29 March, 2020

in hospitium

I've been in the hospital now for nearly two weeks. I've had four surgeries, several operations, and way too much bedrest. I don't have COVID-19, but its existence affects me greatly; I'm not allowed to have any visitors, I have to take several precautions so that the coronavirus patients upstairs don't infect me, and I can't look at any media at all without constantly seeing the depressing state of things just outside my hospital room window.

I have a tube from inside my kidney draining outside. I have another draining the dregs from an abscess on the same. I have a chest tube connecting the inside of my chest cavity (next to my lung) to a machine outside my body. I have a pic line in my arm that is threaded through to the base of my neck. I even have a foley catheter. Getting around is extraordinarily difficult due to the plethora of tubes and connected devices and bags, though otherwise I still have enough energy and strength in my legs and arms to move about as much as I would want.

I'm grateful to have a laptop available, alongside a fan that helps keep me cool. I truly appreciate the immensely comfortable purple cushion that's on the chair in my room. I love my Nintendo Switch, alongside the relaxing Animal Crossing, which has dominated my playtime. I adore the posters Katherine drew for the cabinet in front of me; they show Jasper, my feline housemate, telling me to get better in various ways. I even feel good about the two stuffed animals I have here: a large Fluttershy and a slightly smaller Kapp'n.

What I'm not as happy about is how long it may take for me to get out of this. No one is sure how much longer I will have to have the JP and chest tubes, but eventually they must be removed. Once that happens, I can go home (finally!), but I will still have the other tubes and will need to inject antibiotics for six weeks or so. Afterward, I need to come back into the hospital for yet another surgical procedure, followed by the removal of the rest of my tubes. At that point, they check on me, and it has to be determined whether I will need a kidney removed entirely.

I have never before experienced the levels of pain, discomfort, boredom, inability to think straight, etc., in all of my life. I will forever better appreciate the benefits of health, mobility, and capacity for rational thought.

18 March, 2020

Illness in Quarantine

I'm probably not dying, but I feel horrible.

The COVID-19 quarantine has made the local clinics too iffy to go to. My condition would need to worsen first, I think, before I risked a visit for this illness.

Yet it is so miserable. Near constant pain the temples, continuous overheating of my face and forehead (yet my internal temperature rules out a fever), and an abdominal issue that defies my understanding.

There is a dull ache, not quite pain, but more like discomfort, localized on the far left of my abdomen. It is somewhat low down, and it is situated well beneath the skin, so I can only point to its location. If I contort my torso in different ways, it can hurt, like a very small cramp. But otherwise it just exists. Combined with this, I feel no appetite. Eating foods of any kind doesn't really appeal to me. It's been this way for several days. This means I am now hungry, wanting nutrients, but with no appetite whatsoever. I don't know how to respond to such problems. My current plan is to call a professional to determine whether I need to risk going to a clinic.

If feels serious enough that I've typed out a last will and testament on the desktop of my laptop. But at the same time, it feels so silly to worry about dying that I feel embarrassed about writing out this blog post. Damn silliness heuristic. I honestly can't do any serious rational thought right now with this amount of pain in my head. I need to take additional pain-killers.



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Edit on March 20:
It turns out that I had a lot wrong with me.Two surgeries down so far, at least one but more to be scheduled in coming weeks. I will explain more in depth later, but suffice to say that this is, bar none, the most painful and life-altering experience in my entire life.

27 February, 2020

Review: Unsong

UnsongUnsong by Scott Alexander

My rating: 5 of 5 stars


Imagine that Judaism is actually true, and this becomes glaringly obvious when the Apollo mission bumps into the firmament and miracles start happening across the world.

Author Scott Alexander takes us on a wild ride in this alternate-history-esque story, filled with puns galore and references to all the kinds of things that people in the effective altruism and/or rationality space care about. While the story is not an example of rationalist fiction, people who like rational fiction will probably really like this novel.

Some of the revelations in the book are especially excellent, and the philosophical positions portrayed as truth in this world make for excellent world-building. Without spoiling anything, the position taken on the problem of evil is exceedingly close to my actual favorite response IRL (minus p-zombies for fairness reasons); and the various descriptions of what the cognates of our real-world people are in this fictional universe is beyond compelling.

The book doesn't take itself too seriously, preferring to set up puns constantly, but while that would be annoying in other books because other authors would be sacrificing the story to make those puns, Alexander actually weaves these puns as actual story points. Kabbalah is real here, so knowing how to make links between things by using their names and connections to other things is a real part of this book's world. Chapters that at first may seem to only be written for the sake of a pun are thus revealed to be information that legitimately propels the story forward. I've never read another book that did such a good job with this.

I recommend this book to anyone who pattern matches to any two of the following:
you like puns;
you're fascinated by sephirot/kabbalah/jewish mysticism;
you like rational fantasy, but are okay with reading something rational-adjacent;
you are interested in fiction that has effective altruism as a plot device; or
you already read Scott Alexander's excellent fiction and/or non-fiction.

A word of warning: Alexander has written some great nonfiction short stories, and while none of them are a part of this book, it would be better to read Unsong first, and only then read his short fiction. Usually when I'm recommending a new author to someone, I tell them to read a short story first to see if they like the author's style, but Alexander has a tendency to re-use great ideas. So things that should come as big surprises at various points in Unsong will be spoiled if you read his other fiction (and sometimes even his nonfiction!), some of which have the same surprise as their climax. So if you are new to this author, read Unsong first. Then you can look at his other works, almost all of which I'd consider excellent as well.



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13 February, 2020

Review: Mother of Learning

Mother of LearningMother of Learning by Nobody103

My rating: 5 of 5 stars


Hard sci-fi pioneer Hal Clement once said that science fiction is all about the setting. Mother of Learning is fantasy, but it really takes this idea to heart.

Mother of Learning has excellent worldbuilding in terms of how things work. Everything feels interconnected in ways that most fantasy authors fail. There are some notable issues, though: the author has a tendency to use occasional metaphors that don't make sense in this setting, some characters seem to be sexist and homophobic for no real reason. (In a fantasy setting where females are equally good at magic, it makes no sense that 1950s era ideas about females would be in _any_ character, and what is the point in making any characters anti-gay when this is a brand-new world that doesn't require that kind of prejudice? (If prejudice is desired, make a new prejudice! It's fantasy, after all, and the anti-gay sentiment was never a story beat.) (Thankfully these anti-gay/anti-female sentiments only occur four times in the story and could easily be removed.))

While these seem like strong objections to the story, and they definitely took me out of the story when they occured, they only happened four times in a story so long that, if the story were published, they would only appear less than once in each book of the series. The author has already said that they intend to go back and fix these issues (and the many typos throughout the story), so I do think that these problems will be fixed before too much longer. Ultimately, I am easily able to overlook these issues in favor of the excellent rational story and awesome worldbuilding. This is easily my favorite read in 2020 so far and has earned a place in the top ten rationality stories I have ever read.

If I had to complain about something that can't easily be fixed, it would be the lack of diversity of thought among major characters. If you blacked out the name of who is speaking, there would be several points where dialogue could be coming from any of a number of characters. But Hal Clement had the exact same problem: his dialogue was atrocious, and yet he was able to write some of the best hard scifi stories anyway just from worldbuilding alone, and the same is true here for Mother of Learning. Its flaws do not take away from the fact that this is a great story that I would recommend to anyone interested in rational fiction or hard fantasy.



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25 January, 2020

Today, I almost died.

The shower felt so good. Warmth running down my skin. Nasal passages clearing up. I rested, allowing my body to take it all in.

The coughs from my cold still came every minute or so. My throat needed a rest. So I decided to gargle -- that's a thing that people do, right? To soothe one's throat? But this water wasn't coming from a small cup; it was raining down with force from above. Holding the water in my mouth proved to be too much, and I breathed a small amount in.

Instantaneously my body put up warning signals. I coughed immediately with full force, but nothing came out. Short of oxygen already from attempting to store water in my mouth for gargling, I coughed again, somehow pushing out a volume of air that nonetheless seemed to have no oxygen in it. I gasped, dropping nearly to my knees, the water from the showerhead patting my back steadily as I nearly keeled over, seemingly encouraging me to get it out of my lungs.

Only a tiny amount entered my lung.
I probably wasn't in any real danger,
but it certainly felt that way.
A third cough ensued, this time with less force because I hadn't time to breathe in. It had been over ten seconds since I last took a breath, and I could no longer think beyond what I might be able to do to get this water from my lungs.

I tore open the shower door, hovered over the toilet, and forced myself to throw up. Water came up, but only from my stomach, and the ensuing breath sounded as though the gargling had succeeded in my lungs instead of in my mouth. My torso convulsed and another spasm pushed out yet more from my stomach. It was flowing, certainly, but the water I needed to come up was in a different pipe. I squeezed my torso before the next expulsion and...

I could breathe again. I had to do it in-between throwing up everything I'd consumed earlier in the day, but at least I could breathe. Thinking back, it felt identical to all the other expulsions, yet it must have come at least partly from my lungs, because successful breathing resumed immediately afterward.

A few minutes later, I stepped in the shower, finished cleaning up, and took care of the now exceedingly wet bathroom floor. Never again will I attempt to gargle using water pushed down into my mouth from a full-force showerhead. This blog entry is now written, so I'm going to use the next couple of hours to contemplate on my life now.