#causes of hyperhidrosis

[pinayelf]

.

#im super frustrated rn w my sweating #or i guess like feeling insecure bc of it #ive had hyperhidrosis all my life but now that im older and my hormones/body have changed #its just gotten worse #doesnt help that im on ssris #im so tired of sweating rly bad in the winter #i was able to find some temporary relief when i started using lume but maybe bc of switching to lexapro #or just more hormone weirdness it doesnt work for me anymore #I shower everyday and now id have to shower twice a day just cause sweating can get bad regardless the season #im just so so tired of sweating its sort of getting in the way of life w me not wanting to leave the house #things I wanna do #the exhausting business of it all #ugh

[wishesmsg]

Hyperhidrosis

Overview

Hyperhidrosis is a medical condition characterized by excessive sweating that is not related to heat or exercise. It can occur in various parts of the body, including the underarms, palms, soles of the feet, and face. Hyperhidrosis can be either primary or secondary. Primary hyperhidrosis is caused by overactive sweat glands and usually affects specific areas of the body. Secondary hyperhidrosis is caused by an underlying medical condition, such as diabetes, menopause, or thyroid problems. Hyperhidrosis can be an embarrassing and disruptive condition, affecting a person's quality of life and causing social anxiety. It can also lead to skin irritation, fungal infections, and other complications. Treatment options for hyperhidrosis include antiperspirants, medications, iontophoresis, botulinum toxin injections, and surgery. It is important to consult with a healthcare professional to determine the best treatment plan for individual cases of hyperhidrosis.

Causes

Hyperhidrosis, also known as excessive sweating, can be caused by a variety of factors, including: - Genetics: Some people may have a genetic predisposition to excessive sweating, which means that they are more likely to develop hyperhidrosis. - Medical conditions: Certain medical conditions, such as hyperthyroidism, menopause, and diabetes, can cause excessive sweating. - Medications: Some medications, such as antidepressants, blood pressure medications, and chemotherapy drugs, can cause excessive sweating as a side effect. - Anxiety and stress: Emotional factors such as anxiety and stress can trigger excessive sweating in some individuals. - Obesity: Being overweight can cause excessive sweating due to the increased metabolic activity and higher body temperature. - Certain foods and drinks: Consuming spicy foods, caffeine, and alcohol can trigger excessive sweating in some people. - Neurological disorders: Neurological conditions such as Parkinson's disease and multiple sclerosis can cause excessive sweating. - Infections: Certain bacterial and viral infections can cause excessive sweating, including tuberculosis and HIV. It is important to note that in some cases, the cause of hyperhidrosis may not be known. If you are experiencing excessive sweating, it is important to talk to your doctor to determine the underlying cause and receive appropriate treatment.

Surgery

Hyperhidrosis surgery, also known as sympathectomy, is a surgical procedure that is used to treat severe cases of excessive sweating. The procedure involves cutting or clamping the sympathetic nerves that control sweating in the affected area. This interrupts the signal from the brain to the sweat glands, effectively reducing or stopping sweating in that area. There are two main types of sympathectomy surgery: thoracic sympathectomy and lumbar sympathectomy. Thoracic sympathectomy is most commonly used to treat excessive sweating in the hands and face, while lumbar sympathectomy is used to treat excessive sweating in the feet. While sympathectomy surgery can be effective in reducing excessive sweating, it is a major surgical procedure that carries risks, such as nerve damage and infection. It is also important to note that the procedure may not be effective for everyone, and that some individuals may experience compensatory sweating in other areas of the body after the surgery. Before considering hyperhidrosis surgery, it is important to try other non-surgical treatments, such as prescription antiperspirants, medications, and lifestyle changes. If these treatments are ineffective, and the excessive sweating is significantly impacting your quality of life, your doctor may refer you to a surgeon to discuss the risks and benefits of hyperhidrosis surgery.

Treatment

Hyperhidrosis, or excessive sweating, can be treated through various methods, depending on the severity and underlying cause of the condition. Here are some treatment options: - Prescription antiperspirants: Stronger antiperspirants that contain aluminum chloride hexahydrate can be prescribed by a doctor to reduce sweating. - Medications: Certain medications, such as anticholinergics and beta-blockers, can reduce sweating by blocking the chemical signals that stimulate sweat glands. - Botox injections: Injecting botulinum toxin (Botox) into the affected area can block the chemical signals that trigger sweating, reducing sweating in that area for several months. - Iontophoresis: This is a non-invasive procedure that involves soaking the affected area in water while a low electrical current is passed through it. This can help reduce sweating. - Surgery: As mentioned earlier, sympathectomy surgery can be used in severe cases to reduce sweating. However, this is a major surgical procedure and should only be considered after other treatments have failed. - Lifestyle changes: Simple lifestyle changes, such as wearing breathable clothing, avoiding triggers such as spicy foods and caffeine, and practicing stress-reducing techniques, can help reduce sweating. It is important to talk to your doctor about the best treatment options for you. In some cases, a combination of treatments may be needed to effectively manage excessive sweating.

Excessive sweating

Excessive sweating, also known as hyperhidrosis, is a condition characterized by excessive sweating that is not necessarily related to heat or exercise. It can occur in one or multiple areas of the body, such as the hands, feet, underarms, face, and groin. Hyperhidrosis can significantly impact a person's quality of life, causing embarrassment, anxiety, and social withdrawal. It can also lead to skin irritation, infections, and difficulty with certain activities that require manual dexterity, such as writing or using electronic devices. There are two types of hyperhidrosis: primary and secondary. Primary hyperhidrosis has no known cause and tends to affect specific areas of the body. Secondary hyperhidrosis is caused by an underlying medical condition or medication and can affect the whole body. Hyperhidrosis can be managed through various treatments, such as prescription antiperspirants, medications, Botox injections, iontophoresis, surgery, and lifestyle changes. It is important to talk to your doctor about the best treatment options for you based on the severity and underlying cause of your hyperhidrosis.

Sweating too much

Sweating too much, or excessive sweating, is a condition known as hyperhidrosis. It can occur in one or multiple areas of the body, such as the hands, feet, underarms, face, and groin, and is not necessarily related to heat or exercise. Hyperhidrosis can be caused by a variety of factors, including genetics, medical conditions, medications, anxiety and stress, obesity, certain foods and drinks, neurological disorders, and infections. Excessive sweating can significantly impact a person's quality of life, causing embarrassment, anxiety, and social withdrawal. It can also lead to skin irritation, infections, and difficulty with certain activities that require manual dexterity, such as writing or using electronic devices. There are several treatments available for hyperhidrosis, such as prescription antiperspirants, medications, Botox injections, iontophoresis, surgery, and lifestyle changes. It is important to talk to your doctor about the best treatment options for you based on the severity and underlying cause of your hyperhidrosis.

Sweaty hands

Sweaty hands, also known as palmar hyperhidrosis, is a condition characterized by excessive sweating in the palms. It is a type of hyperhidrosis and can be caused by a variety of factors, including genetics, medical conditions, medications, anxiety and stress, obesity, and neurological disorders. Sweaty hands can be embarrassing and interfere with daily activities such as holding objects, writing, and using electronic devices. It can also lead to skin irritation and infections. Treatment options for sweaty hands include prescription antiperspirants, medications, iontophoresis, Botox injections, and surgery. Antiperspirants that contain aluminum chloride hexahydrate can be applied to the palms to reduce sweating. Medications such as anticholinergics and beta-blockers can also reduce sweating by blocking the chemical signals that stimulate sweat glands. Iontophoresis is a non-invasive procedure that involves soaking the affected area in water while a low electrical current is passed through it. This can help reduce sweating in the palms. Botox injections can be used to block the chemical signals that trigger sweating, reducing sweating in the palms for several months. Surgery, such as sympathectomy, can also be considered in severe cases. It is important to talk to your doctor about the best treatment options for you based on the severity and underlying cause of your sweaty hands.

Sweaty feet

Sweaty feet, also known as plantar hyperhidrosis, is a condition characterized by excessive sweating on the soles of the feet. It is a type of hyperhidrosis and can be caused by a variety of factors, including genetics, medical conditions, medications, anxiety and stress, and neurological disorders. Sweaty feet can lead to foot odor, infections such as athlete's foot, and slipperiness that increases the risk of falls. It can also cause discomfort and embarrassment, and make it difficult to wear certain types of shoes. Treatment options for sweaty feet include prescription antiperspirants, medicated powders or sprays, iontophoresis, Botox injections, and surgery. Antiperspirants that contain aluminum chloride hexahydrate can be applied to the soles of the feet to reduce sweating. Medicated powders or sprays can also be used to reduce sweating and control foot odor. Iontophoresis is a non-invasive procedure that involves soaking the affected area in water while a low electrical current is passed through it. This can help reduce sweating on the soles of the feet. Botox injections can be used to block the chemical signals that trigger sweating, reducing sweating on the soles of the feet for several months. Surgery, such as sympathectomy, can also be considered in severe cases. It is important to talk to your doctor about the best treatment options for you based on the severity and underlying cause of your sweaty feet. Additionally, it is important to practice good foot hygiene, such as washing your feet regularly, wearing breathable socks and shoes, and changing your socks frequently.

Medication

There are several medications available to treat hyperhidrosis, a condition characterized by excessive sweating. The choice of medication depends on the severity of the sweating, the location of the sweating, and the underlying cause of the hyperhidrosis. Here are some of the medications used to treat hyperhidrosis: - Anticholinergics: These medications block the chemical signals that stimulate sweat glands, reducing sweating. Common anticholinergics include glycopyrrolate and oxybutynin. - Beta-blockers: These medications block the effects of adrenaline, which can reduce sweating. Beta-blockers such as propranolol may be effective for reducing sweating related to anxiety. - Clonidine: This medication can reduce sweating by blocking certain nerve impulses. - Topical medications: Prescription antiperspirants that contain aluminum chloride hexahydrate can be applied to the affected area to reduce sweating. - Botulinum toxin (Botox): Botox injections can be used to block the chemical signals that trigger sweating, reducing sweating in the treated area for several months. It is important to talk to your doctor about the best medication options for you based on the severity and underlying cause of your hyperhidrosis. Some medications may have side effects or interactions with other medications, so it is important to follow your doctor's instructions and report any concerns or side effects.

Natural remedies

There are several natural remedies that may help manage the symptoms of hyperhidrosis, although they may not work for everyone. Here are some options you can try: - Sage: Sage has natural astringent properties that may help reduce sweating. You can make a tea with fresh or dried sage leaves and drink it or apply a sage-based deodorant to the affected area. - Apple cider vinegar: Apple cider vinegar has natural antiperspirant properties that may help reduce sweating. You can apply it to the affected area with a cotton ball or use it as a foot soak. - Coconut oil: Coconut oil has natural antimicrobial and anti-inflammatory properties that may help reduce sweating and odor. You can apply it to the affected area before bed and let it absorb overnight. - Witch hazel: Witch hazel has natural astringent properties that may help reduce sweating. You can apply it to the affected area with a cotton ball or use it as a foot soak. - Black tea: Black tea contains tannins that can help reduce sweating. You can steep black tea bags in hot water, let it cool, and then apply it to the affected area with a cotton ball. It is important to note that natural remedies may not be as effective as medical treatments, and some people may have allergic reactions or skin irritation from certain natural products. It is always a good idea to talk to your doctor before trying any new remedies, especially if you have any underlying medical conditions or take any medications. Read the full article

#activities #care #Causes #clothing #determine #diagnosis #excessivesweating #foods #full #health #HIV #hygiene #Hyperhidrosis #men #mother #Natural #naturalremedies #prevention #procedure #risk #style #sweatingdisorder #symptoms #temperature #Treatment

[notakoala]

What if Bakugou was really really jealous? WHAT IF HE THOUGHT SOMEONE WAS TRYING TO TAKE YOU AWAY FROM HIM!!!!

Bakugou who's pretty much self centred through the first few months of your relationship finally settles down.

He'd definitely gotten calmer when literally anyone got too close to you (3 metres for reference), and now will snake an arm around your waist if someone is still to close for his liking.

Bakugou who enjoyed the squirm that you constantly made when he sneaked behind you and kissed your neck lovingly, he wanted them to know you were his.

Bakugou who would kill if anyone got close and didn't back off when asked by you. Good cop bad cop vibes between the both of you.

Honestly will just drag you away if he doesn't want to talk. Muttering curse words as he drags you God knows where now.

His hyperhidrosis definitely gets worse the more jealous he gets, his palms getting more nitrogen glycerine and his hands start popping, the next thing you know he's wiping his hands on his pants to stop from causing an explosion and grumbling beside you.

It's a different story when you get home though, it's either he won't leave your side and cling to you or you'll both be against any surface and he's grunting how much he hates the guy who gets too close to you.

Lol, there will be a short story out maybe next week. School and personal life and all :)

#mha headcanons #mha x reader #mha fluff #bakugou katsuki #bakugou x reader #mha #bnha bakugo katsuki #mha bakugou #mha x you #mha x y/n #mha x gender neutral reader

[ms0milk]

I will be participating in the absolutely amazing @ficsforgaza initiative!

PROJECT GUIDELINES.

kindly review these links for detailed answers to any questions you have about the initiative (or send me an ask) overview | how-to | FAQ

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make a donation, (including eSims) send me a redacted screenshot for proof via dm or ask, and make your request :) you may put your donation towards one or more of the below wips, or spend it on a specific request. you will receive credit in published pieces!

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LET'S WRITE

you can sponsor wips or make individual requests (sfw/nsfw alphabets, drabbles, headcanons, multi-char, one-shots, etc etc)

rate | $1 = 100 words. I will write individual requests up to $100/10k, but don't let that stop you from donating more or multiple times

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when wips are 50% sponsored, I will get to work. requests filled immediately

brand new secret wips and all kinds of request details below :) thank you for directly supporting such an important cause

WIPS

Sparks x Fly | bkg x winged!reader

recent graduate and new rookie agency owner, Dynamight, is anxious to get into the field and bloody new gear, but a moving-day collision with some shitty winged civilian turns into his own feathery nightmare when she shows up at an established agency– as their new chart-topping rookie no less. fist fights, shoujo manga, bathroom surgery, hawks as your terrible boss, hyperhidrosis, wings are kind of a hassle, fire escapes, hearing aids, drunken rescues, feather care, a hero ball, and secrets kept under oath of death. (rivals > lovers)

cw: varies by chapter, in general: violence/injuries, inevitable smut, kats has mellowed out some but isn't a peach, reader has dapple brown wings but is otherwise not described in detail. i love personality hire x grouch w too much in common

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a simple show of treason | sanemi x reader

sanemi's tsuguko no more, your hashira promotion is just over the horizon! one more untimely death and you'll have the job security you've longed for. nightmares, injuries and lost time, a lost life safe at home, unrequited love– soon it'll all be worth it. your mentor doesn't share your optimism however, and you find him near at all hours of the day. no more or less moody than usual but overbearing and always on the precipice of saying something.

cw: nsfw, mdni. part three of my sanemi/tsuguko series, ie the smut™. long-waited confessions, starving love. reader w vagina, teasing, banter, penetration, oral (reader receiving), clingy nems.

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we're so bad at our jobs | mechanic!choso x writer!reader

writing is a famously lucrative career field, it's why you're only $30 short for the oil change that cost $35. the quiet mechanic shrugs at your short change and tells you not to worry– not that you hear him. not when he shakes his hair out of its messy bun and wipes at the grease on his cheek with the back of a big fist. you find yourself at the car shop a lot suddenly, never stopping once to think why a mechanic would be so blood-spattered.

cw: nsfw, mdni. down bad reader, deer in headlights choso. car sex, reader w vagina, penetration, fingering, oral (giving/receiving), moisture on all conceivable surfaces. i just think choso is weak for strong-willed women.

2,100/5,000 words sponsored !

Hymn to Black Water: Annexes | prince!bkg x royal gaurd!reader

what happens after Takoba? What do Aldera and the world have in store for our royal captain and her prince? dragon nests, oaths, a promotion of sorts, and the need to always be near.

cw: varies by chapter, in general: violence/injuries, periodic smut, two idiots in love & situations. a continuation of Hymn to Black Water (+80k) which is coming to a close soon (hardly acquainted > begrudging teammates > enemies > bewildered friends > lovers > soulmates)

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in general, $1=100 words

character alphabets $13 sfw / $15 nsfw (these are roughly 20~25k)

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chain boarders by the inimitable @cafekitsune !!

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[netscapenavigator-official]

I will never forget the Reddit story that taught me the value of not over-moisturizing your skin.

Basically, this girl had dry lips, so she wore lip balm. She started wearing it more and more frequently and it got to a point where she couldn’t go even a few seconds without it, or her lips would feel so dry. She kept reapplying so often, and eventually, she got to her breaking point and went to the doctor to find out why her skin was so dry. The doctor then informed her that she had been using lip balm so frequently, that her body stopped producing natural moisture in that area and became dependent on her lip balm, which couldn’t match the effectiveness and health requirements of her body’s own sebum oil. So, the only solution to this extremely irritating problem was to quit, cold-turkey, and deal with lips that felt like they’re on fire for a few months until her skin re-taught itself that it needed to moisturize itself.

So moral of the story: Just because you have dry, irritated skin somewhere on your body doesn’t mean that you have a dry skin problem. You could be over compensating and wrecking your body’s natural ability to keep that skin moisturized, on its own.

In fact, there’s even a skin condition called Hyperhidrosis where your body sweats so much that your skin just ends up sitting in moisture for so long that it causes your skin to become irritated, dry, and rash-y. One of the solutions to this condition is literally giving that part of your skin botox, to stop the sweat glans from producing so much sweat, effectively curing your dry skin by actually forcing it to dry out.

Isn’t the human microbiome fucked?

#rambles #skin care #skin #microbiome

[nogenderbee]

Hii! Can I request something? If you aren’t to busy of course

Can I request the pjsk boys with a fem reader who has Hyperhidrosis?

If you don’t know what it is, I’ll explain

It’s a condition that basically causes excessive sweating on their hands (there’s actually two more shshsjs) and uhm I have this condition so I was hoping I could request this 😔😔

You could probably research this on google I’m really sure how to explain this

Anyways my first time requesting <33 got nervous while typing this out 🥲

Of course! And thank you so much for explanation because yeah, I unfortunately didn't knew what it is so it saved be a lot of research! And don't worry as I've never laughed from anyones request so there's no need to be nervous ^^ I'm still not sure if I got that right but I hope you enjoy &lt;;3 Also it turned out kinda short so I'm really sorry about it!! I just didn't wanted to force headcanons 😭

Akito, Toya, Tsukasa, Rui with Hyperhidrosis!reader

TagList: @vodka-glrl @yulikesminori @kuzui5201314 @miya-akane @alicewinterway18 @indi-has-fallen @bleachtheidiot

⊱ so Akito can be teasy towards you and make jokes but that's something he would never joke from

⊱ no matter if you're friends or lovers, he'll still try to help you however he can

⊱ but if you are lovers, he definitely panics a bit more...

⊱ he doesn't have a single idea on how he can help you with it so he'll straight up ask you about it and how he can help you

⊱ when he discovers that it also may cause you difficulty in every day activity, he will make sure to be at your side whenever he possibly can

⊱ if you have medicine, you can be sure he'll always carry some extra with him just in case

⊱ and someone just DARE to make fun of you and he swears that he won't be afraid to pick up a fight in your honor

⊱ also, he'll do random check ups on you during the day but will still act like he doesn't care that much

"Hey you good there? Any troubles? I'm just asking... to start a chat! Yeah, that's it!"

⊱ now Toya is very respectful so even if he notices your condition, he will not say a word or make it known that he knows about it

⊱ but if you decide to tell him, he won't be afraid to ask for any ways to help you

⊱ instead of doing research himself, he'll first ask you any questions he may have himself and only do research if you won't feel comfortable aswering something or if he just decides to learn a bit more

⊱ just like others, he carries medication for you

⊱ he won't do anything without you permission so if he sees you struggling with something, he'll first ask if he can help you

⊱ no matter of your answer, he'll give you a small kiss on your forehead or on back of your hand assuring you that it's alright

"Don't worry love. Believe me when I say I have no problems with doing this for you."

⊱ and if you have bullies, he may just let his quiet nature escape but he'll still try to be polite

⊱ but as we know, being polite doesn't always work on bullies so he has two choices there... either he'll get Akito to help him out, or he'll deop being polite for few minutes and deal with it using more... harsh words

⊱ it doesn't matter how close you guys are, Tsukasa will be absolutely WORRIED

⊱ and it only doubles when you're lovers!

⊱ at first he acts as if it's some deadly sickness and he literally asks you thousands questions at once not letting you even answer first one

⊱ but once he finally calms down and you explain it all to him, he's still worried but he now knows that you're not in as bad state as he thought... now he's just kinda embarrassed...

⊱ but he'll carry a lot of medicine for you even the ones you don't really need

⊱ whenver you meet and you're carrying something, he'll insist on carrying it for you, so basically every day, he carries your bag and there's no convincing him to not do that

"No Y/N! This star will carry your bag no matter what! Please just tell me how you're feeling today, my star?"

⊱ and when someone literally insults you extra badly for your condition then Tsukasa you never saw appears and you swear you never saw him so mad or heard insults like that go out of his mouth

⊱ Rui is quite familiar with bullying so when he notices that it's a gentle subject for you, he'll be sure to carefully choose his words

⊱ he doesn't mention it at all but he did made a lot of research to know what's happening with you and untill you tell him, he'll do his best to help you out however he can without you knowing the real reason for it

"Do I need a reason to help my partner~? I'm just being good boyfriend is all!"

⊱ if he gets his hands on medication that helps you, you can be sure that he'll always carry it around

⊱ probably also makes a bot for you that'll automatically bring you anything you may need and help you with daily activities

⊱ now if you happen to get some nasty comments because of your condition... he'll NOT sit around and listen

⊱ it may come hard to him but he will do his very best to protect your honor and get those bullies away from your live

⊱ and of course, there's always comfort after, so if you feel insecure because of your condition or if you're just going through what someone else told you, he'll be there giving you comfort words and hugging you untill you feel at least a bit better

❉⊱•═•⊰❉⊱•═•⊰❉⊱•═•⊰❉⊱•═•⊰❉⊱•═•⊰❉⊱•═•⊰❉

#project sekai #colorful stage #project sekai colorful stage #x reader #project sekai x reader #colorful stage x reader #project sekai colorful stage x reader #akito shinonome #toya aoyagi #tsukasa tenma #rui kamishiro #akito shinonome x reader #toya aoyagi x reader #tsukasa tenma x reader #rui kamishiro x reader #project sekai akito shinonome #project sekai toya aoyagi #project sekai tsukasa tenma #project sekai rui kamishiro #project sekai akito x reader #project sekai toya x reader #project sekai tsukasa x reader #project sekai rui x reader #fluff #project sekai fluff #headcanons #project sekai headcanons

[blxxdbxnnie]

IMPORTANT PSA!!!

Drysol is a precription deodorant for people with hyperhidrosis AKA excessive sweating. You put it on your palms, soles, and wherever else (I typically do armpits as well) at night and wash it off in the morning.

The thing most doctors won't tell you is that you have to fully wash off your regular deodorant BEFORE putting it on your armpits or else you could cause a chemical reaction, and let me tell you, it is not fun.

The first time I used my Drysol, I applied it on top of my regular deodorant and I woke up with 2nd-degree chemical burns under my arms. My backpack would dig into them and every movement was so incredibly painful.

PLEASE PLEASE PLEASE WASH OFF YOUR DEODORANT BEFORE PUTTING ON DRYSOL!!!

#hyperhidrosis #cripple punk #disabled #disability #disabled pride #chronic pain #chronic illness #chronic fatigue

[ath-3na]

Does anyone else think Bakugou would have acne. Maybe everyone already thought this, but I wanted to talk about it. I can imagine him in middle school getting frustrated with having oily skin. Boy probably invests in a skin care routine (which is a slay). I saw a post talking about how his hyperhidrosis should be included in more fics. Because of this I feel he’d have body acne too. That wouldn’t slow him down though cause dude is way confident. (This was kind of a self- indulgent thought btw cause acne is something I struggle with and I’m insecure about. I guess thinking that I have something in common with a really strong and resilient character helps that)

#mha #bnha #mha headcanons #bnha headcanons #bakugou katsuki #love ya <3

[lav-bee]

Romantic Killer x Reader Headcannons

Do they care if reader has sweaty hands (Hyperhidrosis)

Characters: Kazuki, Riri/Rio

Kazuki

- Wouldn’t think much of it at first

- Assumes that it could be social anxiety or something that he has since he gets nervous and sweats when he thinks woman are staring at him

- So he’ll rub your hand with his thumb in hopes it’ll help you

- But then he notices the small things

- Like if you hold onto something there will be sweat when you let go

- Or maybe you’ll leave a sweat hand print on a black table when you lean in to talk to him

- After a few signs he’ll ask

- He didn’t mind before but it’s nice to know now what the cause was ^_^

Riri / Rio

- They notice instantly while you’re holding hands

- Would tease you a little

- Not make fun of you!

- More of a “Do I make you nervous~”

- Since they don’t have much experience they’ll think it’s normal

- They really like your sweaty hands for some reason, prefers it really

- If you’re insecure they’ll say it’s nothing to worry about and grab your hand tightly

- They drag you along and won’t lighten their grip for a second

- Also might suddenly grab your hand while you’re both just chilling

- Will either hold onto it for a while or rub your clammy hand with their thumb

#headcannons #romantic killer #romantic killer x reader #kazuki tsukasa #kazuki tsukasa x reader #Riri x reader #Rio x reader

[realbigpodcastslut]

sorry i haven't been on much. i had work and then living with my uncle has been... interesting.

im currently experiencing a heat headache cause my uncle refuses to pay for air conditioning even though it felt like 98 out today. there was a heat warning and my kitten is melting (i froze Churus and placed an ice pack on her). When I got overstimulated and cried he laughed at me saying it wasn't hot. Yup. the worst part is I have cf hyperhidrosis so it soaks everything and im perpetually wet. My aunt set up a kiddie pool but it's literally useless since the water temperature is 90.

anyone have any tips? Im just spread out in front of the box fan with an ice pack in my bra and using my hand fan while chugging water. im pretty sure im stuck in hell

#i crave the sweet relief of death or an air conditioner #good god #not podcast related #personal #slut.txt

[missmorpho125]

The Evolution and Efficacy of Cosmetic Injectable Solutions: A Comprehensive Exploration

Introduction:

Cosmetic injectable solutions have emerged as revolutionary treatments in the realm of aesthetic medicine, offering individuals non-surgical options to enhance their appearance and combat the signs of aging. This form of cosmetic intervention has gained immense popularity due to its effectiveness, minimal downtime, and relatively lower risks compared to invasive procedures. In this comprehensive exploration, we will delve into the evolution of cosmetic injectable solutions, the various types available, their applications, and the science behind their efficacy.

Historical Perspective:

The concept of cosmetic injectables is not a recent development. Historically, the use of injectables dates back to the early 20th century, when paraffin was employed for facial augmentation. However, these early attempts were fraught with complications, prompting the need for safer alternatives. The breakthrough came with the advent of hyaluronic acid fillers in the 1980s, revolutionizing the landscape of cosmetic procedures.

Types of Cosmetic Injectable Solutions:

Botulinum Toxin Type A (Botox):

Mechanism of Action: Botulinum toxin type A, commonly known as Botox, is a neurotoxin derived from the bacterium Clostridium botulinum. It functions by blocking nerve signals in the muscles where it is injected, leading to temporary muscle paralysis. This results in the reduction of dynamic wrinkles, particularly those caused by repetitive facial expressions.

Applications: Botox is widely used to treat facial wrinkles such as crow's feet, forehead lines, and frown lines. Additionally, it has therapeutic applications, including the treatment of migraines, hyperhidrosis (excessive sweating), and certain muscle disorders.

Dermal Fillers:

Hyaluronic Acid Fillers: Hyaluronic acid (HA) is a naturally occurring substance in the body that contributes to skin hydration and volume. HA fillers, such as Juvederm and Restylane, involve injecting a gel-like substance into targeted areas to restore lost volume, smooth wrinkles, and enhance facial contours.

Calcium Hydroxylapatite Fillers: Calcium hydroxylapatite is a mineral-like compound found in bones. When used as a dermal filler (e.g., Radiesse), it stimulates collagen production and provides a scaffolding effect, contributing to both immediate and long-term results.

Poly-L-lactic Acid Fillers: Poly-L-lactic acid (PLLA) stimulates collagen synthesis and is used to address volume loss over time. Sculptra, a popular PLLA filler, is injected into the skin to gradually restore facial volume and improve skin texture.

Polymethyl Methacrylate Fillers: Polymethyl methacrylate (PMMA) is a semi-permanent filler that contains tiny spheres. Bellafill, a PMMA filler, is used for treating smile lines and acne scars. It provides immediate results while promoting collagen production for long-term benefits.

Neurotoxin Fillers:

Neurotoxin fillers, such as Xeomin and Dysport, are alternatives to Botox. They work by temporarily blocking nerve signals, reducing muscle activity, and diminishing wrinkles. These formulations vary in terms of protein content and may exhibit different onset and duration of action.

Applications and Benefits:

A. Facial Rejuvenation:

Cosmetic injectable solutions play a pivotal role in facial rejuvenation, addressing various concerns associated with aging. Botox is particularly effective in minimizing the appearance of dynamic wrinkles, while dermal fillers restore lost volume and smooth static wrinkles.

B. Lip Augmentation:

Dermal fillers are commonly used for lip augmentation, providing natural-looking results by enhancing lip volume and definition. Hyaluronic acid fillers, in particular, are favored for their plumping effect and versatility.

C. Non-Surgical Nose Job:

Injectable fillers can be strategically used to reshape and contour the nose without surgery. This non-surgical approach is less invasive, offering individuals an alternative to traditional rhinoplasty.

D. Hand Rejuvenation:

The aging process is not limited to the face, and hands can also show signs of volume loss and skin laxity. Dermal fillers, such as Radiesse, can be utilized to restore volume, improve skin texture, and reduce the visibility of veins and tendons on the hands.

E. Acne Scar Treatment:

Certain dermal fillers, such as Bellafill, have been approved for the treatment of acne scars. By providing a structural foundation, these fillers help smooth out uneven skin texture and improve the overall appearance of scarred areas.

IV. Safety Considerations:

While cosmetic injectable solutions are generally considered safe, it is essential to acknowledge potential risks and side effects associated with these procedures. Adverse events may include bruising, swelling, redness, and, in rare cases, infection. Choosing a qualified and experienced healthcare professional is crucial to minimize these risks and ensure optimal outcomes.

A. Choosing a Qualified Practitioner:

The success of cosmetic injectable treatments heavily depends on the skill and expertise of the practitioner administering the injections. Patients should seek licensed and experienced professionals, such as dermatologists or plastic surgeons, who have a comprehensive understanding of facial anatomy and the intricacies of each product.

B. Allergic Reactions:

While rare, allergic reactions to injectable solutions can occur. Patients are advised to disclose any known allergies or sensitivities during consultations to ensure the selection of appropriate products and mitigate potential risks.

C. Temporary Nature of Results:

Most cosmetic injectables offer temporary results that may last from a few months to a couple of years, depending on the type of filler used. Individuals considering these treatments should be aware of the temporary nature of the results and be prepared for periodic touch-up sessions to maintain the desired effects.

V. Future Trends and Innovations:

The field of cosmetic injectables is continuously evolving, with ongoing research and development leading to innovative solutions. Some emerging trends and potential future developments include:

A. Personalized Treatment Plans:

Advancements in genetics and personalized medicine may pave the way for customized cosmetic injectable treatments. Tailoring solutions based on an individual's unique genetic makeup and skin characteristics could enhance treatment outcomes and minimize adverse reactions.

B. Next-Generation Fillers:

Researchers are exploring novel materials and formulations for dermal fillers, aiming to improve longevity, biocompatibility, and natural-looking results. These advancements may lead to more sustainable and effective options for facial rejuvenation.

C. Combination Therapies:

Combining different types of injectables for a comprehensive approach to facial rejuvenation is becoming increasingly popular. Customized treatment plans may involve a combination of neuromodulators, hyaluronic acid fillers, and collagen stimulators to address various aspects of aging.

VI. Conclusion:

Cosmetic injectable solutions have transformed the landscape of aesthetic medicine, providing individuals with non-surgical options to enhance their appearance and address signs of aging. From the historical use of paraffin to the modern era of advanced fillers and neurotoxins, the field has witnessed significant progress. With ongoing research and technological advancements, the future holds promise for even more innovative and personalized approaches to cosmetic interventions. As the demand for non-invasive aesthetic procedures continues to rise, the role of cosmetic injectables in achieving natural-looking results with minimal downtime is likely to expand, making them a cornerstone in the pursuit of timeless beauty.

Company Name: Miss Morpho

Address: 127 Church St, Richmond VIC 3121, Australia

Phone Number: 61 451 300 111

GMB: https://maps.app.goo.gl/AuPj4UugRD7S1JL89

#skin care clinic #cosmetics #injectables #richmond #victoria

[highonhyperhidrosis]

this shit hit hard

Increased sweating (hyperhidrosis)

Excessive sweating is known as hyperhidrosis. Idiopathic hyperhidrosis is the most common form. It is called idiopathic because no cause can be found for it. It can develop during childhood or later in life and can affect any part of the body, but the palms and soles or the armpits are the most commonly affected areas. The excessive sweating may occur even during cool weather, but it is worse during warm weather and when a person is under emotional stress.

#hyperhidrosis #suck my balls

[mothman-is-my-girlfriend]

This hot summer is not treating me well. My window unit AC can’t keep up and it’s causing me so many headaches…

Having hyperhidrosis is so annoying because on the one hand, it’s not that big of a deal, but on the other hand it’s a constant mild annoyance.

My hands and feet during summer are just constantly layered in sweat, which can make it impossible to draw or write since the paper will wrinkle and my pencil or ink will smear, and on top of my annual winter eczema, I get dyshydrotic eczema during the summer. I get covered in insanely itchy blisters on my hands and feet that pop, and then leave me with dozens of microscopic open wounds… which goes down about as well as you’d expect when you’re constantly sweaty. Touching fabric and paper makes me feel as if the sound of nails on chalkboard were touching me 💀. Terrible news for someone with overflowing bookshelves. Underneath all of the sweat my poor skin is waterlogged to the point of being dry.

The worst part is the treatments are crazy for something seemingly trivial. I can take pills that would give me dry eye and dry mouth, or get dozens of Botox injections every month , or apply lotion to my hands that has talc in it to stop from sweating. (Talc has been linked to cancer btw!!)

This drives me crazy every summer and it makes me feel disgusting without fail every year. 🥲 The blisters are the worst part but there are plenty of other annoying side effects.

#personal #rant #I remember being 5 and dealing with it #I’ve slipped on floors while barefoot because of it #I’ve dropped things I’ve been carrying and sliced a finger open #it sucks #eczema #hyperhidrosis #to be honest I hate it but I can’t be bothered to pursue treatment because it just seems like too much of an effort for something that #that isn’t that serious

[ardentguilt]

((wrt: T making you make more red cells, does this mean I can tell that rude fucking phlebotomist from my last blood donation that my hyperhidrosis is not causing my red count to be high its the T? its not something anyone had ever mentioned before and I've been on T less than a year, but she would *not* shut up about me being sweaty and how inconvenient that was for her))

((Wow. Tbh that sounds like a bit of a sketchy blood doc. While I’m not a blood doctor I HAVE been on T (in both it’s gel format to begin with so I wasn’t just straight up dumping a high dose into my system right from the start and the injections) for 5-6 years now and I DO see an endocrinologist who’s very good at working with T in this sense and explained a whole lot to me I would say that yes it’s the T and not the hydrosis (which I personally haven’t heard of as having any connection to a raised red cell count before).

To sum up what my specialist who’s helping manage my T and monitor my health while I’m on it has explained to me when it comes to T in a higher dose (ie the injections like Reandron) one of the more common effects it has is increasing your red cell count. This is why as part of the now annual blood tests she orders for me she includes red cell count alongside cholesterol, hormone levels and liver and kidney function.

High red cell count = thicker blood.

Thicker blood = more risk of clots and clot related complications.

This understandably is not ideal.

So for me when I was using the gel format of T in that first year or two of starting HRT my red cell count was fine because the gel is a lower dose.

Within a year of switching to the injections which I was getting every 12 weeks my blood tests showed a gradually increasing red cell count which by the time of my end of year appt with my endo was getting flagged by the test system as ‘problematic’.

Talking with my endo about this I could either go back to the gel which we both agreed wasn’t ideal at this stage because it’s a daily application that comes with a need to practice care around the elderly, small children and pregnant women plus it’s cold af to apply in winter.

My other option was to increase the time frame between injections and monitor my blood tests to see if that would bring the red cells down.

So we decided on that and I started getting the injections every 16 weeks instead. For me this worked because it was allowing more time between injections for the T to break down in my system so I wasn’t in a sense stacking T on T.

Of the 4-5 years I’ve been having the injections I’ve been getting them every 16 weeks for 3-4 years and I’ve found all the aspects that my blood tests check including the red cell count are settled within ideal ranges and staying there but the extra weeks between dosages isn’t having any effect on the desired effects T is giving me.

So since you’re having a high red cell count and are also on T I would definitely at the very least trial a delayed dosage schedule and see if that makes a difference.

As for your blood doc all I have to say is lady….people sweat. If you want a patient that doesn’t sweat work with reptiles.

Hope this is ok to post the reply publically but if not hmu and I can give you the answer in DM’s and delete this.

Also if you have any other T related Q’s I’m happy to answer them as best I can.))

[myalgias]

i was wondering why i was sweating so much recently and it turns out the antidepressant i resumed taking commonly causes hyperhidrosis. :|

never mind i don't want this lol

[kamreadsandrecs]

I can list​ a hundred things David Foster Wallace should have written before he wrote a book about tax accountants. One, and the most obvious, is a novel about Irish dancers on tour with a Michael Flatley figure whose influence grows more sinister over time. Pounds of verbal oil will be poured into his perm; his bulge will almost rupture his trousers. His backstory – but surely you can picture it. One dancer is addicted to weed, another feels like he doesn’t belong, and eventually Michael Flatley’s head, which has been seeming to grow on a parallel track with his sinister influence, gets microwaved successfully against all known laws of physics, and we have a moment where we hear all his thoughts as Death clogs his failing body through space and time. There. Done. The Pale King never needed to happen, nor all the rest of it.

Though there is one thing we wouldn’t want to lose: a character named Mr Bussy.

That’s how I felt before I read it, anyway. Criticism of the book at the time, less uneasy in its knowledge of Wallace (in fact performed at the peak of his sainthood), mostly centred on one question: Why did he choose to do it? As in, why would you choose to swim the Channel? Why would you lie on a bed of narrative nails? Why would you slip into the bodies of the men in grey flannel, the opaque fathers, the personified footnotes, the data mystics, the codes and by-laws among men? (We’ll get to the women later. If the male IRS worker’s backstory is that he carried a briefcase as an eight-year-old and had hyperhidrosis, the female IRS worker’s backstory is that she was diddled.)

Tax agents. Oh, I feared them. As far back as I can remember, my mother was always being stretched on the rack of something she called ‘an extension’. She saved every receipt she was ever given in a shoebox. Despite her efforts, we were always being audited for priest reasons, and every other year or so I found myself parked in a suffocating van, for hours on end, outside offices just like these. What was happening, was she being interrogated under hot lights? I had a sense of dark-suited agents walking among us, eyes on our daily business – on me, in the minivan, as I waited for my mother. I was a fearful child, as he was. I was also raised in Tornado Alley, with noticeably different results.

The Pale King was found by Wallace’s widow, Karen Green, and his agent, Bonnie Nadell: a chaos of paper, floppy disks, notebooks, three-ring-binders; words, some typed, some in his tiny handwriting, all adding up to hundreds of pages. There was no direction for its organisation, so they enlisted the help of Michael Pietsch, who ‘had the enormous honour of working with David as his editor on Infinite Jest, and had seen the worlds he’d conjured out of a tennis academy and a rehab centre’. In other words, a saint of 20 lb bond paper, who must have worked in a state of enthralled and transcendent boredom, of the type that Wallace had made it his mission to describe.

Pietsch assures us that had Wallace been in charge of the final product it would not have contained so many instances of the phrase ‘titty-pinching’. Judging by Infinite Jest, it would have contained more. He also offers the wistful hope that it would have contained fewer Doberman hand puppets. Dream on, I fear. But here’s the thing about The Pale King: it was going to be good. It was on its way to being good – in a Mister Squishee truck, on a rural highway, with a long fertile streak out the window. Wallace might have ruined it with his visions of what he called its ‘tornadic structure’. He might have ruined it with its women: the Toni Ware chapter in particular sounds like Cormac McCarthy breaking his hymen on horseback. (RIP.) He might have ruined it with his doubt, which caused him to turn somersaults like a cracked-out fairground child. (‘Is it showing off if you hate it?’ Hal Incandenza asks in Infinite Jest.) But it is there. The version we have stays largely in the personalities, and chapter after chapter, it is the impersonation of someone boring that allows him to rest.

It begins with the flannel plains of Illinois. The year is 1985, and the place is the IRS Regional Examination Centre in Peoria. Something to Do with Paying Attention first appeared as a long monologue in The Pale King – it comes about a quarter of the way through the book as Pietsch placed it – though Wallace had toyed with the idea of publishing it as a stand-alone novella. It is enthralling. ‘From what I understand,’ Chris Fogle says, at the beginning of his video interview, ‘I’m supposed to explain how I arrived at this career. Where I came from, so to speak, and what the Service means to me.’ He is trapped in the present, he disclaims. The work has had that effect on his mind, so that, ‘If I drank, for instance, some Tang, it wouldn’t remind me of anything – I’d just taste the Tang.’ Then he begins, beginning with his father, beginning with his ‘fairly long hair’, to remember.

‘Anyhow, all this was in the Chicagoland area in the 1970s, a period that now seems as abstract and unfocused as I was myself.’ He remembers his peace-sign pendant and his parents’ divorce and ‘everyone despising Gerald Ford, not so much for pardoning Nixon but for constantly falling down’. He remembers smoking pot with his mother and her new partner, Joyce, and watching them cry and stroke each other’s hair as they talked about their childhoods. He remembers thinking his father was one of a generation of men who were born to fill out a suit – but he himself was a ‘wastoid’, a nihilist; cycling in and out of three different colleges, marking time by the rotating neon foot he could see through his dorm-room window; feeling that he owned himself only in a pharmaceutical state he called ‘Obetrolling’.

My affinity for Obetrol had to do with self-awareness, which I used to privately call ‘doubling’. It’s hard to explain. I’m still not entirely sure what I meant by this, nor why it seemed so profound and cool to not only be in a room but be totally aware that I was in the room, seated in a certain easy chair in a certain position listening to a certain specific track of an album whose cover was a certain specific combination of colours and designs – being in a state of heightened enough awareness to be able to consciously say to myself, ‘I am in this room right now.’

I knew exactly what he was talking about, because I had once taken one of my brother’s Adderall and then gone to see Django Unchained. (Obetrol was later reformulated as Adderall. It was Andy Warhol’s drug of choice, and it literally does make you want to sell a soup label to someone for a million dollars.)

What makes a wastoid change his life? What could effect such a decision? In Something to Do with Paying Attention, it is a Jesuit who persuades Fogle to it, though it goes without saying that the Jesuit has long since been persuaded to something else. One day in late December 1977, just weeks before his father will be killed in a public transit accident, Fogle stumbles into Advance Tax by mistake and finds himself ‘particularly,uniquely addressed’. He remembers that the Jesuit was wearing a slightly racy watch (as in my experience they will). He lets slip the insider terminology that reveals his secret: he was once a probable ‘IRS wiggler’, who lived in the secular world. ‘Gentlemen, you are called to account,’ he tells them, and Fogle goes out, gets a haircut, and buys a grey wool suit. As in Infinite Jest, the death of Fogle’s father is technically impossible. It is a thing that cannot happen. But to step into your father’s shoes and become him requires just such an event; it requires a conversion experience.

The thing about the ‘I remember’ model is it’s inexhaustible, it can just go on. Recollection engenders recollection. Test it. Remember your local news anchors from when you were a child (mine were Rob Braun and Kit Andrews), describe their hair and cheekbones and your sense that they would never die, and go from there. Sing the jingle for the local pizza place. He is referred to as ‘“Irrelevant” Chris Fogle’ by the character known as David Wallace, who also says: ‘Given the way the human mind works, it does tend to be small, sensuously specific details that get remembered over time – and unlike some so-called memoirists, I refuse to pretend that the mind works any other way than it really does.’

The cast that surrounds Fogle is large, cartoonish and alive. All of them carry, as if in briefcases, their own small, sensuously specific details. There is the hyperhidrotic David Cusk, a kind of incarnation of the author’s own sweatband. There is the boy contortionist whose project is to put his lips to every part of himself – who ‘did not yet know how, but he believed, as he approached pubescence, that his head would be his. He would find a way to access all of himself. He possessed nothing that anyone could ever call doubt, inside.’ There is Merrill Errol Lehrl; I’ll allow it. There is the data mystic, the fact psychic who ‘tastes a Hostess cupcake. Knows where it was made; knows who ran the machine that sprayed a light coating of chocolate frosting on top; knows that person’s weight, shoe size, bowling average, American Legion career batting average; he knows the dimensions of the room that person is in right now. Overwhelming.’ There is Shane Drinion, the asexual tax monk who might actually be happy, who sits across the table from the ultra-fox Meredith Rand and levitates listening to her talk about her time on a psychiatric ward and her prettiness. And there are multiple David Wallaces. One David Wallace, wet behind the ears, with so notable a skin condition that he has catalogued the different kinds of attention people pay to it, might arrive at the office one morning and be taken for another.

As I read, I thought Wallace must have been taken by something very simple, the smallest sensual fact: that as an IRS worker you are issued a new social security number, in essence a new identity, a chance to start over. The old number, the old life, ‘simply disappeared, from an identification standpoint’. A whole novel could take flesh from that fact, one about the idea of bureaucratic identity as opposed to individual identity: memories, mothers, sideburn phases, the way we see ourselves. That we are, at our core, a person; in the bed of our family, a name; and out in the world, a number. Of course, as so often with Wallace, on actual investigation this turns out not to be true. The fact withdraws itself, and only the epiphany remains.

Why did he turn to it? Because it was impossible, probably – just as Infinite Jest had been to him fifteen years earlier. And when he took on the impossible book, something sometimes happened to him: a run, a state of flow, a pure streak. As those who are prone to them know, these simulate real living, which we are somehow barred from otherwise. ‘I’m deep into something long,’ he wrote to Pietsch in 2006, ‘and it’s hard for me to get back into it when I’m pulled away.’ He developed a habit of not leaving the house, in case he might write that day. ‘Once when I pressed him,’ Pietsch said, ‘he described working on the new novel as like wrestling sheets of balsa wood in a high wind.’ As he writes in one of his most typically tall-tale essays, ‘Derivative Sport in Tornado Alley’, he was, as a ‘near-great’ junior tennis player, at his very best in bad conditions. In fiction, he creates them; he serves himself sleet, hail, sun in the eye, all for the chance to play through them. Weather, from the beginning, was his best and most beautiful dimension; he trusted in The Pale King’s tornadic structure to finally lift him up. ‘Derivative Sport’ ends famously with a day on the court, hitting balls with Gil Antitoi. ‘A kind of fugue-state opens up inside you where your concentration telescopes toward a still point and you lose awareness of your limbs and the soft shush of your shoe’s slide.’ His life in tennis was spent chasing this moment, he tells us; he has been talking about fiction, too, this whole time. ‘We were young, we didn’t know when to stop. Maybe I was mad at my body and wanted to hurt it, wear it down.’ This funnel of concentration, this tunnel of play between people, rips somehow into the world and becomes force.

Ihave​ a tender partiality for the work in progress, and have always been electrified by the unfinished novel. My first was a copy of Juneteenth, which I insisted on buying instead of Invisible Man. Invisible Man was finished. The guy was invisible. Next. But Juneteenth held the secret, maybe. It was unbound. It bulged in the hand like a sheaf of papers, and Ellison was still alive in it, the process was ongoing.

David Foster Wallace – man, that name looked great. That’s part of it, right? – David Foster Wallace, colloquially known as DFW, died by suicide in 2008, after years of suffering, sobriety, intractable depression, Nardil and its discontinuation, shock treatment as a last resort; and throughout it all hand-to-the-plough hard work. The Pale King was released in 2011, was a finalist for the 2012 Pulitzer Prize. The lack of an award that year seemed to reproach the others on the list (Karen Russell and Denis Johnson) for still being alive. He didn’t get to finish.

In the ‘Notes and Asides’ at the end of The Pale King, Wallace is alive too; you can hear his voice tilting up with the question marks:

‘Film interview’ a sham? Point is to extract from Chris Fogle the formula of numbers that permits total concentration? Point is he can’t remember – he wasn’t paying attention when he happened to read the series of documents that added up to the string of numbers that, when held in serial in his head, allows him to maintain interest and concentration at will? Has to be sort of tricked into it? Numbers have downside of incredible headache.

His monologue unspools as my mother’s might have, under the hypnosis of hot lights. If ‘“Irrelevant” Chris Fogle’ tells us everything, everything he thinks and feels and remembers, won’t we eventually arrive at the string of numbers that does not bind but sets us free?

I was sceptical of Sarah McNally’s claim, in her brief and somewhat subdued introduction to Something to Do with Paying Attention, that it is ‘not just a complete story, but the best complete example we have of Wallace’s late style’, but that’s exactly what I found it to be. It is the first time his nostalgia sounded adult to me, looking back at childhood not just as the site of personal formation but as the primal experience of bureaucracy: queues, signs, your own name on the line, textures of waiting-room chairs. Waiting to become what, a person. It was not his childhood, perhaps, but it had some of the same surfaces, colours, engineered fabrics. Time to care about JFK again, or still. A kind of cinematic obsession with the sound of joints sucked in and breath held and the textural impact of gold-orange-green couches, invariably described in his work as ‘nubbly’. Posters and dropped needles and a vacancy in teenage faces, and finally he was far enough away.

Wallace’s idea of publishing it as a stand-alone text must have been born of desperation: he could not get the thing done. ‘But how to get this idea sold?’ he asks in the notes. ‘Is this a plausible plotline?’ He had the who, what, when, where; but the same thing that led these characters to the IRS left them motionless at their desks, what were they there to do, and where could they go from here? ‘Supervisors at the IRS’s regional complex in Lake James township are trying to determine why no one noticed that one of their employees had been sitting dead at his desk for four days before anyone asked if he was feeling all right.’

Perhaps Wallace was writing toward paradise, where the forms are also motionless. ‘Pay close attention to the most tedious thing you can find (tax returns, televised golf), and, in waves, a boredom like you’ve never known will wash over you and just about kill you. Ride these out, and it’s like stepping from black and white into colour. Like water after days in the desert. Constant bliss in every atom.’ He did not feel that, maybe, but he could make a man who did.

‘I don’t remember what I did with all my real attention, what-all it was going towards,’ Fogle says. It is always underlined in Wallace’s work, it is believed in without qualification or irony: your real attention. What is it, as a substance? An ichor that flows; a kind of beam that illuminates? Is it corrupted to look on the wrong thing? No, it is not corrupted. I would recommend that you read The Pale King in its entirety – it says something about how novels work, and how they don’t work, and how, if you are avoiding life, it is easier sometimes to exist in the very long middle of them. Something to Do with Paying Attention has the spirit of his best non-fiction, that of the set-apart morning, with a ray shining on the page. It both demonstrates his greatest gift and represents the desire to have this part of him set alone from the rest.

Experiment:​ use my brain damage to travel back to a time when we did not know this about him.

The memory wipe I experienced after Covid in 2020 extended backwards to 2018. Many who had died became alive again. David Bowie went on again for quite a while, a star painted over his eye. Certain things were very clear: people, places. But many things I had read online were just curiously gone. Betty White was either dead or a landlord. It all merged into a single uneasy datum, like a button under a desk or a composite face.

When I thought of Wallace, I saw two black and white author photos set side by side: one in a trench coat, another turned in profile. I remembered the phrase ‘moving car’, but only because it was something I had written. As for the rest, it was as if it had never happened, or had gone back into that original inch of secrecy between people. All this to say that when I picked up Something to Do with Paying Attention almost at random one morning, I could not have told you with any certainty what it was that he had done.

I did not think, here is the opportunity for a fresh encounter, a chance to read him as he was read back then. I simply picked it up and went on with it, absorbed. Poured out that peculiar quantum, my readerly goodwill. I thought, what is it exactly? He makes people feel they are in real possession of the word ‘volute’, that their vast untapped icebergs of vocabulary and perceptual detritus are readily available to them. His entire personality is present in the word ‘supposedly’ – it is actually frightening. How can the book be separate from the person. What are we reading when we are reading a book. What are we learning when we discover that someone was not good.

We knew he was not benevolent exactly (well, some of us knew) but there was the sense that he was suffering on the same side as us. Why we believed we were reading him for moral instruction in the first place I have no idea, but it did prefigure the primary way we construct morality now: to be paying attention. To everything. That means you. To read him freshly in a time of failure: his, to be loved; mine, to hold all the facts, to have paid enough attention to sit for the test.

As for whether we were foolish to love him, to emulate him, to rise to his challenge – there is an odd scene in a Joy Williams story called ‘The Blue Men’. (Do NOT read Joy Williams at the same time as DFW. It will give you a very bad opinion of him.) Two boys, maybe brothers, are playing catch with a tennis ball on a pier. ‘The younger one sidled back and forth close to the pier’s edge, catching in both hands the high, lobbed throws the other boy threw.’ One of Williams’s strange, terminal teenagers looks on. ‘That’s nice, isn’t it?’ Edith said. ‘That little kid is so trusting it’s kind of holy, but if his trust were misplaced it would really be holy.’ Trust in what, she does not specify. His brother, the ball, the boards, his body, the water, the world? ‘Like, you know, if he fell in,’ Edith said.

Infinite Jest – man, I don’t know. Perhaps I would have enjoyed it more had the rhetorical move not so often been ‘and then this little kid had a claw.’ It’s like watching someone undergo the latest possible puberty. It genuinely reads like he has not had sex. You feel not only that he shouldn’t be allowed to take drugs, but that he shouldn’t be allowed to drink Diet Pepsi. The highlights remain highlights: the weed addict Ken Erdedy pacing back and forth while reciting ‘where was the woman who said she’d come,’ the game of Eschaton, the passages where Mario is almost the protagonist, the beatified ex-thug Don Gately being slowly swept out to sea over the course of a hundred pages. Every so often Wallace offers you a set piece that’s as fully articulated as a Body Worlds exhibit – laminated muscles pinwheeling through the air, beads of plasticine sweat flying – or pauses the action to deliver a weather bulletin that approaches the sublime. The rest is Don DeLillo played at chipmunk speed. You feel it in your hands: too heavy and too light, too much and not enough. In the end, it is a book about the infiltration of our attention that was also at the mercy of itself, helpless not to watch itself, hopelessly entertained.

What were the noughties? A time when everyone went to see the Blue Man Group for a while. Men read David Foster Wallace. Men also put hot sauce on their balls. Tom Bissell’s intro to the 20th-anniversary edition of Infinite Jest, which is good both on its own merits and on the question of why someone would love the book, makes the pertinent disclosure that he read it as a 22-year-old in Uzbekistan. ‘As I read Infinite Jest in the dark early mornings before my Uzbek language class, I could hear my host mother talking to the chickens in the barn on the other side of my bedroom wall as she flung scatters of feed before them.’ He also acknowledges that ‘for the first few hundred pages of my initial reading, I will confess that I greatly disliked Infinite Jest.’ So did everyone, it would seem. There is a kind of bookmark in the space-time continuum, at the precise intersection of the year 1996 and page 150, where everyone simultaneously stopped reading. Possibly for all time. Beyond that point lay fraternity, the secret society, Stockholm Syndrome. ‘David, where be your jibes now?’ is the sort of thing you get to say if you made it through. You also get to write two paragraphs about where you were when you read it.

Stuart, Florida, where I had bought a copy from the Dead People’s Book Stall, a permanent stall in the flea market that inherited the collections of the recently deceased. I lugged it home along with a Hawaiian cookbook that suggested stirring chopped canned clams into a brick of softened neufchatel. I cannot remember whether he was alive or dead at that point; if he was alive, I was not his acolyte, but I liked the fact that he was there. If he was dead, I felt a brief stay in my own execution.

There was a certain freedom in admitting I was not the intended reader – one of my signature talents, then as now, is for never knowing when something is based on Hamlet. Still I began. James O. Incandenza’s head took up residence in my microwave. At times I was high on cough syrup; that helped. Occasionally I lifted my eyes to rest them on a canal with actual gators in it. My main sense memory is of it digging into my pussy when I propped it on my lap; one can only think this was by design. And maybe it wasn’t good for obsessive thinkers, or people prone to go into trance states while lip-biting. All of this is a roundabout way of saying that possibly it drove me crazy. You see, one corner of the back cover of my copy was torn, and I thought I could just even it out with an X-Acto knife – Lucky Jim’s sheet-snipping logic – and when my husband came home from work one afternoon he found me sitting in a pile of confetti, with a look like a dog that had just exploded all his friends in the henhouse, and he took the X-Acto knife from me without a word and hid it where I could never find it again. But there was something in me that saw this – correctly – as the only possible way to approach it: with a weapon.

For a long time Infinite Jest was one of those novels where, anytime you said anything about it, a little guy would pop up on the sidelines waving his arms and yelling, ‘That’s the point!’ ‘The original title was A Failed Entertainment! That’s the point!’ Sometimes, maybe. But the point not being, as Wallace well knew, any sort of apex of art. Even those who love it have trouble saying quite what it is. (People are always trying to make it the Ulysses of Boston. No one wants a Ulysses of Boston!) So what – is the serious, even the respectful question – what is this thing? Expanded far beyond its natural size, like a rat that has eaten insulation. One of its eyes hanging out on a red string. Raw with adolescence and early sobriety: like why would you make a rat be sober?

A modern reader will not find in it the book they read ten, fifteen, twenty years ago. They may find themselves lingering over those background touches that now seem to weave the majority: and then the stillborn baby was the colour of TEA, and then the cross-dressing undercover agent’s breast MIGRATED, and then a guy got together with a Swiss hand model who was a MAN, and then there was an IT in a Raquel Welch MASK who got diddled by her father into a state of carnal BLISS. But all these are carnival distractions. We recognise it as grotesque because it is grotesque: a book that will not let you read it.

I’m not speaking of the length, or the timelines that Wallace himself couldn’t untangle, or the footnotes that he somehow made famous although the footnote was a very famous thing already. At some point, you will find yourself in a state of pure nystagmus, moving your eyes back and forth across the page without conscious will. Almost the second you find yourself really reading he plucks it from you again. The game is not tennis, or chess-on-the-run, or Eschaton. It is keepaway. The Pale King, put together by note and hint, keeps us in the realm of the readable, whereas Wallace might have imposed a superstructure that made it impossible. I did deconstruct the physical act of reading while Infinite Jest was propped on my lap. Even perhaps read differently afterwards, as if I had been working with a loaded bat or training with ankle weights. In that sense it was valuable. But, and correct me if I’m wrong here, what Wallace wanted was to be read – the moment when we were really with him. It might have been a thrill to feel himself taller, and our reaching and yearning and outrage radiating to him from the ground, but time passes, and we’re older now. We can look him in the eye. What he wanted was the moment in Infinite Jest when LaMont Chu is visiting the guru who lives on the sweat of the young tennis-players; he notes that his power is in listening, in making you recognise that ‘He’s thinking as hard as you. It’s like he’s you in the top of a clean pond. It’s part of the attention.’

What Infinite Jest is creating is a future in which it exists. What it fears most is one in which it is not read. All throughout you can feel him, like, worrying about his seed. Whether he’s living up to his potential, to his regional titles, bending and trimming himself like a boy bonsai, sleeping at night with his talent in a pair of vaselined gloves. There is something grinding and awful and wrong in this, the same thing he observes in his essay about the young tennis phenom Tracy Austin: that there is something unnatural in watching a human being shape their mind and body so completely to a task. But then there’s the moment where he does – live up to it, I mean. ‘Here is how to avoid thinking about any of this by practising and playing until everything runs on autopilot and talent’s unconscious exercise becomes a way to escape yourself, a long waking dream of pure play.’ I am saying this as much to myself: to really be read you have to admit that you’re playing an even match. And he could have really had it, so why all the rest?

Time​ will tell who is an inventor and who is a tech disruptor. There was ambient pressure, for a while, to say that Wallace created a new kind of fiction. I’m not sure that’s true – the new style is always the last gasp of an old teacher, and Infinite Jest in particular is like a house party to which he’s invited all of his professors. Thomas Pynchon is in the kitchen, opening a can of expired tuna with his teeth. William Gaddis is in the den, reading ticker-tape off a version of C-Span that watches the senators go to the bathroom. Don DeLillo is three houses down, having sex with his wife. I’m not going to begrudge him a wish that the world was full of these wonderful windy oddballs, who were all entrusted with the same task: to encompass, reflect, refract. But David, some of these guys had the competitive advantage of having been personally experimented on by the US military. You’re not going to catch them. Calm down.

No, it was the essayists who were left to cope with an almost radioactive influence. He produced a great deal of excellent writing, the majority of it not his own. If he made mutants of the next generation, it was largely to their benefit: they were a little bit taller, with bigger eyes and a voice that was piped in directly.

‘I Really Didn’t Want to Go’, Lauren Oyler’s recent essay for Harper’s, is a rollicking, even Obetrolling critique of this. Aboard Gwyneth Paltrow’s Goop cruise, she thinks through Wallace’s ‘A Supposedly Fun Thing I’ll Never Do Again’ and writes that ‘during the years-long squabble over which of us lady writers would become the next Joan Didion, no one had tried to claim the title of David Foster Wallace for girls’ – why? The answer is obvious: too sweaty. Wallace perspires freely in the foreground, while Paltrow perches mauve-and-beigely on her stool on a far stage. He is dead and she is very very very very very very well; he’s still kind of more interesting.

If his non-fiction is almost amniotically soothing, it is because we consent for the duration to let him do the thinking for us. He is the cruise ship, deciding where to dock, when we should retire to our quarters, whether to offer us an afternoon of skeet-shooting or ping-pong or chess with a nine-year-old prodigy. He issues the dress code (a tuxedo T-shirt), manages the seating arrangements, and decides on the menu. Above all he presents multi-level opportunities to gorge.

In non-fiction the game is to really think something through. That was his task and he did it with joy, simultaneously obedient to that editor floating with his desk in mid-air, and performatively pushing its limits. The thing about an essay is it’s going to be read now. You’re not so much worrying about it being a touchstone for the future. So he relaxes, plays restful microtennis, lets us read.

And something else, too: it is a break from the book. An assignment comes as a kind of relief: not just you in your own mind. It takes you out into the world, even to the state fair, to see the clog dancers. The book is the thing that will not let you leave the house, because it might let you write it that day.

There was always something suspect about Wallace as a guru, the same thing that is suspect about anyone who applies for the position. It is hard to imagine William T. Vollmann, say, getting secondarily famous for a commencement speech that was basically like, ‘You know how sometimes you want to scream at a fat person in your mind?’ [Everyone cheers] ‘Well don’t!’ He warned us about MTV, porn, Walkmen, BlackBerries, music in public places and ALF. ‘The commercials for ALF’s Boston debut in a syndicated package feature the fat, cynical, gloriously decadent puppet (so much like Snoopy, like Garfield, like Bart, like Butt-Head) advising me to “Eat a whole lot of food and stare at the TV.”’ In one sentence he would offer a penetrating insight about our fractured attention span, in the next he would make it clear that he was legitimately afraid of David Letterman. Remember his dire warning in ‘Big Red Son’ that late 1990s porn would lead directly to snuff films? I mean, I guess it did, but really? One can imagine him a grown-up version of the awful little Heinrich from White Noise, who was also right, but who, moreover, was the new kind of person – and who, after the Airborne Toxic Event, gathered the rest of the refugees around him, suddenly eloquent, seeming to glow.

He did see a future (or shaped it) when all of us simultaneously forgot how to read. It is hard to mark a moment. In the US, it might have been when Go Set a Watchman came out, and so much criticism seemed to proceed from the consensus that Atticus Finch was a real guy and we just found out something bad he had done. Whole books seemed to blink in and out with the cursor of some highlighted line. We seemed less a collective intelligence than a guy holding a mosquito clicker, and what we were doing had less to do with reading than a kind of quick, scanning surveillance – for what, what danger? Not to have seen it coming.

There is a countenance in art. This is the thing that cannot be killed. There is an eye in the painting that looks back at you. But perhaps we now felt ourselves part of the composite – scanning with other eyes, reading with other minds. I mean who cares if he pre-invented Instagram filters? What now seems most prescient is that he anticipated a time when reading would be accomplished more by a kind of hive-like activity rather than individual effort. This benefited him for a while, as he was the Great Group Read. But what he created, more than the Enfield Tennis Academy or Ennet House, more than any of the people or ghosts that moved through them, was a reality in which Infinite Jest could live only so long as it stood as a challenge.

That’s​ what it was. In 2018 the poet and memoirist Mary Karr, who had been briefly involved with Wallace in the early 1990s, took to Twitter and accused D.T. Max of understating Wallace’s abusive behaviour towards her in his biography Every Love Story Is a Ghost Story. The mode suddenly switched from ‘lovely, peak-lipped mouth that was his best feature’ into a kind of embarrassed silence or I saw it all along or He was never important to me anyway. We had first thought of him in terms of his genius, and then in terms of his suffering – how to hold these things in the same hand as his threat?

I had read an earlier account of the relationship in Karr’s memoir Lit (on the Kindle, multiple times; also wiped) but the picture she presented now was more extreme. Karr wrote that Wallace had been obsessed with her: ‘tried to buy a gun. kicked me. climbed up the side of my house at night. followed my son aged five home from school. had to change my number twice, and he still got it. months and months it went on.’ The facts – he threw a coffee table at her? he followed her five-year-old son home from school? he pushed her out of a moving car? – seemed almost unassimilable with the figure. You expect Norman Mailer to stab someone. You don’t expect the author of ‘This Is Water’ to stalk someone for years.

He often made light of his obsessions in interviews: Alanis Morissette. Melanie Griffith. Margaret Thatcher, leaning forward to cover his hand. These anecdotes must have gone over queasily even at the time; being obsessed with Margaret Thatcher in college is not within the typical range of human behaviour. He had imported Karr wholesale into Infinite Jest as the PGOAT (‘Prettiest Girl Of All Time’), he had reproduced her Texas idiom to the point of impersonation, with the farcical claim that the character was from Kentucky. He had even written the novel, he claimed, to impress her, ‘a means to her end (as it were)’. That was one kind of offence; this was another. ‘But that’s insane,’ my husband said simply, when I took him through it. ‘Who does something like that? What kind of person?’

Between my first reading of The Pale King and the second, I found myself dwelling on the tête-à-tête in the novel between Shane Drinion and Meredith Rand – a very funny name for an ultra-fox, by the way, and which follows the same basic syllabic pattern as some of Wallace’s other ultra-foxes. She confesses that in high school she was a ‘cutter’ – someone who turned her obsession inward, rather than out. (Wallace once showed up at Karr’s house with bandages on his arm; she thought perhaps he’d cut himself, but instead it was a tattoo of her name.) The section is a disappointment: a hundred-plus pages, a psychiatric ward, and why is this conversation still about prettiness? It was the wall he hit in fiction; the thing he could not think his way beyond. But I kept thinking of Drinion: the man with no apparent desire, who was happy; who claimed to not get lonely; who listened; who levitated as the ultra-fox droned on.

I could step into her place. When I was on the ward, there was a boy who got obsessed with people. In group therapy, I remember him saying, of his neighbour, ‘I just know that she and I will always be in each other’s lives.’ I found this fascinating. He was unthinkable to me: you get obsessed with people? I was unthinkable to him: you tried to kill yourself? He turned his attention to me that day, directed his speech towards me, curled up on the couch when I left. Fascinating. He was a child, he was basically wearing a striped Ernie shirt. He was doing it, and it was also something happening to him. He was a fellow sufferer, I thought. He was. And then, get out before it happens to you.

The most anyone would say is that after Infinite Jest, Wallace’s fiction ‘grew darker’. This was in reference to Brief Interviews with Hideous Men, a collection of 23 short stories published in 1999 that seemed designed to test his own maxim that ‘Fiction’s about what it is to be a fucking human being.’ Its subject matter ranges from rubbed raw red thingies to diving board reveries to child mortality. Some professed to prefer it, or considered it the apex of his achievement. I refreshed my knowledge of him just before reading it, and that must have had an effect: probably we would feel differently about David Lynch’s darkness if actual ears kept turning up in his backyard.

Zadie Smith wrote an indispensable, somewhat tortured essay about this collection, begun when he was alive and published after his death. It’s an example of the generosity, the lavishness of mind, the almost rabbinical close reading he inspired at his peak. Smith really sees him in her brackets: ‘There are times when reading Wallace feels unbearable, and the weight of things stacked against the reader insurmountable: missing context, rhetorical complication, awful people, grotesque or absurd subject matter, language that is – at the same time! – childishly scatological and annoyingly obscure.’ But – there was always a but – it was almost a holy belief at that time: stick with him, it’ll be worth it.

I had a copy from early on that I never read past ‘The Depressed Person’. It seemed to me then, and it seems to me now, a sick book – not in the puppy sense, but actually ill. The language appears to be genuinely infected, not one of his vernacular performances. It is variously trapping you in its methamphetamine armpit and chasing you around with a worm, but it doesn’t appear able to do anything else. Was it at this time that he lurked in Barnes and Nobles, lingering near the self-help shelf? ‘Don’t think I can’t speak your language,’ Hideous Man #20 tells the interviewer, whom he refers to somewhat pleasingly as a short-haired catamenial braburner; he does, but completely, it has taken him over. ‘It’s a little perverse, in fact,’ Smith observes, ‘how profoundly he was attracted, as a fiction writer, to exactly those forms of linguistic specialisation he philosophically abhorred.’ But that was the thing about TV, too. It’s not that he didn’t have insights about it. It’s that the blue ongoing light of it, the Entertainment, kind of did seem to have melted his brain.

Jonathan Franzen is correct to emphasise his rhetorical gift; sometimes just when you’re hating it most, you are being won over. Did he want ‘faithful readers’, as Smith asserts, or did he want the moment he knew that he had them? ‘The record indicates that this sort of sudden reversal of thrust happens right when I have the sense that I’ve got them,’ Hideous Man #2 confesses. Or Orin, in Infinite Jest, with his ‘need to be assured that for a moment he has her,’ ‘that her sense of humour is gone, her petty griefs, triumphs, memories, hands, career, betrayals, the deaths of pets – that there is now inside her a vividness vacuumed of all but his name: O., O. That he is the One.’ The answers that anchor the collection, delivered by hideous men in response to blank questions, take it in their turn to pursue, repulse, and finally persuade us: but to what?

I have always appreciated Wallace most in his monologues and I can, like my father, hear confessions all day; Hideous Men ought to be my book. Instead, I found myself generally standing opposite to Smith’s assessments: I think ‘Forever Overhead’ is juvenilia, I find ‘Church Not Made with Hands’ to be rank fraud, and I would like to put ‘Octet’ in my ass and turn it into a diamond. Attempts to operate in the register of the profound fail; poetry deserts him, having once been insulted; and I did not laugh once, and then for a different reason, until I got to the line, ‘That’s right, the psychopath is also a mulatto.’

The truth about Brief Interviews is this: it only gets good when we’re about to be raped. We are, for the purposes of this encounter, a daffy granola hippie whose hot body is momentarily shed of her poncho, as Hideous Man #20 tells the interviewer the story of the night she unwisely got into a stranger’s car: ‘I did not fall in love with her until she had related the story of the unbelievably horrifying incident in which she was brutally accosted and held captive and very nearly killed ... By this time she was focus itself, she had merged with connection itself.’ He lets the grass sharpen for her. Only at this point will he let go of prettiness, let it be gone. The prettiness goes into the world, into the grass and the phlox and the gravel, and becomes what he will never grant her: actual beauty. ‘Can you see why ... it didn’t matter if she was fluffy or not terribly bright? Nothing else mattered. She had all my attention.’

The book, at this moment, seems unfinished too. You think, if he can really set down everything he finds in the girl’s face, he’ll get there. Don’t miss the reflection in her eye, that’s you. Our desire puts the pen back in his hand; his breath hasn’t stopped, we are holding it for him. We’re thinking, it’s not over, he could still get there.

It can still be ours, is the thing. There is a great deal of handwringing about whether we can still enjoy the work of hideous men. The question is not typically how to root out influence. It is whether we can still enjoy, but we are reaching for another word beyond it. What we are asking is whether we can still experience it without becoming these men.

Of course we become them. That is the exercise of fiction. That the passage about the hippie wakes for me is a kind of rueful proof. If they were powerful, we become powerful. If they had the words, we have the words. ‘Judge me, you chilly cunt. You dyke, you bitch, cooze, cunt, slut, gash. Happy now?’ Yes, David. Thanks for the grass.

You open the text and it wakes. This is the thing that cannot be killed. ‘Since we all breathe, all the time,’ he writes at the end of The Pale King, ‘it is amazing what happens when someone else directs you how and when to breathe.’ The novel does this, as much as any hypnotist. The rhythms of another person’s sentences do this, wind across the grid, Illinois, their attempts to keep their mother alive for all time by reproducing her idiom down to the letter. It’s in your mind now: levitation. It’s in your mouth now: Obetrolling. ‘And how vividly someone with no imagination whatsoever can see what he’s told is right there, complete with banister and rubber runners, curving down and rightward into a darkness that recedes before you.’ You open a text and it wakes. What is alive in it passes to the living. His attention becomes our attention. It can still be ours, sure. Do with it what you will.

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