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Emotional Work Medical Politics

Day 765 and Kobayashi Maru for Women

I woke up to a totally off handed tweet of mine going viral. I had done some googling on the cost of pregnancy surrogacy and learned that it would probably cost $200,000 a pop. I’d never really considered the cost as to be honest as I didn’t think I’d be having children that way. The responses to the tweet left me feeling despondent.

Five years ago I did IVF to freeze embryos (and eggs too) and it kicked off a massive health crisis that I only feel I’ve gotten under control recently. It took everything from me. I was on medical leave, I sold my startup, and my marriage got to learn what “in sickness and in health” really means. It was awful. I am crying just remembering.

It took years to get healthy again. Of course, I first had to get stable at all. I spent years, and a huge chunk of savings, biohacking my way back to a body healthy enough to work. I’m thrilled to be back doing what I love most which is working with early stage companies. But work wasn’t the only goal of getting healthy.

I’ve had a fantasy that if I just kept at my biohacking that one day I’d be off all these medications. That I could truly be healed. That all this trouble and heartache wouldn’t be permanent. That I could heal myself. Unsaid in all of that, is that I cannot be pregnant and on the medications that saved my life. How is that for a kick in the teeth.

I’ve got two embryos and ten eggs and a fleeting dying ember of hope that I could ever carry them. I don’t know if having them via a surrogate is my path forward. Maybe there is still hope I could be healthy enough. I frankly don’t know and I’m not ready to say where my fertility is headed.

All I know is that this feels like a no scenario. That having a child in America is a fraught and expensive endeavor even when everything goes right and you are healthy and young. There is no winning as a woman as any decision around family is going to upset someone.

It’s the Kobayashi Maru for American women. Juggling your partner (or partners), your money, your home, your health and your fertility means balls get dropped. You are going to lose somewhere. And it really hurts.

Categories
Emotional Work Medical

Day 762 and If It’s Not A Yes Then It’s A No

I was supposed to drive my husband to an appointment today. I’d put it on my calendar and was prepared to make sure it happened because that’s what wives do right? It was an easy and obvious yes. I didn’t think anything of it.

Around noon I noticed I was becoming intensely sound sensitive. I asked my husband if it felt really bright outside even though we had cloud cover. I felt a little bit nauseous but I’ve been taking some antibiotics so I dismissed the symptom.

It was only when some silverware clattered onto our wooden dining table I realized something was wrong. I full on screamed. I jumped and shrieked liked like a poisonous spider had just bit me. A massive overreaction to a noise that objectively was neither that loud or that threatening.

“Honey, is it possible you have a migraine?”

Alex Miller

Despite the litany of easy to diagnose symptoms, I had managed to ignore the obvious. I had a migraine. And from the looks of it a pretty severe one.

I’d woken up feeling amazing so I wanted to tackle the day with all the energy I had. But as it waned I got angry. If I’d bothered to look at the emotion I would have seen that underneath the steam of the anger was hurt. I felt betrayed by my body. I had a 95% recovery score on my Whoop. How dare it let me down? So I just ignored it.

The kicker to the story is I kept trying to ignore it. I took one Imitrax even though it seemed like a two Imitrax migraine. Alex asked me if I was sure I would be OK to still drive him this afternoon. I waffled a little bit and said I dunno I am sure it will be fine once the migraine medicine kicks in.

I don’t like to drive after taking Imitrax as it tends to make me a little sleepy. And I really wanted to help Alex by driving him. So I just took one and hoped for the best.

An hour later Alex came into the dark bedroom and said “honey you know if it’s not an immediate yes then it’s a no, right?”

Apparently I did not. I took another Imitrax and Alex found another ride. Hopefully I learned my lesson.

Categories
Biohacking Emotional Work

Day 754 and Smooth is Fast

I like to move quickly. With my enthusiasm for generating momentum, I can easily get myself myself into trouble. I’d bet you can remember a time when you accidentally slowed yourself down by trying to go too quickly.

The phrase “slow is smooth, smooth is fast” originates from the SEAL teams but the purpose behind it can be applied to all situations. There are many situations when we want to react quickly and start moving, but in your efforts to move so quickly, you end up slowing down the operation

Chris Fussel, McChrystal Group

I was rewatching William Gibson’s Peripheral and happened to hear the SEAL slogan from one of the main characters Burton. As his sister Flynne scrambles he reminds her that slow is smooth and smooth is fast.

I am taking that to heart today as I’m itching to get a bunch done. But I am still a little jet lagged from being on Europe time and I woke up a little bit sniffly and a low recovery score on my Whoop.

As tempting as it is to beat myself up about feeling behind on work or scold myself for deliberately slowing myself, I am reminded that there is a reason high performance teams like the SEALS believe slow is smooth and smooth is fast.

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Emotional Work

Day 753 and Strong Routines

It feels good to be back in Montana after a long journey home. I’m relieved I won’t be going anywhere for a while. I spent yesterday resting which felt appropriate on Sunday. But today I needed to get myself back into my typical routines. I was up at 6am and immediately began searching for my rhythm.

I am often frustrated by how much energy I put into maintaining a steady restorative routine. I like to live and work hard, but as I get older the best way to maintain productivity seems to be putting good habits at the forefront of my life. I have to fuel myself to go the distance.

I’ve got a number of deals I’m working on this quarter and I’ve got fundraising to do, so I’ve got to make sure I’m on my game.

I dutifully took all my supplements. I worked out. I meditated. I did hot and cold work. I ate a nutritious lunch. I did chores like my laundry and unpacking. I cleaned out my email inbox. I got my schedule in order. I set my goals for the week.

Having had a productive working Monday, it’s now time for Monday evening emotional work. I stack my personal therapy and group therapy back to back on Monday. I usually write afterwards but I thought I’d get down some basics before as I am still just jet lagged enough I might prefer just going to bed afterwards.

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Emotional Work

Day 747 and Defeat

They say you shouldn’t make big decisions after a failure or a defeat. I failed during my trip to Prague. And I’ve been trying to let go of the sting of the failure. I was trying to help a family friend secure a visa to America. It was my second attempt and second failure. I’ve been working on it for two years.

I don’t know what to do next. I am unsure if I am able to do more to help. It’s humiliating to keep failing at securing a visa. Americans have little to no idea how hard it is to get into our country. Only 40 countries of 195 can travel to America without going through our Byzantine maze of rejection and waiting.

Maybe I need more time to pass before I’ll come up with another idea or solution. Every time I write about visa issues I get back a bunch of comments from folks and alas few of them appear capable of fixing the situation. I’ve got a few leads ranging from fixers to number one ranked legal firms. We’ve reached out and secured help from congressional representatives and ambassadors.

I don’t accept defeat easily. I chew on failure like a dog on a bone. I want to find a way to a solution for our friend but at this point it’s not just about them. I need to find a path forward for myself as well.

Categories
Emotional Work Travel

Day 746 and Control

When I feel afraid I seek control. I have rituals and rhythms that help sooth the fears of my inner child.

This morning I was in my least favorite fear control pattern. I had to leave a temporary hotel for a new Airbnb as a mold issue destabilized my first week. Hives and prednisone and such. I hate packing and I hate the logistics of it. It reminds me of my childhood nightmares.

I set my alarm early enough to get breakfast and packing in before the slightly too early checkout. I was racked with anxiety I couldn’t repack everything as I’d acquired new items meant for an apartment stay and my suitcase overflowed.

I had vitamins and medicine to take but I couldn’t do more than choke down a croissant. I ordered fruit and cheese and than was too worked up to eat it. I hate wasting food so I wasn’t thrilled. I beat myself up for being a bad person who can’t take care of herself.

As soon as realized how had it was getting I took an Ativan. Joke all you want about benzodiazepines but occasionally they are the barrier between a traumatized woman and the history of her fears. Probably why it’s such a cliche. Just the sort of thing you learn as you are alone in a foreign country where you don’t speak the language.

I felt so rushed by the need to be out at a certain time. Each knock on the door a reminder of my failures. Each internal call to calm down a criticism I recalled from my father, my coaches, my bosses and my lovers. A hysterical woman is a shameful thing.

Each “hurry up” a reminder that I am someone who is policed and polite and controlled for other people’s convenience. I am not allowed to be scared or cry or reactive. A hysterical woman woman is, again, a shameful thing.

Finally after the tension and anger and shame bubbled up, I threw the first thing I could get my hands on to release the tension. Better than hurting myself a dim quiet voice said. I cracked my watch face. And immediately felt better. And so embarrassed I’d boiled over.

I’d only needed five more minutes to get myself together. Just a moment. Give me a second. Please just let me be. And each time my preferences had to accommodate someone else I lost more of myself.

I was able to exert the seamless self control over my emotions eventually. I checked out. I tipped. I’m swanned over to my new digs. I executed exactly what I needed and got on with my workday. But the shame stung and the control soothed it like a cold aloe gel.

Categories
Emotional Work Travel

Day 744 and Nothing

It’s always a toss up as to whether I am going to write beautiful missives showcasing my deepest emotions when traveling or just shit out whatever I can manage. I’ve discovered I’ve got quite a range over the years. And I can almost never predict it.

I assume everyone can relate to this. You can never really predict when your best efforts will yield great results. This is, of course, why I prattle on and on about about practice and habits. If you aren’t forcing yourself to hone a skill set even when you don’t feel like it you won’t ever improve it. If you don’t let yourself fail you never win. You miss all the shots you don’t take.

I totally get why people are obsessed with sports metaphors. I often wonder if athletes use business or war metaphors because otherwise they are stuck with the literalism of being descriptive.

I’ve always hated when business people use war metaphors as it feels a bit offensive (don’t elevate your work to life or death unless it actually is life or death) so I default to sports metaphors.

But mergers, term sheets and deals aren’t as sexy as goals, shots or points so if you are an athlete maybe sticking to literalism is fine? I mean, they are to me, but of course I’m inclined to think my work is hot. You’d be worried if didn’t.

So today I’ll accept that we use the metaphors we have on hand as sometimes we do t have anything else. We’ve got nothing. And you’ve got to work with what you’ve got to make something from nothing.

Categories
Biohacking Emotional Work

Day 733 and Rollercoasters

I felt amazing last night coming out of my weekly therapy block. I was emotionally present. I was kind to myself. I felt like I was making progress. What a way to kick off the New Year I said to myself. I was riding a high.

I went to bed at my usual time feeling relaxed. I definitely thought I was doing the moisturized, thriving, in my lane meme perfectly. But then I woke up at 1am completely alert. Fuck.

I usually have more trouble falling asleep than staying asleep. Coming down from an emotional high like therapy can often take me a few hours. But every once in a while, I will wake up in the middle of the night and find myself unable to fall back asleep.

I felt like I was on a roller coaster. I was up then I was down and then I was up again. I was energized and completely awake for three hours in the middle of the night.

The sleep hygiene folks tell you it’s best to get up and do some sort of activity if you find yourself awake during your normal circadian sleep cycle. I decided to read a book.

I’m in the middle of Tomorrow and Tomorrow and Tomorrow. It has been recommended on numerous “best of” lists. I am enjoying it quite a bit as it’s about friendship, a gaming startup, disability and creativity.

Eventually I felt myself getting drowsy around 4am. According to my sleep tracker I was in and out of light sleep until around 6am when I finally transitioned into deep sleep. The rollercoaster had ended its ride.

Categories
Biohacking Emotional Work

Day 732 and Be Kind To Yourself

Are you tempted to exert willpower and discipline over yourself today? Have you made up your mind to change this year? Are you going to push yourself to be a better person? Have you resolved to fix your body, your diet, your sleep, your habits, your work, your relationship or your family?

I’d like to gently encourage you to reconsider. Maybe don’t force yourself to do anything. Perhaps you can find new habits and routines that come from a place of love and abundance instead of lack.

Every January, millions adopt a harsh deprivation-restriction mindset and begin punishing themselves, physically and mentally. Yes, harsh tactics can work for a few weeks. But the reason they don’t tend to last is because they come from a place of lack, not from a place of love.

Dr Rangan Chatterjee

I’m a firm believer in good habits. What we do every day is what makes us who we are. But we cannot sustain misery. And why would we? The self should not be an attack surface. Any changes you seek must come from a place of love.

I’m not suggesting you don’t explore the ways in which you want to change. But if you go into January with restrictions and self hatred well girl eating disorder season can be a misery.

Remember you do not deserve any suffering inflicted by yourself. I know you want to push back against that thought but ask yourself why? Why should you be a victim to yourself? Resolve the guilt and integrate the shadows into your life instead.

I’m not suggesting there is no place for new habits or changes. But please consider looking over my piece on biohacking first. Small changes and manageable pacing are a must. Compounding small successes will add up over time.

Don’t believe me? This is my third year of writing every single day. And it was built one step at a time. Let 2023 be a year for kindness and self love. Great things are built on that foundation.

Categories
Community Emotional Work

Day 731 and Starting Year Three

2022 was a good year for me, but it wasn’t without its losses. I have a tradition on New Year’s Eve with a very old and dear friend. We’d send each other a scene from a comedy show about hipsters in Brooklyn.

The show made a special new year’s episode. In it, the characters play a game where they do absolutely unthinkably cruel thing to their friends. But it all must be forgiven at midnight because “Auld Lang Syne motherfuckas!” Their tradition is you have to forgive each other no matter what has been done.

The Burg

In the real world forgiveness is trickier. Sending the “Auld Lang Syne motherfuckas” was a tradition that stretched some fifteen years. Going into 2023, if did not happen. I’d rather not get into the specifics but some things cannot be forgot even in the spirit of Auld Lang Syne. I hope some year down the road it can be restarted, but sometimes you don’t know what can be forgiven till you do. Fixes, remedies, and recovery take time to mend and set.

For old acquaintance be forgot
And never brought to mind
Should old acquaintance be forgot
In the days of auld lang syne?

For auld lang syne, my dear
For auld lang syne
We’ll drink a cup of kindness yet
For the sake of auld lang syne

Scottish poet Robert Burns in 1788

I did however, begin the New Year with another respectable tradition. We managed to stay up till midnight thanks to the sparkling wit and hospitality of a new Montana friend’s dinner party. Champagne was toasted. Fireworks were set off.

It’s a strange way to ring in a new year by straddling the two years over midnight. Rare is the person for whom this isn’t a disruption to their schedule. I usually sleep by 10pm, but I found myself sleeping from 1:38pm to 10am on the first day of the year. And then still absolutely needing another nap that afternoon to recover. And I didn’t even drink except to toast.

And so a third year of this experiment begins with something lost and something gained. Auld Lang Syne motherfuckas. I still want more sleep. Revelry and late nights are harder the older you get. But I am excited for what this year will bring.