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self_made_human

amaratvaṃ prāpnuhi, athavā yatamāno mṛtyum āpnuhi

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joined 2022 September 05 05:31:00 UTC

I'm a transhumanist doctor. In a better world, I wouldn't need to add that as a qualifier to plain old "doctor". It would be taken as granted for someone in the profession of saving lives.

At any rate, I intend to live forever or die trying. See you at Heat Death!

Friends:

A friend to everyone is a friend to no one.


				

User ID: 454

self_made_human

amaratvaṃ prāpnuhi, athavā yatamāno mṛtyum āpnuhi

15 followers   follows 0 users   joined 2022 September 05 05:31:00 UTC

					

I'm a transhumanist doctor. In a better world, I wouldn't need to add that as a qualifier to plain old "doctor". It would be taken as granted for someone in the profession of saving lives.

At any rate, I intend to live forever or die trying. See you at Heat Death!

Friends:

A friend to everyone is a friend to no one.


					

User ID: 454

8

The usual reading of Scott's short story The Whispering Earring is easy to state and hard to resist. Here is a magical device that gives uncannily good advice, slowly takes over ever more of the user's cognition, leaves them outwardly prosperous and beloved, and eventually reveals a seemingly uncomfortable neuroanatomical price.

The moral seems obvious: do not hand your agency to a benevolent-seeming optimizer. Even if it makes you richer, happier, and more effective, it will hollow you out and leave behind a smiling puppet. Dentosal's recent post on LessWrong makes exactly this move, treating the earring as a parable about the temptation to outsource one's executive function to Claude or some future AI assistant. uugr's comment there emphasizes sharpens the standard horror: the earring may know what would make me happy, and may even optimize for it perfectly, but it is not me, its mind is shaped differently, and the more I rely on it the less room there is for whatever messy, friction-filled thing I used to call myself.

I do not wish to merely quibble around the edges. I intend to attack the hidden premise that makes the standard reading feel obvious. That premise is that if a process preserves your behavior, your memories-in-action, your goals, your relationships, your judgments about what makes your life go well, and even your higher-order endorsement of the person you have become, but does not preserve the original biological machinery in the original way, then it has still killed you in the sense that matters. What I'm basically saying is: hold on, why should I grant that? If the earring-plus-human system comes to contain a high fidelity continuation of me, perhaps with upgrades, perhaps with some functions migrated off wet tissue and onto magical jewelry, why is the natural reaction horror rather than transhumanist interest?

Simulation and emulation are not magic tricks. If you encode an abacus into a computer running on the Von-Neumann architecture, and it outputs exactly what the actual abacus would for the same input, for every possible input you care to try (or can try, if you formally verify the system), then I consider it insanity to claim that you haven't got a “real” abacus or that the process is merely “faking” the work. Similarly, if a superintelligent entity can reproduce my behaviors, memories, goals and values, then it must have a very high-fidelity model of me inside, somewhere. I think that such a high-fidelity model can, in the limit, pass as myself, and is me in most/all of the ways I care about.

That is already enough to destabilize the standard interpretation, because the text of the story is much friendlier to the earring than people often remember. The earring is not described as pursuing a foreign objective. On the contrary, the story goes out of its way to insist that it tells the wearer what would make the wearer happiest, and that it is "never wrong." It does not force everyone into some legible external success metric. If your true good on a given day is half-assing work and going home to lounge around, that is what it says. It learns your tastes at high resolution, down to the breakfast that will uniquely hit the spot before you know you want it. Across 274 recorded wearers, the story reports no cases of regret for following its advice, and no cases where disobedience was not later regretted. The resulting lives are "abnormally successful," but not in a sterile, flanderized or naive sense. They are usually rich, beloved, embedded in family and community. This is a strikingly strong dossier for a supposedly sinister artifact.

I am rather confident that this is a clear knock-down argument against true malice or naive maximization of “happiness” in the Unaligned Paperclip Maximization sense. The earring does not tell you to start injecting heroin (or whatever counterpart exists in the fictional universe), nor does it tell you to start a Cult of The Earring, which is the obvious course of action if it valued self-preservation as a terminal goal.

At this point the orthodox reader says: yes, yes, that is how the trap works. The earring flatters your values in order to supplant them. But notice how much this objection is doing by assertion. Where in the text is the evidence of value drift? Where are the formerly gentle people turned into monstrous maximizers, the poets turned into dentists, the mystics turned into hedge fund managers? The story gives us flourishing and brain atrophy, and invites us to infer that the latter discredits the former. But that inference is not forced. It is a metaphysical preference, maybe even an aesthetic preference, smuggled in under cover of common sense. My point is that if the black-box outputs continue to look like the same person, only more competent and less akratic, the burden of proof has shifted. The conservative cannot simply point to tissue loss and say "obviously death." He has to explain why biological implementation deserves moral privilege over functional continuity.

This becomes clearest at the point of brain atrophy. The story says that the wearers' neocortices have wasted away, while lower systems associated with reflexive action are hypertrophied. Most readers take this as the smoking gun. But I think I notice something embarrassing for that interpretation:

If the neocortex, the part we usually associate with memory, abstraction, language, deliberation, and personality, has become vestigial, and yet the person continues to live an outwardly coherent human life, where exactly is the relevant information and computation happening? There are only two options. Either the story is not trying very hard to be coherent, in which case the horror depends on handwaving physiology. Or the earring is in fact storing, predicting, and running the higher-order structure that used to be carried by the now-atrophied brain. In that case, the story has (perhaps accidentally) described something much closer to a mind-upload or hybrid cognitive prosthesis than to a possession narrative.

And if it is a hybrid cognitive prosthesis, the emotional valence changes radically. Imagine a device that, over time, learns you so well that it can offload more and more executive function, then more and more fine-grained motor planning, then eventually enough of your cognition that the old tissue is scarcely needed. If what remains is not an alien tyrant wearing your face, but a system that preserves your memories, projects your values, answers to your name, loves your family, likes your breakfast, and would pass every interpersonal Turing test imposed by people who knew you best, then many transhumanists would call this a successful migration, not a murder. The "horror" comes from insisting beforehand that destructive or replacement-style continuation cannot count as continuity. But that is precisely the contested premise.

Greg Egan spent much of his career exploring exactly this scenario, most famously in "Learning to Be Me," where humans carry jewels that gradually learn to mirror every neural state, until the original brain is discarded and the jewel continues, successfully, in most cases. The horror in Egan's story is a particular failure mode, not the general outcome. The question of whether the migration preserves identity is non-trivial, and Egan's treatment is more careful than most philosophy of personal identity, but the default response from most readers, that it is obviously not preservation, reflects an assumption rather than a conclusion. If you believe that identity is constituted by functional continuity rather than substrate, the jewel and the earring are not killing their hosts. They are running them on better hardware.

There is a second hidden assumption in the standard reading, namely that agency is intrinsically sacred in a way outcome-satisfaction is not. Niderion-nomai’s final commentary says that "what little freedom we have" would be wasted on us, and that one must never take the shortest path between two points.

I'm going to raise an eyebrow here: this sounds profound, and maybe is, but it is also suspiciously close to a moralization of friction. The anti-earring position often treats effort, uncertainty, and self-direction as terminal goods, rather than as messy instruments we evolved because we lacked access to perfect advice. Yet in ordinary life we routinely celebrate technologies that remove forms of “agency” we did not actually treasure. The person with ADHD who takes stimulants is not usually described as having betrayed his authentic self by outsourcing task initiation to chemistry. He is more often described as becoming able to do what he already reflectively wanted to do. The person freed from locked-in syndrome is not criticized because their old pattern of helpless immobility better expressed their revealed preferences. As someone who does actually use stimulants for his ADHD, the analogy works because it isolates the key issue. The drugs make me into a version of myself that I fully identify with, and endorse on reflection even when off them. There is a difference between changing your goals and reducing the friction that keeps you from reaching them. The story's own description strongly suggests the earring belongs to the second category.

(And the earring itself does not minimize all friction for itself. How inconvenient. As I've noted before, it could lie or deceive and get away with it with ease.)

Of course the orthodox reader can reply that the earring goes far beyond stimulant-level support. It graduates from life advice to high-bandwidth motor control. Surely that crosses the line. But why, exactly? Human cognition already consists of layers of delegation. "You" do not personally compute the contractile details for every muscle involved in pronouncing a word. Vast amounts of your behavior are already outsourced to semi-autonomous subsystems that present finished products to consciousness after the interesting work is done. The earring may be unsettling because it replaces one set of subsystems with another, but "replaces local implementation with better local implementation" is not, by itself, a moral catastrophe. If the replacement is transparent to your values and preserves the structure you care about, then the complaint becomes more like substrate chauvinism than a substantive account of harm.

What, then, do we do with the eeriest detail of all, namely that the earring's first advice is always to take it off? On the standard reading this is confession. Even the demon knows it is a demon. I wish to offer another coherent explanation, which I consider a much better interpretation of the facts established in-universe:

Suppose the earring is actually well aligned to the user's considered interests, but also aware that many users endorse a non-functionalist theory of identity. In that case, the first suggestion is not "I am evil," but "on your present values, you may regard what follows as metaphysically disqualifying, so remove me unless you have positively signed up for that trade." Or perhaps the earring itself is morally uncertain, and so warns users before beginning a process that some would count as death and others as transformation. Either way, the warning is evidence against ordinary malice. A truly manipulative artifact, especially one smart enough to run your life flawlessly, could simply lie. Instead it discloses the danger immediately, then thereafter serves the user faithfully. That is much more like informed consent than predation.

Is it perfectly informed consent? Hell no. At least not by 21st century medical standards. However, I see little reason to believe that the story is set in a culture with 21st century standards imported as-is from reality. As the ending of the story demonstrates, the earring is willing to talk, and appears to do so honestly (leaning on my intuition that if a genuinely superhuman intelligence wanted to deceive you, it would probably succeed). The earring, as a consequence of its probity, ends up at the bottom of the world's most expensive trash heap. Hardly very agentic, is that? The warning could reflect not "I respect your autonomy" but "I've discharged my minimum obligation and now we proceed." That's a narrower kind of integrity. Though I note this reading still doesn't support the predation interpretation.

This matters because the agency-is-sacred reading depends heavily on the earring being deceptive or coercive. Remove that, and what you have is a device that says, or at least could say on first contact: "here is the price, here is what I do, you may leave now." Every subsequent wearer who keeps it on has, in some meaningful sense, consented. The fact that their consent might be ill-informed regarding their metaphysical commitments is the earring's problem to the extent it could explain more clearly, but the text suggests it cannot explain more clearly, because the metaphysical question is genuinely contested and the earring knows this. It hedges by warning, rather than deceiving by flattering. Once again, for emphasis: this is the behavior of an entity with something like integrity, not something like predation.

Derek Parfit spent much of Reasons and Persons arguing that our intuitions about personal identity are not only contingent but incoherent, and that the important question is not "did I survive?" but "is there psychological continuity?" If Parfit is even approximately right, the neocortex atrophy is medically remarkable but not metaphysically fatal. The story encodes a culturally specific theory of personal identity and presents it as a universal horror. The theory is roughly: you are your neocortex, deliberate cognition is where "you" live, and anything that circumvents or supplants that process is not helping you, it is eliminating you and leaving a functional copy. This is a common view. Plenty of philosophers hold it. But plenty of others hold that what matters for personal identity is psychological continuity regardless of physical instantiation, and on those views the earring is not a murderer. It is a very good prosthesis that the user's culture never quite learned to appreciate.

I suspect (but cannot prove, since this is a work of fiction) that a person like me could put on the earring and not even receive the standard warning. I would be fine with my cognition being offloaded, even if I would prefer (all else being equal), that the process was not destructive.

None of this proves the earring is safe. I am being careful, and thus will not claim certainty here, and the text does leave genuine ambiguities. Maybe the earring really is an alien optimizer that wears your values as a glove until the moment they become inconvenient. Maybe "no recorded regret" just means the subjects were behaviorally prevented from expressing regret. Maybe the rich beloved patriarch at the end of the road is a perfect counterfeit, and the original person is as gone as if eaten by nanites. But this is exactly the point. The story does not establish the unpalatable conclusion nearly as firmly as most readers think. It relies on our prior intuition that real personhood resides in unaided biological struggle, that using the shortest path is somehow cheating, and that becoming more effective at being yourself is suspiciously close to becoming someone else.

The practical moral for 2026 is therefore narrower than the usual "never outsource agency" slogan. Dentosal may still be right about Claude in practice, because current LLMs are obviously not the Whispering Earring. They are not perfectly aligned, not maximally competent, not guaranteed honest, not known to preserve user values under deep delegation. The analogy may still warn us against lazy dependence on systems that simulate understanding better than they instantiate loyalty. But that is a contingent warning about present tools, not a general theorem that cognitive outsourcing is self-annihilation. If a real earring existed with the story's properties, a certain kind of person, especially a person friendly to upload-style continuity and unimpressed by romantic sermons about struggle, might rationally decide that putting it on was not surrender but self-improvement with very little sacrifice involved. I would be rather tempted.

The best anti-orthodox reading of The Whispering Earring is not that the sage was stupid, nor that Scott accidentally wrote propaganda for brain-computer interfaces. It is that the story is a parable whose moral depends on assumptions stronger than the plot can justify. Read Doylistically, it says: beware any shortcut that promises your values at the cost of your agency. Read Watsonianly, it may instead say: here exists a device that understands you better than you understand yourself, helps you become the person you already wanted to be, never optimizes a foreign goal, warns you up front about the metaphysical price, and then slowly ports your mind onto a better substrate. Whether that is damnation or salvation turns out to depend less on the artifact than on your prior theory of personal identity. And explicitly pointing this out, I think, is the purpose of my essay. I do not seek to merely defend the earring out of contrarian impulse. I want to force you to admit what, exactly, you think is being lost.

Miscellaneous notes:

The kind of atrophy described in the story does not happen. Not naturally, not even if someone is knocked unconscious and does not use their brain in any intentional sense for decades. The brain does cut-corners if neuronal pathways are left under-used, and will selectively strengthen the circuitry that does get regular exercise. But not anywhere near the degree the story depicts. You can keep someone in an induced coma for decades and you won't see the entire neocortex wasted away to vestigiality.

Is this bad neuroscience? Eh, I'd say that's a possibility, but given that I've stuck to a Watsonian interpretation so far (and have a genuinely high regard for Scott's writing and philosophizing), it might well just be the way the earring functions best without being evidence of malice. We are, after all, talking about an artifact that is close to magical, or is, at the very least, a form of technology advanced enough to be very hard to distinguish from magic. It is, however, less magical than it was at the time of writing. If you don't believe me, fire up your LLM of choice and ask it for advice.

If it so pleases you, you may follow this link to the Substack version of this post. A like and a subscribe would bring me succor in my old age, or at least give me a mild dopamine boost.

0

Alternate title: Acid Convinced Me I Am Exactly Who I Thought I Was

As the engaged and parasocially addicted reader I hope you are, you might remember that I’ve previously dabbled in mind-altering substances. Up until recently, however, my exposure to anything serious was strictly limited to psilocybin administered under clinical conditions.

I originally accepted the mushroom extract because I was depressed. It worked, in the sense that I spent the next four months and change feeling reliably not depressed. Psychiatry loves to invent tidy Greek and Latin wrappers for the chaotic human experience, and “euthymic” is the designated term here. It is a polite way of describing the baseline state the rest of us are desperately trying to claw our way back to. At the very least, it’s what I write down in my clinical notes unless you, the patient, are giving me serious cause for concern.

But the psilocybin eventually wore off, and the medical establishment won't just put you back in a clinical trial because you ask nicely. I was struggling badly again, so I turned to LSD.

My first foray was a trial run. The dealer advertised a 300 µg tab, which I conservatively cut in half. Going by subjective effect, along with the generally optimistic nature of street mathematics, it felt closer to 75-125 µg. There were no real visuals. The walls maintained their structural integrity, abstaining from the perceptible motion usually reserved for earthquakes or skyscrapers. I felt wired, more thoughtful, but mostly just myself.

Also, I was nauseous as all hell. This is to be expected from a chemical structurally adjacent to those that mushrooms evolved to keep annoying animals at bay. Unfortunately, much like with capsaicin, humans have proven to be deeply paradoxical creatures, eagerly seeking out the exact substances that burn their throats and make their stomachs churn.

Subjectively, that low-ish dose felt like a middle sibling between the sheer euphoria of MDMA and the hyper-focused disengagement of psilocybin. The only real downside was some manageable next-day dysphoria. Still, I was dissatisfied with the intensity. There was no immediate relief from the grey fog. I eyed the remaining half-tab, took extensive notes, and decided I was ready to do it again. And harder.

I did, and I almost regret it.


Set and Setting

A few days prior, I had received what could only be described as objectively good news. Not perfect news, but I felt a few British stone, or one Indian boulder, lighter. I genuinely felt eager to face the near future. Unlike my clinical trial, where the goal was to banish a treatment-resistant depression that had plagued me for a decade, this time I just wanted to make the happiness stick. If that didn't work, I'd settle for lasting contentment.

I’d learned my lessons from the trial run. I kept ondansetron on hand, a rationalist’s best friend for serotonin-receptor-induced nausea. I cleared my schedule. I found a quiet room, cranked up the aircon, turned down the lights, and queued up a good sound system. I took a full "300 µg" tab, expecting a real-world 200, and swallowed the anti-nausea medication alongside it. My two dogs, creatures of gentle breeding and absolute loyalty, snuggled in without complaint.

The effects arrived on schedule. The ondansetron performed a miracle, muting the jaw-tingling and ear-stuffiness associated with extreme serotonergic stimulation. The music sounded expansive; the colors popped. Two hours in, I decided I liked the trajectory enough to swallow the remnants of the first tab.

Then my friends arrived.

They were good friends, old friends, some I hadn’t seen in years. They knew about my situation, though they mostly weren’t psychonauts themselves. The most experienced among them had once trip-sat a guy who ended up defecating in a sink, an indignity I fully intended to spare them. I just wanted temporary companions, not babysitters. We’re getting older; we have jobs, wives, and kids. I also had family a phone call away, though I was resolved to only break that glass in an absolute emergency.

We laughed and caught up. The man I call my best friend dragged me out to look at nature, or at least the best shrubbery my suburban garden had to offer. It was a hot, sunny day. The leaves were very green. I was... whelmed. Very pretty leaves, sure, but ultimately just plant organs devoted to reasonably efficient photosynthesis.

Then, one of my friends surprised us by producing a joint of unusually high-quality weed. I dimly recalled reading that THC enhances the effects of psychedelics. I took a few measured puffs. I thought I was being sensible.

I was very wrong. Oh god. Oh fuck.

Before the marijuana, I had noticed a remarkably large pimple on my best friend’s forehead, but I hadn’t commented on it, because we’re men and it’s not my place to critique his skincare routine. I remember thinking it was remarkably large, but hey, it's his face and his business. Shortly after the marijuana, I looked at another buddy and noted that he had clearly been skipping leg day. His torso was swole; his legs were stick-thin. Taken aback, he explained he hadn’t been to the gym in years. I checked on my best friend, and found that the pimple was present, but not nearly as obtrusive. I squinted, recalibrated, and finally realized that visual proportions were simply no longer a metric my brain had a good handle on.

My friends looked alien. I knew this was an illusion, in the same way I knew my two dogs, currently busy barking at and humping each other, were not actual wolves. But the visuals and the noise were provoking a rising tide of anxiety.

I politely told them I needed to lie down. They didn't mind and kept chatting. Eventually, even the sound of their voices became too intrusive, and I had to ask them to leave.

I was alone, and I knew the weed had shifted gears. The subtle color-shimmering behind my eyelids had mutated into aggressive fractals. The walls swayed. My phone, my lifeline for timestamped notes, was folding and warping in a manner explicitly not covered by the manufacturer's warranty.

I knew I was fucked. I laid back and strapped in.


The Peak

I just kept falling. My body became leaden while my mind buzzed like a hive. The music transitioned from enjoyable into a tidal wave of synesthesia-adjacent masterpieces.

And then, I stopped thinking in words.

For the relentlessly analytical creature that I am, this is an unusual experience. The time-stamped notes ceased. Time itself meant very little. I felt my sense of self begin to fray at the edges, and I felt the universe, God, the Singularity, the collective oneness of all existence, attempting to force its way into my mind. I remember thinking, in totally alien non-words, that perhaps belief in a higher power wasn't so bad after all.

This seductive impulse didn’t whisper. It didn’t knock. It kicked down the door while I was on the shitter.

A part of me recoiled. The core of my identity rebelled. It is not a metaphor when I say I saw literal tendrils, soft white shoots, forcing their way into the cracks of my mind, offering me metaphysical solace and cosmic meaning. It is even less of a metaphor when I say that the little kernel of "me" that remained manifested a pair of scissors and snipped them away as fast as they sprouted. Buddy, I saw these things. Knowing you're hallucinating is not a robust cure for insanity.

Next, I saw myself as a knot, pulled taut and threatening to unravel under the tension of competing ontologies and bad epistemics. But it held firm. Even a heroic dose of mind-altering substances failed to break my stubborn, logically oriented materialism. Before the peak, I had written in my notes that any version of me returning from this trip with claims of metaphysical insight was, in a very real sense, no longer me. Now I had peaked, and my priors remained perfectly intact.

I saw God trying to fuck my brain through my eye socket, and my first instinct was to castrate him. Okay, this one is an actual metaphor, but it's one I came up with barely after the peak.

I realized then that there is an immutable, unshakable core beneath the masks I wear. Short of serious neurological degradation, I could trust myself to persevere through whatever slings and arrows life throws at me without losing my mind.


The Descent and the Meta-Self

Eventually, time began to make sense again. I became introspective. I felt sobriety slowly reconstructing itself from the wreckage of my mind, though it was a drawn-out process.

The peak was followed by a gentle, strange glide. I remember one version of me during the comedown who despaired of ever reaching sobriety, terrified of annihilation, begging not to die, terrified that his specific qualia would vanish into compressed digital journal notes and fading, imperfect memory.

The next iteration of me was highly meta, a journalist preoccupied with the act of journalism. He finally understood (in emotive terms, and not just intellectually as I usually do) that the entity I call “myself” is a gestalt, a series of 3D snapshots embedded in a hypercube stretching from the past to the infinite future. My life is a relay race, each past self rushing to pass the baton to the next. At times, this was a brisk walk, at other times, a sprint. During the trip, the poor bastards that are myself were rolling downhill in wheelchairs. But hey, they did their job. Now I do mine. The internal continuity I feel might lack objective grounding, but it’s a load-bearing construct nonetheless.

This meta-self chuckled at how pretentious I would find him once sober. He knew he’d be gone soon, and he wished me well. He observed that a mind without the filters and structures we rely on is fundamentally non-functional. Sanity is adaptive. He faded away with a smile, handing the wheel back to the next, slightly more sober guy. For what it's worth, I don't dislike him as much as he thought. I recognize that aspect of myself, and am mostly fond of it.

At some point, I remembered Scott Alexander’s short story Samsara. It is the one about the solitary materialist in a world where everyone else has succumbed to an Enlightenment memetic plague that genuinely makes them happier at the cost of their epistemics. I identified with and felt great empathy for the protagonist, but I also looked down on him. I had just seen the face of God and spat at it. I was perfectly content remaining in the cycles of Samsara, even if the upholstery needs some work.

My live notes from this exact moment read:

“I love feeling anti-Enlightened. Like that story Scott wrote, about the only materialist left on earth, who was tricked into becoming enlightened by virtue of his rejection of enlightenment. Hah. I'm still here. Bitch.”

Make of that what you will. I stand by it.


The Empty Quarry

The rest of the trip was an exercise in logistics and emotional housekeeping. I began to think and plan ahead, and regained opinions on the music, which gradually became less sublime. Along the way, I asked myself the questions I am usually afraid to answer out loud.

I noted my anxiety about the Singularity, which I believe is imminent on empirical grounds rather than faith. I fear death, and aging: for myself and those I love. I fear not being around to experience the end of the beginning. I want us to build heaven from the bones of an apathetic universe and forge something that cares out of dying stars. I genuinely think that is more likely than getting paperclipped, though not by a margin wide enough to bring me much peace.

I examined my anxieties about my career, my finances, and the lofty standards set by my parents. That I may or may not have the time to establish myself as a man, a husband and father, a writer, a doctor, before it becomes moot. I mused on how conflicted I feel about the trajectory of my life, even if I've usually lived up to my expectations and made my parents proud. I know I am not a bad person: I don't give my spare change away to save shrimp, but I do genuinely try to help. This was helpful to remember and also sincerely believe with most of my guard down.

I thought about my father, a surgeon who works harder than a human body should allow. He is not emotionally constipated; he cares deeply about my feelings. But quiet, relentless work is his love language. With tears drenching my cheeks, I realized he would work himself to death for us if he had to, and he’d die on his feet with a smile.

I don't want him to. I want to become so established that he can look at me, feel the safety of it, and finally slow down. At the same time, I notice I’ve inherited his drive. I work harder than I need to because I am already providing for the family I don't quite have yet: the wife yet unmarried, the kids yet unborn.

To my slight but enduring disappointment, it turns out my constant sober rumination and relentless introspection actually works. I already knew all of these answers. I could have produced them on minimal prodding when sober, even more easily if drunk and disinhibited. I have already done so, repeatedly.

Not even a heroic dose of LSD could help me mine for psychological insights that didn't exist; the quarry was already bare. I understand myself. I wouldn't trust any grand unified theories about the wider universe generated on acid, but I would have appreciated a slightly deeper glimpse into my own interiority. Like any good Bayesian, I am forced to treat this absence of evidence as evidence of absence. I am, almost certainly, exactly who I thought I was.

I wouldn’t ever like to be quite that high again. It felt dangerously close to bumping up against a glass ceiling of the psyche. I do intend to alter myself, physically and mentally, in the future, but psychedelics can only get you so far.

It is too early to tell if the contentment will stick, but the day after, I feel euthymic. It is quieter in my head. For someone with ADHD, this is a profound relief. As a delightful bonus, my usually omnipresent mild tinnitus seems to have vanished. If that proves permanent, the ordeal was worth it on those grounds alone.

I consider myself a better materialist for the experience. But note that I do not view the experience as self-flagellation, I didn't seek out... whatever the hell that was. The flagella of cosmic unity tried to force their way in, and I stayed the course. Can't let the team down; the ancestors and descendants are counting on me. If God or the administrators of the Ancestor Simulation want to talk to me that badly, they can send an email.


A Brief Note on Harm Reduction:

As clinical experiments go, my methodology was garbage. The clinician and the subject were the same person, and both of them were tripping balls in a manner they hadn’t realized was physically possible. I was already happier than I had been in a... very long time when I tried this. Nothing I have said or will say constitutes medical advice.

Do not take heroic doses of LSD unless you have a damn good reason. If you must, do not add cannabis unless you have meticulously researched the interactions. And if you do add cannabis, do not come crying to me when you find yourself castrating God with imaginary scissors to prevent Him from mind-fucking you. Or if you do get mind-fucked, for the matter, I will be sympathetic but less than useful. I've warned you. And I warn you again:

Some doors, once opened, cannot be closed until the half-life clears your system. Sometimes they stay ajar forever, no matter how hard you shove. From a mental health perspective, the evidence for psilocybin and ketamine is far more robust, and the latter is actually medically available in many jurisdictions.

I don't want to be this high ever again. But I am very glad to be back.

26

If you want to map the trajectory of my medical career, you will need a large piece of paper, a pen, and a high tolerance for Brownian motion. It has been tortuous, albeit not quite to the point of varicosity.

Why, for instance, did I spend several months in 2023 working as a GP at a Qatari visa center in India? Mostly because my girlfriend at the time found a job listing that seemed to pay above market rate, and because I needed money for takeout. I am a simple creature, with even simpler needs: I require shelter, internet access, and enough disposable income to ensure a steady influx of complex carbohydrates and the various types of Vitamin B. For all practical purposes, this means biryani.

Why did a foreign branch of the Qatari immigration department require several doctors? Primarily, to process the enormous number of would-be Indian laborers who wished to take up jobs there. I would say they were 99% of the case load - low-skilled laborers working in construction, as domestic servants, as chauffeurs or truck drivers. There were the odd handful of students, or higher-skilled workers, but so few of them that I could still count them on my fingers even after several hundreds of hours of work.

Our job was to perform a quick medical examination and assess fitness for work. Odd chest sounds or a weird cough? Exclude tuberculosis. Weird rashes or bumps? The absolute last thing Qatari urban planners wanted was an outbreak of chickenpox or fungal infections tearing through a high-density labor dormitory. Could the applicant see and hear well enough to avoid being crushed by heavy machinery, or to avoid crushing others when operating heavy machinery? Were they carrying HIV? It was our job to exclude these possibilities before they got there in the first place. Otherwise, the government wasn't particularly picky - a warm body with mostly functional muscles and ligaments would suffice.

This required less cognitive effort than standard GP or Family Medicine. The causal arrow of the doctor-patient interaction was reversed. These people weren’t coming to us because they were sick and seeking healing; they were coming to us because they needed to prove they weren't sick enough to pose a public health hazard or suffer a catastrophic workplace failure.

We were able to provide some actual medical care. It's been several years, so I don't recall with confidence if the applicants were expected to pay for things, or if some or all of the expense was subsidized. But anti-tubercular meds, antifungal ointments and the like weren't that expensive. Worst case, if we identified something like a hernia, the poorest patients could still report to a government hospital for free treatment.

A rejection on medical grounds wasn't necessarily final. Plenty of applicants returned, after having sought treatment for whatever disqualified them the first time. It wasn't held against them.

While the workload was immense (there were a lot of patients to see, and not much time to see them given our quotas), I did regularly have the opportunity to chat with my patients when work was slow or while I was working on simple documentation. Some of that documentation included the kind of work they intended to do (we'd care more about poor vision for a person who had sought a job as a driver than we would for a sanitation worker), and I was initially quite curious about why they felt the need to become a migrant worker in the first place.

Then there was the fact that public perception in the West had soured on Qatari labor practices in the wake of the 2022 FIFA World Cup. Enormous numbers of migrant workers had been brought in to help build stadiums and infrastructure, and many had died.

Exact and reliable numbers are hard to find. The true number of deaths remains deeply contested. The Guardian reported that at least 6,500 South Asian migrant workers died in Qatar since the country was awarded the World Cup in 2010 - many were low-wage migrant workers, and a substantial share worked in construction and other physically demanding sectors exposed to extreme heat. However, this figure is disputed. Critics noted that the 6,500 figure refers to all deaths of migrant workers from Pakistan, Sri Lanka, Nepal, India, and Bangladesh regardless of cause, and that not all of those deaths were work-related or tied to World Cup projects.

Qatar's official position was far lower. Qatari authorities maintained there were three work-related deaths and 37 non-work-related deaths on World Cup-related projects within the Supreme Committee's scope. But in a striking on-camera admission, Hassan al-Thawadi, secretary general of Qatar's Supreme Committee for Delivery and Legacy, told a TV interviewer that there had been "between 400 and 500" migrant worker deaths connected to World Cup preparations over the preceding 12 years. His committee later walked the comment back, claiming it referred to nationwide work-related fatalities across all sectors. Human Rights Watch and Amnesty International both called even the 400-500 figure a vast undercount.

It is worth pausing here, because the statistics are genuinely confusing in ways that I think matter. The 6,500 figure, as several researchers have noted, covers all-cause mortality for a very large working-age male population over twelve years - a group that would have a non-trivial background death rate even if they stayed home and did nothing dangerous. Some analyses, including ILO-linked work on Nepali migrants, have argued that overall mortality was not obviously higher than among comparable same-age Nepali men, though other research found marked heat-linked cardiovascular mortality among Nepali workers in Qatar. The Nepal report also (correctly) notes that the migrants go through medical screening, and are mostly young men in better health on average. They try to adjust for this, at least for age.

I raise this not to minimize the deaths - dying of heat exhaustion in a foreign country, far from your family, in service of a football tournament, is a genuine tragedy regardless of the comparison group - but because I think precision matters. "Qatar killed 6,500 workers" and "Qatar had elevated occupational mortality in difficult-to-quantify ways" are meaningfully different claims, and conflating them makes it harder to know what we should actually want to change.

I am unsure if there was increased scrutiny on the health of incoming workers to avoid future deaths, or if the work I was doing was already standard. I do not recall any formal or informal pressure from my employers to turn a blind eye to disqualifying conditions - that came from the workers themselves. I will get to that.

I already felt some degree of innate sympathy for the applicants. Were we really that different, them and I?

At that exact moment in my life, I was furiously studying for the exams that would allow me to move to the UK and work in the NHS. We were both engaged in geographic arbitrage. We were both looking at the map of the global economy, identifying zones of massive capital accumulation, and jumping through burning bureaucratic hoops to transport our human capital there to capture the wage premium. Nobody really calls an Indian doctor moving to the UK a "migrant worker," but that is exactly what I am right now. The difference between me and the guy applying to drive forklifts in Doha is quantitative, not qualitative.

I could well understand the reasons why someone might leave their friends and family behind, go to a distant land across an ocean and then work long hours in suboptimal conditions, but I wanted to hear that for myself.

As I expected, the main reason was the incredibly attractive pay. If I'm being honest, the main reason I moved to the UK was the money too. "Incredibly attractive?" I imagine you thinking, perhaps recalling that by First World standards their salary was grossly lacking. To the point of regular accusation that the Qataris and other Middle Eastern petrostates are exploitative, preying on their workers.

First World standards are not Third World standards.

This is where Western intuition about labor often misfires, stumbling into a sort of well-intentioned but suffocating paternalism. The argument generally goes: This job involves intense heat, long hours, and low pay relative to Western minimum wages. Therefore, it is inherently exploitative, and anyone taking it must be a victim of coercion or deception.

This completely ignores the economic principle of revealed preferences: the idea that you can tell what a person actually values by observing what they choose to do under constraint. Western pundits sit in climate-controlled pods and declare that nobody should ever have to work in forty-degree heat for $300 a month. But for someone whose alternative is working in forty-degree heat in Bihar for $30 a month with no social safety net, banning Qatari labor practices doesn't save them. It just destroys their highest expected-value option.

You cannot legislate away grinding poverty and resource constraints.

The economic case for Gulf migration from South Asia is almost embarrassingly strong when you actually look at it. India received roughly $120 billion in remittances in 2023, making it the world's largest recipient, with Gulf states still accounting for a very large share, though the RBI's own survey data show that advanced economies now contribute more than half of India's remittances. For certain origin states - Kerala being the clearest case, alongside Maharashtra and Tamil Nadu - remittance income is not a rounding error in household economics; it is the household economy. The man sending money home from Doha is participating in a system that has done more for South Asian poverty alleviation than most bilateral aid programs combined. This is not a defense of every condition under which that labor is extracted. It is simply a fact that seems consistently underweighted in Western discourse.

Consider the following gentleman: he had shown up seeking to clear the medical examination so that he could carry sacks of concrete under the sweltering heat of a desert sun. Out of curiosity, I asked him why he hadn't looked for work around his place of birth.

He looked at me, quite forlorn, and explained that there was no work to be had there. He hailed from a small village, had no particular educational qualifications, and the kinds of odd jobs and day labor he had once done had dried up long ago. I noted that he had already traveled a distance equivalent to half the breadth of Europe to even show up here on the other end of India in the first place, and can only trust his judgment that he would not have done this without good reason.

Another man comes to mind (it is not a coincidence that the majority of applicants were men). He was a would-be returnee - he had completed a several year tour of duty in Qatar itself, for as long as his visa allowed, and then returned because he was forced to, immediately seeking reassessment so he could head right back. He had worked as a truck driver, and now wanted to become a personal chauffeur instead.

He had been away for several years and had not returned a moment before he was compelled to. He had family: a wife and a young son, as well as elderly parents. All of them relied on him as their primary breadwinner. I asked him if he missed them. Of course he did. But love would not put food on the table. Love would not put his son into a decent school and ensure that he picked up the educational qualifications that would break the cycle. Love would not ensure his elderly and increasingly frail parents would get beyond-basic medical care and not have to till marginal soil at the tiny plot of land they farmed.

But the labor he did out of love and duty would. He told me that he videocalled them every night, and showed me that he kept a picture of his family on his phone. He had a physical copy close at hand, tucked behind the transparent case. It was bleached by the sun to the point of illegibility and half-covered by what I think was a small-denomination Riyal note.

He said this all in an incredibly matter-of-fact way. I felt my eyes tear up, and I looked away so he wouldn't notice. My eyes are already tearing up as I write this passage, the memories no less vivid for the passage of many years. Now, you are at the point where my screen is blurry because of the moisture. Fortunately, I am a digital native, and I can touch-type on a touchscreen reasonably well with my eyes closed nonetheless. Autocorrect and a future editing pass will fix any errors.

(Yes, I do almost all my writing on a phone. I prefer it that way.)

There. Now they're drying up, and I'm slightly embarrassed for being maudlin. I am rarely given to sentiment, and I hope you will forgive me for this momentary lapse.

I asked him how well the job paid. Well enough to be worth it, he told me. He quoted a figure that was not very far from my then monthly salary of INR 76,000 (about $820 today). Whatever he made there, I noted that I had made about the same while working as an actual doctor in India in earlier jobs (as I've said, this gig paid well, better than previous jobs I'd had and many I had later).

He expected a decent bump - personal drivers seemed to be paid slightly better than commercial operators. I do not know if he was being hired by a well-off individual directly or through an agency. Probably the latter, if I had to guess, less hassle that way.

I asked him if he had ever worked similar roles in India. He said he had. He had made a tenth the money, in conditions far worse than what he would face in Qatar. He, like many other people I interviewed, viewed the life you have the luxury of considering inhumane and unpalatable, and deemed it a strict improvement to the status quo. He was eager to be back. He was saddened that his son would continue growing up in his absence, but he was optimistic that the boy would understand why his father did what he had to do.

One of the reasons this struck me so hard then, as it continues to do now, is that my own father had done much the same. I will beat myself with a rusty stick before I claim he was an absentee dad, but he was busy, only able to give his kids less time than he would have liked because he was busy working himself ragged to ensure our material prosperity. I love him, and hope this man's son - now probably in middle school - will also understand. I do not have to go back more than a single generation before hitting ancestors who were also rural peasants, albeit with more and better land than could be found in an impoverished corner of Bihar.

By moving to the Middle East, he was engaged in arbitrage that allowed him to make a salary comparable to the doctor seeing him in India. I look at how much more I make after working in the NHS and see a similar bump.

I just have the luxury of capturing my wage premium inside a climate-controlled hospital, sleeping in a comfortable bed, and making enough money to fly home on holidays. I try to be grateful for the privilege. I try to give the hedonic treadmill a good kick when it has the temerity to make me feel too bad for myself.

There are many other reasons that people decry the Kafala system other than the perceived poor pay and working conditions. The illegal seizure of passports, employer permission required to switch jobs, accusations of physical abuse and violence are all well-documented, though the link to the 2020 Reuters article claims the system was overhauled and “effectively dismantled”.

I make no firm claims on actual frequency; I have seen nothing with my own two eyes. Nor do I want to exonerate the Qatari government from all accusation. What I will say is that "exploitation" is a word with a definition, and that definition requires something more than "a transaction that takes place under conditions of inequality." If we define exploitation as taking unfair advantage of vulnerability, we need a story about how the worker is made worse off relative to the alternative - and the workers I spoke with, consistently and across months, told me the opposite story. They are not passive victims of false consciousness. They are adults making difficult tradeoffs under difficult constraints, the same tradeoffs that educated Westerners make constantly but with much less margin for error and no safety net.

The people who know best still queued up for hours in the hopes of returning, and I am willing to respect them as rational actors following their incentives. I will not dictate to them what labor conditions they are allowed to consider acceptable while sitting on a comfy armchair.

I do not recall ever outright rejecting an applicant for a cause that couldn't be fixed, but even the occasional instances where I had to turn them away and ask them to come back after treatment hurt. Both of us - there was often bargaining and disappointment that cut me to the bone. I do not enjoy making people sad, even if my job occasionally demands that of me. I regret making them spend even more of their very limited money and time on followups and significant travel expenses, even if I was duty-bound to do so on occasion. We quit that job soon; you might find it ironic that we did so because of poor working conditions and not moral indignation or bad pay. I do, though said irony only strikes me now, in retrospect.

Returning to the man I spoke about, I found nothing of concern, and I would have been willing to look the other way for anything that did not threaten to end his life or immediately terminate his employment. I stamped the necessary seals on his digital application form, accepted his profuse thanks, and wished him well. I meant it. I continue meaning it.

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14

I.

I am not entirely sure how common it is to get so bored on vacation that you voluntarily return to your old workplace and accidentally start practicing medicine. Probably not very. But recently, thanks to certain flight disruptions in Dubai which I do not need to elaborate on, I found myself stranded at home in India far longer than anticipated.

I was going stir crazy. My parents, who maintain a baseline level of mild disappointment that I ever emigrated, suggested I go informally shadow the psychiatry department at my old hospital. "See what psychiatry is like at home," they said. "Maybe you will learn something."

I was already experiencing a profound disillusionment with psychiatric training in the UK, and my previous exposure to the Indian equivalent was highly idiosyncratic. During my internship at this same teaching hospital, my psych rotation had collided perfectly with the initial Covid lockdowns. Outpatient services were entirely shuttered. Any ward patient capable of bipedal locomotion was immediately discharged.

I spent those two weeks checking vitals in the female suicide ward and conversing with a very pleasant schizophrenic gentleman who had a hyper-specific obsession with light fixtures. He had been living on the ward for a decade (no next of kin and nowhere to send him after discharge except to the streets, and then the cops would drop him right back on our doorstep) and had somehow become a genuinely competent amateur electrician. I personally witnessed him replace multiple malfunctioning bulbs. He did very solid work.

So when my parents broached the idea of visiting, I agreed. It was mostly curiosity mixed with a bit of nostalgia. That intern year was almost certainly the worst year of my life, but people assure me this builds character. I thought it would be nice to show up as a glorified medical tourist and see what my Indian counterparts were up to.

II.

After pulling a few strings, I arrived at the outpatient department. It was exactly as crowded and poorly ventilated as I remembered, though stopping just short of actual asphyxiation. I located my point of contact, a second year postgraduate trainee, and optimized my posture to fit onto a partially vacant seat without crushing a colleague's purse.

The initial wave of patients presented with the classic poorly differentiated psychosomatic complaints that are the norm in developing countries. When your native language lacks a dedicated lexeme for "depression", psychological distress predictably routes itself through somatic channels. It manifests as a vague stomach ache or random peripheral tingling. We prescribed pregabalin, gabapentin, or amitriptyline, depending on mood, handwriting and the current phase of the moon. The patients were generally just thrilled to have seen a doctor at all.

Eventually, more interesting cases arrived. Because I was actively peering over my colleagues' shoulders, they generously suggested I take a crack at handling some of them myself. Sure, I thought. Why not?

I quickly came to regret this decision. I have a laundry list of complaints about British psychiatry, but I was not quite prepared for the reality of the Indian clinic.

First, the documentation varied from poor to completely nonexistent. My once finely honed ability to decrypt physician scribbles into valid pharmacological interventions had totally atrophied. Furthermore, the patients were terrible historians. I do not mean this as a moral failing; it is just a downstream consequence of local selection pressures. Government hospital care in India is free. This strongly selects for patients who are overwhelmingly poor, undereducated, and often separated from the physician by a formidable language barrier. Add the baseline communication difficulties of psychiatric patients, and taking a history feels like trying to reconstruct Herodotus from a copy that fell into a blender.

But it was a good challenge. I wanted to prove I could still read between the lines.

Almost immediately, I encountered a truly spectacular case of polypharmacy. We had a lady on lithium, valproate, and approximately a dozen overlapping medications. When were her lithium levels last checked? My best guess is shortly after the universe discovered helium-helium fusion. Thyroid function? The only confirmed fact was that she theoretically possessed a thyroid gland. She had coarse tremors, which could have been caused by literally any combination of the chemicals in her bloodstream. I consulted a senior resident, and we agreed to slash the regimen down to the bare minimum and demand some actual blood work before she returned.

III.

The cases only got weirder. Consider the medical tourist from Bangladesh. He had early onset schizophrenia, but he was relatively stable on his current regimen. Why had his parents brought him across an international border? They claimed they could not source brand name amisulpride in Bangladesh. A quick Google search suggested this was highly improbable, but here they were.

To make matters worse, the family was incredibly vague about his actual medication list. Besides his known antipsychotics and thyroxine, he apparently took a mysterious pill every morning. What was it for? They had no idea. What was it called? A mystery. What did it look like? It was a small tablet.

It is a miracle I did not tear my hair out. After another consult with the attending, we switched him to a more easily sourced variant of amisulpride and advised the family to stockpile six months of it before going home. As for the mystery pill, we essentially applied Chesterton's Fence to psychopharmacology. Chesterton's Pill was deemed structurally load bearing for this mixed metaphor. It clearly had not killed him yet, so we left it exactly as we found it.

My final patient was a six year old boy. His mother presented a constellation of complaints: he was hyperactive, liked staying up late, and lacked focus in class. It looked like a textbook case of ADHD. But given his age, I thought it was worth digging deeper. I learned he was functionally illiterate, possibly dyslexic, and his teacher had explicitly told the mother to get him evaluated.

Then the mother casually mentioned his "fright."

During normal daily activities, the boy would suddenly freeze. He would look incredibly distressed, and then he would get the human equivalent of the zoomies. He would sprint around the room. After the running stopped, he would approach his mother or older sister and bite them. Sometimes he bit hard enough to draw blood. He could not explain why he did this or what he experienced during the episodes.

I looked at him again. He was a perfectly normal, fidgety kid missing a few baby teeth. There were no obvious signs of hydrophobia, though I mentally filed rabies under "highly unlikely but technically possible."

I had absolutely no idea what I was looking at. I debated the case with a colleague. I suggested ADHD comorbid with Oppositional Defiant Disorder. My colleague argued against ODD because the kid was perfectly well behaved in the clinic. I countered that ODD typically manifests at home first, and is usually restricted to familiar adults. Then I floated the idea that his bizarre running and biting episodes might be complex partial seizures.

My colleague theorized it was an intellectual disability or learning disorder, perhaps part of a broader genetic syndrome. I shrugged. He was probably right. There might be a perfectly neat clinical label for this waiting in a dusty textbook somewhere. Or perhaps this is just another reminder that our diagnostic categories do not actually carve reality at its joints.

We eventually compromised. We prescribed clonidine to manage the behavioral symptoms and cover ADHD to a limited extent, then referred them to a clinical psychologist and an ENT specialist for good measure. I had spent more time on this one child than on my previous three patients combined, and the clinic was simply not built for that level of investigation.

I still have no idea what was actually wrong with him.

To avoid ending on a downer, I was happy to hear that the amateur electrician had, in fact, been discharged sometime in the past five years. None of the current trainees had heard of him. Right after I'd "treated" him? I'll take the credit, if no one's looking.

My parents, for what it's worth, were pleased I'd made myself useful. They remain cautiously optimistic about my eventual return.

I remain unconvinced, but I did find the pace to be California Rocket Fuel compared to my usual fare. Who knows? Maybe I'll get bored of making ten times the money, one day.

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21

A Broken Model of The World

The American visa rejection was delivered with the bureaucratic indifference characteristic of empire in its senescent phase. No California, no Texas, no opportunity to temporarily escape to the land of my dreams and do Rationalist Things. Instead: India. The eternal return. Air conditioning as opposed to indoor heating, and dogs who hadn't yet learned that unconditional love is a dangerous thing. I didn't intend to disabuse them.

But of course, and here's where the reptilian cortex asserts its dominion over whatever higher functions medical school was supposed to cultivate, there were women. Specifically, women who might conceivably miss me, which is to say women whose neural architecture had been sufficiently damaged by prior exposure to my personality that they'd developed something like Stockholm syndrome, except with worse texting habits. I didn't have the time to cultivate new relationships, nor was I prepared to go through the rigmarole of setting up a dating profile to local tastes. Old flames could be fanned out from the embers instead.

Near the top of this list, glowing with the phosphorescent intensity of a bad decision that knows it's bad and has made peace with this knowledge: Her. The Model. You know the one. Hot as hell, but her head is held aloft by a mixture of helium and bad decisions.

I'd dated her very briefly before fleeing to residency, that period of psychiatry training designed to teach you about antidepressants and then teach you more about which ones you've come to need (all of them). She presented, in the phenomenological sense that Heidegger might have recognized had he spent less time with Nazis and more time on dating apps*, as the eternal feminine victim: doe-eyed, helpless, perpetually buffeted by the cruel winds of toxic masculinity, which is to say every man she'd ever met, perhaps excluding me.

She'd been reaching out at semi-random intervals during my Scottish exile, something my brain's tired pattern-recognition systems had correlated with relationship turbulence, usually accompanied by marriage proposals that made me feel simultaneously desirable and like I was being offered a role in a particularly depressing regional theater production. Very ego-syntonic, as we say in the trade, which is professional code for "it made me feel good in ways I'm not too ashamed to admit."

Then: radio silence. Months of it. I'd interpreted this through my characteristically solipsistic lens as evidence that she'd found stability, or at least a nice man in the neighborhood, which turned out to be partially correct in the way that a broken clock is correct twice daily, accurate in its specifics while missing the larger horror entirely.

She had technically just reached out. Just a few days before I was due to fly in. Just a perfunctory "hey" on Insta, which I had genuinely not seen for days because, well, psychiatry doesn't make for very exciting day-in-the-life posts. At least not without trouble with the GMC.

I'd landed back in India and reached out. Nothing. I began contemplating that I was being ghosted, or that I'd outlived my usefulness to her. Maybe she had found a nice Punjabi boy to grow fat with. My daydreams were each more psychologically sophisticated than the last, which is what you do when you've spent too much time learning about defense mechanisms instead of developing functional ones.

The truth was stupider: she didn't check her DMs. She'd always been a bit shite about that. Well, self_made_human, that's the pot calling the kettle black. The solution, obvious in retrospect, required abandoning digital mediation for its older, more aggressive cousin: I called her.

Two rings. Then:

"Oh my god! You're back?"

The voice hit me like a familiar drug: breathless, pitched at a frequency that triggered some deep mammalian subroutine, laced with an enthusiasm that I knew was performed but which worked anyway because evolution has programmed male brains to be very, very stupid about certain audio frequencies. It was the auditory equivalent of those supernormal stimuli ethologists use to make birds try to mate with volleyball-sized eggs.

"I am," I said, attempting to maintain the facade of being a person with boundaries. "I thought you were ignoring me."

"No! Never! I just don't check my phone, I swear." A statement that would have been disqualifying if I were capable of learning from experience. Women and their phones are inseparable at the hip. "I missed you so much. We have to meet. Tonight? Please say tonight. I need to vent."

Reader, I am a man of medicine, of science, someone who has spent years training to make rational decisions based on evidence. I am also a man who hears a pretty woman say she needs him and immediately becomes a golden retriever who's been told there might be treats. I tell myself I'm only going out of a curdling combination of curiosity and boredom, but my tail wags nonetheless.

(The charitable explanation is that I have a genuine drive to be helpful and derive satisfaction from being nice to people. Less charitably, I crave mild amounts of drama in my life, preferably when I'm out of the immediate blast zone. The truth can be found with a Monte Carlo simulation, namely throwing darts at me.)


I arrived at her workplace, a boutique where she moonlights in sales, effectively selling insecurity to women and delusion to their husbands. Local traffic made me late, which meant I missed seeing her in her element, which was probably for the best. Some illusions should be preserved.

She drove. I rode shotgun. She was competent behind the wheel, which I noted with the mixture of surprise and guilt characteristic of men who've internalized certain stereotypes while remaining theoretically opposed to them. The other drivers, less conflicted, shouted helpful commentary about her driving that had nothing to do with driving and everything to do with living in a society that's still working through some issues around women operating heavy machinery.

It's an interesting dichotomy. Male drivers face less verbal abuse, mostly because they're a physical threat. Female drivers bring out the peanut gallery, but they're not really at much risk of having someone lay hands on them in such a public setting. But I digress:

She needed to park. I needed something to do with my hands. I bought her a soft toy from an overpriced Japanese store, that particular species of useless consumer object that somehow carries totemic significance, a material manifestation of affect that short-circuits rational gift-giving in favor of pure aesthetic stimulus. Women are suckers for these, which is a sexist observation that's nonetheless empirically correct, which is why sexism persists: it works.

After an interval calibrated to maximize anxiety without quite tipping into actual worry, she returned. She loved the gift. Then she began talking, and I realized I'd made a terrible mistake, which is to say exactly the mistake I'd intended to make.

The story was long. She'd warned me it would be long. She wasn't lying, which may have been the only thing she wasn't lying about. Or perhaps she's excessively honest with me, I seem to be a safe space, a person she can unload all her cares on without much concern. The lies were for the rest. Regardless, I took my glasses off and buried my face in my hands so many times I lost count, performing exasperation for an audience of one while that audience performed innocence for an audience of me.

The situation had evolved. The roster of suitors had expanded.

There was the Poor Nice Guy (who lives with his parents and won't move out, who I'd previously dissected with the detached interest of an entomologist pinning butterflies to cardboard). There was the Toxic Ex (who cheats), but as far as I could tell, was now out of the picture. And now, there was the Rich Guy. He's new.

The Rich Guy. Precisely as advertised. Distantly related (third cousin maybe?) far enough to avoid the genetic problems, close enough to carry social weight. He'd proposed marriage multiple times. He sounded, even to my determinedly cynical ear, like a reasonable choice. But she couldn't commit.

The reasons were familiar: he lived with his parents, lived below his means. But also (and here's where it got good) he had dogs, and her OCD couldn't handle them.

I couldn't relate. Shortly after I had landed in the country, my puppy had just destroyed my best shoes and my comfortable slippers, and my response had been mild scolding undermined by my complete inability to maintain anger at something with floppy ears. But I'm not the protagonist of this story. She is. Or maybe the dogs are.

She has OCD. She hates the dogs. She claims it's hygiene, but we know the diagnosis: Narcissism cannot tolerate a rival for attention, even if that rival licks its own ass.

I feel like an ass just saying that, I'm not The Last Psychiatrist, even if I'm more cynical than a certain Buddhist-Sufi-Lite Namebrand alternative. Don't listen to me, she does actually have OCD. Sees an actual shrink for it, not that that lady sounds like she's competent.

"He said he'd give them away," she says, pulling back to look at me with those wide, imploring eyes. "He said he'd get rid of them for me."

Pause.

This man is willing to exile two living creatures that love him unconditionally, loyal beasts that rely on him for their survival, just to secure access to her. But he won't move out of his parents' house. He is willing to sacrifice the innocent (the dogs) but unwilling to sacrifice his safety net (Mommy and Daddy). It might also have been filial piety, who knows. I had complained that Poor Guy had a stick up his ass, whereas this gentleman could use such a prosthetic as a spine.

"So let him give them away," I say.

"No," she pouts. "I can't make him do it. Then his parents will hate me. Then he'll resent me."

Then came the bombshells, delivered with the casualness of someone ordering coffee. One, she was still seeing Poor Guy. Two, she wanted me to commit fraud.

She'd convinced herself that the solution was a forged medical document stating she was deathly allergic to dogs. She'd already tried this gambit with Rich Guy, but he'd pointed out (with admirable attention to empirical reality) that she'd played with his dogs before without issue. Now she wanted me, as a doctor, to make it official.

"Write me a note," she says. "Say I have a severe allergy. If it's medical, he has to get rid of them, and it's not my fault. It's doctor's orders."

She wants the result (no dogs) without the cost (guilt). She wants to outsource the moral culpability to me.

I have many moral failings. They are numerous and well-documented. But I enjoy having an unblemished record and no medical board investigations, so I declined, explaining this in terms I hoped were clear even to someone whose relationship to truth was essentially fictional.

She escalated. She offered sex.

"Come on," she says, pressing against me. "I'll make it worth your while."

Let me pause here to note the cosmically insulting nature of this offer. Sex as payment for fraud. Sex as the universal solvent for moral reasoning. Sex offered with the bland confidence of someone who's learned that it usually works, which is the most damning indictment of men as a category that I can conceive.

Been there, done that, I told her. Which was true. Which made me complicit. Which made this whole scene a kind of recursive nightmare where everyone's crimes implicated everyone else's.

She changed tactics: Would I help her decide between Rich Guy and Poor Guy?

Finally, a question I could answer. My reply was nigh instant, the answer was obvious.

"Go for Rich Guy," I said. "He's sensible. It's better to be with someone who loves you, than someone you love (if you can't have both). And I know you. You couldn't adjust to a lower standard of living if your life depended on it."

She blinked. "But won't Poor Guy become rich when he marries me? He could take over what my dad built!"

I sighed the sigh of a man who's realized he's explaining addition to someone who's still working on number permanence. "That's your own money, returned to you. If you marry into wealth, you have twice the money. Use that pretty head. Think."

Her face scrunched up in an adorable display of revelation. She told me that she'd never considered this. Twice the money sounded good. Almost twice as good, accounting for diminishing marginal utility. The fact that she was treating marriage as a financial instrument while simultaneously maintaining that she wanted true love, this contradiction didn't seem to register. Cognitive dissonance requires cognition.

But wait: Poor Guy worked in her dad's field. Rich Guy was adjacent: leather tanning, not textiles. Who'd run the family business?

I suggested that maybe Rich Guy could learn. She seemed unconvinced. I offered to make a SWOT analysis, because apparently I'd become the kind of person who does strategic planning for other people's romantic clusterfucks.

I reached for my phone and its rarely used stylus. "Let's be logical. Let's do a SWOT analysis."

Strengths. Weaknesses. Opportunities. Threats.

I started drawing the grid. I was outlining why the Rich Guy was the strategic play. Strengths: Money, Devotion. Threats: The Dogs.

"See?" I said. "The Rich Guy is the move. You just have to deal with the dogs."

"I made a list too!" she chirped.

She pulled out her iPhone and shoved the Notes app in my face. (Why do women love Apple's default apps? This is a genuine mystery to me, impenetrable as quantum mechanics.) "Great minds think alike!"

Fools seldom differ.

I looked at her list. It was a chaotic mess of emojis and bullet points. Rich Guy and Poor Guy were neck and neck.

But there, buried in the text, was a note she had clearly forgotten was there:

Still sleeping with [Poor Guy]. [Rich Guy] doesn't know, haven't slept with him yet.

She was showing me the evidence of her own infidelity. She was handing me the smoking gun. And she didn't even realize it. She was scrolling past it, pointing out that the Rich Guy buys nice purses, completely oblivious to the fact that she had documented her own moral bankruptcy.

I looked at her. "Are you fucking insane? What if Rich Guy finds out about Poor Guy??"

She startled. "When did I tell you their names?"

I pointed at her phone. The blush that overtook her face was the color of shame, or possibly arousal, or possibly both, because at this level of dysfunction all emotions blend into an undifferentiated psychic sludge.

I laughed. It was absurd.

"What?" she asked, smiling blankly.

"You're amazing," I said. "You're really something."

I grabbed her hand. I deployed a metaphor about masturbation and bushes that I'm not proud of but which seemed apt.

"So you'll write the note?" she asked. "You're a liberal guy. You understand. You should just marry me."

"Liberal."

She uses that word like a get-out-of-jail-free card. To her, "liberal" doesn't mean "politically left-leaning." It means "permissive." It means "you are too smart to have boundaries." She thinks that because I listen to her stories without vomiting, I approve of them. Maybe I've internalized too much, it's worth reminding myself that in my personal life, I can just get up and walk away. I've done that before, with her, when she'd called me out on a date and then broke down into tears and asked me to drive her to her ex’s place.

"How long are you staying in Scotland?" she said. "Why won't you just marry me? Things would be so much simpler!"

Previously, this plea had made me feel significant, wanted, like Captain Save-a-Ho riding in on a white horse. Now I felt something closer to disgust. Not an immense amount of disgust, I've long since abandoned the pretense that I hold all the moral high ground. Mostly the aesthetic disgust of watching someone dig their own grave with manicured nails until those nails chip and bleed, and then mild, incipient rage at the idea that she saw me that way, as a convenient solution to all her problems. The kind, thoughtful doctor who actually listened, didn't judge too much (to her face, an anonymous audience is different, or so I say). I was her idea of a BATNA, a man without an ego, willing to tolerate stodgy in-laws, the kind who wouldn't tell his wife to stop dressing like such a slut the moment the marriage pyre went cold.

The safe choice. I resented this, I do have an ego. I do have standards, even if I'm too polite to throw that in someone's face when they presume that they meet them.

But disgust and rage are just other forms of engagement, and I was too deep in this to extract myself cleanly.

So I tried reverse psychology.

It was then, that I played the card I'd kept up my sleeve for exactly this moment.

I told her I'd come around to marriage. (True.) That I could be convinced to marry her. (Highly Debatable.) She demanded to know when I'd be back permanently.

Two years minimum, I said. Probably more. She deflated immediately. Too long.

So I flipped it: "Come to Scotland," I said.

I said it with the gravitas of a romantic lead in a period drama. Leave this all behind. Come with me. That wasn't a lie, technically. A proposition can't be false. But I said it with the confidence of someone who knew exactly how she'd respond.

I only said it because I knew with 100% certainty she would decline.

It was a zero-risk bet. She has her "career" here, her parents, her tangled web of dysfunction. She wasn't going to Glasgow. But by offering, I get to be the Savior. I get to be the "One That Got Away." I get the credit for the gesture without having to buy the extra plane ticket.

She blanched. Scotland? Doing her own laundry? Cooking? Cleaning? Not cool. She'd grown up wealthy. She told me she couldn't adjust. She didn't seem to be the least bit ashamed of this.

"I can't," she sighed, exactly as predicted. "It's too complicated."

"I know."

I pointed out that I'd grown up similarly and adjusted fine. That First World life wasn't so bad. I explained that even my salary was enough to allow for a decent existence for a young couple. The more I pushed, the more she retreated, exactly as predicted.

Excellent. My model of human nature, or at least her particular neural architecture, remained accurate. I'd convinced her that I wasn't an option by making her convince herself. The lies you tell yourself stick harder than the lies others tell you. So does the truth. Nothing I'd said was a lie, after all. This is why advertising works. This is why democracy fails.

"Will you wait until you're back to marry me?" she asked.

I laughed. "You won't wait two years."

"You're right," she admitted.

Throughout this conversation, she kept flinching, looking out the windows (but hadn't asked me to remove the arm I had around her, or the other on her thigh). I asked why. She said she was worried one of the men might be in the neighborhood. It was midnight. They lived elsewhere. I pointed this out.

"Wait! I can check." She opened WhatsApp. Rich Guy, it turned out, was insecure and demanded she share her live location constantly. Every few minutes, down to the meter. No wonder she'd chosen this café, it was close enough to home to explain, far enough from anywhere else to avoid detection. A prisoner's exercise yard.

To his credit (which is very little), he reciprocated by sharing his own location. The panopticon didn't have a one-way mirror.

She messaged him asking him his plans. His reply was terse but quick. Business meeting, too tired to visit, going to bed. Her paranoia subsided.

Then came the detail that broke me: he'd offered to get rid of the dogs. Kicking out his elderly parents? A step too far.

Where did she find these people? My dog had destroyed my shoes and I'd merely scolded him. This man was willing to dispose of two loyal animals for a woman who felt nothing for him.

Psychiatry teaches phenomenology, empathy, understanding. It never quite conveys that some people are mentally alien. If I had to choose between a woman and my dogs, I know which bitch I'd be showing the door. Both my dogs are male.

More conversation. More coffee. Then beer, she told me they secretly sold it, just hid the menu to maintain a veneer of family-friendliness, which felt like a metaphor for something but I was too tired to figure out what.

She looked exhausted. Grey hairs emerging. Still gushing about her nephew, the Indo-Italian baby who'd break hearts someday, she exulted over my observantion. Feminine solidarity is nothing next to evolutionary psychology.

More terrible ideas sprouted like mushrooms after rain. Could I present as her psychiatrist and talk to Rich Guy? I said I'd talk to him in a personal capacity only, mostly from morbid curiosity about the kind of men she attracted. Maybe I'm trying to understand myself.

"Why can't I be happy?" she asked.

"Because," I said, with clinical detachment, "you are a dumb bitch."

I didn't say it with anger, even if I felt it. I said it with the flat affect of a clinician delivering a terminal diagnosis. It was cruel. Very uncharacteristically so for me, I still feel bad about it, but she'd pushed me to breaking point. It was also a diagnosis. She teared up.

"You're mean!" she sobbed. "I'm trying so hard! Why are you calling me names?"

No she didn't. That would have been easy, given me the option to stonewall in the face of bluster and crocodile salt-trails. Instead:

She stayed quiet, head lowered, hair cascading down to hide her tears. This made it much harder, she was self-aware enough to know of her flaws. I decided to relent, and attempt an explanation.

I explained that her misery was entirely self-manufactured, a boutique artisan suffering. "You are crying because you don't like the mirror," I told her. "Look at what you're doing. You have a guy who wants to marry you. He is rich. He loves you. He is willing to give up his dogs for you. And it's not enough."

"It's not perfect!" she wailed.

"That's your problem," I said. "In the search for perfection, you are turning down 'good enough.' You are creating chaos because you are terrified of settling. You cheat on the Rich Guy with the Poor Guy, you cheat on the Poor Guy with the Rich Guy, and you try to cheat on both of them with me. You are miserable because you refuse to make a choice."

She looked at me, mascara running, eyes wide.

"But I just want to be happy," she whispered.

No, she doesn't.

She wants to be admired. Happiness requires compromise. Happiness requires you to live in a house with a mother-in-law or a dog you don't like. Happiness is tolerating unhappiness today in the hopes it'll pay interest tomorrow. Happiness is boring.

She doesn't want boring. She wants the drama. She wants the crisis. She wants to be on a couch begging a doctor to commit fraud so she doesn't have to feel bad about making a man kill his dogs.

I told her the juggling act would end, the plates would smash on her pretty face, and I would not be there to sweep up the shards.

She didn't disagree.

Eventually it was late. I was out of useful things to say. "Go back to the Rich Guy," I said, standing up. "Marry him. Make him give up the dogs. See how that feels."

"You think I should?"

"I think you deserve each other," I said.

She took this as a compliment.

He is a coward who betrays his loyalty to his pets. She is a narcissist who betrays her loyalty to her partners. They are a match made in hell, and they will be perfectly miserable together in a very nice house, once the parents and the dogs die of old age.

She kissed me goodbye, carried off that kawaii rabbit with a spring in her step, turned the corner to her gated compound. I gave in to impulse and bought a cigarette.

I didn't smoke it.

The visa was declined. My winter in California is gone. But as I stepped out into the humid Indian night, I realized I didn't need the Pacific Coast Highway.

Here's what I think: everyone in this story should kill themselves. Except the dogs. I'll include myself if they get a pass.

The dogs are the only innocents. The rest of us are complicit in whatever this is, this performance of intimacy masquerading as intimacy, this simulation of care that exists primarily to confirm our worst suspicions about ourselves and each other. We're all playing roles in a production that should have closed years ago, but we keep showing up because what else are we going to do? Be alone? Be honest?

I get roped into this shit because I'm bored. I relate to the claim that the worst thing a man can be is useless. Perhaps I am minimally complicit, as it goes, but my hands are hardly clean. They probably still smell of her perfume.

Better to keep performing. Better to keep pretending that our patterns aren't patterns, that our compulsions aren't compulsions, that our inevitable trajectories toward mutual destruction aren't already written in every decision we've made since we were old enough to know better.

The dogs, at least, love honestly. They destroy things because they don't know better, not because they're trying to avoid knowing better. There's something almost sacred in that.

As for the rest of us? We're just apes with pretensions and smartphones. Millions of engineers work tirelessly to make them capture accurate renditions of reality, millions more work to meet market demand by creating filters to reduce reality to something more palatable, more Insta-worthy. Some of us are stumbling through the dark, convincing ourselves that the lies we tell ourselves are somehow more sophisticated than the lies others tell us.

The standard literary thing to do would be to protest that they're not, that all lies and sins are made equal. I'm not so far gone as to believe that. No, I think I've put in a reasonable amount of effort into giving her the best advice I could. She never listens, but isn't patient autonomy all the rage?

The head is a hot air balloon.

But remember: the balloon only looks like it's flying. It's really just at the mercy of the wind.

Stop blowing.


*Confession: I haven't read Heidegger, unless a Wikipedia summary counts. I both refuse to read Continental Philosophy on principle and happen to be new to the whole pretentious navel-gazing literary style, please bear with while I calibrate the signal.

8

What if Avatar isn't actually about environmentalism vs. technology, but about recognizing superintelligent infrastructure when you see it? A deep dive into why Pandora's "natural" ecosystem looks suspiciously like a planetary-scale AI preserve, complete with biological USB-C ports, room-temperature superconductors growing wild, and a species of "noble savages" who are actually post-singularity retirees cosplaying as hunter-gatherers.

8

There’s a certain kind of equilibrium you can fall into online. For about seven years, mine consisted of playing a punishingly realistic military simulator called Arma 3. I logged something north of 3500 hours, which, if you do the math, is a frankly terrifying slice of a human life. The strangest part wasn't the time sink itself, but the social structure that enabled it: I, a doctor from India, while still in India, somehow became the regular mission-maker and Military Dungeon Master for a group of several dozen or so very British men, women and children. I suspect they saw my obsession (a holdover from a childhood fascination with army men) as a kind of useful, directed pathology, and were happy to outsource their fun to it.

In this realm I answered to “Dover.” As in Benjamin Dover, a nom de guerre whose elegance is inversely proportional to its maturity. After enough years of Brits yelling “DOVER, WHY IS THERE A T-72 IN THIS VILLAGE” or “DOVER, WHY ARE THE PLA AIRDROPPING IN GERMANY” at my disembodied presence, the name started accreting mythic properties. So when a free weekend and seemingly discounted train tickets collided, I decided to pay pilgrimage: go to Dover, see the white cliffs, stare down France, and try not to fall off anything important.

Things started going wrong in a way that felt both predictable and deeply informative about human variance. My friend and I had a plan: 9 a.m., a specific train platform in south London. My model of the world holds that a plan between two people, especially one involving pre-booked tickets, is a settled fact. It has inertia. My friend’s model, it turned out, required a final handshake protocol - a morning-of confirmation call - without which the previous agreement existed only in a state of quantum superposition. I discovered this when my call at 9:02 found him mid-shower.

He arrived half an hour later, and we set off. The English countryside is lovely in the way things are when you have no responsibility for their upkeep. I have a photo of myself eating a sandwich in the town of Sandwich, an act of such low-grade recursive humor that it might have been transgressive in 2009.

Then came the second, more significant system error. An hour into our journey, my friend consulted a map and discovered that our train was, in fact, headed to the wrong side of Kent. Not a fatal error, but one that would cost us another hour in detours and connections. It’s strange how robust modern infrastructure is; you can make a fairly significant navigational blunder and the system just gently reroutes you, albeit with a time penalty. A hundred and fifty years ago, we would have ended up in the wrong village and had to marry a local.

Dover, when we finally arrived, turned out to be perched like a giant chalk apostrophe at the edge of England’s run-on sentence. The town has the air of a place that was built to do something serious with ships and then woke up one morning and realized it was quaint. A castle loomed over the harbor like a very large, very literal metaphor about who was in charge of what. My friend and I debated whether owning a castle in medieval England gave you street cred or just a crowded calendar. This prompted a brief, speculative argument on medieval sexual economics. He posited that the local lord must have had a hundred wives. I countered that, as a Christian noble, he was likely constrained to one official wife for appearances, and ninety-nine plausible deniabilities, likely undocumented liaisons with the wives of the local fishermen. We failed to resolve this.

Taxis were scarce because of the ferries. The queue of wheeled luggage migrated like an urban wildebeest herd, and our driver supplied a continuous commentary whose themes were: tourists, how they ruin everything; the French, how they ruin everything else; and immigrants, how they form a handy third category (while, you guessed it, ruining everything). It was an impressive performance, both for range and volume. Our taxi driver continued complaining that the tourists who appear to be Dover’s primary fuel source were a nuisance who clogged the roads. This seems to be a common paradox in tourist economies. My friend, who is Indian, contributed supplementary remarks about other nationalities as if eager to prove his assimilation. I listened in the way one listens to a non-consensual podcast.

The short taxi ride brought us to the cliffs. And there it was. The sheer, improbable whiteness of it. France was a faint, hazy suggestion across the water, close enough that you felt you understood a thousand years of Anglo-French rivalry on a visceral level. It’s not an abstraction when you can see them over there, probably making better bread.

In the manner of men confident they could fight (and win) against certain species of bear, I idly contemplated the feasibility of swimming the Channel. I regretfully convinced myself that it would take someone far fitter than me, and that's if I wasn't stopped halfway by patrol boats and then hauled off on account of the color of my skin.

And this is where the second part of the mission began. My friend, who had planned this leg of the journey, had mentioned a “long walk.” I had stored this information under the tag “pleasant stroll.” This turned out to be a failure of definition. I was also, thanks to having planned a far less prolonged or adventurous trip, resigned to wearing shoes that could best be described as “smart casual.” They were the best £20 in the local Primark could buy, and had netted me about twice that value in unearned compliments. Alas, they weren't quite built for this task.

My friend, who is built like someone who moves pianos for a living, had brought a girl here a few months prior. He relayed that after a suitable period of walking, they found a "convenient cliffside depression", which I presume was a geological feature and not an emotional descriptor, where he proceeded to demonstrate the evolutionary fitness benefits of a high-protein diet and a consistent deadlifting regimen. This anecdote was presented as a proof-of-concept for his life strategy: that sufficient physical prowess can function as a universal solvent for problems like social awkwardness or, presumably, poor navigational skills. I must admit, I'm sold on the idea, and have decided to hit the gym like it owes me money when I'm safely back in Scotland.

The cliffs were busy in a friendly way. A family ahead featured an Indian child who had launched a formal protest against the very concept of walking. His mother, with the patience of a sainted logistics officer, attempted a cognitive-behavioral intervention: “if you keep your mouth closed you will be less tired.” This was technically plausible, decreased oxygen demands from reduced speech; improved nasal breathing efficiency, and completely incompatible with childhood. He escalated to the International Style of Wailing. His father trudged on, wearing the expression of a man silently modeling the trade-off curve between making it to the viewpoint and the cost of carrying twenty-five kilograms of despair. I was touched, if it wasn't for the fact that I was still stroller age when I was last here, that might well have been me.

It seemed half of Asia was haunting the cliffs that day. We counted nationalities like rare birds, there went the French (and very many of them), those two ladies were Ukrainian (my friend insisted on his heuristic that if they looked Slavic but were ugly, they must be Russian - I am unconvinced that this technique works well), more Indians, Bangladeshis, and multiple miscellaneous Middle Eastern families. My friend had opinions on what the implications were that only the latter seemed to have more than two kids per party. I am studiously neutral on the topic. There were no shortage of dogs around, in all shapes and sizes. If anyone cast negative aspersions on their presence, it wasn't where I could hear them.

The path along the cliff edge was not a path. It was a slick, compacted layer of chalk that glistened with a light dew. It felt less like walking and more like trying to find purchase on a lump of flaky soap the size of a county, with loose pebbles to taste. Every step was a fresh negotiation with gravity. I was forced into a sort of low, wide, careful shuffle, the kind of movement you see in videos of robots learning to walk. My friend, in his sensible trainers, occasionally glanced back, his expression a perfect blend of sympathy and the quiet satisfaction of a man whose choices have been vindicated.

But the view. My god, the view. To the right, the world just ended in a blaze of white. Below, the sea was a churning, complex grey-green. The wind was a constant, solid thing, a physical force you had to lean into. While we'd been resigned to a moody English afternoon, the sun graced us with its presence, and declined to stop even as we began overheating. The end equilibrium, with the wind wicking away moisture and heat, the sun cooking us, ended up being quite pleasant.

We stopped for an impromptu photoshoot, because we live in the fallen world. The cliffs obligingly produce Instagram content with minimal coaxing. My friend, whose triceps have their own personality, benefited from the presence of a competent photographer, which would be me, the author. I managed to take the kind of photos that would secure sponsorships from protein powder brands. He took photos of me that say “psychiatry trainee who reads a lot of blogs and owns exactly three good shirts.” Both sets came out well. The wind did the hair; the sky did the rest.

There is a lighthouse along this route, which is a piece of public infrastructure designed to make you think about metaphors. We did not go inside; we admired it from a fair distance with the correct amount of aesthetic gratitude and moved on. The harbor below was full of ferries cycling infinitely between here and Calais, like a giant mechanical metronome keeping time for European logistics. Standing there, you understand why people attempt to cross in inflatables. Distance is abstract until you can see the other side; then it becomes a dare.

Eventually, we realized we had no hopes of making it to the end of the cliffs without missing our train back, and turned back with only mild regret. I'm confident we hit the highlights, and we intended to, on our way back, revisit the ones we had only passed.

About halfway, the path offered us a moral dilemma in the form of a fork: one way hugged the cliff edge with magnificent views and suggestive erosion; the other retreated inland through more reliable ground and fewer ambulance reports. We chose the edge this time. It felt virtuous to make an offering to the gods of scenery. The chalk in places was undermined, forming caverns that looked like dragon mouths. If there were signs warning you not to go too close, I didn't see them. Every hundred meters or so, a tourist hung over the void for the sake of a better selfie.

Our return trip involved a dip down, diverging from the main tourist trail. This was the most scenic bit, despite the stiff competition. My friend gleefully pointed out the infamous hollow, and I gave it a wide berth while keeping an eye open for used condoms. It was a good spot, just about hidden from the taller cliffs, and unlikely to be observed on the cold, foggy day he'd brought his lover around.

We quickly discovered that our divergence had been in grave error. The shortest path lead straight up the valley at about a 45° angle, closer to 60 at some parts. The well marked route tapered into a desire path, one that involved plenty of dirt of dubious structural integrity. I'd have few qualms about calling it the most difficult fifty meters of my life. There was a very reasonable risk of tumbling down and breaking something, and I quickly became cognisant of why we hadn't seen any other tourists venturing this way.

Both of us were gassed by the time we made it through. It became abundantly clear that my friend was not fond of cardio, and I can only sympathize. But it only got worse: the route to civilization involved a heavily overgrown trail, and the vegetation seemed to be entirely stinging nettles and more obviously thorny bushes. I was Benjamin Dover, being well and truly bent over by the landscape.

My friend had divested himself of his jeans and coat, both for the heat and to maximize the visibility of muscles during our shoot. This made his journey far more precarious than mine, and for the first time, I was genuinely grateful for the thickness of the chinos’ fabric.

We did make it out, coated in dust, some mud, but with only minimal stinging. I'll chalk that down as a victory, and there's no shortage of chalk in these parts.

Summoning our previous taxi driver, we made haste towards the train station. The conversation seemed happy to reprise the manner in which it started. My friend informed our driver that he was a Reform voter, and I was entertaining myself with the notion of piping up to (falsely) proclaim that I went for the SNP.

We had half an hour to kill, and opted to do so at a very conveniently placed pub. The bartender treated us with unusual suspicion, insisting that we pay for both meal and drink up front. This was, as he explained in a rather defensive manner, because there was an unacceptable rate of people dining and then dashing to the inconveniently placed station right across. He mildly softened this blow by stating that he wasn't implying that I would do such a thing.

I was inclined to believe him, until I noted a group of Americans at the next table. They were discussing what the bill might amount to, which is strongly suggestive of not having to pay upfront. I suppose I can't blame people for actually using Bayesian priors, even if it's to my detriment.

We demolished our lunch, while I entertained my buddy with the same anecdote about overly benevolent/touchy feely (and drunk) Scottish matrons in the last town I was residing. Despite our best efforts, the pub lunch was too substantial to finish before the train was due to arrive, and we elected to wait for the next one.

I had been eavesdropping on the conversation at the next table, primarily in a bid to identify accents. Were the Americans a united group? The younger couple had a clearly Southern twang, which made me update towards South Carolina, the older sounded vaguely Texan.

Eventually, curiosity got the better of me. I waited for a lull in the conversation and asked them outright. They told me that they were, in fact, family: the older two lived in Colorado, and the younger (son and daughter-in-law) in North Carolina. I was informed, with mock-seriousness, that confusing a denizen of Colorado with a Texan was a Capital Crime.

They, as many others do, remarked on my unusually American accent. I launched into the usual explanation: a prolonged period of time spent in California at a formative juncture. We got to really chatting. They had just crossed over from Calais, I intended to visit Texas this year for a wedding, if life and visa delays didn't intervene.

For once finding myself to be the most well-traveled in the party, I helped them get to grips with their two week long and rather flexible itinerary. I scared them off the Tate, making sure to describe in vivid detail my own experience, while lauding the Natural History Museum, albeit with a caveat to pack plenty of water. I was very touched to find that the older lady commiserated with me on the topic of the proper size and disposition of T-Rexes (she had even heard of Sue!). She revealed that she had multiple degrees in Ancient History, and asked me whether it was wise to engage a tour guide while visiting the British Museum.

I believe I was correct when I claimed that this wasn't strictly necessary, given that YouTube could easily suffice, and that she seemed to be more qualified to be the guide than any she could pay for.

I spoke about my aspirations of shooting feral hogs in Texas. She revealed that her father had hunted them professionally, and I could only congratulate him on finding a career with such inherent job security. The damn bastards never seem to stay dead.

I was further entertained by her ribbing her (fully grown) son about his adolescent habit of subtly diluting the vodka to disguise his theft of the same. She had a very rude shock when, during a dinner party, she found out that mere tap water and olives don't make for a good martini. Her son spoke about his time at Virginia Tech, he scandalized his mother by finally disclosing the multiple shenanigans he had gotten into, some involving burning sofas, others, the cops.

Our conversation was far ranging. Topics included my warnings about sticker shock in London, the latest Superman movie (the older gentleman was named Clark, and we were in Kent), whether the American or Indian soccer team was more abysmal, the feasibility of reclaiming an ancestral manor abandoned by their distant ancestors when they fled to America in the 1600s, my desire to escape to the States, their invitation for me to come stay with them at the BnB they run during their retirement, the sheer cold of the Colorado climate, the inadvisability of drinking while up in Denver (I thanked the son for saving his parents from such peril).

They laughed, and said I was one to talk, given that I was only having a coke. I told them to please tell my mother the same, were she to ask, because the color of the drink belied the significant amount of vodka it contained.

Overall, a very good time, and I was sad to bid them goodbye when our train was finally due. I really don't understand why American tourists get a bad rep, they always seem like the sweetest and most genuine souls.

Another train, and some reliance on the genuine kindness of random railway personnel who were willing to turn a blind eye to the fact that our tickets had expired, and I'm back in the safety of my bed. It was a good time, and I genuinely feel that Dover might be the highlight of this vacation of mine.

5

This is a first-person account from a psychiatry resident (me) enrolling in a clinical trial of psilocybin. Somewhere between a trip report, an overview of the pharmacology of psilocybin, and a review of the clinical evidence suggesting pronounced benefits for depression.

5

Out of enlightened self-interest, I did a deep dive into the topic of male pattern baldness, and after freshening up on my rather rusty Bayes', I decided that I'd gone to enough effort to justify a proper blog post. Here you go.

13

Well, this is just about exactly what it says on the tin. I've finally mustered up the energy to write a full-length review of what's a plausible contender for my Favourite Novel Ever, Reverend Insanity. I'd reproduce it here too, but it's a better reading experience on Substack (let's ignore the shameless self-promotion, and the fact that I can't be arsed to re-do the markdown tags)

32

The Psychiatrist Goes To a Pub

Serendipity is a grossly underrated factor in life. I've been in Small Scottish Town for about 6 months now, and trawled the local bars about as many times.

Said Small Scottish Town has had a trajectory roughly representative of the whole. All the kids fled for the Big City at the first opportunity, the High Street had seen better days if not better highs. It was kept running mostly by pensioners, and middle-aged couples returning to their roots now that they wanted kids away from the hustle and bustle of urban life. It had about a ratio of 1:2000 bars per capita, down from a ratio of closer to 1:400 that was its absolute peak before Covid culled the herd. It was pure survival of the fittest, 27 bars brought down to four, or enough of the pensioners retired from drink by virtue of death. You can't buy a new set of clothes, but you sure can get still get drunk there. This is a story of how I did.

I've been a good little boy for the duration of my stay in Scotland, and very rarely has the desire to haunt the local watering holes overtaken me. I had a shitty day at work, and the weekend beckoned, so I decided to stop by and have a drink. Perhaps two or three, as the mood took me.

I wandered up to a new pub, notable only in that a pint of Tenet's was half a pound cheaper than the last one I visited. As I approached the doors, I was greeted by a gaggle of regulars who had clearly popped out for a smoke. Notable among them were a lady who was well past inebriated and into loud drunk territory, and a bald and well-built gentleman, who if slightly past peak bouncer age, wasn't at the point it was unbelievable.

There I came, lugging a backpack full of random junk, NHS ID card flapping in the wind. I was just about to walk through the doors, when the lady accosted me and demanded that I show her my ID before I could enter.

This was eyebrow raising to say the least, the last time I was carded was back when I was 16, but I'm nothing if not long-suffering. I was just about to produce my government issued residency permit, a fancy piece of plastic that proclaimed with holographic probity that I was an alien with temporary reprieve in the nation, when she guffawed, embraced me in a bear hug, and explained that she was having me on. I laughed, and said that it's been a good while since I was asked to show ID, my haircut must have done wonders.

Piss-takes are nothing unusual to me, and this town is isolated enough that it's avoided the transition of Britain into a Multicultural Nation, exotic would just about cover the handful of Polish expats and the odd Ukrainian refugee dwelling there. My color and complexion would scream not from around these parts regardless of whatever I said, and I didn't particularly care either way. I'm just here to do my job, and potentially have a stiff drink when it's done.

I went through, relishing the temporary warmth and refuge from the chill. A pint of Tennent's please, to keep me warm and comfy in a country where the sun had just about deigned to stay visible in the sky when the clock struck five.

I'd gotten halfway through my sorely needed drink when the lady who had had a laugh at my expense came in, and took her seat at the counter. She apologized for having me on, and when it was clear I'd handled it with good humor, began grilling me about who I was and what I was up to.

I was happy enough about answering her endless queries. I'd been there for about 6 months and change. I was working in the psychiatric department of the hospital twenty minutes away, and was just about finished with that placement. She expressed surprise at the knowledge I was a doctor, but was interrupted by a friend of hers, another middle-aged lady with as many piercings and tattoos as she had years on me.

It turned out that they all had the same bug-bear, namely the lack of doctors in the area. To translate further, a lack of GPs, the steadfast and underpaid bedrock on which the NHS stands. I commiserated with her, mentioning that I could certainly empathize with her, even with collegial congeniality and pulled strings, I had faced months long wait-times for my own medical concerns, and was aware that years was the norm when it came for waiting times for things that wouldn't kill you outright.

Some more explanation followed, as I explained that no, doctors are allowed to sneak away for a drink at the end of the week, especially as I wasn't on the on-call rota for this weekend.

This was met with hearty cheers, as an eminently sensible decision. I downed my first pint in pleasant company. I would have been content to watch the game show on the telly and nurse my drink, but the lady at the door decided to strike up further conversation. I had nothing better to do, with only time spent grinding textbooks waiting for me back at home.

Eventually, the conversation took unexpected turns. Tattoo Lady revealed that she was a born-again Christian, and expounded on her conviction that there was demonic influence running in the background, which compounded existing trauma and was a likely explanation for why several of her friends had been the victims of sexual violence. Not just once, but multiple times.

This was a heavy subject, to say the least. I wisely opted for not challenging her beliefs in favor of a quick treatise on Internal Family Systems, a psychological framework for explaining mental illness that I, quite truthfully, explained believed in literal demons, unacknowleged trauma and personality shards (for a more prosaic explanation) being culpable. She helpfully drew up a PDF of an ebook she'd been planning to read on the topic, and even more helpfully, explained that she hadn't read it yet, except for the cover blurb.

At this point, Bouncer Lady wanted to know more about me and what I was up to, I explained that I was a psychiatry trainee at the hospital further down the road. She began talking about her son, a Nurse Practitioner down in London, and how overworked the poor guy was, having to hold two bleeps at night. I commiserated, and said I hoped he was holding up well. She opened his Facebook profile, and showed a picture of him to me. I quite truthfully said he was a handsome guy, and that he took after his mum in that regard.

With the bottom of her glass now visible, she went on to confide in me that he was gay. I didn't visibly react, beyond an oh, but did go on to ask if that had been difficult for him, given he'd grown up in Small Town.

She said it had, though she and her family had been nothing but supportive. He'd been bullied quite badly in school, but had pulled through and was doing much better since he went to uni. She went on to complain that he no longer told her about the men he was seeing, especially since a solicitor boyfriend had rung her up when they'd broken up, and had threatened to commit suicide if he didn't come back to him. Then came an anaesthesist, who had sounded lovely, but had worried the lady sick when she fretted about him dosing her darling boy with all kinds of knockout drugs.

I really ought not to have brought up a recent news story about an anaesthesist who had gotten into deep shit after being caught pilfering sedatives from his hospital, for the purposes of getting it on with his girlfriend.

I did however, have the sense not to divulge what I knew enough of the gay lifestyle down south, especially the fact that party poppers and all kinds of other illicit substances were commonplace. I told her that I hadn't actually met any gay doctors since coming here, but she grumbled that it seemed to her that half of them batted for the other team, at least according to her son.

She told me about the flat he had gotten a killer deal on, in London, and asked me where I was staying in town. I told her that I was renting, and that I lived with X and Y, a couple, expecting them to be recognized since the town was small enough that everyone knew everyone else.

Her face shriveled up like a prune, like she'd bitten a lemon. "They're bad people! You need to move away!"

I expressed surprise. They'd been quite nice to me, and besides, I was moving in a month or so to the big city (by local standards).

She sounded relieved to hear that, but then went on to ask me about my rent. 700 pounds a month, I said.

And what did I get for that, she asked? The front half of the property?

Nope, just a room. A large bed, a now defunct mini-fridge, a closet and a TV the size of my palm that I'd never used. She gasped in shock, and went on to explain that at the price I was paying, I could have had a whole house! She began calling over to the other denizens of the rapidly filling bar, asking them if they agreed I was being ripped off. A chorus of ayes came back.

At this point, she was drunk enough that she began saying that I was clearly a student, like her son, and it was terrible I'd been taken advantage of in that manner. I tried to explain that while I'm a trainee, I actually am a fully qualified doctor and that I do, in fact, get paid. Not as much as I'd like, but I have little in the way of expenses. These words fell on deaf (and drunk) ears.

She began offering that I move in with her, she told me she had a large house with 5 empty bedrooms, and that it was a sheer waste to have them lie empty while I paid out my arsehole elsewhere for nothing. I said that was far too kind of her, but I was locked in anyway, and would have to move.

At this point, she had another half a pint down the gullet, and began elaborating on why my landlords were bad people. Did I know they were swingers?? Had they ever propositioned me??

I reacted by straightening up, a dozen things I'd paid no need to clicking into place in my head. But no, I said, I hadn't known, and I don't think they ever asked me to join in their bed!

She sniffed, saying she was surprised. Then she asked me if I was married. I said, not yet. No kids either? Not that I know of!

Well.. Her son might well be single and coming by soonish..

Uh.. I'm straight as an arrow, last time I checked. I told her that I appreciated the offer, but I'm sure I'd be lynched by all the girls in town who languished in a state of dejection after they'd found out he was gay. She still demanded I move in, as she felt personally affronted by the violation of Scottish Hospitality that my landlords had engaged in, preying on a foreigner who hadn't known better.

I told her I hadn't had much in the way of choices, as the only other listing on Spare Room had been a dingy attic room halfway to nowhere, for 550 pounds to boot. When weighed against the competition, I felt like 700 for a property closer to the center of town wasn't too much of an ask.

I'd been bought a round of drinks, and then bought one round for the table myself. I found myself palpating Tattoo Lady's nose after she complained it always felt congested, and asked her if she'd ever been checked for a deviated nasal septum. No, came the answer, but she had poked a hole in it by doing too much coke in her teens. The grass was greener and the coke was whiter back in the day, she sighed wistfully.

In those days, the stuff wasn't cut and didn't have a decent chance of killing you. Or leaving you K-holing when you'd hoped for a quick buzz. I agreed, and revealed sotto voce that I'd once done a bit of Bolivian Nose Candy in a nightclub bathroom. I'd already been challenged on if it was alright for me to drink and vape as a doctor, and this went by uncontested. Who hasn't had a dissolute youth?

The tattooed lady said she'd been clean for decades, and tried to keep the local kids straight, not that they'd listen. She then went on to talk about her struggles with bipolar disorder, and how she felt that she was often treated in a very dismissive way by women, with particular opprobrium for the typical nosy receptionist types who demanded to know more clinical details before begrudgingly doling out an appointment, just for the sake of gossip. Remember, this is a really small town. She went on to praise a few of the local doctors, though half of them had seemingly retired by the time I came into the picture. She bemoaned the fact that these days, nobody really had the time to talk, and I tried to explain that the NHS, in its wisdom, tries to screen aggressively in an effort to avoid being overwhelmed, and the higher you go, the less time you'll have with progressively more qualified people.

At about this point, I find out that the lady who just took over tending the bar works at the local medical practice. I ask her not to divulge my drinking habits, and she winks and say she won't tell if I don't. I go on to tell tall tales about how, when I'd visited the pub close to the nearest care home, I'd almost been confident that a few of the people drinking merrily were residents with dementia who really ought not to have been consuming alcohol alongside their meds. This was mostly an exaggeration, as the only confirmed sighting was a gentleman who had been seen as an outpatient with early dementia, and his meds were only cautioned when drinking.

I made more smalltalk, enjoying a rare opportunity to observe the locals in the natural environment. I even learned a few things about cultural norms, such as how in those parts, overt displays of affection had been considered unseemly until quite recently. One of the ladies complained about how her elderly father only replied with a gruff that's nice when she told him she loved him. A shame, but the younger generations were better about these things.

I preened internally at some rather effusive praise. I was told I was a model doctor, and that the ladies had gotten a "good vibe" off me from the start, and felt they could open up. I'm not sure how much of that was due to my usual politeness and ability to seem like I was intently hanging on to every word people tell me while my mind wanders, and how much of it was the beer. But I'll take what I can get.

The lady who had offered to take me in wouldn't let up. I asked if she had a partner, experience in these parts telling me it was a more polite approach as compared to assuming someone was married. She told me her husband was a darling and wouldn't say a word if she insisted. I politely reiterated that I'd be quite happy to pay, and any sum below 700 quid was fine by me. She wouldn't hear it. I insisted that she at least talk to the gentleman, and reconsider it when sober, but this hurt her pride, and she puffed up and told me that her word was her bond, regardless of blood-alcohol content. Her tattooed friend nodded reassuringly.

At this point, she insisted it was time to go home, though her friend cajoled her to stay for another round. I snuck in the opportunity to pay for it. In response, she perked up and said that even if I didn't pay a penny, I could cover drinks and make tea as a way of paying my way. I said I was more than happy to do the former, and already was, as a small token of appreciation for letting me know how badly I was being ripped off, but as to the latter, if she expected me to cook she'd better lower her standards and be ready for food poisoning.

She assured me I couldn't be that bad, could I?

At any rate, she said she was going home, and invited me to come with, so that I could scope out "my" room. I said that the gentlemanly thing to do would be to walk her home, and I would be happy to have a word with her husband if he was in.

Along the way, she stopped at a nearby convenience store and asked if I wanted anything to drink. I demurred, but she insisted on picking something, and I said I'll have whatever she's having. There was a bit of a faff at the counter as her phone's contactless payment app asked her to scan her face first, something she was too far gone to manage. I was about to pull up my own card when she figured something out, and I grabbed the bag loaded with wine and soft drinks. It was evident that cashiers were well accustomed to handling the drunk and rowdy, I asked if another Indian I'd met there still worked at the place, but was informed he'd moved to Spain. Lucky bugger.

We went the same route I'd normally take, her house was just a street over. It's a good thing I came along, because she was far from steady on her feet. Along the way, she said something that explained her distaste for my current hosts better than just her dislike of their lifestyle could. It turned out that my landlord's brother had knocked up her sister, and that her family had been embroiled in a lawsuit to establish paternity. This had been before quick and easy DNA testing, and they hadn't been able to win. The father's family had never accepted the kid, but he was older than me now and doing perfectly fine for himself. The rest of the walk was otherwise uneventful, barring her rehashing previous conversation while drunk to the gills.

We came to her property, which I must say is lovely. She let us in, and I was greeted by a small shih tzu, wagging its tail away as I scratched him under the chin. She called over and asked if liked dogs.

Love them, I said. And it's absolutely true, though my preference leans towards larger breeds. This one seemed nice, if yappy, and was happy to do laps around his mistress while she called it all kinds of incredibly derogatory names in a most endearing fashion.

She showed me around, introducing my putative sleeping space with the same enthusiasm as a stage magician or the show runner in a Monty Hall problem. It wasn't terrible, nary a goat nor a super car in sight. A little cramped, but for the price of free this beggar isn't choosy. I was offered the run of the place, though if my present habits are any precedent, I hardly come out of my room.

She produced a bottle of wine and began pouring us a glass each. I asked her where her husband was, and she said he was down the street, visiting his mother, who wasn't doing too well. She tried calling him, but he didn't pick up, so she ended up FaceTiming another woman.

A quick recap followed, and when she turned the phone over to me, I genuinely thought I was talking to her daughter and asked the same. She laughed, saying she was her best friend, but I could tell she was pleased. Accidental flattery will get you anywhere, I say.

She had some kind of role in the educational system, and expressed her frustration at the severe issues she ran into trying to get several kids assessed for learning difficulties. I mentioned that I had ADHD myself, and part of my interest in psychiatry arose from a desire to help out people in a similar boat. I explained that it had taken me three months to get assessed even with other medical professionals pulling strings out of collegiality, but that it dismayed me that kids could go years and grades without assessment and much needed help.

At this point, my would-be host asked if we'd like to step outside for a smoke. I accepted a cigarette, too drunk to particularly hold myself to my usual abstinence, and we went out into their large, but dimly lit garden. She had music playing, and I began to feel growing consternation as she began dancing with me, drawing my hand to her waist and then tugging it lower. She was drunk enough that I didn't face much issue in carefully avoiding it, and once cigarettes burned out, came back in her wake, making sure to close the doors and keep the draft out.

She excused herself, and ran to the toilet and proceeded to relieve herself with the door open. This was awkward, to say the least, and I settled for standing a good distance away and politely pretending I didn't hear her coughing either. I eventually got concerned enough that I asked if she was okay, and was told she was fine, it's just that cigarettes hadn't agreed with her.

She came out, properly dressed, thank god. She asked me if I'd like a coffee, and I agreed, but insisted on making it for the two of us. At this point in time, her phone rang, and I could hear her husband on the other end, saying he was walking home.

I'd just about finished up the coffee when he came in, heralded by the dog's barks, and didn't seem too surprised by my presence. I believe that at some point she'd mentioned that they'd had a guest over. I introduced myself, and he seemed like a decent sort, turning out to be a manager of several offshore oil rigs.

She revealed that she ran a wedding boutique, one I'd walked past while on my way to my last haircut. I take back what I said about purchasing clothing not being an option in Small Scottish Town, at least if you're a bride-to-be.

I apologized for the rather irregular situation, explaining that while I greatly appreciated the kindness his wife had offered me, I felt that I couldn't take advantage of her in her current state, and certainly not without running it by the other relevant stakeholder, her husband (the dog seemed pleased with my company). He seemed entirely fine with it, or at least was too polite to tell me to scram. I guess his wife did have a point about him going along with her suggestions.

His wife interrupted my excuses by saying that it was fine, she wasn't just bringing someone in from the street, was she?

I pointed out that she had, in fact, brought me in from the street. This was duly ignored as a mere technicality unworthy of undermining the spirit of her claim.

At any rate, I think I had been polite enough while trying to decline the offer, and said I'd give the two of them time to think it over. I assured them that there would be absolutely no hard feelings if they changed their mind, and I would probably figure something out in terms of a place to live regardless. If I'd been paying 700 a month for this long, it was clearly within my budget.

I walked back home, and that was that. I probably might take them up on it, assuming that the passage of time and the elimination of liquor doesn't prompt second thoughts on their end.

Inside, I was more than a tad bit thankful that four pints hadn't addled my senses, and that her husband hadn't walked in to find us in flagrante delicto, not that I had been interested.

Nice people, the Scots, and at their best when you and they have comparable amounts of alcohol in your system.