It’s difficult to write today. My mind already is cluttered. I haven’t slept well. I am distracted and distractible: the bill that requires a phone call, emails that require replies, people who need to be contacted, the lunch that needs to be made, the insulin reservoir that needs to be filled and replaced in the insulin pump, the conversations that have happened and have yet to happen. My mind is not quiet. It’s already churning with the things that need to be done and the things that await.