The inquisitive one traveled to London. It was going to be an exciting adventure!

While in a crowded street market, the inquisitive one saw some postcards. “I could send these to my nephew and niece!” thought the inquisitive one, as a bunch of people jostled into the back, shoulders, and butt. When the inquisitive one went to pay for the postcards, there was a terrible realization: the credit cards, cash, phone, and passport were all missing!

Instinctively, and in a panic, the inquisitive one ran to that timelessly universal haven for inquisitive types, the public library. Frantically, the inquisitive one Googled what to do when lose passport England USA help! and scanned through some websites. Next, the inquisitive one logged into the email account and composed a message.

Here it must be noted that, due to shock and anxiety, the inquisitive one had been stricken with a psychological disorder! The inquisitive one could no longer distinguish fact from fiction, information from misinformation! Furthermore, the inquisitive one could no longer recall a single rule of spelling, grammar, or word usage! Consequently, the email read as follows:

Not knowing whom to put on the To: line, the inquisitive one sent it to every contact in the address book. Then the inquisitive one waited for a reply.

But no one replied! The inquisitive one kept checking the email for hours, but then, night fell. The library closed. The inquisitive one was forced to scrounge through trash bags for food and sleep in an alley.

The next day, the inquisitive one fell in with a band of drug dealers. But the inquisitive one, having no talent for sales, was not able to make any money. As the days passed, the inquisitive one started to despair of ever again eating something that didn’t come from a garbage bag. But then a fellow drug dealer invited the inquisitive one to, along with him, ditch the drug dealers and join a band of political agitators: which the inquisitive one gladly did.

This was a better situation because the political agitators took tea and crumpet breaks 15 or 20 times daily, which filled the belly nicely. These political agitators were pro-Brexit, or anti-Brexit, or anyway they had a very specific stance regarding Brexit. However, due to their use of incomprehensible words such as queue, quid, lift, and mummy dear, the inquisitive one was not able to determine what precisely that stance was.

Anyway, a few days after that, Fortune smiled even more happily on the inquisitive one: someone replied to the email! The inquisitive one collected $10,000 using the bank information sent by a (wonderfully kindhearted!) acquaintance, whom the inquisitive one vaguely remembered having met a couple of decades previously. Oddly, though, at the U.S. Embassy, the inquisitive one learned that, contrary to what the Internet very clearly stated, such a large sum of money was not required.

While the U.S. Embassy was working on issuing a new passport, the inquisitive one (with wonderfully kindhearted generosity!) gave the remainder of the cash, as well as the bank information, to the good drug-dealer-turned-political-agitator friend.

This friend, the inquisitive one had been astonished to learn, was Hamlet, Prince of Denmark! Well, or maybe he was Charles, Prince of Wales. In all honesty, the accents in this city were so thick that the inquisitive one could hardly understand a word anyone said. Or was he a Nigerian prince? In any case, he was a prince, but he had fallen on hard times and lost his throne. He promised to return all the money, and significantly more, to the (wonderfully kindhearted!) decades-old acquaintance of the inquisitive one, and to give the (wonderfully kindhearted!) inquisitive one a sizable pile of precious stones and jewels, once his throne was properly restored. And it surely would be restored within the next few days, due to the temporary loan of the money in the account!

The inquisitive one, strangely and sadly, lost contact with the prince at that point. But the very next day, the U.S. Embassy issued the inquisitive one a new passport! While the inquisitive one was not able to recover the lost credit cards, cash, or phone, the issuance of the new passport was a truly wondrous occurrence: and the inquisitive one’s anxiety faded away. Knowledge of spelling, grammar, and word usage returned. Also recovered was psychological sanity, including the ability to understand what was real; what was possible but unlikely; and what was rabid delusion.

MORAL: Health is better than wealth; and it’s easier, as they say in the wisest countries, to pass a needle through a camel’s eye, Amen.

What do we pay doctors to do?

Use medical instruments to collect data? Record that data in our charts? Perform procedures? Prescribe medications? Give referrals to other medical specialists? Recommend home care remedies and strategies?

Have I forgotten anything?

The author of a new memoir would say YES!

Kurt Eichenwald has written an astounding memoir, published last year, about his lifelong struggles with epilepsy . . . and people. He tells a story that made me cringe and kept me riveted. I was especially intrigued because his story has so many similarities to my own.

I do not suffer from epilepsy. I have not suffered from drug side effects to the extent that Eichenwald has. But I have suffered from debilitating medical issues. I have also suffered from drug side effects. And I have suffered, like Eichenwald, from the missteps, overconfidence, and occasional outright hostility of other people, while I was trying to attain the medical care I needed.

Perhaps one day I will write my story. But I’m not sure I have much to express that Eichenwald hasn’t already brilliantly covered in A Mind Unraveled.

Experiencing a health problem is scary. Full of fears and anxieties, we turn to doctors for their expertise; and we believe what they tell us. We want to believe; we feel that we have no choice but to believe. But Eichenwald tells a horrific story of doctor after doctor failing him. He was misdiagnosed, multiple times. He was treated with condescension and disrespect, multiple times. He was prescribed medications that almost killed him, multiple times. He was wrongly informed that his seizures were not epilepsy, but a psychological disorder, multiple times.

Finally, after years of worsening epileptic seizures, and years of taking seriously high doses of medication without proper physician monitoring; after years of not knowing where he would wake up next, or with what debilitating injuries; after years of enduring discrimination for having a disability, and personal trauma and that almost resulted in him giving up on life entirely—he finally stumbled upon a doctor who was willing and able to help him. Here’s what happened during Eichenwald’s first consultation with Dr. Naarden:

“After twenty minutes, Naarden had already spent more time speaking with me than any other neurologist ever had.”

What?! No other neurologist had spent more than a total of twenty minutes talking with their patient about a serious, debilitating medical problem?

During that first visit, Dr. Naarden went on to speak with Eichenwald for much longer than twenty minutes. And he continued talking with his patient. He talked with him not just during the initial consultation, but during future visits. And this communication went both ways. The doctor listened very carefully to Eichenwald’s story and asked follow-up questions. He also told Eichenwald, in detail, what he knew about Eichenwald’s current medical situation, what he didn’t know about it, and what he would like to do in an attempt to learn more.

This communication was essential to a correct diagnosis of Eichenwald’s disorder. It was also essential to the series of careful, logical steps the doctor had to take to get Eichenwald’s epilepsy under better control, as well as to prevent high levels of drugs from further damaging the patient’s health. Finally, it was essential in instilling a sense of trust in Eichenwald, who by then had understandably given up on trusting any doctor, and was hesitant to do anything one advised him to do.

When a doctor talks with a patient about a medical issue, this is not wasted time. This is an integral part of the data-gathering process. Anecdotal information from the patient is equally as valuable as measurements obtained from diagnostic tests. When a doctor does not gather information from a patient, key pieces of the puzzle go missing. The doctor is then forced to jump to conclusions.

I was shocked that no other doctor had spent time talking with Eichenwald . . . but I was not surprised. The same thing happened to me. After encountering a series of doctors who misdiagnosed me and gave me wrong treatments and advice, which significantly worsened my problems, I finally stumbled upon one who was willing and able to help me.

How long had each of the unsuccessful doctors spent speaking with me about my health issues, total?

Yep, less than twenty minutes.

How long did the successful doctor spend speaking with me—during my initial consultation alone!—about my health issues?

Yep, more than twenty minutes.

So, what do we pay doctors to do?

I was stumped by yet another medical mystery.

A prescription drug that helps me immensely also makes me tired. I have trouble waking up. I feel fairly alert in the morning, but I ache to nap all afternoon. And forget the evening—I’m ready for bed immediately after dinner.

My doctor has been helping me experiment with different remedies for this problem. Now, granted, I can still function. The problem isn’t severe. In the past, I have been on medications that made me significantly groggier. Still, if I can maneuver myself into a life situation in which I feel more alert more often, I will happily take it.

The trouble, however, is that doctors and scientists, even in this advanced age of medicine and technology, don’t really know how the brain works. And they don’t really know what happens when different chemicals are introduced to it. We know a whole heck of a lot! Sadly, though, that whole heck of a lot amounts to a patchy understanding of what’s going on up there. The brain is just too complex and intricate and multivariate and changeful.

As Gary Greenberg writes in his article “Psychiatry’s Incurable Hubris,” in the most recent issue of the Atlantic, “Psychiatrists . . . cannot precisely predict for whom and under what conditions their treatments will work.”

Sigh. That explains why my doctor is forced to help me experiment. Since different people react differently to any given drug, it’s not possible to know beforehand what will work for each patient.

Thus my doctor, thinking we might make a change and see how I felt, prescribed me a new medication.

I felt different right away. Within a few hours, I felt like I was floating on a cloud. A very nice cloud. The niceness of the cloud intensified over the next few days. It became softer and fluffier and cozier . . . and I felt like sleeping. All day long. Zzzz. . . .

In the meantime, I made a profound discovery about this medication. Listen up, literary friends, because this is crucial! This is key! This is vital! My new medication . . . gave me writer’s block!!!!

I could no longer write blog posts! With sufficient amounts of caffeine and junk food, I was able to edit and proofread, but write a paragraph? Nope! (Needless to say, since you are reading this post, I went off that drug pronto.)

Why is this significant? Well, listen to this fine theory of mine. If this drug energizes some people—not me, obviously!—then might it not also cure any writer’s block those people might be experiencing?*

I humbly invite the reps of said drug company to call me ASAP, so we can discuss my payment for this lucrative marketing idea.

*In case it isn't sufficiently clear, this is a joke. Do not try this at home, or at work, or on a sailboat, or at an amusement park, or in an airplane, or anyplace else you might find yourself. Please also refer to the footnote in my original Medical Mysteries post.

Sleep. That place to which we all disappear for hours at a time. Drifting off. The mysterious and intangible loss of consciousness. The strangeness of dreams. Waking refreshed . . . or not so much.

As a kid, I was scared of the loss of consciousness that is implicit and inevitable in falling sleep. As an adult, I have, at times, felt even more afraid of the continuity of consciousness that is implicit and inevitable in being awake.

The protagonist of the novel My Year of Rest and Relaxation, by Ottessa Moshfegh, falls into the latter camp. She does not want to experience life. She wants to fade away, to live in the darkest shadows, where she cannot be found—not by anyone, and especially not by herself:

“And that was exactly what I wanted—my emotions passing like headlights that shine softly through a window, sweep past me, illuminate something vaguely familiar, then fade and leave me in the dark again.”

The protagonist adores sleep like nothing else in life. That is a very oxymoronic stance to take. Sleeping, she does not exist. Waking, she fetishizes sleep:

“The bed was a king, low to the ground, and whenever I slept in it, I felt very far away from the world, like I was in a spaceship or on the moon. I missed that bed. The stiff blankness of my mother’s eggshell sheets.”

I am currently coming out of a period of “rest and relaxation” myself. Over the past few years, I have experienced a variety of physical and mental health issues that I am treating with wellness activities . . . and prescription drugs. My doctor recently changed the dosages when I explained that I was sleeping too much at night, sleepy throughout the day, and struggling to get things done. The past couple weeks have been a wonderful period of awakening. And yet, I remember the great relief I felt upon descending, initially, into the sleepiness that would rescue me from my ailments.

One could, I suppose, judge those who use drugs that cause them to descend into sleep as somehow lacking in the vitals of life. Perhaps I and Moshfegh’s protagonist—and I may as well add Juliet and Romeo—are poor, broken, creatures who cannot sustain the light of consciousness as naturally given to us. Or perhaps, as in the case of Rip Van Winkle, intoxicating ourselves to sleep is something that just happens to some of us, beyond our control and comprehension.

Are you feeling sleepy?

I recently discovered a very cool chain of restaurants that are also bookstores in Washington, D.C. While in the city for another reason, I popped into one of the locations to check it out. As promised, the entrance of the restaurant was a little bookshop!

Delighted, I began to scan the book titles, pick out a few of them, and flip through the pages. However, this seemingly simple task was not very simple in regard to all of the books in the little lobby area. The fiction was arranged on a tall and thin bookshelf, and the top two shelves were beyond my reach. No ladder was in sight. As a writer of fiction with a last name beginning with A, I felt empathetic toward those poor beginning-of-the-alphabet authors whose books were languishing up there.

I could have taken the hard route. I could have tracked down an employee and requested access. But I was just browsing, not requesting a particular book. I didn’t want to ask an employee to bring me down all of them, or even some of them, only to promptly ask for them to be put back, or (worse) buy them out of guilt.

So I took the easy route. I browsed through only the middle- and end-of-the-alphabet authors’ books, ultimately buying the novel My Year of Rest and Relaxation by Ottessa Moshfegh.

This is a book about taking the easy route.

The protagonist, in response to distressing experiences and events both relatively recent and long ago, decides to gift herself what she calls her “year of rest and relaxation.” Her idea of rest and relaxation is taking enough psychotropic drugs to sleep away as many hours of her life as possible. She has the resources to do this, due to both an inheritance and, as the book jacket puts it, “one of the worst psychiatrists in the annals of literature.”

This is a very funny book. The protagonist’s perspective and ideas are so wild that they shocked me into laughter many times. Other times, they shocked me into sadness as I had realizations about the nature of upsetting experiences, the long fallout of inadequate support during childhood, and how people cope in less-than-ideal circumstances. I was never sure whether to admire the protagonist’s resilience, or recoil from her careless and flippant attitude toward herself and others.

Sometimes, the author seems to be saying, we protect ourselves from the difficulties of the hard route . . . by working very hard to take the easy route. But it’s interesting that the protagonist sets a limit on the easy route. She commits to transitioning back to the hard route after one year. She seems to intuitively know that she needs to escape into sleep for a very long time . . . but not forever. I’ll let you read the book to learn how the plan works out for her. (It’s a page-turner, from start to finish!)

Are you taking the easy route in some aspect of your life? Do you have plans to transition to the hard route?