I had a preventative care appointment at the doctor today and I came away from the experience wondering why I bothered.
I felt like a fool for checking on something before it had become a problem. It was merely a concern and no answers could be found without a substantial escalation in investment and time. Which I chose not to dod.
I will still get a bill whether it’s 90 seconds or 90 minutes which I do understand. But does it have to be so “escalate to maximum” or “just ignore it” as the poles of preventative care? Can’t it be more of a spectrum of options? And because “fuck you that’s why” I have no more certainty on the problem than when I started.
And that’s not how I want to experience the care and maintenance of anything under my care in my life let alone my body. Our house, our relationships, our business, our car, heck our chickens deserve better than “don’t know why you bother” care. I bother because I care.
We have a home maintenance sheet excel, a seasonal rotation system for disaster supplies, and an inventory management system for key household goods.
Yeah, we are that kind of family. My husband has opinions on label makers. I have strong opinions on sweater brushes and leather are.
An ounce of prevention is worth a pound of cure.
Sure that’s a very Mary Poppins kind of approach to life but I think it’s a worthy one. I want to live a life where I am responsible to my own life.
As I was going about doing “prepare for the worst so the best may come” set of chores I chose to brag about our travel pharmacy packing.
As Elon Musk leaves government service there has been a flurry of media hits. I don’t know anything about his personal medical situation nor is it my place to comment but I found it comical to suggest that 20 drugs in a daily medication box was nefarious.
Those are to put it mildly “rookie numbers” in the biohacking business. And it’s barely a dent if you practice the kind of global chaos preparedness that we do. So I bragged about it and showed one of our global travel kits.
And as we care about things like being first responder trained and able to render aid to our community, we joke that you really can’t be a pro-social prepper if you don’t carry an AFAIK kit.
As I was being snide about our the value preparedness, outside in my own backyard we were being tested. And as soon as it happened I felt completely unprepared. Pride does indeed go before a fall.
We have a beautiful red fox that has for several seasons lurked around our property. We also keep laying hens. Alex has hardened the chicken coop to make sure they did not have a chance to get in. Nature and domestication co-exist uneasily.
We have never seen the fox out in day save in the dead of winter. In the spring we rarely ever see the fox.
So whenever we let the chickens roam generally we keep a keen watch on them. We’ve gone a few seasons with this working but letting your guard down can get you.
I run to find the supples for cleaning and disinfecting. I find the topical antibiotics. It all takes much longer than I think it should. Alex cleans her up and she seems fine. But wont know how she recovers for a bit. Now I will do a review of our supplies and their locations as I am reminded that there is no such thing as too prepared.
It is so beautiful today in Bozeman it almost doesn’t feel real. It’s warm but not hot. It’s sunny but we have fluffy clouds breaking up intensity. Cool breezes waft in and out without ever really turning to wind. I hope our entire summer has this weather.
Because of the holiday weekend the town has fully switched into “seasonal” mode from daily New York flights to way more availability at restaurants and service. One of Alex’s friends from college is headed into Yellowstone with his whole family from grandparents to kids.
Mountain towns make as much money in the summer as they do in the winter so you always wish for fluffy snow and cool clear summers.
The snowpack is smelting, the grass is green and the sky is oh so blue
While Yellowstone is worth the travel, I appreciate being able to work and hike all flavors of public trails from city to state in Bozeman.
On days like today I want to fully throw myself into a Bryan Johnson super adherence biohacker as I want to be able to enjoy as much of our summer as I can outside.
I have been contemplating “an ideal routine” as soon as I felt the pressure of showing up for first grade. How to manage the energy the outside world requires from you while making sure you have done everything possible to manage your body to produce adequate energy.
Morning routines, what’s in her bag, every day carry, and optimal packing strategies all derive from a need to see how others are coping with the demands of life. You can aspire to various ideals of fitness, nutrition, style and parenting if you could just get the right routine with the right tools. Right?
I’m aspiring to restart learning new toolsets for building …everything. From design to marketing software to muscles to my hormonal profile. Building the life you want is deceptively close if you can manage yourself.
Life feels malleable at the moment. And who is going to stop me? Maybe I accidentally fix a problem for myself and find I’ve got a tool or insight that might benefit you. The chaos of old ways fall apart means new routines and folkways must be built.
I don’t want to betray myself by overreaching and pushing as I am so often finding hard limits the hard way. I like to go hard and rest. But reality has become so much less reliable that I wonder if I must compensate even more for the chaos with steadying flows of my own.
I’m not sure where my mother picked up the slang “God willing and the creek don’t rise” but I had it regularly to suggest a thing shall come to pass a “if nature and God” are willing.
It’s it’s got a hint of Appalachia in its origin story and then tumbles over into a Johnny Cash cover of a Jerry Reed country tune (probably where my mother learned it as she loves Cash) before settling into a Spike Lee documentary about the water engineering challenges that have brought such misery to New Orleans.
It’s been pouring in Gallatin County all day. Our already high rivers are looking like they may cause troubles. Friends who fish were concerned the muddy headwaters weeks ago when I was caught in other unexpected spring showers in Colorado.
I am afraid the moisture is kicking up mold in our house. We’ve spent months remediating the problem so it weighs on me to consider the possibility. I woke up covered in hives and eczema.
I took antibiotics and Benadryl and it kept getting worse. I showered with nothing but unscented Castile soap hoping to mitigate the outbreak. That did more.
I have an event I’d like to attend this evening along with a houseguest who I very enjoy much enjoy so it frustrates me when the creek sees fit to rise against the banks that contain the river of my life.
When I list it out I almost forget how much during this time I was battling side effects from a mold infestation and working through changing my medication for my autoimmune condition. I got my right eyelid slit open twice!
When Alex made it home to Montana after midnight I felt like I could finally sleep. I never sleep well alone and much as I tried to sleep as he was flying back I could not. I’m exhausted today and needed a nap to stave off a migraine.
As we get older I am sure we will continue to be called upon to show up. So much of my energy is drawn into improving my health so I can participate in civic and economic life.
I want to improve my health so I can continue to discuss, learn, advocate and invest for this very confusing transition to our future.
I can scoff at catchy neologisms like “wellderly” as marketing campaigns for famous doctors in an especially challenging era for medical trust. But I am also concerned about sleeping better, gaining muscle mass, and improving my meager health. A man has many concerns but a sick man has only one remains true.
Being back in America after any amount of time in Europe is always a weird transition for me. I am in Colorado for an academic conference so I’m staying in a chain hotel.
Being accustomed to European systems that simply don’t work beyond a set range I turn the air conditioning on maximum before bed assuming at best I’ll achieve 22C (71.5 degrees in freedom units) as I like to sleep in a cool room.
I wake up with my Whoop warning me I have an “elevated body temp” and I think huh that’s weird it’s freezing in here. The room is 15C. That’s 59 degrees Fahrenheit for Americans.
Social media loves joking about PE HVAC takeover bros but a random conference hotel in Colorado has better air conditioning than the entirety of Western Europe.
You can stay in the best hotel in Frankfurt and it won’t get to a decent temperature. If you stay in an Airbnb and run an air conditioner you may even have troubles with the neighbors.
Isn’t it a bit odd you can be comfortable in a renovated 400 year old bank vault in Istanbul or a corporate chain hotel in American flyover states but Europe simply can’t manage climate control? Don’t worry though I’m sure NATO can re-industrialize no problem. Wink wink.
The way we virtue signal is so bizarre. Like let’s consider the 29 cent Dole branded banana I got at Trade Joe’s. It’s certified organic. The barcode tells me to look. Trader Joe’s is owned by a German conglomerate Aldi.
I’m Bob Dole.
The organic movement may be the original blueprint for ESG and DEI but it’s now so well accepted that hallelujah the mercenaries that guard the banana republic of Dole are verified socially responsible. It was only capitalism that ever forced their hands. Riddle me that my socialist friends.
And this brings me to my panel on Friday on whether technology can be a force used to counter culture. To which I respond with which culture are we countering and why?
Overweighting the American markets has been the default in finance for decades. The growth of the magnificent 7, the “exorbitant privilege” of the American dollar, and the security of the defense umbrella of our alliances bolstered treasuries.
American exceptionalism has been rocked with Liberation Day and the subsequent fallout for many. Nobody in business in or with America slept for two weeks straight.
But for me it’s always traveling abroad that changes how I feel about America’s place in the world. If you’ve been following along with my hyperbaric chamber oxygen therapy saga you may know I was in Istanbul touring a factory.
Seeing is believing. I’d heard Turkey’s clinics were the best in the world but now I know it. I cannot wait to come back for a more thorough look at my medical situation.
Being born an American has been the privilege of a lifetime. My passport has shown me the world. And even as I do what I can to help to make Montana the friendliest place to do the business of the future I can’t help but fear America has lost more than a step.
Istanbul feels like a modern city in the vein of Shenzen. Growth and construction is everywhere even as you can visit mosques and hammam from when Constantinople was the crossroad of empires.
I had not planned it this way but I had a repeat of the meiborn gland issue that got me sent to hospital in February. I had, in just four short days, a chalazion turn into hordeolum aka an infected cyst.
It’s probably a side effect of the IL-17 biological I am using. I had a mold exposure over the winter in our bed room so who knows. Sucks to be me. This is why I’m excited about new technology for healing like HBOT.
It needed a doctor to perform an incision and curettage. I asked the concierge at my hotel for a clinic and I walked five minutes to an enormous glittering skyscraper of a hospital. Many of those hospitals are run twenty four hours a day.
I walk in with no appointment. They immediately find me a medical translator. I’m checked in within fifteen minutes. I get a full eye exam and a seen by a doctor who instantly diagnoses it.
Next thing I know I’m in the chair with a local anesthetic and she is slicing, draining and disinfecting. She gets me my post treatment protocol. A pharmacy delivers the prescriptions in 9 minutes. Now this is healthcare.
Within the space of an hour I’m fixed up and sent home to eat. I’m sitting down to grilled octopus and prawns by the Bosporus in no time. I needed a protein filled lunch to take my antibiotics.
I am buzzing with energy as I spent my day touring the factory a hyperbaric chamber factory. I don’t want to get ahead of sharing details I haven’t cleared with them but I learned so much.
Istanbul is so far ahead on medical care delivery it is genuinely thrilling. There are 24 hour walk in hospitals. And
Which is good as the new IL17 inhibitor means to have a side effect of meiborn gland problems. In mere days I got another chalazion so I’d like that sliced out.
But my optimism about my immune systems capacity to operate functionally has taken a step towards optimism. That something so simple as oxygen and pressure has such significant benefits for our bodies is common sense.
How marvelous that the ingenuity of divers, doctors, athletes and under water workers to put together a treatment that is so effective it moved the biometrics of one of the healthiest men alive.
That only in the age of artificial intelligence did we get the inference capacity to show its efficacy is a real indictment of our academic and medical bureaucracy.
