Thank you, Dana.
I actually wrote it in one go, late last night when I was distraught. I've been frustrated and/or increasingly nervous over the past two weeks about several issues - memory, my vision, my incredible detaching fingernails, etc. - and when I finally sat down to write something about it, the whole thing just flowed onto the screen.
eta I will say it wasn't exactly stream of consciousness - I did want the breaks and changes of rhythm as they are. But it basically came out the way I wanted on the first try, which almost never happens.