Why the fuck am I keeping this on-line journal?

Good question, even as I have to jet out of here in a moment.  I write here, as often as I can, mainly for the feeling of being in control of things we humans have little or no control over.  It makes me feel good to write.   I write here to make sense of things as they happen, to the extent I can.  I find it helpful and hope that what I write is sometimes also helpful to someone reading it.    

I also like to keep the old writing pencil sharp, because I love the craft of writing.  It is very satisfying to see words lined up to bring something into focus.  I also hope, one day soon, to sell these little darlings like the adorable hookers they’re supposed to be, in the Free Market.  After all, any craft unsold is just a fucking hobby (he added, with gratuitous bitterness).

Today I made an appointment for screening of my skin for more possible cancer, long overdue in part because I’ve had to find three new sets of doctors in the last three years thanks to my man Obama’s beautiful compromise with the perfect, which disabled my ability to see the dermatologist I’d been seeing for years, a doctor I liked.  The earliest appointment for a new patient I could get today is for August 31, at 2:30 pm.  I took it.  I’m also on the waiting list for any earlier appointment that might pop up.  If I’d done this three months ago, instead of being discouraged when nobody I called accepted my new Silver level insurance, I’d have an appointment for next week.  Of course, I’m free to call as many other dermatologists as are on my insurance company’s list, in the meantime. This is America, after all.  In the meantime, I fucking write.

I’m being pressured to begin immunosuppressive therapy for my kidney disease.   This therapy includes three months of steroid treatment, in alternating months (chemotherapy type agents are administered every other month) each month beginning with three days of IV infusion of steroids.   I am trying to educate myself about the disease before committing to this pharmaceutical blunderbuss approach.   I read this just now, from the Mayo Clinic:

Membranous nephropathy (MEM-bruh-nus nuh-FROP-uh-thee) occurs when the small blood vessels in the kidney (glomeruli), which filter wastes from the blood, become inflamed and thickened. As a result, proteins leak from the damaged blood vessels into the urine (proteinuria). For many, loss of these proteins eventually causes signs and symptoms known as nephrotic syndrome.

In mild cases, membranous nephropathy may get better on its own, without any treatment. As protein leakage increases, so does the risk of long-term kidney damage. In many, the disease ultimately leads to kidney failure. There’s no absolute cure for membranous nephropathy, but successful treatment can lead to remission of proteinuria and a good long-term outlook.

You have to admire the candor of “in many, the disease ultimately leads to kidney failure.”   Regardless, I have my life to live, and a nice box of chocolates to buy for a 95 year-old birthday girl, who I have to dash off to see after a shave and a shower.    

I feel so much better having taken this little break to practice my word arrangement.  Thank you, Diary Dear.


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