Categories
Chronic Disease Travel

Day 882 and Disability & Energy Policy

I hate when I am made to feel embarrassed and ashamed by my disability. And the German’s current energy policy has me feeling like my medical needs are something of which I should be ashamed. And that’s bullshit. It’s a policy failure.

I have ankylosing spondylitis (an inflammatory condition in my spine) along with a cluster of other autoimmune issues like allergies, migraines and dermatitis. If my symptoms flare I can’t walk and the treatments are unpleasant. Methotrexate, steroids, specialty biologics injections.

I live in chilly dry Montana as the cold is better for my condition than the heat. But when I travel I am confronted with heat, humidity and pollution which exacerbate my symptoms. Sometimes significantly. It has caused great anguish through its impact on family gatherings.

I find myself in Frankfurt for a mix of personal and professional reasons. The Airbnb I rented for the month was one of only a handful that offered aid conditioning at all. And one of only three that was a personal apartment and not a hotel service using Airbnb.

So I booked it even though I noticed it was on a main road in the neighborhood of Sachsenhausen. The host assured me it was quiet and most of the apartments looked out on a garden in the back.

Alas the bedroom was on the main road so I was unable to ventilate the apartment by keeping the bedroom windows open as the exhaust and debris from the roadway left my eyes red, itchy and I woke up with hives several times.

I bought a small fan at the local store and kept the bedroom door open and had the fan blow cooler air from the back windows overlooking the garden. I was still struggling with ventilation as the car exhaust and fumes meant the bedroom had to be sealed. Even then I paid $50 for a cleaner weekly to clean up the pollen, debris and dust that would get in from leaving open the window

I’d leave all the windows open on the good side, keep the apartment sealed and dark during the day, and have three weeks of extremely shitty sleep on my Whoop to prove it. But overall this worked well until it got hot enough to warrant air conditioning usage.

Sadly summer is rounding the corner and a few days in the low 80s (or 27-28 C for you Europeans) was too hot for my spine to tolerate comfortably. I was struggling enough with keeping the bedroom cool with the fan and back open window so I decided to run the air conditioner. It was old, noisy and hadn’t had its filters changed in a while. I made do.

The neighbors complained. Twice. Once through the Airbnb owner and the second time by knocking multiple times on my door. I had to explain to them embarrassing levels of medical detail to assure them this wasn’t preferred temperature or taste but a medical necessity. I hadn’t expected to show off my vials of injectables to be taken seriously but thanks guys. They wouldn’t back off till I showed my records and medications insinuating I was both a bad person and that authorities could be involved.

This weekend it is expected to be in the mid eighties so I thought rather than fight off my neighbors and get another bad night of sleep with a dirty air conditioner and noisy roadway I’d check myself into a hotel. I’d been having a significant flare of all my symptoms which had required emergency doses of steroids, two unexpected infections (I take immunosuppressants) with two different antibiotics, and quite a bit of other remedies.

I woke up with strain and in a sweat. Antibiotics & steroids are fun

Well I guess the final boss of Europe’s poor energy policy was about to land it’s final blow on me. The hotel I checked into for some relief won’t turn its air conditioning below 72 or 22 C. It has to be much warmer to get it to my preferred temperature of 17 while I was experiencing this flared fever state. That apparently wasn’t an option.

So I guess I’m going to check one more hotel to see if they will allow me to cool my prior to my preferred temperature or I’ll prepare for another fight with my neighbors over running the air conditioning overnight again. Wish me luck. Build more nuclear power. Install solar arrays.

Categories
Biohacking

Day 881 and Set a Timer

I’ve always been the type of thinker who enjoy playing with differences and similarities. I find it pleasing to see common attributes of humanity. I’m soothed seeing we are more alike than not even across vast genetic & cultural distances.

I equally enjoy spotting games of “one thing is not like the other” as part of the general pattern recognition that evolutionary Darwinism implies. The freaks and mutants are who push us forward. Recognizing the value of positive differentiation is the basis for every job I’ve ever loved from fashion to finance.

This might be why I enjoy tools like timers, trackers, spreadsheets and other measurements of inputs and outputs. I like inferred knowledge and probability. Those goofy old standard test questions “this is to that: as that is to this” were my favorite.

I understand how totalizing using these tools can be. I’m currently experiencing the intense urge to smash my Apple Watch as I am asking it to “set a timer for 45” minutes several times a day. I’m setting shorter timers too.

I am spreading out a biohacking regimen while my body goes through an ugly symptom flare that suggests both allergy issues and a general immune response to what I believe is an infection from some scratching that opened my dermatitis. Fun huh?

The expectation that one’s body is unique and an N of 1 pairs poorly with averages, reversion to the mean, and the persistent beeping tinging ringing reminders of a timer going off telling you to follow the routine. So here I am wishing to some spreadsheet brained hope that my inputs and outputs will balance and I will be fine if we got the dosing right.

Which is the prayer of everyone who has ever experienced a medical malady. Set a timer, wait, and pray to an actual God as the ones in our phones aren’t up to the task of being deities just yet. More like having a troublesome djinn that promises the pain will go away if you do exactly ask it asks.

Categories
Chronic Disease

Day 880 and Pollen

It seems as if I exposed myself to a bit too much pollen in my wandering yesterday but I’m so itchy I’ve reconsidering whether pain is more or less all-absorbing than itching.

So I am giving myself permission to take it nice and easy on this blog post today. This morning I ordered an enormous number ($150 or so) of creams, unguents and lotions as well as a number of anti-histamines from a German apothecary in the hopes of gaining some relief.

Drug Delivery By Wolt
An assortment of German antihistamines and a few fun free samples as I guess I spent a lot.

I take multiple antihistamine already but I got a fourth (it’s Claritin in the US. A got a corticosteroid cream, something called Zugsable or black cream (it smells like tar) and a Linola Fett cream which appears to be like Weleda skin food without the fragrances. Plus some melatonin as I’m not sleeping so great with this itching. They tossed in some cosmetics as well which I will definitely put to use. And that’s all she wrote today.

Categories
Finance Travel

Day 878 and European HVAC

If I were a betting women, and I am, I’d be placing them on European heating, ventilation, and air conditioning corporations. Yeah, I think HVAC is a growth industry for the continent.

HVAC is use of various technologies to control the temperature, humidity, and purity of the air in an enclosed space. Its goal is to provide thermal comfort and acceptable indoor air quality.

You’d think after the pandemic brought the importance of air quality to everyone’s attention, that decent ventilation would a priority. Add in the increasing frequency of deadly heat waves and you’ve got real tailwinds for HVAC technology being crucial not only for comfort but for life.

So why are European apartments somehow both poorly ventilated and poorly insulated at the same time? Is there even a term for this? Finally I viscerally understand why bad air (mal air) is one of the canonical health problems of the Western Cannon. All those nerdy writers inside were suffering.

I’ll grant 1700 era European cities have more excuses than modern cosmopolitan ones for having stuffy, dusty, stinky, hot and yet somehow also cold and drafty air. They didn’t have electricity so no fans, pumps or air exchanges. But why the fuck haven’t they fixed it yet?

The worst plague of the great indoors is shitty HVAC. We have no excuses for it anymore as it’s an environmental health hazard on its own before we even consider the current energy crisis (don’t even get me started on what counts as being green). Refusing to keep your apartment’s ventilated and insulated is bad for your body and your budget.

So if anyone has suggestions for investing up and down the value chain of improving HVAC systems I think we’ve got a growth industry on our hands. Europe can’t refuse to air condition forever and it sure can’t afford to continue to burn coal and Russian gas to heat drafty apartments either.

Categories
Travel

Day 875 and Spring Fever

I had a flu this time last year. I was in process of closing on our home in Montana. What a week that was for me. The first piece of real land I ever owned. Better late than never.

This May I think I just have plain old hay fever. Blooming trees on Frankfurt city streets combined with a roadside bedroom has me sniffling and itching. I broke out the prednisone. 5mg at first. Then upped to 10mg the next day. I treat prednisone like most people treat opioids. “In case of emergency” would be preferable.

Maybe I simply get spring fever of some sort and I can romanticize it like some British Regency period piece as interpreted by Shonda Rhimes. Ah she had the rheumatic touch when she bought her ancestral home. But then had the vapors when she came to the Hapsburg Court. The deadly poisons of springs first flower has felled her bloom. Spring fever indeed, my pretties.

I didn’t even use ChatGPT for that. My brain can spit back up sick tropes. Nevertheless I do feel a bit felled by this inflammatory cycle that has required a little more attention than preferred.

Categories
Biohacking Emotional Work

Day 873 and Commitments

I have two conflicting commitments at the moment. Both are with people who I’d consider intimate relationships with as much access to my inner life as my closest confidants.

I made the decision to show up for both parties last week and this week. And while I don’t regret my decision at all, the choice has had consequences. I am accepting them right now. I’m in bed and in a fun spiral of inflammation. I’m in pain, and even more annoying, I’m fucking itchy as hell. My biometrics are screaming red across every dashboard from Whoop to Welltory.

The irony, of course, is that in being so committed to showing up for others I failed to show up for myself. I didn’t know what I wanted so I did everything I’d obligated myself to do.

I can’t blame it on anyone even though it’s so easy to consider the ways I can rationalize my choices. I’m committed to good and useful things that improve my emotional fluidity and contribute to my personal growth.

Being committed to others means being committed to yourself first. The better I maintain my boundaries, the more I can show up for someone else. Knowing what we want, asking for it clearly, and being accountable for the actions you took is the whole ball game. Everything else is details. And I bet you can manage that.

I am committed to myself as I’ve got to rest and get myself under control or else I’m not being accountable. And I’m not a victim to my circumstances. I chose this.

Categories
Biohacking Travel

Day 867 and Sleep

I didn’t get a good night sleep last night. Or the night before. Or the night before. I guess I must be jet lagged.

I am always convinced I’ve managed to avoid jet lag and it’s never actually true. I love to lie to myself about my capacity for recovery in the face of travel but I know deep down that once the adrenaline wears off, it’s all about establishing a consistent sleep routine.

I’d rather maintain East Coast Time while I’m in Europe but my body has a tendency to sync to the circadian rhythms of the sun rise and sun set even when I do my best to stay awake till midnight I’ll rise with the sun. I was awake at 6am in Frankfurt as even with an eye mask on I knew it was finally morning.

I wanted to be settled and in a good routine as tomorrow afternoon it will have been a full week since I arrived in Germany. But it’s always harder than you expect to transplant your rhythms and routines. It’s boring to write about and I’m sure boring to read but not all posts can be about corporate cosmopolitanism and the abstraction layer of task applications as anonymous servant class rootless yuppies. That’s a fun read.

Categories
Biohacking

Day 866 and Sensory Overload

I was up very late last night as I had an evening commitment on Eastern Standard Time while I myself am on European Central Time. I finished at 6pm in New York but it was 2am for me. It was stimulating I was unable to fall asleep till well past 3am.

I didn’t successfully sleep in as much as I would have liked, so I found myself running on a bit less sleep than I would have preferred even though my Whoop suggested I was in the green with a reasonably high HRV score. When my biometrics are all in the green, even if I’ve had perceptually poor sleep, I try to let my data guide me.

I thought I was doing ok as I went about my routines and workload. I showered, meditated, did some work and even got a power nap in.

Still I found myself getting overwhelmed by basic sensory inputs. The sound of the cars on the road felt loud. I took a walk and found myself ordering an Uber to get home as I was tired and has gone too far. Alas, in the car, I found myself covering my ears and closing my eyes as the pop music and car incense overwhelmed two senses at once.

I felt as if I was an autistic cliche. I literally had my fingers in my ears humming to myself to calm myself down. After my nervous system mastery Bootcamp course, I knew my vagus nerve had gone into overstimulation.

I had gone into sympathetic shutdown without even realizing it. I couldn’t even think to ask the driver to turn down the music. I did what I could to breath.

It was a quick reminder that my daily life in the countryside of Montana is a lot easier on the body than a bustling city like Frankfurt.

Categories
Emotional Work Startups

Day 865 and Permission To Invest In Yourself

I finished a five week nervous system mastery bootcamp last week. I felt like I was failing it for about three weeks as I resisted it’s lessons with excuses and rationalizations, right up until I realized the resistance was the lesson.

When I was a founder I came of age during the hustle porn years. Everything was about doing things faster and harder. Ideally both. And faster and harder was meant to produce “better” because “harder and faster is better!”

We got caught up in the tautology of the hustle. Move fast and break things practically meant we broke as many people as we did things. And I include myself as one of the broken people. It took time to recover.

Now I encourage founders in my own portfolio to prioritize their well being physically, emotionally, mentally and spiritually. If you aren’t putting yourself first your company will suffer. Trust me when I saw we both benefit from you investing in yourself.

But don’t make just about improving yourself. The point of this kind of work is to unfold yourself into the bigger, broader, most expansive version of yourself. Developing emotionally fluidity isn’t about optimizing for a local maxima, but rather about reaching for an even bigger global view. And we all see better returns on our investments with that kind of vantage point on life.

Categories
Biohacking Travel

Day 861 and 8%

I’ve been on the road all week for work (and a little bit of play). I flew an overnight transcontinental from Seattle to Frankfurt Tuesday evening into Wednesday which is yesterday for America but with the time zone change feels like two days. While I am not jet lagged (a surprise) my Whoop recovery is the worst I’ve ever received. I got an recovery 8% score. And I feel basically fine

After a rocky encounter with a new airline carrier Condor, I struggled to stay asleep sleep on the airplane. I blame the excitement of the bizarre business class setup without assigned seating. Or maybe it was because I ended up making friends with my seat mate and swapped stories over dinner.

Usually when flying overnight I take an Ambien and immediately pass out. Better living through chemistry right? Plus I’m not naturally social. Instead I was doing face masks and debating White Lotus theories over a pretty decent seared tuna.

When I landed in Frankfurt I felt quite energetic and pushed through the afternoon with ease. Or maybe it felt easy as I had several cups of coffee. I thought I’d nailed the flight even though I knew I didn’t get enough sleep.

Once I’d settled into my Airbnb, I checked my previous night’s biometrics I realized I’d only recorded four hours of sleep and my HRV had dropped into the low teens. Maybe I’d made a mistake not “force quitting” myself into a hard sleep on the airplane with a downer.

My average HRV is usually in the forties which isn’t all that impressive to begin with (I’ve got a spinal condition called ankylosis spondylitis) but I hadn’t expected all my biometrics to go flashing red quite so badly when I felt mostly fine. My guess is that the 8% reflected a significant amount of stress and I’d simply not flushed the adrenaline and cortisol out of my system.

I’m keeping it low key today as a consequence. I was up at 7am European Central Time and went grocery shopping to stock the apartment. Getting sunlight is crucial and while I plan to keep EST hours mostly while I’m here it felt good to be up and about.

I managed to fit in some work, did a load of laundry, got some Ethiopian food for lunch and still feel like I can manage a work day. It’s now past 5Pm in Germany and America is just waking up on the west coast. My husband just texted me from San Francisco so it’s time to finish my day and start the day with everyone else.