been born in a time of horse-drawn carriages and kerosene lamps. By her ninth decade, she lived in a world of color televisions, jumbo jets, interstate highways, and telephones she could use to call relatives across hundreds of miles of separation. The complexity of all this ‘stuff’ almost overwhelmed her, but she knew she had lived through a landmark epoch of human history: the rise of the technological age. As this man and I zipped along at seventy miles per hour, I related what my grandmother believed: that my own life would not see anything like that much technological progress. I tended to believe her.

My companion disagreed. He told me that before I died, computers would have spread to involve every aspect of human life. Even simple household appliances would be run by computer. Everyone would have a computer at home, and it would be more used more often than the television. Medical technology would be unrecognizable in its advances. He had many predictions along these lines.

I did not disbelieve him, exactly, but it sounded pretty far-fetched. Then, in the early eighties, I watched as magnetic resonance imaging scanners were first deployed in clinical use. Still in medical school, I happened to be at the University of California, San Francisco, which had a lot to do with the technology’s development. The pictures of the brain those machines provided (the brain having always been my major interest), seemed literally miraculous. Without surgery, or (ionizing) radiation, you could see nerves exiting the brainstem that aren’t much thicker than spaghetti strands. This is old news, now, but at the time the advance thrilled anyone involved in the field. Perhaps that marked the time I realized that the anonymous guy who drove me across Indiana had quite likely given me a true picture of the future.

childreninternet

Looking back, it is obvious that he articulated a clear and accurate vision of the world we now inhabit. I don’t know if those ideas were in common parlance among computer specialists in the seventies, or if he was a visionary. Maybe a little of both. I wish I knew his name, so I could look him up and see what his role was in bringing about this computer-run world, where I can make friends with someone in Australia, exchange messages regularly, and have the communication pass instantly and without charge. Or where I can write a note of affection for a deceased friend on my computer one month, and have it reach his family and make a difference to both them and me several months later. Best of all, we have this forum where people affected by the mental health system can interact, share stories, strategize, support one another, and work together to improve a bad situation.

Computers are not always positive forces, of course. They allow our governments to keep tabs on our activities in ways Hitler could only have dreamt of. They tag people with mistakes they made as youths, so that they can never fully remake themselves and leave the past forgotten. They allow corporations and swindlers to shuttle fortunes from one corner of the globe to another with a few keystrokes, thus evading government control and opening whole new universes of expolitation and fraudulence.

But for once I would have to say that this particular technology is actually doing more good than harm (though I would not argue strenuously with someone who believed the opposite).

Writing this blog has brightened my life in countless surprising ways. I had hoped to build a platform for an eventual book. I don’t see that happening, but so many other connections and projects have blossomed, that it no longer matters. To tell the truth, I feel like I was born to blog. I’ve always enjoyed writing short essays about controversial, complex, or just interesting subjects (for instance, this was a role I got to play regularly when I served as Editor-in-Chief of the campus paper at UCSF). I’ve always liked to toy with visual imagery. I have a short attention span, but a wide ranging field of interest. I know a little about a lot of subjects (though a lot about almost none). I am not a very private person, and have never been uncomfortable discussing personal issues with groups of people I hardly know (like Alchoholics Anonymous). And I have a strong belief, bordering on a sense of obligation, that I should make my opinions known. I tend to think my ways of seeing things are unique, and that I have something to add to discussions about subjects that matter. (It is perhaps my one and only area of true self-confidence.) All-in-all, it makes me feel like I have at last found my true vocation: blogging. Too bad it isn’t an income, but it’s a good occupation.

Not many people read this blog. But those that do mean the world to me. Because of them, I write many days a week, for hours at a time. I explore other sites, read the opinions of others, and communicate with kind and fascinating people across the globe. I think more deeply and organize my ideas more thoroughly than I would otherwise. In the process, I learn more about the topics that matter to me, and begin to see ways I can use my education and (hopefully not imaginary) talents to further important causes. Most of all, I get to make friends with people who can understand what it’s like to live with a mind that operates differently than the norm. Who know the stigma and shame that mental conditions can bring. But who also share the hope that things can get better, and validate one another that very often, ‘different’ is another word for ‘better’.

I modified this post a bit on 3 September 2009. Mainly, I added the photo of the children learning about communication via computers at the Museum für Kommunikation Berlin (obtained, as usual, from Creative Commons–click on photo to see source.)
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‘To err is human’

error message

Tired. Discouraged. That’s this morning. Yesterday things seemed good, and I would not say depression has returned. I did not sleep well (not uncommon). Woke up at 3:00 am and spent two hours drafting a letter to a contractor who refuses to correct mistakes he made clearing brush off our land (big fire danger here, so brush clearing is vital to keep the fuel away from the house). I wish the guy would just come and do the 90 minutes of work it would take to fix things. Instead, the conflict seems to be headed to small claims court. That’s one good reason for me to feel worn out.

Another is that I finally saw my site via Internet Explorer yesterday. It appalled me! So many glitches and errors! I have worked very hard to get the blog to look how I want on Safari and Firefox (the only browsers I normally can access). I knew there might be some IE issues, but I had no idea things were so bad. As a visual perfectionist, I feel awful that my ‘product’ has looked so crummy. I’ve been learning XHTML, CSS, PHP, and Javascript in order to customize my site. For the most part, all I’ve played with so far are the XHTML and CSS codings, but obviously I’ve made major errors even with those relatively simple protocols. If you knew how much time I’ve spent fiddling with the appearance of WillSpirit, you’d understand why it is so upsetting to realize that things have looked so amateurish on IE this whole time. For the time being I’m just going to stick with this simple theme I’ve switched to, and not modify it. When I get a way to check the appearance in IE every time I change the coding, I will try to get things looking more ‘me’.

That’s my daily whine.

On the brighter side, the smoke from the Yosemite fire has cleared. So we once again have air. The managers who thought it a good idea to ignite a ‘controlled’ burn on a windy August day, with temperatures near 100°F (38°C), must be feeling pretty dismal. After several days of work by large fire crews and numerous aircraft, it looks like the fire might be contained. ‘Only’ a few thousand acres burned (maybe five square miles). If these had been private citizens making such a mistake, they’d be facing major criminal prosecution and civil damages. As it is, they only need to say “sorry”, and move on. Actually, I’ve not yet read a public apology, though perhaps I missed it. The fire did not get anywhere near our neighborhood, unlike last year’s ‘Telegraph’ fire, which came within a few miles. So other than a few days of choking, smoky haze, it did not have a big impact here. But people in Foresta (a community located within the boundaries of Yosemite National Park) had to evacuate, and I understand one or two structures suffered damage. At least no one seems to have been injured.

So the day is pleasant and clear. Not too hot. A good day to polish off some errands before heading back to the (San Francisco) Bay Area tomorrow. Maybe I can get a workout in also. I’ve held off for a couple of days because of the poor air quality; I was already having trouble breathing. Not getting exercise leaves me set-up for mood decay.

That’s it for today. Obviously, I am not in particularly philosophical or lyrical frame of mind. But I wanted to check in, apologize for how badly things have looked on Internet Explorer, and just do a little writing on the blog. I would have written a more interesting post, probably, if I had not wasted so much time crafting a detailed set of text and diagrams to mail to the contractor. I want to send a forceful and well documented argument without antagonizing the guy, and that takes a bit of finesse. I hope I pulled it off. I’d much rather spend time sending messages off into the WWW, so my readers could (hopefully) get a little enjoyment, instead of preparing a letter that will no doubt be upsetting to this man.

We all make mistakes. I messed up with IE. The Yosemite Park management started a wildfire. The contractor mowed down the wrong stuff. We are not perfect. The keys are to:

  1. Keep trying.
  2. Acknowledge mistakes.
  3. Make voluntary restitution where needed.

These sound like they should be easy steps, but if they really were, we’d have far fewer conflicts in the world.

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Mental Health Blogs

Wow! There are so many mental health blogs to read. It’s enough to make an insecure manic-depressive jump off a cliff. How can I possibly stand out in such a throng?

Oh well. I’m used to being put in my place. If this past decade had a purpose, it was to teach me humility.  Where once I could tell people I was an oculoplastic surgeon, all I can say now is that I have started a blog. Well, who hasn’t? I’m trying to show up in mental health circles on the internet. I read the successful blogs about the subject (I’d read less successful ones, but how do I find them?). Since I always think I have something to add, I post lots of comments. I keep plotting a direction for my own work.

As I write my comments, It seems inevitable that one of my insightful observations will attract attention, bringing readers back to my own site, but no luck so far. Maybe the comments aren’t all that insightful after all. Inevitability inevitably fails.

It’s not easy being a psychiatrically ill former physician (is it easy to be any kind of human?); I feel like people should take me seriously, just because I was once successful and my history is fairly unique (you’d probably agree if you knew even half of it). But in this society the question often is simply, “what have you done lately?” Watching my past glory fade into my current obscurity hurt for a long time, but not anymore. I now feel happy to be free of the pressure to compete. It is a pleasure to be an ordinary human, and not worry about trying to be better than others.

On the other hand, I would like my message(s) to get out. If I could get someone to listen, I think I have important stuff to say about mental illness and psychiatric care. Maybe my experiences would help others. Maybe they could avoid my mistakes, and reach happiness sooner. Nothing would please me more than having someone struggling with mental illness derive benefit from my history.

Believe it or not, I used to think it would be kind of cool to have a bipolar I diagnosis. So much more interesting than ‘mere’ depression. It pleased me when I started to come out of my manic psychosis/religious ecstasy and I realized that I was now officially manic-depressive. I had always read about bipolar artists and writers, and I was happy to join the club. Pretty naive, don’t you think? I now realize that many people are frightened and turned off by mental illness. I understand that it looks like weakness to others (even though I know it takes strength to survive the storms of emotion that come with bipolar disorder). I see now that it might have been better to hide my psychiatric problems. But I already  told everyone who would even half listen about my religious ‘delusions’, my hospitalizations, medications, and so on.

Since everyone around me knows the story, whether they wanted to or not, I figured I had nothing to lose by starting a blog. So what if the whole world knew my story?

It is now obvious that the whole world could not care less. There are so many bigger problems, more famous people, and better writers. Not to mention more than a hundred million blogs! (Or is it two hundred million?) What’s a poor former surgeon to do?

Keep writing. Keep hoping. Keep living.

I am prepared to fulfill my mission–to bring light to others with mental illness. But will anyone ever hear me? What can I do to make it happen?

Keep writing. Keep hoping. Keep living. My new motto.


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Waiting

Sometimes I just don’t know what to say. It is hard to write words of wisdom when you don’t feel wise. This has been a rough week for me, and I am just going through the motions to get through it. Doing the minimum. About all I can say that’s helpful is that things will get better. I know that now. There have been times, many of them, when if I felt crummy like this I did not know if things would ever improve. Now, however, it is clear that they usually do. It’s just necessary to wait, ride out the hard time, and wait some more. Eventually, the light will return. So I’m waiting. 

I’m waiting, too, for some ideas about how to make this a real blog, with actual readers, etc. That will come with time, I’m sure. At present I’m not putting out product that I think is terribly compelling anyway. So I don’t mind just writing to myself while I get the hang of blogging, develop a voice, and a clear direction. Then, maybe, I’ll go back and restate the concepts I started with, only in a more compelling a readable fashion.

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