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Biohacking Chronic Disease

Day 311 and Conspiracy Care

The current “news” cycle is up in arms about a football player taking medical advice from a podcaster. Depending on who you read this is either a very bad thing or a fight against woke mobs and cancel culture. If you have no idea what I’m talking about there is no reason to dive in further. Don’t upset yourself.

People take advice from people they trust, and sometimes we trust people we perceive as being smarter or even as having higher social status than us. Shortcuts are part of life. And if you have access to someone, say through a parasocial relationship like social media, that you perceive as being well equipped to solve problems you will probably listen to them. Which is a point Eric Weinstein made about Joe Rogan and healthcare that I think is especially salient.

I think we have to understand that people are also looking to Joe as a pass-through for concierge medicine. If you have brilliant Uber-rich people in your life you hear a lot about medicine you can’t afford. Whole body work ups. Multi day examinations. Lots of medical gear.

I didn’t used to have much health care. I went to free clinics and doctors who I could pay $50 cash to for antibiotics without a hassle. It’s probably little wonder that when I had real health care issues I wasn’t prepared for just how bad most care in America is even with health insurance. I thought I’d get good healthcare with a nice insurance plan. But it mostly sucks. I got dismissed, ignored and generally not diagnosed for almost a year. And then I figured out how wealthy people do medicine. And I began healing.

Holy shit is it night and day different what spending real money outside of your health insurance will do. Like Joe I get concierge care. And to the advice I get is pretty far off what you hear from a baseline healthcare practitioner like say the doctor who can only see you for 20 minutes and can’t risk anything that isn’t clearly proven and approved. But someone who doesn’t answer to a big hospital system? They turn out to be much more flexible and will help you work through the risk and reward (and also cost benefit) of a host of different tests, treatments, supplements, devices and diagnostics.

And over the course of about three years I went from functionally disabled and completely unable to work to, well, basically fine. Three years ago I could barely walk and now I’m back to powerlifting and hiking. But the sick thing is I am certain if I were a plebeian I would be on disability for life. I would have at best been prescribed pain medications and left to rot and potentially develop an addiction or two.

So is it any wonder that in a country with a mass chronic disease issue we’d look to wealthy proxies like Joe Rogan and imitate what he says is his care? Fuck no. It’s downright immoral and condescending to suggest that the victims of American healthcare systems shouldn’t try to help themselves. No one else is stepping up to pay for their healthcare.

What is a genuine issue is that without context and a team of professionals you might accidentally become a victim to conspiracy theories. Which is exactly what we’ve seen with a number of Americans. But the line between conspiracy and simply untested or unproven treatment is a lot blurrier than I expected. I had concerns I’d be taken advantage of by functional medicine doctors and holistic practitioners. And surprisingly that just didn’t happen. I was always given context, research, second opinions and supported in making as informed a decision as possible. Doctors are collaborative by nature and my team has encouraged me in my efforts to test and trial a lot.

This kind of care does not come cheap. I’ve spent close to $80,000 on concierge care services over the past year. This includes everything from diagnostics & testing to compound pharmacy and off label pharmaceuticals (get metformin just trust me), to a host of medical devices and treatments as well as the hourly cost of a primary care physician, a prescribing & case physician (it’s not uncommon for different doctors to do medicine management so as to monitor your entire case for interactions) and clinical nursing. Like I said, if I didn’t have money I would still be on disability. I’d estimate only 20% of my progress came from before I went to a more personalized approach. Medicare for all isn’t going to deliver you the kind of care I got.

I don’t really have a takeaway or solutions here. Most people don’t have complex chronic diseases nor do they have the need for the kind of last 20% health optimization that the billionaire class go in for either. But you can do a lot on your own. A lot of health is just preventative care.

I’ve shared a basic biohacking guide for beginners before. Replacing fat with lean muscle and getting your basic nutrient and fitness profile improved should do a lot for many of you (not true of chronic disease patients that’s complex). After you’ve done the basics on your fitness, body composition, and sleep hygiene for 3-6 months you can move on to supplements. You maybe surprise at what you learn and how much it deviates from what is common knowledge about health. Here is a little hack to save you time. Eat protein, lift weights and get sunlight. And stop looking down on people just trying to survive. That makes you feel better too.

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Preparedness

Day 309 and Buying Land

Now that the pandemic has fully driven startup land to a remote first culture, I have no excuse to put off buying property. But it’s hard to figure out where to settle and when. Alex and I signed another year lease on the townhouse we have in Boulder last month which means the countdown clock is on.

I’ve been in Colorado a full year and I’ve got another one ahead of me as we ride out whatever the pandemic has left. So while I don’t think I’m headed back to New York City for full time living ever again, I don’t feel ready to buy a home yet either. It’s a big decision with consequences! And I’ve got no idea what to do. We want to invest in a home we can invest in for preparedness.

May the crypto and startup gods bless me with pied-a-terre money on the next exit so I can have access to New York City and live off the grid at the same time! But no seriously I don’t think I can settle in Colorado either. The last summer was unlivable between the extreme heat waves and the ozone pollution that comes from high heat combining with high altitude sun. It’s better in the high country but then you are in fire country. And we’ve had terrible fires in the last year. Apocalyptic shit frankly.

The Colorado of my childhood isn’t surviving climate change. And the prepper in me just isn’t willing to invest in putting down roots in a place with water shortages, drought, fires and the potential for civil unrest. Which frankly pisses me off. I’m sad I can’t just buy a homestead in the Colorado Rockies. I have a whole rant about Boomers and ruining my home but I’ll try not to piss off my elders. I just really wanted to be able to live here.

But that begs the question of where is a decent place to buy a home. Leaving behind civilization for Montana doesn’t feel feasible now either. Alex is too social for that kind of nonsense full time. Being in a small town in the middle of nowhere seems romantic until you want takeout. And frankly I like takeout.

But I also want to invest in more serious preparedness efforts. I want to be fully off grid. I want to invest in our water. I want to do the kind of regenerative agriculture and restorative land work that could lead to a self sufficient life if it came to that. I want a homestead. Heck right now I don’t even have a generator or a fire pit. Because I’m in a townhouse. Which is a lot better than being an urban prepper but I’ve got a taste for more.

But I’m also not ready to leave behind civilization. So I’ve got no idea what to do. Because I’m at the end of what kind preparedness even makes sense in a more urban location. And we don’t own it. So I’m feeling itchy. Should we buy something in Boulder that we can do some prepping on and also a piece of land in Montana? I’m not sure that’s feasible financially. I feel stuck on this one if anyone has got opinions.

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Aesthetics Preparedness

Day 308 and Apocalyptic Aesthetics

It’s a pretty open secret that I’m a prepper. And by secret I mean I’ve been quoted in The New York Times and the BBC for being a new kind of “socially acceptable” preparedness aficionado. That basically means I’m not a conspiratorial reactionary but a nice white lady with politics that aligns with the powers that be. I say things like being prepared is the socially responsible thing to do for your community if you are privileged.

I got interested in preparedness because my family has been through a few natural disasters. My brother was in Louisiana during Katrina. My parents have survived a few fire season scares in Colorado. I was in Lower Manhattan during Hurricane Sandy. Watching the power grid go out for ten days in a city like New York changes you.

Now granted I’m still a libertarian and I’m from the mountain west so I’m not too far off the mark of prepper aesthetics. I picked up a lot of shall we say “heritage” skills as a kid with farming, animal husbandry and lots of camping. So it didn’t seem too intimidating to act like a Boy Scout and be prepared. But compared to what the rest of prepper and survivalist universe gets up to I am probably one of its most palatable emissaries.

I’ve been refining some of my longer term preps recently as I’ve been making the transition from being an urban prepper to scouting for a sustainable homestead. That means I’ve been looking for inspiration on what to prioritize. And holy shitballs has the apocalyptic aesthetic gotten even weirder. I read a book called Black Autumn that started pretty normal with lots of practical details about grain milling & food storage. But maybe the the cover should have clued me in.

The damn book ended with, and I am not making this up, a war between illegal Mexican immigrant “gangbangers” and the nice white folk in the Salt Lake City adjacent homestead. It ended up being “operator” porn. If you don’t know what that is read this piece on Black Rifle Coffee and the aesthetics of marketing to conservatives. Americans have a hard on for the military even if they never served.

I’m kind of mortified this is now in my Amazon history. Folks in the analytics department are going to start marketing even more reactionary shit to me. And deservedly because I bought another book called Day 299 (in case you hadn’t noticed I label my shit by the day too) in which some white guy goes from generic conservative “the government is bad” to full blown only alpha male traditionalist reactionary. I’m a third of the way in and I’ve so far gotten exactly zero useful preps out of it. At least the racist operator porn gave me a good tip on a wood fired stove for my fantasy homestead in Montana.

Apparently there is an entire genre of apocalypse fiction and all the books covers are guns, country and God. Which are all things I value too but like let’s tone it down people. Preparedness shouldn’t be the province of one political affiliation. Natural disasters are happening more frequently whether you believe in climate change or not (if you don’t think the climate is changing well you can’t borrow my grain or my rifles). Being a prepper doesn’t mean you are a MAGA, a good ol’ boy, a conspiracy nut or a Christo-fascist neoreactionary. Hell you probably aren’t a blue lives matter bootlicker if you are also a staunch 2A small government type. But the aesthetics sure make it look like it. This Mark Goodwin dude must be really weird in bed.

Everyone needs water, food and shelter. And we’ve been skeptical of FEMA since the X-Files movie so it’s not exactly news that self reliance is critical. So if you write apocalypse fiction please convince your publishers to chill on the imagery. I get that sex sells but the aesthetics are cringe and that’s keeping people from being prepared.

Categories
Aesthetics Internet Culture

Day 304 and Higher Resolution

I finally watched the new Dune today. This post probably has spoilers. I liked it a lot even if it breaks no new aesthetic ground. It’s just a higher resolution envisioning of David Lynch. I’m no film critic. I don’t give a lot of thoughts to cinema. I prefer TV. But it’s fascinating to see just how much the Denis Villeneuve version matched it’s predecessor. It’s got the same muscular Christianity that tosses up messiah myths in the desert but this time with Baudrillard’s hyper reality.

It’s fantastic to see really. Dave Bautista is a great aesthetic match for the grotesque petrodollar plutocracy. You love to see it. Timothée Chalamet is a terrific white savior. Zendaya is Pocahontas. Also great gear fetish work too. Apocalypse fashions are functional just like in cyberpunk. But now with water filters!

It’s all a look and I’m so glad the director of the Fifth Element isn’t being asked to break any new ground on his own aesthetic brand. It’s even got pandemic masks baked in! And the best villains are as always environmentalists. And just like Star Wars it’s mostly a movie about trade policy. All our best movies are about money in modernity. End of empire is our favorite romance. The death of empathy is about seeing numbers in humanity because going from authoritarian to communitarian must involve proud patrilineal martial men.

If you walk without rhythm then you won’t attract the worm!”

I felt the same way about Mad Max Fury Road. Everyone was raving about it as an aesthetic achievement and all I could see was that it had simply polished up the mood board of the original. It’s a miracle it got made said the reviews. And I’m like no this seems like the system working as designed.

Of course we get to consume a new hyper reality. We get a better version of our childhood beamed back to us. Also parables about feminism because someone feels guilty about all those princes movies that rotted our brains.

South Park called it ‘memberberies and made fun of the culture of nostalgia. It’s astonishing how much of our current entertainment is just better versions of what we’ve already had. We are so spoiled for choice and it’s all the same.

Baron Harkonnen is still fat and flying over rooms. It’s just all a lot slicker than on the first go. It’s all sexier and smoother and utterly absolutely the same. No wonder none of us can imagine the future anymore. The future’s aesthetics haven’t changed in two decades. We stopped in the aughts and went hard into refinement culture. Skalla the Lindy Man got this aesthetic nuance just right and I feel like I’m only just noticing how much I hate it.

It’s enough to make me want to stop wearing clean lines just as some desperate attempt to break free from the inexorable horizon of the long now. Ben Hunt points out that we’ve broken ourselves off from investing in our future so we never get there.

And it’s all very good. And it’s all well executed. And I enjoy it all. But it’s just a fraction off from being authentically good. It’s not quite the reality you’d hoped for but it’s somehow crisper than you’d imagined. It’s polished and it’s boring. No wonder Gen Gen Z is over all this shit. Crystal clarity in all our media makes the soul despair. I say let’s clutter up the web with financialized jpgs. At least the vibe is different.

Everything else feels decadent and rooted in the cannibal consumption of the late empire’s transition to capitalism. And I mean America not Arrakis. The slice of people commenting on any of this are necessarily removed from the reality of day to day life. My asshole take on shit is just the most removed crap and it’s comical I even take the time to signal it into the abyss. That’s excess labor value in the form of a social class. It wouldn’t be any surprise if we brought on our own apocalypse because we couldn’t face a future with consequences. The spice must flow.

Categories
Internet Culture Media Startups

Day 295 and Long Game

I think most people dislike media because it’s hard to understand where a narrative came from. If you aren’t in the business of telling stories the natural braiding of emotions, motivations and public opinion can seem foreign. It’s like the weather. It’s completely comprehensible how different patterns emerge but you cannot predict precisely how it will play out. There is a science but the specificity of the modeling isn’t so accurate you can predict the course.

This is why I encourage startups that work with me to think about the long game. Give context about your space and your opinion of how it will change and grow. Don’t be afraid to state clearly and in specific why something is the way that it is when talking to a journalist. No one is out to get you.

Journalists just want to show a story that makes sense to regular people. A cohesive truth that can be proven with outside and objective fact still matters to virtually everyone outside of very specific Murdoch outlets (never give a quote to the NY Post).

So much of being covered in the media is not about having a publicist or being trained but is rather about interacting with the 4th estate as if they are human just like you. A reporter will happily tell your story if you can make a case for why it’s true. And no one is coming to “gotcha” over some secret. The Internet may roast you but that’s just the crowds. No one has control over public sentiment. You too may one day become the main character on Twitter. But that’s probably your fault and not a journalist’s doing.

So if you want to live in public think through what the long game might be. And work on convincing others that the future you see is not only good but inexorable. And repeat it with conviction. It’s ok if you get some shit wrong, cancel culture won’t demolish you. Probably. I mean some of you deserve to be canceled but somehow it never seems to happen to the assholes who really deserve it.

Categories
Aesthetics

Day 292 and Television

I overdid it a little today. I pushed to go for a evening walk and got overwhelmed by the appearance of some pain. It wasn’t so much the pain that bothered me, it was the anxiety that washed over me as I contemplated the pain. I struggle to juggle life with pain sometimes, less because the pain is bad but more because I let it get in my head. The surest path to letting the worry go has been television.

If I take half an hour to watch some TV and let every other thought go but the plot of some cartoon or sitcom I’ll be calm and eventually the pain will be controllable again. It’s fascinating how the mind body connection works sometimes. I wanted to let the anxiety over the pain spiral in my mind but the utterly predictable and calming plotting of a Tim Allen comedy grounded me. I can let my mind wander the simple pathways of a half an hour show and find myself more centered than after a mediation.

I’m sure I’m not the only one that finds television soothing. We wouldn’t call it zoning out to the boob tube if it didn’t do something to tamp down higher level thinking. But maybe derogatory commentary is missing the point. Maybe the dumbing down of America has some benefits. We are constantly overstimulated. In my case the stimulation can be spinal pain. Letting the high frequency worries come down to a more mellow intensity is a positive for me.

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Internet Culture Politics Preparedness

289 and Apocalyptic Aging

Millennials are aging, but that doesn’t seem to have kicked off the midlife crisis handwringing of popular culture yesteryears. The first millennial are edging towards 40 but it feels like no one is a day over thirty on social media. Maybe because it’s hard to feel like you’ve hit midlife when the traditional markers of stability like children and mortgages feel more like luxury status symbols.

Maybe no one is craving red sports cars and the open road because no one has the security of a home life from which to break free. A midlife crisis seems like an almost comically indulgent thing that our boomer parents did. Imagine having kids and a home and thinking that you wanted to go back to the insecurity of your twenties? And boomers have the balls to call millennials spoiled. You had to have have stability to throw it away first.

I’m an elder millennial and a reasonably comfortable even wealthy one at that. But I don’t have kids or own a house. I frozen my eggs when it seemed like having kids wasn’t financially feasible. My husband and I lived in Manhattan at the time and we both had early stage startups. It seemed like a wise idea to put off the decision at the time. And we never even considered buying an apartment. Tying up all that wealth into a one bedroom apartment was for trust funders not the professional class.

Now it’s clear we can afford children and a mortgage on a house, but it seems crazy to commit to either. No one has a clue what life is going to be like in ten years so why would you anchor yourself and innocent progeny? It almost feels immoral to consider.

I don’t really understand how one can age gracefully when so much of life feels casually apocalyptic. Maybe millennials aren’t acknowledging aging because we live in the stasis of the long now. If there is no future then we aren’t moving into it. Each passing year is just a lucky bonus when nothing builds towards stability.

Not being able to afford children and houses is a blessing if you don’t believe in the future will be better. We’ve rationalized that the basics of the American are luxuries only for the wealthy. The wealthy can afford to live with rising tides and six figure college tuitions. Everyone else is thrilled to have enough cash to buy prepper supplies and pay their health insurance deductible.

And in some horrifying sense it is rational. I don’t trust the political system in America. Which means I don’t trust we can solve pressing issues like climate change or rising debt. So when new and exciting issues like the pandemic destabilize life even further it makes committing to a future even less appealing. There is absolutely a part of me that stopped believing in the future sometime in 2016. Everything went Hobbesian. Millennials are aging but we aren’t growing into a future.

Categories
Aesthetics Internet Culture

Day 260 and A Good Schtick

I admire a well executed gimmick. Being clearly branded has become a necessity in digital life. Living life at a scale larger than your local community turns out to require we communicate who we are for easier communication.

Mediocre marketing people will insist that you find areas you can “own” in planning materials for promotional campaigns. They want you to find a schtick. But you better like what you come up with as you will be forced to repeat your greatest hits ad nauseam.

It’s not that they are wrong. Repetition is pedagogy. Which is a fancy way of saying in order to teach you must repeat your lessons. Humans usually require hearing something a few times before the information will stick. But then it can be very hard to dislodge a piece of information that we’ve become convinced is true. That’s why it’s much harder to change a brand than it is to build one. We get indignant when we feel someone has mislead us with their brand.

That’s why you need to be very sure if you are going to dig into a schtick. The temptation to go full Tucker Carlson or Rachel Maddow can be tempting. It’s seems like it’s an easier path to attention and awareness if you develop a clear point of view. But be warned, if you change it people will get mad at you. If you explore shades of grey you will get called a hypocrite. Nuance is the enemy of clarity. And clarity is required to reach big audiences.

I swear half of cancel culture is just assholes who don’t understand that their friends may see them as whole empathetic humans who are more than their schtick but the masses won’t. And remember you too are a member of the masses and judge others hypocrisy just as harshly as they judge yours. That’s like the basis of all Abrahamic religions. If the golden rule was easy we probably wouldn’t need to attend various worship services regularly.

So if you see someone with a good schtick admire it. But recognize it’s a Faustian bargain. They sanded off some portion of the wholeness of their being in order to be easier to understand. And if they drop some portion of that gimmick in the course of their lives it’s worth showing a little grace to them. You’ll appreciate it when you require the same.

Categories
Aesthetics Politics

Day 254 and Cultural Hegemony

I did my best to stay off the news and internet today. I went into the mountains and spent the morning walking. I didn’t want to intake discourse about the anniversary of the September 11th attacks. But it’s hard to avoid all discussions of American influence and it’s place in the world. Even when you are watching a tv show. Perhaps especially if you are watching tv. American cultural hegemony is alive and well, even if our political, military and economic might is waning.

I like science fiction so when Netflix suggested a Norwegian horror show about a small town experiencing an environmental apocalypse I clicked watch. It’s called Ragnarok so I was hoping for claustrophobic terror, glaciers and the end times. But aesthetically it feels like I am watching Riverdale or one of the CW “Arrow-verse” teenage dramas. Which is to say it feels very American. I’ve been watching an American television show in Norwegian.

All the music is American. There is hip hop playing as the background music in a small rural Norwegian town. All the clothing is American from the track suits to the basketball shoes. Even the food is American with teenagers enacting personal dramas over baskets of French fries in a diner. The backdrop is a remote village on a fjord but you could easily mistake it for any town America.

This despite the fact that the plot and the cast of characters are all Nordic elder gods. Presumably inheriting a rich culture that is not straight out of Compton. But such is the reach of American culture that it pervades the imaginations of even the remotest and oldest cultural legacies. America may never have had an empire in the geographic sense, but we’ve had a strong hold in your mind. We live there rent free.

But that power was born out of a dynamism we are losing. America won’t be the center of geopolitical or economic power for much longer. Eventually this will slip our cultural power. As we lose the high ground of the world’s imagination other cultures will be emulated.

I’m actually afraid of the end of the empire. Where will I go to be part of building the future if it’s not here? Will I be allowed in? Will I be able to assimilate into whatever culture is making what comes next? I was born into an era of American dominance so manifest that attacks had to be brought through asymmetrical terror. It was impossible to imagine anyone taking on America any other way.

And while it’s true we still hold sway in the far reaches of global imagination, are we headed the way of the Norse elder gods too? Has it already slipped and we kid ourselves that we could fight back to prominence. Maybe Ragnarok already came for America and no one noticed it.

Categories
Internet Culture Politics

Day 246 and Culture Bores

Anytime a new conflagration breaks out in the culture war I worry. What if this is the time I finally get information poisoning? I’ll surf the discourse and try to wrap my head around the issue. If it’s just a minor flare up, an outbreak of zeitgeist, my rational antibodies react swiftly and I bounce back from any emotional reactivity without getting sick. But when it’s full blown infection of the entire body politic I am not so lucky. I will succumb just like the rest of the country.

To fight off cultural contagion it will take several days of inflammation. I’ll be hot, bothered and have muddled thinking. It will take all of my energy and focus to see through what is the immune response and what is the infection. And then only then can I begin to consider treatment to get back to an emotional baseline.

Yes I am absolutely torturing a metaphor here but I’ve dealt with several cultural infections over the last year and it’s been a mess. My natural immunity to poor information environment isn’t total. Raging partisans spewing talking points can infect anyone. I’m sick of being infected just because I read the news. No one can be expected to quarantine their entire lives from current events but it sure feels like the isolated forever crowd is winning when someone tells me “just don’t pay attention.”

I encourage you not to be a culture bore. A culture bore is someone who spreads culture war contamination. Sure you might not realize you are infected. But you can take sensible precautions and it makes the informational commons better for everyone

Don’t spread a malicious informational meme unless you are willing to let others get infected. Which you might be. You might be a partisan. I don’t know. That is your right. But then you’ve got to ask yourself if I am sharing some tidbit of bullshit am I doing so because I think it’s beneficial? Or am I an unwitting carrier of some viral nonsense?

Sure I get it. It sucks to consider that your meme hygiene might be bad! I’ve been there. I picked content up from some dive account that only retweets resistance grifters and regretted it later. I’ve liked some kooky tweet from an account who turns out to believe the January 6th insurrection was patriotic. We’ve all done it. But for the sake of everyone else enjoying the information commons and being decent citizens together try not to do it deliberately.