Tag: Elite

Categories
Medical Travel

Day 1653 and Slicing Then Cipro

Well it’s been exciting day for me and I may be a little bit high (alas not the fun or good kind) as I just had an abscess surgery in Istanbul.

I’m waiting on the lab work for the culture and pathology but from what I saw come out of the abscess it can’t be anything good as the doctor prescribed multiple antibiotics including Cipro while we wait for results.

Bimzelx has some gnarly side effects and I don’t know how much more slicing up infections I can manage for an immune suppressant biologic. My biometrics are better but 2 eye infections and one abscess surgery that almost went septic isn’t making me feel great about the balance of value on the drug.

I can’t say enough nice things about the Turkish medical system and their treatment of foreign “tourist” patients. It’s my second time this year having my Bimzelx side effects treated here.

A lovely interpreter and patient advocate was with me the entire time. The physician was so empathic. She was astonishingly effective in technique and her whole being moved with an efficient alacrity that was admirable given she was in a floral print silk sundress, high heels and pearls.

Imagine being so good at your job you can squeeze infected goo out of another human that you do it in white silk? I was impressed.

She on the other hand was not impressed by the care I received in America.

“They knew you were immunocompromised and did not insist on an ultrasound and immediate treatment?

What do you mean they said wait and see?”

“I don’t believe the other doctor thought it was a swollen lymph node given the clear folliculitis literature warnings for your biological drug.”

I was headed straight to sepsis and in her mind having multiple doctors leave a high risk patient to “put a compress on it and wait and see” when it was easily 3mm below the skin was malpractice to her.

Quite the big abscess eh? And look at that irritating side ways hair in there so deeply buried

And indeed I am on the kinds of antibiotics you’d expect someone close to septic shock might be on. I am amazed to be doing as well as I am. But I am frankly furious.

I tried to be responsible with preventative care and was ignored. I just kept on going until the small lump became a large lump. Then it rapidly became so swollen and infected it couldn’t be ignored. What a metaphor for the American healthcare share. You try to be responsible and are shown the door till it’s a crisis. And then they can’t even fix the crisis.

On the bright side I’m in a lovely hotel next to the hospital receiving excellent care. I could afford to fly in and get it taken care of without any worries (for the curious this was $2,000 for surgery and follow up care). I was in a very space age room after being in surgery and all my intense antibiotics were hand delivered to me. Now we wait to see what the labs say.

A private recovery suite
Categories
Biohacking Media Travel

Day 1652 and Back in Istanbul

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.

But I am serious with this sidebar. Don’t go to SkincareMT’s dermatology practice if you have a layered case that needs more involvement. I found Dr Oetken pleasant but entirely unaccountable when a patient needed advice and weightings on a complex case. I should have known better.

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.

Categories
Culture Politics

Day 1648 and Dystopian Doomers

I’m fairly well branded as a doomer, so I hate to break ranks with my preparedness brethren, but I’m absolutely sick of the powerful using fear as a tool to control people.

It isn’t a new problem. This is the go-to tactic our species has used insofar as we can verify with written history.

Any time we experience a change of circumstance, material reality or technology, we hear the braying of the old guard and the panic of the precarious.

People complain for two basic reasons. If you are doing well why change a system that benefits you? If you aren’t successful but equally aren’t comfortable with change, then you resent anyone who benefit from change. Fear and resentment are the shadows of the human soul. Envy is the sin of our time.

I personally feel I’ve invested a lot in doing my part to educate people on risks from climate to currency and compute.

I am politically involved in crypto policy as well as fighting fear in artificial intelligence. I helped pass the only piece of AI legislation in the world focused on liberty. I want people to have a choice for how they engage in a virtual future.

I’m not just a nerd about being prepared either. I’ve done my wilderness first responder certification. We left Colorado for Montana for a host of reasons but top of them was a better and freer climate both literally and figuratively. We live this way because it’s a great way to live and when change happens we are hoping to be resilient.

Having all that in mind I was offline for the 4th of July long weekend as it has been a busy year on all of those fronts. So I was sleeping it off. To come back and see a spate of conspiracies over cloud seeding technology was like a punch to the gut. And I’m already feeling like I’m on the outs with some community when it comes to technology and my intentions.

I’ve only met Augustus Doricko of Rainmaker a handful of times but his circle of young technical Christians dedicated to building solutions to our modern problems are why I remain optimistic in fighting for technology and the people who build it.

These kinds of communities of builders exist in an archipelago of anarchic communities across digital and physical worlds that interlay across many systemic problems. These places will succeed no matter the future we face because they understand it’s necessary to build. That is will.

I’ve been lucky to have been the first investor in Isaiah Taylor’s Valar Atomics. He is a part of this builder world and of a part of a clan of physical builders. He faces decades of fear with a cheerful heart. I believe in his vision for energy abundance.

Nuclear energy was buckled under an old environmentalisms that was a proxy for a fear of a future whose risks, however minimal, were too scary to embrace for those in charge and the public they controlled.

I believe in a vision of a better America (and a better ecosystem and a better economy) because we embrace change to build materially better conditions.

I have frankly seen too much pessimism from older generations and cynical power brokers to be silent. The complicit rancor is slowing us down and there is nothing Christian at all about standing in the way of delivering better conditions to our fellow man.

Paradise is lost. In a fallen world we work to do what we can. It isn’t the end of the world. It’s already lost. Now we work because we must. We aren’t building an eschatology to replace the Lord. We build because that is what we are called to do by him.

Categories
Community

Day 1639 and Casting Aspersions

It is a poor craftsman who blames his tools. Much as I’d enjoy going on a sidequest exploring ethnographies of man and his use of tools, I have an agenda. My honor has been impinged.

At a gathering of eccentrics in Wyoming, myself & a friend engaged in an hour long discourse with our audience on the use of artificial intelligence and how one might practically understand these tools. The talk was more linear algebra than immanentizing the eschaton.

Our explicitly stated goal was to understand the technology stack and its capabilities so the audience could decide for themselves how to use or leverage this tool. The blurb I wrote introducing the topic.

Concerned that artificial intelligence will be a panopticon of horror? Afraid of nerds  immanentizing the eschaton? Jon and Julie have your back. Artificial intelligence is neither God nor imminent utopia but merely tools built by the hand of man. A practical discussion of how you can use these new compute tools to concretely impact the work & insight you need in your everyday life. Come prepared with questions, projects, and ideas as it will be interactive.

Our focus was on how these tools are built, what they can do and what they cannot do, and a firm stance that mathematics and compute are not imbued with divinity or demons but reflections of what we bring to them.

Indeed, we have never had more freedom than we do now to shape the weights and biases of these topological models. Our words on the public internet carry weight thanks to availability of fast compute and open source models. Our bigger issue is maintaining the capacity to supply energy and grid capacity. The real problems are human and social, much as we may wish to scapegoat a piece of code.

We were not suggesting a world ending chaos nor were we endorsing its use. We were discussing it as a piece of software and what it could do.

In a surprise to both myself and my co-speaker, the keynote of the evening spent a significant portion of his talk discussing how foolish, misguided and demonic we both were. Now the event has Chatham House rules for outside content or do I’d go into more detail.

However inside the event, the speaker could have done us the courtesy of saying our names when he made the suggestion that we are working towards evil ends.

He did not ask how we related to his positions and how we’d defend our word. At no point did he name us or address us. He merely cast aspersions.

Frankly I had no idea why he thought we were avatars for some kind of suicide squad as I doubt the gentleman is aware of MIRI or the myriad internal fights inside Silicon Valley. It was however insinuated to be true that we are the bad guys. It’s what we do.

I find this to be a cowardly position. If one holds such strong views that one would call two humans with honest intentions demonic at least say our names. We were in the audience listening intently.

So I will protest. In a past era, I feel that these heavy accusations would have been grounds for demanding satisfaction.

I am of the belief that the only way we manage the effects of adopting any new technology that impacts our culture is rigorously debating the merits from engineering to impact.

We are not asking you to trust us. We are instructing you in how to master this tool if you so desire and if it brings value to your life. We share many of the same concerns.

Alas (thankfully?) you are not summoning any demons that were not previously installed on the operating system of your soul. The shadow of humanity can be seen quite clearly in how we engage with the artifacts we call artificial intelligence.

I will continue to insist that insulting our positions without naming us or calling us to account in public is grandstanding. It was clear we were the targets of the criticism. It is poor form.

I’m an American so our manners may be different than others, but we do have them. So put some respect on our names when you say them in your real life subtweet.

We’ve asked to discuss it with him further through our host but he has declined. I frankly am delighted to find that I’ve had such an impact that I cannot even be named when raging against that machine.

One hopes a parlay possible. But it sounds like he would prefer to avoid us. This is of course fair on his part. I am however prepared to defend my positions. We all must be prepared to defend our actions in this age of change.

Categories
Culture

Day 1638 and Make Clothes You Would Wear Yourself

I’m with a group of some of my favorite eccentrics. It’s a barn raising kind of vibe as we collect our wits in real life.

It’s a real weird group that operates under Chatham House rules so I’ll keep it to my own experience.

One of my favorite discussions came from a a successful financial executive who farms. He’s an inspiration to anyone who wants to be think about their relationship with the industrial scale world. He came from a family of farmers and returned.

He told a story about how his grandparents farm produced the food that his own family ate as recently as three generations ago. Now they don’t eat any of the food they produce anymore. It is sold into a systems.

I feel a kinship with this experience as I worked for an American heritage brand that had lost its way but had once dressed a generation of American women living American lives.

When the new president had one firm expectation for the quality of the work our product must demonstrate she had a sins tear. Every one of us needed to make clothing we would wear ourselves.

It was a group of luxury executives so their expectations for style and quality was more LVMH than mall brand. And not did force a higher standard. What could be sold and what we ourselves would wear were entirely different beasts. And we had to build the skills to make the clothing we’d wear as consumers of artisan clothes.

It was not a financial success. Private equity came to eat it. No one I know is still at the brand. But for a brief moment of time we made clothing we’d would want to wear ourselves.

Categories
Media Politics

Day 1635 and Slop Doctrine

Yesterday we enjoyed the uncomfortable tension of a cease fire announcement in the Israeli-Iranian conflict that America had just entered that no one was sure was real.

Sure the president had said so inside the heaven ban built to purpose social network Truth Social, but we had no basis for belief in that without hearing from Iran or Israel.

Newspapers sent out alerts that resolved into “unconfirmed” once you hit the landing page. Thanks guys but maybe cool your jets on the alerts?

I read Naomi Klein’s Shock Doctrine when it came out in 2007 with a mix of skepticism and head nodding. Her thesis was that disasters are used to push through unpopular market reforms. I remain skeptical of presenting neoliberalism as exclusively disaster capitalism.

But after resistance to the Iraq War did nothing, and having recently graduated from an alma mater whose reputation in Latin American economies was shall we say mixed, I was somewhat receptive to her thesis.

I alas myself lack the crucial qualification for being a fan of Klein’s work as I am not a socialist. I like the market reforms and doubt chaos is the only vehicle through which they can be passed. At this point in our history, chaos is leading us more towards statist solutions

Nevertheless I remain skeptical of the narratives from state power no matter what solution the state is pushing. I like a market based solution as much as the next bourgeois pig, but I’m no fan of the state overriding its people or its businesses.

The problem we have now isn’t just Shock Doctrine or disaster capitalism driving outcomes. It was mostly disaster authoritarianism in my opinion.

The reason it is so unsettling to have no source of reliable information or institutional trust in our information is because we are now living in the age of Slop Doctrine. You can take it if you like Naomi.

It’s impossible to sort out what reality is winning even when it’s coming from a head of state. A million competing narratives from untold decentralized sources of information now compete to confused and unsettle us. The psy-ops aren’t even run by humans anymore.

I’d love for us to collapse that state of uncertainty that comes from multiple entangled competing realities into consensus reality.

Alas when I searched for quantum reality collapse terminology all I found was a LiDAR imaging company for architectural documentation. Their website doesn’t suggest much of anything invoking quantum states except insofar as one hopes that by using their imaging your buildings won’t do so.

And so we are left swimming in the slop doctrine confusion in which old ways of validating information are entirely useless to us. Slop Doctrine is here and it sucks.

Categories
Aesthetics Internet Culture Politics

Day 1634 and Trust The Planners

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.

Categories
Aesthetics Culture

Day 1623 and a Costco Birthday

Today is my husband’s birthday. He genuinely is a very low key guy and when his birthday falls on a weekday he isn’t into big to-dos. But he said he’d be up for a Costco date.

No surer sign of enjoying middle age than loving the finest buyers club values of Cost. But to be honest we’ve both always loved Costco. And you can really get into Costco when you have a multiple barn freezers and backup power so no apologies for our love of a practical Costco date.

Bounce house for sale? Birthday win

Though it didn’t go entirely to plan. If it means anything to the pulse of America the Bozeman Costco was a chaotic in a “concerning operational decay” way.

Now we noticed a lot of categories completely out. No lemons. Several steak cuts we’d been hoping to get for a birthday dinner. Produce in general was pretty bad. Enough to make you wonder if they were affected by the United Natural Foods hack.

But other things were off. Staffing wise you had to wonder if they fired half the staff or no one planned for managing checkout flow for June in Montana high season? Nothing is as predictable as tourists going to Yellowstone if you’ve got a manager with any tenure or common sense. but maybe they don’t. I have a Twitter mutual who burned out on a Costco job so two strikes guys. Talent is part of the Costco brand.

Alex works New York hours so we got there around 2:30 or so which you’d think would be quiet but is not in midsummer in southern Montana. It was summer high season traffic you’d expect on a Saturday though.

We walked every aisle and there was a lot of fun oddities. Japanese toilets, water bottle drying racks, sound absorbing wall panels. And there were some less fun selections.

We usually do a better business with bear spray

There was a disturbing amount of slop packaging products and rapidly prototyped TikTok trends follow ons. Dubai chocolate ice cream bars? The zoomers will enjoy their summers up here I’m sure.

Lots of grouchy Boomers and exhausted families were looking for basics in the middle of the store as we perused the sides of the store for fun. Everyone is in Montana it seems. As we waited checkout I heard discussion of how JD Vance meeting with the Murdoch family at their ranch in Dillon.

We had intended to go end it with a hot dog and pizza slice respectively but it was so intense at the checkout area we didn’t even try. The lines were unmanageable which is how we got so much gossip. Montana isn’t so big that you can fly Air Force 2 to Butte without chatter about which ranch you are visiting.

I hope Costco has made some margin on selling gold bars to happy men like my husband. We also found a few other things

Categories
Politics

Day 1620 and Yes Minister

I enjoy British comedy for all the usual reasons. Witty, acerbic, and dry cynicism make for a good laugh even if it seems like a challenging culture to actually live in.

Nerds of my elder millennial era were introduced to Monty Python by our parents but there are many others perhaps more worthy of constant quotation. It’s a diverse genre and helps manage stress about politics.

And sure every week has a “come see the violence inherent in the system” moment these days but it takes a really special kind of stupid to mount a four stages of a crisis narrative campaign in a matter of days. Political satire Yes Minister delivers an excellent example of this tactic.

To set the scene, Sir Humphrey Appleby the bureaucrat (excuse me, civil servant) and his elected minister who eventually fails up to Prime Minister Sir Richard Wharton. The episode is called “A Victory for Democracy” which as you can imagine it is not.

The stages of a crisis are as follows

  1. Stage One:
“Nothing is going to happen.”
    1. Stage Two:
“Something may be about to happen, but we should do nothing about it.”
    2. Stage Three:
“Maybe we should do something about it, but there’s nothing we can do.”
    3. Stage Four:
      “Maybe there was something we could have done, but it’s too late now.”

It’s a very fast set of news cycles when you resign yourself immediately to stage four. Things pop off and escalate and soon we are faced with an ambivalent leadership response that shrugs blame as easily as it did responsibility.

Categories
Politics

Day 1616 and All Hell Broke Loose

Well, I don’t even know how to begin explaining the public fight between Elon Musk and Donald Trump. I’ll say that it was the best afternoon on Twitter, maybe ever? But it was a sad day for America.

Group chats were popping off like it was holiday weekend and absolutely pandemonium reigned on every newsfeed. Major newspapers were maintaining timelines updated tweet by tweet. These are the WSJ and the New York Times late afternoon mountain time.

Today will take time to dissect and I’m sure the Wikipedia page for Thursday June 5th 2025 will be chaotic. So much ridiculous fighting and there was nothing anyone could do to stop it. It was an ugly spat and a public display of contempt for the millions of Americans who just want our government to function.

But holy shit is it funny to see grown men lose their absolute minds publicly when the stakes are literally our government and the most important currency in the world. Honestly I’m so disappointed I can’t even take comfort in being at the very edge of the empire.