Tag: Biohacking

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Biohacking Chronic Disease Travel

Day 789 and Types of Poverty

As you’ve probably seen articulated in thought leader tweet streams and thot-leader Medium posts, there are different kinds of millionaires. If you are young you are a time millionaire. If you are able bodied and healthy you are an energy millionaire.

I am in energy poverty. I carefully ration my attention & time and use lots of time-economic craft like asynchronous communication like emails and direct messages. Like a thrifty person with a budget I am always cutting the various coupons of time in my life to cobble together enough time to work full time so that no one can tell I’m energy poor.

It’s pretty common for folks to be in energy poverty. Maybe you are a parent. Maybe you are a care giver for an elderly parent. Maybe both. The most common is of course being disabled and requiring care. I am in that category.

I’ve turned my energy poverty into my super power. I am like Mr World monitoring feeds across the globe laying back and ingesting information & taking small minute actions to adjust my plans. I’ve adjust my career to fit this reality and find it to be an excellent fit for investing as it’s all about finding the alpha and acting on it.

I do telegraph that I’m in this situation. That my mind is sharp but my body is weak. I accept 2-3 events a week at maximum that require me to be up, about, in makeup and battle regalia (business dress) and the rest is dedicated to recovering.

I’ve never had hobbies that couldn’t be done from bed. The last time I participated in a sport was in my twenties before my latest flare. I’ve not had a social life independent from work for decades. It’s isolating and I remain perpetually afraid of losing people who aren’t in the same situation of energy poverty as I am.

Capacity can be drained further by negative conditions like heat, humidity or bright light. I am the type of disabled person that finds showering to be a huge drain so typically include those in my energy budgets as drains. Travel requires 24-48 hours of minimum recovery time which is why I tend only do month long stays places. You may have noticed I go cold places like Prague or Frankfurt and I live in Montana. That’s based on doctor recommendations.

Certain types of travel can’t be done without significant outlays of energy budget that will leave me in deficit for weeks. Beach vacations have long ago been lost but I can manage a tropical location so long as I stay entirely inside in an air conditioned room. Don’t worry laying on the beach isn’t fun for me so I’m not missing anything. Heat & salt water humidity is the fastest way for my body to begin an inflammation cycle.

I’m in Puerto Vallarta for my father’s birthday and the best I can manage is stay in my room all day and a dinner every other night. It’s a little confusing for folks who aren’t in energy poverty to fully grasp the concept but I feel no more frustrated with my situation than I would if I had financial poverty. Sometimes it’s just the situation and your budgets have hard limits. I’ll make an effort and spend 2 weeks of an energy on a long weekend for someone I love but it does cost me. Everything costs something.

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Homesteading Politics

Day 784 and Endocrine

In case you haven’t heard, everyone is bracing for apocalypse. Well, that’s just the headline to get your attention. Everyone is watching the decline in American state capacity as we struggle with distrust across all forms of institutional power.

It’s really challenging to discuss this subject as it is unpleasant to look bad things happening straight in the eye. But if you have read some history, maybe own a copy of Gibbon’s Decline and Fall of the Roman Empire, you’ve probably got theories. But I understand that it’s hard to look at worst case scenarios. Your life may still look normal. But know that for millions of people the consensus is that shit sucks.

I’m not placing any moral or ethical judgements on the wide variety of kooks & characters that have traditionally espoused the various flavors of doom. I don’t particularly care for my compatriots in doom included in the Vanity Fair piece. They don’t like me either. I will self identify as degenerate libertarian who is skeptical of governmental and corporate power.

I’ve been called a Bolshevik by the Christian right and a crypto fascist by the DSA so I’ll assume your average rational mind will recognize that perhaps that the common cause of an America in decline is a bigger fight than tribal affiliations. If you cannot retain a calm mind in your analysis I hope I can convince you that this is a problem.

She thought something had gone wrong with us physically too. “Endocrine systems get fried. There’s too much cortisol, you’ve been running on adrenaline, eventually you tap out. Everyone feels nuts right now,” she said, “because what on earth are we supposed to do with the fact that we’ve had this incredible rate of change for so long. We think we’re keeping up with it, but our bodies are like, ‘Oh, actually no. We have no idea what’s going on.’ ”

Dissident Fringe

We are all overreacting to everything because we’ve come out of the stress of three years of a pandemic that has overlapped with such an incredible array of natural, industrial and political disasters anyone would be edgy. Oh and remember how we had 4 years of Trump? We are acting nuts because stress made us more reactive.

Some argue the great weirding goes back much further but the point is that we are all victims of a long now of persistent anxiety, exhaustion and adrenaline. I don’t know if we can even hear each other trying to grapple with problems in good faith because we are just so tired from being driven nuts by all this.

Imagine a future where this kind of endocrine draining stress simply never relents. And that’s the future I’m earning you about. Everything gets a little harder and less reliable. You trust everyone a little less. It’s harder to eat healthy and maintain healthy habits. It’s harder to trust mainstay civic services like schools, police, and the postal service. The roads are worse and infrastructure is crumbling and do I really need to tell you? Use your imagination

Decline is hard on the body and you need to be planning on how to manage disruptions if only so you can keep at the business of raising your family, going to work and trying to have a life.

If your ambitions outstrips these goals and you’d like to make money on the realignment of the world you will need to do more, build more, investment more. So I’d probably do some basic resilience work so you can maintain focus. If you want to make money trying to solve for the many customers all looking for solutions to all the shit that is going wrong you might want to stabilize your life with basic preparedness.

I don’t know what systems will evolve. But if we don’t start investing in them now we are in serious trouble. I’ve been investing in solutions that are venture scale for sometime. If you want to join me on this journey, DM me on Twitter or join as an LP

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Homesteading Politics Preparedness

Day 782 and Vanity Fair

I am extremely proud of being a subject in Jame’s Pogue’s new Vanity Fair piece. It is about managed decline, the death of state capacity, and whispers of a post state world. I’d say it’s a bombshell except I think there are some very sober people discussing how life in a chaotic world filled with distrust might work out. Spoiler alert, not great.

“Preppers, techies, hippies, and yuppies are converging on the American West, the safest place to “exit” a society gone haywire.”

The Dissident Fringe

I worry that the next frontier in American cultural battles will be figuring out how to stay out of our versions of “the troubles.” And I don’t like the sound of that.

I think you may find yourself agreeing with me. I don’t want a culture war and I certainly don’t want it to turn into a hot war. Apparently that makes anyone who agrees with the above premise a dissident fringe. Didn’t realize it was controversial to enjoy civilization. But I am in fact comfortable saying I don’t want any kind of war.

But I’m not sure everyone feels that way. So in a show of our seriousness we’ve decamped to the imagined demilitarized zone of the Rockies. I don’t want any chaos but I am literally betting the house on us having a bumpy ride maintaining course in America as we deal with long delayed issues from infrastructure, education, logistics and supply chains to capital markets and trade. I intend to capitalize on this uncertainty. You can do so with me if you’d like as an LP in chaotic capital.

If you are curious about how it might play out, in this nearly 9,000 word opus, every angle of how to survive in the American West in the near future is captured in empathetic detail by Pogue. It’s almost like reading William Gibson in how it shows a present that feels a bit off. Cyberpunk right before the Jackpot, but make it from a gonzo Hunter S Thompson type. I appreciate it on purely aesthetic grounds. You should read it.

But practically how do we all muddle through a greyzone war that has no agreed upon values, including whether the enlightenment & liberalism are worthwhile?

As we fight it out as a nation, most of us are just going to continue living our lives as crashing stare capacity and war over institutional norms gets in the way of raising a family and doing business. And it’s this scenario—a muddling, unhappy, middle course—that most people in this sphere tend to predict is coming. It’s not fun but it’s not the end of the world.

It is my personal belief that we are struggling to find any alignment because regardless of your personal politics, religion, or even overriding philosophy, your actual physical body is just fucking done with this bullshit. I mean it literally. We feel it in our bodies.

Endocrine systems get fried. There’s too much cortisol, you’ve been running on adrenaline, eventually you tap out. Everyone feels nuts right now,” she said, “because what on earth are we supposed to do with the fact that we’ve had this incredible rate of change for so long.”

Julie Fredrickson – Vanity Fair March 2023

We think we’re keeping up with it, but our bodies are like, ‘Oh, actually no. We have no idea what’s going on.’”

It’s too much stress on the system and something is going to have to change.

If you read the piece you will see just how much trust is lost amongst all parties that make up the American experiment. The cherry on top is that our nation state distrusts our foes & but they also distrust us the citizens and their desire for more freedom. It’s a messy battle for meaning and power.

And as Americans we’ve had the exorbitant burden of the dollar being the global currency. What happens when we no longer trust any actors on the global stage? Distrust our fellow citizens, distrust our currencies, distrust our institutions, distrust our enemies? It sure gets hard to run an economy without trust.

We need to build new systems we can trust or our bodies and minds will give out. Simple as.

I don’t know what systems will evolve. But if we don’t start investing in them now we are in serious trouble. I’ve been investing in solutions that are venture scale for sometime. Ifyou want to join me on this journey, DM me on Twitter or join as an LP.

Categories
Medical Politics

Day 776 and Informed Consent

I’d really like to write about informed consent and whether it is a convenient fallacy to obfuscate the harsh reality that medicine isn’t as black and white as we have been led to believe.

It’s a complex topic so consider this my notebook of scraps and gently judge it’s content as it’s not a full cohesive argument so much as a collection of thoughts I’m working through here. If you feel you are reacting to it strongly please work through why on your own time.

I am on this topic as I am reaching a point of frustration with the discourse around transgender issues and who is responsible for informed consent. We’ve got a spiraling culture war where everyone is ignoring basic facts like children are below the age of consent and thus their parents are responsible.

Our entire legal system is based on the premise that before 18 you have not reached the age of reason and are not fully responsible for your actions. Yes it’s flawed and doesn’t always work that way and we try minors all the time but the fact remains parents are the guardians of their children.

I am oddly both well read and well cited on issues related to informed consent and substituted judgement as I was a medical ethics research assistant at the University of Chicago. I got paid $10 an hour for my troubles so you know my credentials check out (in sarcasm font). Seriously go look I’m an author on a few papers.

Making a choice to engage in almost any medical procedure is risky in ways no one, not even doctors, can fully articulate. Bodies are complicated and abiding by a simple principle like “first do no harm” turns out to be hard calculus.

Sure you can get awfully close to the right answer but you will be pretty far down the calculating differential equations path once it dawns on you that we can get infinitely close to certainty but certainly itself cannot be reached. Turns out math is useful in daily life.

Patients have a right to chose their own risk parameters. Doctors do their best to inform. But the grey area is so wide it’s practically an abyss. Add in making decisions for a minor and it’s all best guesses and other people’s facts. Believe the science means you’ve got to do your own math and it appears most people are innumerate.

I am willing to make big criticism of the transgender panic crowd because they’d prefer to pick and chose convenient narratives like “think of the children” as a defense. I’ve heard that tune before in every other moral panic. And yet it’s still not the government’s job or the doctors job to make the call. It is the parent’s call because children require the substituted judgement of their parents for informed consent.

If this is annoying or unsatisfying to you well that’s a bummer for you. I’d encourage you to read up on how we’ve scapegoated populations in the past to make sure the in-group’s priorities and social mores are sustained. Every moral panic has one. I’d recommend René Girard’s work here.

When we fixate on a vulnerable population the story is always the same. And I believe anyone who is reading this blog is smart enough to grasp that in good faith. And we’ve got a long history of scapegoating people who don’t conform to our majority population’s comforts.

The transgender issue is no different and trying to wedge it into a “but the children” argument runs up against two issues. Most of our American historical moral panics have scapegoated in this exact way. And medicine is simply not so concrete that any treatment for any condition is risk free.

Categories
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
Internet Culture Politics

Day 764 and Natalism

There are a number of cultural streams in American life that have all aligned around being natalist. You want your country to have babies because it’s good for the economy. And presumably also good for national security.

This fairly basic insight means everyone from techno-libertarians to Catholic homesteaders believes that Americans should be having more babies. It is not just the Quiver-full types having six babies anymore, so are our wealthiest aristocratic titans of industry.

But this alliance is missing some crucial basics. Like for instance the fundamental civilization level things we need to do to make it desirable and affordable to have children. It’s expensive to be pregnant, it’s expensive to raise children, it’s expensive all around to be parents. I spent $40,000 on IVF and it ruined my health. If I counted lost wages and being forced to sell my startup I’m the total costs is seven figures.

I don’t know if you’ve looked at just the costs around having a baby but it will shock you every time you turn a new corner in the fertility space. I learned today you will spend between $100,000 to $200,000 to hire a surrogate. It’s a person’s salary and a lot of medical care so sure that seems right but damn.

I guess I am interested in the math of Natalism to see if I could afford it. I am one of those “tech elites” that thinks we have to have children to drive the innovation of tomorrow. Our future is based on an optimistic hope that maybe we can push for a better future. Humanity won’t continue without children.

But I don’t have a body that is all that healthy without medical intervention. I live a normal life now and can work full time again because I take some exceptional medicine.

But it’s not medicinal regime that can be combined with pregnancy. So if I want to carry a child I have to go off what amounts to life saving medicine. Without it I’d be on bed rest. You can imagine the math I’m doing in my head? Do I want to pour another million into having a family?

So what’s a girl like me to do? Surrogacy right? But I’ve got 10 eggs and 2 embryos so assuming a third of them make it, that’s nearly half a million dollars in surrogacy fees. To get three kids. That’s a heavy price tag on the future. If more of them take it gets even wilder.

Now ok sure I’d rather we encourage a world where younger healthy folks do things naturally but don’t we want everyone going at maximum effort for a better tomorrow? Shouldn’t we want technology to solve this? Where are my artificial wombs at?

Categories
Startups

Day 761 and Calls

Yesterday ended up being a big day for me. A couple projects that have been in the works for months for final confirmations. That meant I spent a lot of time on phone calls yesterday.

I hadn’t planned for Monday to be so busy. I have therapy in the late afternoons so I tend to back my mornings but I still leave enough breaks to come down from the energy and excitement of a big call. I find synchronized communications to be a little overstimulating so I like to meditate and do Wim Hoff breathing to break down my cortisol levels.

But I couldn’t make it happen yesterday. It was too much back to back. I went from an hour long fact checking media call right into my two hour group therapy session. I’d had a few other smaller calls before it as well.

My earbuds were the first to note the issue. With about fifteen minutes left in my two hour Zoom I got the 10% battery left warning from my AirPods. My technology realized it was time to recharge before I did.

And boy was the decay quick. The AirPods went bwoooop and went dead. I could feel myself getting a little dazed myself. As soon as I was off the call I checked my HRV using Welltory and found all my systems were drained. Too many calls has called on too few resources.

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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.

Categories
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.

Categories
Travel

Day 752 and 24 Hours

I cannot remember the last time I pulled an all nighter. Probably something related to Black Friday sales. But in order to travel back from Prague to Montana I was awake for 24 hours straight across three flights and four separate airports.

I hadn’t really intended to be awake for the entire trip but because one has to pad timing around flights these days, every leg of the trip involved three or four hours between flights or an extended delay that has me running.

I was awake at 5:30am in Prague for a 7am flight that boarded at 7am. I arrived in London at 10am GMT after delays. My Heathrow to Denver flight was meant to department at 1pm. That 9 hour flight was the most pleasant part of the journey but I didn’t want to nap during it as I was concerned it would make my jet lag significantly worse.

I landed in Denver at 3:30pm Mountain time which is 7 hours minus GMT and 8 hours behind Prague so it was 10:30pm for me. I was dragging as that was a long day in and of itself. And frankly I’m used to living off a hub like Denver so a final leg of the journey was a new experience for me.

It was snowing in Denver which had created a significant backlog for takeoffs as everyone needed de-icing. I made a made dash for the 1:30pm Bozeman flight that was delayed to 4pm. I sprinted through Global Entry and back through security but the doors had already closed. I had to wait for my originally schedule 7:30pm flight.

Miraculously that flight was only delayed to 8pm because of the weather but I still found myself sitting in Terminal B for hours as my energy flagged and my spine started to hurt. My body clearly knew it was time for me to be in bed but here I was under florescent lights, eating a Caesar salad at a chain restaurant, waiting for one last flight.

When we boarded at 8pm it was 4am for my internal body clock. Thankfully the 700 mile flight from Denver to Bozeman is only a little over an hour. We touched down at 930pm. By the time I got to Alex waiting for me outside I had been up for exactly 24 hours.

I crossed a contingent, the English Channel, flew over the arctic circle and through another continent, which is an impressive territory to cover in a single day. But what a long day it was.

I slept from 11pm to 10am MTN to make up my sleep debt for the all nighter and I am still pretty tired. That was the equivalent of sleeping till 5pm. It all felt very collegiate to sleep through “the entire day” even though I am now settled back into my original time zone.

My Whoop recovery score was a 24% so I was pretty into the red from the whole experience. But I should be ready to spend the week on the proper time zone so I suppose it was all worth it.