I’m a mess and somewhat scared. This abcess saga has grown from dismissive preventative care visit (which I did did out of an abundance precaution) and ended with me meeting a general surgeon at a Turkish medical tourism hospital tomorrow to discuss labs and my ultrasound. It’s my second time this year so that’s quite an endorsement as a revealed preference.
I was afraid she would be a box checking paper pusher afraid to give an opinion. But maybe younger doctors are afraid to treat that way given our system. I needed to know is it worth getting a clearer diagnosis before it is a crisis? Is imaging necessary? I have a set of drugs I take with these specific side effects. Given that risk profile and nuance at hand needed the interpersonal relationship that would guide me.
I do endorse SkincareMT’s cosmetic practice, and Addison in particular is fantastic, but their healthcare wing is clearly designed to extract maximum Medicare dollars from Montana seniors.
My failure to get an ounce of prevention means I’m flown to Istanbul to attempt to get a pound of cure. Don’t worry I was already in the Mediterranean. Not in the way way some think though.
Yesterday we found out by pulling teeth that I had a problem. It’s clear I need this excised and quickly. The ultrasound is gnarly. Drainage, removal of the foreign object, and potential curratage to make sure the walls of the cyst are removed forever are what is needed.
The sprawling medical tourism complex in Istanbul is amazing and I trust them more than any other system or talent pool on the planet right now. What they have built is an incredible achievement and in challenging conditions.
Doctors who listen, who educate you on your options, and most importantly are up to date on current research and global innovations so don’t give you glassy eyed stares when you mention a new medication like a next generation IL-17 inhibitor it’s exotic side effects. American doctors like that are rare and their hands are often tied by our horrific mess of state failure and lack of market innovation.
I’m relieved to have choices like “general surgeon or gynecological surgeon” and texting discussions with my case lead (a full time liaison for you and your family on the entire case) on how we will handle excision and culture pathology.
It does feel like I’ll have good choices. But it also seems like I booked less time than is necessary and I don’t know how I feel about that. A week of waiting on labs in a hotel while in pain is scary. Sure I can work and be productive and maybe even do some tourism but I just want this shit sliced out, an IV of the right antibiotic that will work and some sleep.
I’ve been doing some crazy bi-phasic sleeping as the Mediterranean is hot as hell from noon to 10pm. So I’ve been doing a bit of staying up late and sleeping in to avoid the heat. It’s not clear how much it’s messing with me yet because I’ve got all these odd infection fever doctor nonsense. A quick surgery and some answers can’t come fast. Thankfully I’m at the crossroads of empires.
As anyone who binges an TV show over the weekend can attest it’s best when you wrap the storyline cleanly and quickly.
And so it would seem we’ve got a clean wrap on the whole Israeli-Iranian conflict. Or says the narrator of America the TV show. Yes, I mean President Donald J Trump.
I must be having some sort of Taoist moment personally as the prospect of war seems very improbable in the energy of the world. We’ve not got the resources to keep dicking around.
And yet we are in news limbo as other countries are involved and don’t have an incentive to wrap it up clean by Monday.
This being the fundamental viewpoint of the cynical and self centered American with the bunker busters but also a flavor of Melian power politics. If we can punch some dickbags in the nards shouldn’t we do it with those big ass bombs right? It’s funny how American runs better on semiotics than policy.
Finally we get some X Files shit
Now I’ve got no idea what happens next except to say that the “nothing ever happens” camp has to realize we are dealing with a lot of variables and everyone involved is egotistical and old.
So standard fare insofar as our historical record and fictional characters usually deliver. Your years of foreign service policy study gets put into dank memes. Hopefully we don’t have a season two as Americans don’t like those $100 barrel of oil vibes at all. Naval superiority? Air supremacy? Nah memetic supremacy.
It’s a gorgeous breeze June Sunday in Montana. It’s the sort of day where you go to your favorite bakery for an exotic little pastry, maybe get lunch from a favorite restaurant and then go for a hike or a bike ride to marvel at the majesty in wonder.
As I am working through a new physio routine to improve compensatory pain in my trapezius muscles I was a little nervous. I wanted to adequately test that I’d found new corrective instincts without overdoing things.
I walked a favorite two mile circuit with a stead inclined of hills that eases back out into the flat valley. I felt terrific. The sun was shining but the breeze kept it cool. Truly paradise on earth.
And then within an hour or so I got an awful headache. Had I failed at reworking my compensation so badly? I checked fascia and muscle points and found my shoulders relaxed.
Then I checked my upper cervical spike and yelped. I had swapped one compensation for another and gave myself a killer headache in the process. But I didn’t have the same pain pattern or headache type and that is a win.
We get regular reminders of how chaotic things are in our new hypersphere networked world that we have entire memes categories and full influence campaigns dedicated to blackpilling people into nihilism.
No blackpilling meme
The fatalism and determinism expressed on the internet is the experiences reality for plenty of people and it’s probably not limited to a few radicals. The presumption that any of these pills are limited to incels misogynists racist cranks is comforting but incorrect.
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.’ ”
I also believe it’s a deliberate strategy by virtually every player in the great games of power and influence to make us feel nuts. Everything is a conspiracy. Everyone is a villain except your in-group. Except it’s not.
I am a pretty informal person. I don’t hold any institutional authority. The interests I represent are my own. I speak for myself.
Obviously I care a great deal about my family and my friends and want to reflect well on them but I can only speak for myself. This is a given in an age where big institutions often find themselves frustrating the interests of normal people. And people take a stand.
So when I find myself haggling with medical insurance or trying to wrap my head around a set of requests from someone claiming to be a representative of a large power, I think back to a viral tweet by Patrick McKenzie (@patio11), about the efficacy of the dangerous professional voice.
The “Dangerous Professional Voice” is less about aggression and more about clarity, formality, and signaling that you understand the system and expect to be taken serious.
What are my options?’”
McKenzie suggests this phrase, calmly and professionally delivered, often prompts the other party to reveal escalation paths or alternatives that might not otherwise be offered.
The voice suggests it solving it is a given. Getting down to business and showing you mean business. Even if you are an informal person sometimes you may want to use this dangerous professional voice as you go about your day. Share if it works. Patrick says he enjoys hearing about use in the wild.
I’m not sure exactly how to characterize Doomer Optimism other than a kind of social club for Internet denizens that wish to retain their optimism in the face of chaos and change. It’s a very human group and I’ve enjoyed their company for years.
I’m one of the odder congregants in this group which includes a diverse array of characters from all classes and walks of life. I say I’m the odd man out only because I’ve seen them as a generally regenerative self sufficient localist group that in another era would have been back to the land hippies, unionists, environmentalists and anarchists. Generally left wing coded but skeptical of state and corporate power.
That I’m one of a handful of practicing technologists that participates, and a libertarian, means I argue for the liberatory power of open source software and its range of applications for individuals to enable a life that can provide means and meaning without being in the jaws of the Machine.
Decentralizing technologies lets us all participate. More individuals are interested in thinking how they engage with industrial processes. 3D printing enables many types of freedom and is crucial to the right to repair movement. Which gives power back to the owner of property and not the corporation from which it was purchased. I unabashedly support the freedom to compute as a human who wishes to find a harmony with the machine in all its forms. Be not controlled by your tools or their makers. Make your own future.
If none of this strikes you as particularly right wing, reactionary or otherwise populist, or even statist; I’d agree with you. I am a libertarian.
And yet there are those who are still enthralled by old narratives of political poles that this individual, and choice centered, politics is one grounded in real people with real problems not financial or social abstractions.
Paul is a neighbor, a friend, and a gentleman in the most noble possible sense. He does not traffic in status or social cachet. He is a free thinking and curious American man who is dedicated to hearing a large swathe of perspectives. He wrote a response and included the email screenshot below. I am certain Paul really does mean his hospitality genuinely.
Dear @awinston
Thank you for your email (below). Of course its intent was not in good faith nor was it evidence of genuine curiosity, but it did cause me to reflect on the scope of @thewagonbox project and the growing constellation of characters around it. And I had to think about you, and Mr. Wilson, and how one should respond to the sort of witch hunts for political wrong-think that have become your cottage industry (one that I’m afraid is dying.)
To your first point: an interesting aspect of the Wagon Box, and particularly our Doomer Optimism events, is the breadth of the politics represented. Seneca Scott is a ‘90s democrat who wants a safe community for his family and goats. James Pogue, like me (and Jesus), has anarchist sensibilities, cares about the habitat for the trout he fishes and is leery of the global hegemonic machine. Ashley Fitzgerald is a suburban mom who likes regenerative agriculture and healthy neighborhoods. The event has largely focused on a suspicion of “The Machine” and ways to live humanely and harmoniously with the natural world. The idea that it is some hotbed of “hard/far right” ideology, or that we are promoting “corporate governance” is laughable.
To the question of the “ties” I have to Ryan Payne, or Jonathan Keeperman, or D. C. Miller, or any other person you may see as a “smoking gun” evidence of nefarious ideology, I have a few comments. First of all, you have left out other characters who have graced the Wagon Box, some of whom you might even consider even worse! And of course there are others hard to place politically, like Walter Kirn, Patrick Deneen, Paul Kingsnorth, or Max Foley. All these characters differ quite widely, have deep disagreements, but all have something in common: I find them interesting and care about what they have to say, and they see enough in me to take me up on my invitation.
You ever get to talking to someone and you see their eyes glaze over? They do not care what you have to say, they are not listening. It’s no fun. It is death. What’s the point? Good faith curiosity is the lifeblood of any relationship, of any conversation, of journalism, and of self governance. There are swaths of folks who have had good faith curiosity driven from them, and it has been done largely by people like you, who paint in caricatures and come to stories with an agenda, who live on fear and suspicion. You send a guy like me some sort of hostage note instead of an invitation to a real conversation. It’s sad.
At the root of the Wagon Box project is my personal curiosity in people, and at the root of that is a conviction that we will all be together eventually at a large table in a conversation that will never end. Our enemy is no person, but the stale impulse of death that preys on love, on connection, on community. It thrives in the Machine of mass delusion of which, regrettably, The Guardian is a mouthpiece. It has forced you to have a narrower view of people, a static view, and one that lacks curiosity. But I really do care about you, as you too are on a journey and I’d love to hear about it. Let’s grab coffee and talk sometime. No deadline.
I brought up the context of there being technologists as part of this conversation as another reporter who shares a similarly slanted lens who seems to have quite a problem with Silicon Valley while not really understanding the core values that technologists share that are not compatible with a controlled statist or even corporatist view of power.
We are going through a huge cultural change that will sweep many of us up its cascading consequences. We will have materially different conditions as artificial intelligence changes day to day life.
Do you want to trust those who insist on control to prevent horrors? Or do you want to trust yourself and your fellow man to engage with one another as human? I’ve chosen optimism. I believe we can build freely.
I am in a lot of physical pain and I have been cranky about it all day. I just did not have the energy to self censor my discomfort either. I spent a lot of the day in bed popping off.
Because people are polite I only ever get rewarded for being spicy. I’m sure people harbor all kinds of uncharitable opinions about people who are mouthy, especially women. But I mostly find you can say quite a lot. Especially with your ingroup.
In fact being disagreeable is tolerated, and even celebrated, in almost all public forums. Hard truths, straight acts, unpleasant realities tend to be celebrated. Truth telling can become someone’s persona even when nothing is wrong.
But watch out for that dark path. If you care too much about broader opinions of yourself you can easily become what is called audience captured in which your persona gets adapted to what gets a response. Modeling your life as get it can go very wrong for people.
I felt for comedian John Mulaney who got typecast as the affable guy and absolutely hated being the bad guy for his various addictions and personal life complications.
In his special “Baby J,” Mulaney reflects on the burden of his public persona: “Likeability is jaaaaaaaail,” summary via Perplexity of a much better substack piece
In some ways, playing to type is just cognitively easier for everyone. A social contract if you will. Being able to show more than one side of yourself shouldn’t be shrugged off as people pleasing nor is being disagreeable always a sign of bad temperament. Humans contain multitudes even if everyone plays to type.
Colorado gardening lore says you should never move seedlings out before Mother’s Day. In Montana similar wisdom suggests keeping the less hardy planting till after Father’s Day.
You think this is a bit excessive till you experience a May snowstorm and you will no longer scoff at the farmer’s almanac types. Just this weekend we were doing spring cleaning chores.
Alex discovered a tire blowout on our Deere mower. Given the state of imports getting an order in to Deere for a replacement was the first thing we did. We’d had enough growth in the back yard that it looked about ready for a cut. The back pastures get hayed later but we now some areas and the verdant green grass needing cutting.
Now, of course, this means it is snowing to beat the band today. We’ve got a couple inching blanketing everything from front porch to back patio. Underneath one of the big fires there is a patch of green new spring grass. A reminder that false spring is tricky in the Rockies.
I am saddened by the protective conservative ethos of some of our cathedral elites. I was filled with pride to hear multiple distinguished professor discuss their love of Boulder as emblematic of the kind often town we should all aspire to live in.
Boulder is a truly special town. Alas I have to question why it is that scholars with security and prestige can afford my hometown but their children’s generation couldn’t.
I am deeply saddened by the rising costs of my childhood town. We come back during the pandemic. When starting out my life twenty years ago I left my home as expenses rose.
My family didn’t own property. Regular people moved to other towns. Those who bought early fight to keep things. As they are. So only the wealthy, often conservative socially or economically, but generally institutionally secure elders own the town and no one else.
These preservation minded wealthy, either virtuous liberals or cultural conservatives want to preserve the values that created Boulder. The irony is not lost on me that the futurism of going back benefits the past entirely at the expense of the future.
But what moral or political good could there be in your perfect town and perfect conservation of certain mores if the children moved away.
You live in a garden made by weirdos and hippies and shined it into an expense that their own young cannot participate in it. Hippies and engineers produced a counter culture and turned it into a luxury good they did not uniformly pass down.
Boulder became a luxury good. I grant I could have a small piece of that. But would we flourish? Our elder elites keep their houses and smugly advocate against change to house even their own children. This change that necessary for the future their children will live in. We must be able to build for it.
I miss Boulder but I don’t miss this smug elitism of virtue. We chose to have a life where we could have a house and land and space for our lives and a regulatory climate where we could build the technology that will shape our future. I am sad it wasn’t going to be Boulder. We’ve lost Boulder to the security of the past and it’s expensive maintenance.
Bozeman is now the Boulder of the 90s. And I want to build up its future through the efforts of its industrious citizens and their ambition for building a future.
A forward thinking and growth focused governor introduced a future of building things with tools and technology and owning those benefits together. That the vision I want for Colorado and for Boulder.
Pairing his vision with two aesthetically conservative growth skeptical perspectives helps us realize the large gaps in values. And so I despair for the fact that I can never go home. So I must fight for my future. Which is I suppose what Renegade Futurism is all about.
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.
