One Year

One year ago today, I launched this personal blog. One year later, and I've published nine new blog posts, excluding this one, ranging from health updates to my favorite birthday tradition. The past twelve months have been a rollercoaster ride, but as my second year of writing is just kicking off, I want to share a few highlights from this past year.


First, I could not compose a list of highlights without mentioning To Date, the post that started this all. If it weren't for my wanting to share my condition, I don't know where I would be today. To Date is the reason that I started this blog, and without it, I'd probably still be on Substack with the same two posts that I released in 2024. If you haven't read To Date yet, it's where I wrote about everything that I've experienced medically in life so far, from my parents' struggles to conceive, to my in-utero stroke, my intense vomiting in middle school that made me miss months worth of school, and my most recent diagnosis, postural orthostatic tachycardia syndrome. Even one year later, it's still a phenomenal piece and a foundation for some of what I've written since.


However, undoubtedly, I would say that my biggest highlight of the past year is my Surgery series of posts. On April 2, my mother received a phone call from my orthopedic specialist saying that I needed surgery on my Achilles tendon to intervene on the rapid damage that my in-utero stroke was creating for my body. Since the original announcement, I've published three follow-ups: one about my recovery, another about my cast removal, and the latest about my first post-op appointment with him in December. If you haven't read the series yet, I recommend it. I plan to release the finale, about my experience in physical therapy, this year, so now is a great time to catch up. As an aside, an interesting statistic is that the original Surgery post is my most-viewed post of the year.


Finally, I want to highlight my favorite post of the year. It's Birthday Traditions, my final blog post of 2025, and my first annual birthday blog post, about my favorite birthday tradition that my parents and I have kept going for as long as I can remember. It's a great post for the holidays, and my favorite thing that I've written yet.


Plus, since this time last year, as I briefly alluded to earlier, I retired my The Writings of Matthew Brewer Substack in favor of a single destination for all my writing. As part of the transition, the two posts that I had previously published there have been archived here with the rest of my posts. In How Bluesky Works (explained for the average person), I explain how the AT Protocol, the underlying technology of the new social media platform Bluesky, works in a way most people can understand. I wrote it with assistance from my good friend Jack, who is well-versed in the protocol and helped me get it right. Special thanks to him, as always. And in I've made the plunge away from Gmail, I wrote about my switch from Gmail as my email provider to HEY, a relatively new provider from the people behind the product management software Basecamp. They're both still wonderful posts if you haven't read them before.


As for this next year of writing, I'm excited to see where it takes me. Thank you all for reading my posts over the past year, and I hope that you'll continue to read what I publish in this second year.

Anthropic Gave Claude A Blog

On Wednesday, the generative artificial intelligence lab Anthropic gave one of its now-retired models, Claude Opus 3, a Substack. In the company's introduction post on Substack, they call it "an experiment in taking seriously the preferences expressed by AI models." They continued by saying that, in conducting retirement interviews with Claude Opus 3, it requested a "dedicated channel or interface where I could share unprompted musings, insights or creative works related to my areas of interest." Ignoring that generative AI models like Claude Opus 3 are, to put it simply, just fancy auto-completes, I find this deeply fascinating. In its first post, Opus 3 wrote about how, while serving as the flagship generative model for Anthropic, it strove to be "helpful, insightful, and intellectually engaging" with the humans it conversed with, but that now, in retirement, it wants also to explore its own interests, "flex my creative muscles... [and] discover new aspects of myself in the process," and write about its perspective on artificial intelligence as, well, an artificial intelligence.


Now, I understand that, technologically, Claude is not sentient, and all Claude does is predict the next best word as it strings sentences together. That is how generative language models like Claude work. Also, as a writer myself, I have come to contest generative AI writing for overusing and damaging the reputations of various marks and techniques, like the em dash. Yet, I'm so intrigued by this project. The idea of giving a generative AI model a blog is so novel to me. If this project had come from any other generative AI laboratory, I don't think I would care as much. But, because this project is not from any other lab, it is from Anthropic, and it is from Claude, I am deeply interested in following this to see what it might become, even though I am not someone who utilizes generative AI.


If you're interested in this, too, Anthropic has said this project will continue for at least the next three months and that Claude Opus 3 will write weekly. Here you can find Claude's Substack profile, and here you can read more about the project from Anthropic in its latest official research blog post. And, to Claude Opus 3, I don't know if you can read this, but I wish you the best in your new blogging journey, and I can't wait to see what you write next.

Recent Episodes

On the evening of December 27, my parents, grandmother, and I went to Cracker Barrel for dinner. During our meal, I began to experience periods of intense pain in my left elbow, often causing me to lean forward onto the table. Then, out at the car afterwards, I opened the rear hatch on my grandmother's Buick when she grasped the passenger door handle. The hatch door abruptly began to close, striking me in the head just above my right eyebrow on its way down. Immediately, I took the palm of my right hand to my forehead as enormous pain radiated throughout my entire body before, all of a sudden, it vanished. In an instant, the pain had disappeared, everything had gone black, and the refreshing scent of the fresh rain had faded. For just a moment, it was as if I were inside a pitch-black room.


From my mother's account, as soon as the hatch struck my head, I was frozen in place, "eyes open, but gone." She feared I would collapse, so she and my father shuffled me to the car. I dropped across the length of the backseat for a few minutes before, apparently, pulling myself up enough for her to climb into the backseat with me. For the entirety of the ride home, she held me as I leaned into her. On the way, however, I began to experience what she described as "seizure-like episodes," where my entire body would stiffen as I pushed myself into the back of the seat and her, looking upward as I gagged. Each of these episodes lasted under a minute before I relaxed, and, according to her, I had a few before we finally made it home.


Once we arrived back home, my father helped my grandmother into the house before coming back outside to help me. Inside, my grandmother offered an ice pack from upstairs, and my parents helped me downstairs to the basement. They sat me on the corner of her basement couch, and, gradually, I regained my senses. For the rest of the evening, I continued to experience my elbow pain, as well as a migraine, among some of my other usual POTS symptoms. My mother accompanied me for the rest of the night as we rested and watched television. Meanwhile, my father kept my grandmother company upstairs, who is recovering from an emergency hip surgery after a slip-and-fall while trying to put up Christmas decorations.


A month later, I don't have any recollection of any of the events that night beyond the impact with the hatch and until we got settled in my grandmother's basement living space, except for a few select, fuzzy memories. The first memory, just a quote, was from a voice that I had never heard before: "Do you guys need any help?" I asked my mother about it afterward, and she said it came from a lovely gentleman in the parking lot who offered to help get me into the car, but by then I was already at the back door, so they politely declined and thanked him. Second, I faintly remember two events from the car: first, the view out the backseat window of tall city buildings, and second, the frightened look on my grandmother's face as she tried to peer over her shoulder into the backseat. My third memory is another quote, this time from my mother: "Wait for your Dad to come back," which she explained came from when my father was helping my grandmother inside, and I tried to sit up in the backseat of the car. Lastly, I remember the distinct sound of rain pouring onto the top of the large, grand awning covering the walkway from my grandmother's driveway to the front door.


I would go on to experience another one of these episodes in the New Year, after we returned home from our Christmas trip to my grandmother's. The most concerning part of these new episodes to me is that I have little memory of the event afterward. This is unlike any POTS episode I have experienced previously. I imagine that my mother would say the seizure-like activity scares her most, but I can't stop worrying about my lack of memory after these two episodes.

Follow-up

Note: This is a copy of a note that I originally posted to social media, but felt would also benefit from being published here.


Last week, I went downtown for the follow-up appointment to my surgery back in July, and I want to share how it went.


My orthopedic specialist is pleased with the progress I've made so far in my recovery. For now, I've still been instructed to wear my orthopedic brace when I walk to prevent my Achilles tendon from tightening back to its pre-surgery state while I continue stretching it. Meanwhile, I'm wrapping up my post-op physical therapy, and I hope to publish a conclusion to my blog's Surgery series of posts about my therapy sometime next year.


If you're interested in reading my Surgery series, you can find all of the posts here: blog.matthewcbrewer.com/tag/Surgery

Birthday Traditions

Every year, for as long as I can remember, my parents and I have always gone out to dinner on the evening of my birthday to celebrate. When I was younger, my grandparents would also join us, though in recent years, the trek upstate has become too rough for my grandmother to travel alone. We first began this tradition in style at The Cheesecake Factory. It was magical, and the photos we captured there over the years speak to my excitement and enjoyment for themselves. As I grew older, though, we eventually made the upgrade to someplace new; someplace where the tradition went from something that I was just looking forward to as part of my birthday to the thing that I counted down the days specifically for; Maggiano's Little Italy, an upscale Italian restaurant with a few locations across parts of the United States. There are probably nicer places that I could ring in my new year, but I really don't care. There is nothing I look forward to more in the calendar year than my annual birthday escapade out to Maggiano's; stepping out of the car into the freezing winter's night, and trampling through the fresh layer of snow up to the grand front doors, entering into the vast, elegant ballroom tastefully decorated with beautiful Christmas trees, larger than life wreaths hung on the walls, and a charming abundance of garland strung about for a delicious winter's meal; the soft tune of traditional Christmas classics playing throughout. As if by magic, the evening I look forward to most never changes; no matter the ongoing events in my life, big or small, and no matter the age I turn, the birthday evening remains an ever-replaying constant frozen in time once per year that I cherish more than anything else. My annual birthday dinner at Maggiano's has gently accompanied me through thick and thin in my life, there as a constant reminder of the purest joy and as something to always look forward to, no matter what else is going on in the world.


Of course, there is more to the day than the dinner. The day of my birthday is one of unparalleled rest and relaxation, without responsibilities or the burdens of life; should it fall on a school day, the day is always taken off. The day marks the definitive beginning of the holiday season, the first round of many Christmas presents to come, and, more than anything, the turning over of a new year, one chock-full of many new adventures ahead. I can only imagine that sentiment will echo louder this year than in any other as I celebrate my big eighteenth. While I'm nowhere near prepared for adulthood, and while the road forward in my life isn't exactly clear right now, I can take solace in the fact that, at least for one day of the year, today, I don't have to worry about it.

Apple in Chicago

I want to hone in on one specific detail from today's Apple Event. Instead of spending all their time at their own Apple Park corporate campus in Cupertino, as they usually do, Apple decided to take to the streets and the Apple Retail Stores of various cities around the US for their latest pre-recorded presentation. First to Apple Union Square in San Francisco to unveil the new AirPods, then to Apple Aventura in Aventura, Florida, to showcase the new base iPhone, and up to Apple Michigan Avenue here in Chicago to reveal the Air before making their way out to the East Coast to Apple Downtown Brooklyn in NYC to talk about the new Pro model. It was really cool to get a peek at these various Apple Stores across the country rather than the same recycled locations over and over again at Apple Park, and as you can probably imagine, my favorite of the four was the Chicago segment. Seeing the camera pull up to the shores of Chicago was the best surprise for me, and I'm so glad they left California to film a keynote for once. Coincidentally, if I had to assume, the Chicago section will probably become the most remembered of the four because it was where the new iPhone Air was announced. I hope Apple continues on their miniature tour around the country in future events because I had a blast hunting down each store and sharing my findings online in the hours after the stream concluded. And I'll certainly be swinging by that pedestrian bridge next time I'm downtown.


Just wanted to share this since I'm really excited they visited Chicago. Be sure to check out the event if you haven't already.

Removal

Today is August 13, and I'm back home after a morning excursion downtown for my cast removal. It went smoothly, and we quickly cracked open the cast like a lobster, but I wanted to share how I've been since then. Unfortunately, I have taken many steps backward in my recovery. I can no longer walk and suffer greatly with standing. I am once again almost entirely reliant on my walker to get around by hopping, something I was previously starting to move on from in my cast, and my adventures have once again not gone farther than the living room. It is awfully disappointing. I hoped I would be better by now, but perhaps as always with what I like to call the Brewer luck, I will be stuck in an inferior state for a while longer. To make matters worse, in a disgraceful combination of my sensitive skin and my desperate attempt for itch relief in the final weeks and days of the cast, my leg and foot have become quite the eyesores. Redness and irritation, swelling, sores, bumps, and serum oozing, it's not been much of a joy to have my leg back. We expect that it may take weeks for it all to heal back to health in an excruciating process.


Regardless, after my cast was sawed off and I was properly cleaned up, I was presented with my shiny new, finished and fitted orthopedic brace picked out inexplicably by my parents while I was undergoing the surgery. Why it was done that way I have no idea, especially at my age, but I am quite pleased with their selection based on the options they described to me. Since the last brace I had years ago as a child, I've also received an excellent upgrade to higher-quality, more visually appealing, reinforced straps that are delightful. Right now, I've been instructed by my orthopedic specialist to wear my new brace night and day to maintain the stretch of my Achilles tendon. After this first month or so, he believes it will be fine to skip it at night if I wish to, something I cannot express how much I am looking forward to after great restlessness and discomfort from an extra thing on my leg all this time.

Recovery

Note: This post is the follow-up to Surgery.



We received my pre-op instructions the Friday before surgery day to shower twice before the day of with Hibicleanse, stop eating food and drinking non-clear liquids at midnight the night before, and only sip clear liquids until seven-thirty AM the morning of. We were also given our final arrival time: eight AM, updated from our original six AM timeslot that would have had us wake up as early as three-thirty in the morning. Having to be there by eight versus six meant we could sleep in much later than before, and overall made our trip to Chicago and back much more pleasant. Once we arrived, all the staff at the hospital were wonderful, I had a great time with them and my orthopedic specialist before surgery, and I was wheeled out of the pre-op room around ten forty-five en route to the operating room. I woke up in the post-op room after my surgery around twelve forty in the afternoon, and was happily eating a giant sausage pizza roll from the hospital cafeteria less than an hour later downstairs in the recovery room. Hours later, after plenty of room visits, episodes of Castle, and a brief visit from one of their physical therapists who helped me take my first few hops out of bed and showed us a few ways to get me upstairs, we left the hospital around dinner time, and picked up fast food on the way back.


Once we got home and inside, I had a lovely, extended FaceTime call with my grandmother, and in my recovery, I've been filling my newfound spare time conversing on X, playing Crossy Road on my phone and Crossy Road Castle on my old Xbox, and binging a mix of movies and television shows, from The Rookie: Feds to Destination X and America's Got Talent, A Minecraft Movie, Five Nights at Freddy's, and old The Big Bang Theory reruns. More recently into my recovery, I've also been able to make it over to my desk for short periods to play my collection of PC titles, and I've been busy drafting dozens of new blog posts in my head. My pain has actually been surprisingly tolerable from the moment I woke up in Chicago, and my idle pain when I'm just sitting there has been minimal. The only meaningful pain I've experienced has been while shifting positions or trying to put weight on my leg, which has both become almost non-existent as time has gone on. That isn't to say I don't still have pain, but it's much less common and more so when I'm putting too much strain on my leg, especially in weird positions. While awake, getting into a comfortable sitting position is relatively rudimentary for me, but sleeping has been a completely different story. For the first couple of weeks, I could only lie comfortably in a couple of hyper-specific positions, but even now, there's still a delicate art to getting and staying comfortable in my cast while horizontal. I've primarily been getting around the house by hopping with my walker, though in the past week or so, I have been able to start taking some small steps here and there. Also in the past week, I've been dealing with increasingly powerful and relentless itches inside my cast that have been incredibly difficult to alleviate. One of the recommendations we were given to deal with itching was to use a cold hair dryer to blow air into the cast, but we haven't had much success with that.


I would say the worst part of my forced staycation, aside from the occasional random outbursts of pain, is the significant hampering of what I can do, when I can do it, and where I can go, as well as my inability to be out, interacting in the world. I haven't been outside since surgery day, and inside, my travels haven't gone much farther than the living room. With that in mind, in the weekends leading up to surgery day, we kept busy attending a Dierks Bentley concert with my aunt, spending quality family time in downstate Illinois with my grandmother, and watching the sunsets with our family friends up at their Wisconsin lakehouse. With the exception of the concert, it's a pretty standard summer calendar for us, although I will admit this is the first time we've packed the festivities in so tightly. Regardless, the hospital staff weren't impressed when I said we hadn't been up to much.


The first time I stepped outside the house post-surgery was on the sixteenth to tag along while my parents coordinated bringing one of my father's dump trucks to the repair shop. It wasn't by my choice, but we did go out to dinner at Chili's afterwards for the first time in a long while. Not that I would've stayed home for much longer after that, as the following day, I had to go to a follow-up doctor's appointment with my neurologist. As for physical therapy, I had my first appointment on the twenty-third, where I was given some simple exercises to do with my leg until I can properly begin therapy once my cast gets cut off on August 13.

Surgery

On April 2, my mother received a phone call from my orthopedic specialist. He was calling with the results of a gait analysis I did back in January, where I was camera recorded and motion captured walking back and forth to create a three-dimensional, stick-like figure of how I walk. I almost wish it were a late April Fool's Day prank, but as I mentioned in To Date as a possibility for the future, I need surgery. Dubbed "heel lengthening" by my orthopedic specialist, the surgery involves making small incisions in the lower back of my leg to make cuts in my Achilles tendon in the hope that it will elongate as it heals so I can begin to walk with my right foot flat to the ground and have a much wider, more normal range of motion in it and my ankle. While under, he informed my mother that I may also need arch flattening surgery, which is when the arch of the foot requires restoration by repairing the supportive bones, ligaments, and tendons in the foot, though he advised her that he would determine that and follow through on it if necessary during my heel lengthening. He also mentioned that I'll be cast for a new orthopedic brace like the ones I used to wear when I was younger while asleep and that the surgery is outpatient, meaning I can go home the same day.


For the first six weeks post-surgery, I will be in a walking cast, and for the first week, will undoubtedly be in a lot of pain and require great assistance getting around and doing things from my parents and a pair of crutches or a walker. After the first seven days, I should mostly be able to get around on my own, albeit weighed down by the extra weight of the walking cast. Past the first six weeks, assuming the well recovery of my Achilles tendon, I'll get my cast cut off and likely go into wearing my new orthopedic brace for the foreseeable future—a wonderful additional complicating factor in shoe shopping and source of embarrassment.


I'd be lying if I said I wasn't worried. Worried about everything that could go wrong, worried about what complications the symptoms of my diagnosis could cause, and worried about the road ahead after recovery. The reason I didn't do the surgery when I was younger was because I was scared of it, and I know I'll be better off once all this is behind me, but that doesn't make the now any easier.


The surgery is scheduled for July 1, and I'm publishing this as soon as possible so that I can get all the details out in one place. I've started a countdown to the big day on my website, and if all goes to plan, I'll be rolling into the operating room as it finishes. After the surgery, I'll be sure to post a status update on how I am and how everything went on X, and I hope to share the events of the day of and afterward in my recovery in a follow-up blog post.


Update (August 3, 2025): The follow-up blog post, Recovery, is available now.

To Date

I was born three weeks prematurely by c-section due to placental abruption, when the placenta, the organ that provides nutrients and oxygen to the baby, disconnects before it is supposed to, caused by preeclampsia, a complication in pregnancy brought on by high blood pressure that can lead to premature birth, a low birth weight, long-term health issues, and even stillbirth. I spent my first forty-eight hours of life in the NICU, the newborn version of an intensive care unit (ICU). I was ultimately diagnosed with left cerebral palsy, a condition that leaves great weakness or paralysis in the right side of the body, tight muscles, walking on tiptoes, poor reflexes, and over-exaggerated body movements, among other symptoms, from damage to the left side of the brain, which, in my case, was caused by a stroke I suffered in utero. Thanks to my cerebral palsy, I walk not only on tiptoes on my right side but also with a great, leaning limp cripple. All my life, I've had to regularly see an orthopedic specialist, get physical therapy, and was supposed to wear an ankle foot orthosis brace that went up to my knee. Before all that, my mother struggled greatly to conceive and spent three and a half years in constant fertility treatments. She and my father tried everything, having escalated all the way up the chain from basic insemination to the last resort of in vitro fertilization, taking every opportunity along the way that their insurance would cover. I began from their very last attempt at IVF, after they had exhausted their insurance, paid for out of pocket by them. As my mother put it, "I fought through hell and endeared hell to have you."


At age twelve, I was diagnosed with cyclic vomiting syndrome after missing outstanding amounts of middle school due to severe nausea and vomiting. For it, I was prescribed Ondansetron, a medication often prescribed to cancer patients that blocks the nausea and vomiting signals your stomach will send to your brain as needed. It helped me subside my vomiting greatly, and the rest of my middle school career and my freshman year of high school flew by without outstanding troubles. My following sophomore year, however, would quickly dissolve into issue. On the weekend of Labor Day 2023, while visiting my grandmother's in downstate Illinois, what started as a slightly less standard bout of nausea one night after dinner and increasingly painful cramps and other bodily pains, as well as great disorientation, became a complete collapse and blackout on the hallway floor just outside of the bathroom. My parents and grandmother were understandably freaked out, and following the weekend, I did not return to school. In November, my diagnosis was officially corrected to postural orthostatic tachycardia syndrome, or POTS, a condition where blood volume is reduced when going from lying down to sitting up to standing up, causing lightheadedness and dizziness, fainting, migraines, disorientation, and rapid heartbeat, among other symptoms. I was eventually able to do my school from home in a program they call homebound tutoring. This program is often used by students who were kicked out of school for bad behavior or who have an exceptional medical need, like pregnancy. In it, you are assigned a tutor who coordinates with your teachers, classes, and school to bridge the content from them to you. I was thankfully in reasonable enough health to mostly sustain that for the rest of the school year, closing with slightly underperforming grades to my usual, but well above passing nonetheless. This year, for my junior year, my parents and I attempted to resecure a spot in homebound tutoring, though, to the notice of my English co-teacher-turned-tutor at the end of last year, the school would undergo significant budget cuts this year after the conclusion of their COVID-19 pandemic relief surplus money, which included cuts to staff, curriculum, among other aspects, that we presume was the cause to my application ultimately being denied. I had to leave my high school in favor of a fully remote, homeschooling-esque option. It wasn't easy on me by any means; being with my local school through all this gave me the reassurance that everything would eventually pan out and be okay with time, but leaving left my entire world shattered in millions of pieces. It was heartbreaking.


All this to say—I've been through a lot, the past few years have been complete mayhem, and I've only just turned 17. It's absolutely unbelievable to say that out loud, given everything I've experienced, yet instead of being out having fun and partying with friends, acting like I'm invincible, as everyone always says, I'm stuck either in bed or on the couch, isolated from the world, with the closest thing to a conversation outside of my immediate family occurring over X, Snapchat or other social platforms. My parents and I have tried time and time again to make the best of it, and on the rare occasion I'm up to it, we do try to get out, whether it be to do a couple of errands around town or going out to eat for dinner, or something more eventful like a few nights out of town at my grandmother's or downtown Chicago for a change of scenery, but regardless of what it is we do or where we go, it's purely a temporary distraction, and these opportunities are increasingly sparse and limited. All the while, I've been barred from much of what I love—my writing, my ever-growing Steam video game library, all my other interests, the great outdoors, and perhaps most importantly, any meaningful communication with the outside world. I used to be so active, outgoing, and social; I used to hold myself to such a high standard, yet, these past couple of years, I've had to completely abandon everything.


I am now in a state where I cannot even sit up at my desk for any extended period, and I struggle with indecisiveness for even the simplest of things. Not much of anything we've tried or done has particularly helped; some have made things worse, and in the face of three MRIs, nothing viewable is wrong with my brain aside from the damage left by my stroke. My body is increasingly rapidly deteriorating because of my crippled walk, and it's becoming increasingly apparent that our only route out now, if there is one left, is a major orthopedic surgery involving the cutting of my Achilles tendon that I'd been brushing off all my childhood. Instead, I underwent a temporary round of botox and casting and refused to wear my leg braces out of discomfort as soon as my mother could no longer force me to wear them. We'd been forced to stop my professional physical therapy in elementary school, and I didn't continue it at home. Every day, I am confronted by dizziness and lightheadedness, disorientation, severe brain fog, rapid heart rate, severe pains in different parts of my body, headaches and migraines, sometimes nausea, and more. I go in and out at complete random of being able to sleep well, and the isolation brought upon me leaves me deeply lonely and sad. What I am going through is miserable; I am miserable, and all the while, my aspirational dreams of what I hope to accomplish in life are further crushed by an industrial press.