Up.

I'm up again, though no sleep makes it a movement rather than a change of state. I've had a banana, a couple of peanuts and the one coffee I will drink today. Yesterday was slow but fun as doctor Who repeated endlessly on BBC America. I know its a kid's show, for children but I'm a big kid at heart. The best thing I watched during the night was a documentary on how to fix the american health care system. Care sincere, system shite. Having been in it a lot for the past two years, its easy to edge on the shite side. America, a bankruptcy in search of an accident.
However, the documentary was about the Cleveland Clinic and how they are looking at things a lot differently. Thats the thing about living here, once you think thnigs are entirely run by a bunch of money grubbing twats who don't give a shit, the good people turn up, and make you think again. No sleep, but quite cheerful.