Tag: Fear

Categories
Medical Preparedness

Day 627 and First Responder

My hands are stained blood red. Despite a good scrubbing, my cuticles definitely show that I spent time packing wounds today. Ok, fake wounds. And it’s fake blood. I am taking a wilderness medical incident certification course. And it is very hands on. Literally.

A firefighter packing compressed gauze into a femoral artery simulator

I got the opportunity to take a spot in a course that one of my friends teaches. I’ve got so much exposure to medicine after the last several years of health challenges that I’ve been yearning to upgrade my knowledge to something more practical than my own personal biohacking. So when Tom offered up a spot in his medical incident certification course for wilderness response, I said you know what fuck it I’m going to do it.

And I’m so glad I did. Not because I anticipate needing to apply a tourniquet in the back country of Montana. Or that I’ll be faced with packing a groin wound to stop someone from bleeding out when they are hours away from the hospital. Though I am glad I now know how. But because I think hands on experience with a rougher world is experience I need to do my job investing in an increasingly complex, chaotic and unstable world.

I was absolutely enthralled by the first day. It was me and a bunch of other much more experienced EMTs, paramedics and wildfire fighters. I also met a number of extremely savvy folks who special in fire and emergency incident response.

I was very much thrown into the deep end of first responder world and I’m not ashamed to say I “died” on the very first scenario test as I’ve got no idea what I’m doing. But I’m soaking up as much information as I can as fast as I can. Though not quite as fast as arterial blood gushes. Yet. Ask me on Friday if I’ve improved.

I couldn’t tell you precisely why I think this kind of hands on exposure to emergency response is so crucial but something deep in my gut says that I cannot possibly invest in a changing world without having some on the ground exposure.

The folks who are fighting our worst wildfires and responding to our most intense natural disasters know something visceral about chaos and the fragility of modernity that the rest of us do a lot to suppress.

Just casual conversations as we went through lessons and practice opened up my mind to new areas of opportunity. I found half a dozen blind spots I didn’t know I had. The world is much more chaotic than the media and our social channels let on. But it’s also possible to tackle them head on. We are not helpless. And it’s not hopeless. And I’m feeling fully empowered to deepen my relationship to chaos as I learn just when and where I have more agency.

Categories
Preparedness

Day 626 and Learning

I’ve been slowly making my way through a Korean show on Netflix called Extraordinary Attorney Woo. It’s about a young woman with autism who has a gift for the law. It’s warm hearted and charming and a bit of a relief to watch if you have autism or are on the spectrum. I highly recommend it.

The show really pulls on my heartstrings. The episode I am currently watching features the struggles of 10 and 11 year old kids who are at after school academic centers. I won’t ruin the plot but a young man sets out to “liberate” the kids by letting them play. I found myself tearing up the show went about discussing the need for healthy playtime.

I hated going to school even though I love learning. I found so much of the pressures of school upsetting. Being inside, being around lots of people and loud noises, and just generally being obligated to things like homework and deadlines to be exhausting and anxiety inducing. I found myself tearing up watching these Korean kids in similar situations.

I was quite lucky to have a mother who sent me to Waldorf schools and even the occasional home school year. When I could pace myself I’d would rapidly out run the curriculum. I just needed breaks and playtime and my own opportunities to self direct. I hated discipline from the outside but had plenty of my own if given the chance to be self directed.

I’m still an autodidactic type as an adult. This week I am taking a wilderness medical incident certification course. I’ve got some strong sense that this is meant to wrap around some wider learning experience about the practicalities of living in a more chaotic world. It’s a bit of learning by doing. Some perspectives have to be unraveled first hand.

Categories
Chronic Disease

Day 621 and Pain’s Anxiety

Before I was diagnosed with my spinal condition ankylosing spondylitis, I didn’t really understand that I was in pain. I know that sounds weird, but I just knows I felt like shit. I hadn’t yet pinpoint the origins of the crisis in my own body. I was a stranger to myself.

Back then getting a diagnosis involved a lot of questions about my mental health. Are you anxious? Would you consider taking an anxiety medication just to see if it help? Are you sure it’s not all in your head? No doctor I’m not sure of anything that’s why I’m asking you.

The thing is I did feel anxious. My central nervous system was in a perpetual state of fight or flight from the pain. I had tachycardia. I was twitchy. I wasn’t a sleeping well. I didn’t want to be touched. It hurt too much. I was exhausted all the time and felt overwhelmed that no one seemed to know what was wrong with me. I’m lucky no one asked me if I was depressed or I might have been put on Prozac.

I’m one of the lucky ones. My chronic disease has a simple blood panel and physical exam to diagnose it. It only took me a few specialists to get to a rheumatologist.

I fear I would have been given an anxiety diagnosis and told it was all in my head if I’d had something more complex. But thankfully we untangled that any anxiety or depression I felt was simply a function of being in an inflammatory condition so acute every movement was painful. You’d have a racing heart and a fear of movement or touch too if everything was painful to the touch

The thing is I am scared of my pain. I do regularly get caught in fight or flight fear responses if the pain appears and I’m not prepared for it. I am militant about certain aspects of self care and my biohacking as I fear flares. I fear the drugs that are required when it isn’t controlled. It makes me anxious to need drugs at all to control my symptoms. Especially in America where a war on drugs has made it hard to need anything stronger than Advil.

Everything about pain and it’s treatment is anxiety inducing in America. And that’s a hard comorbidity to live with in a disease. As if pain wasn’t enough, the latent fear that you might not be believed lingers.

Categories
Preparedness

Day 620 and AQI

I am in the throes of a horrifying migraine. The take two Imitrax and pray type. It’s also the nausea inducing type so I’ve not eaten all day. I feel awful. And it’s mostly not my own fault even though I often like to blame flares in symptoms on my own lack of discipline or purity in maintaining some Platonic ideal of lifestyle or wellness regimen.

It is fire season in the west and I’m sure some, if not most, of my migraine is tied to the horrifying air quality that is choking out thousands of miles of California, Washington, Oregon, Idaho and Montana.

An AQI reading of western America on September 12th at 3:48pm Mountain Time from PurpleAir

The AQI or air quality index in my neck of the woods is 160. Unhealthy for sensitive individuals is the coy and somewhat misleading phrase used. It means in practical terms visibility is so bad I can’t see the mountains a few miles away.

Montana is at the moment free of any major fires. Our colder temperatures, lack of pervasive fire beetle blight, and reduced density makes it statistically safer than the Colorado front range when it comes to total fire danger. But it’s no safer from prevailing winds and the pollution from fire in other states. In order to escape from it entirely I’d probably have to leave the continent.

I’ve obviously opted not to leave my home region of the mountain west even if I have accepted moving to a more northern and protected corner of it. But there is a certain existential “No Exit” sense I have with AQI and fire season in general. It may just be my lot in life. Maybe it’s everyone’s lot. To give up your homeland is a complicated fight. I expect for some of humanity it must involve either certain death or the prospect of great riches

Categories
Aesthetics

Day 619 and Indoor Clothes

I have one issue on which I am a little obsessive compulsive. I hate when someone wears dirty clothes on a clean bed. It just drives me absolutely up the wall.

I suspect this is born of some totally rational preferences. I am very outdoorsy and always have been. As a child I spent as much time as I could negotiate at the barn. I worked as a stable hand as part of keeping my own horse’s board and feed paid. If you’ve ever kept animals or worked on a farm you know how barn clothes smell at the end of a long day. You don’t wear your barn clothes except when you are choring. It’s rude.

Then when I left Colorado for New York City I found another reason that your work clothes should be taken off at the door. Instead of smelling like manure, urine and stale sweat after a long day mucking stales you’d smell like shit, piss, the subway and traffic exhaust. City smells are no more polite to bring inside than barn smells. Getting splashed by a cab or sitting too close to someone who hasn’t showered in a while on the subway is just normal life in a city.

You can probably imagine now a routine in which I take off my outdoor clothes and swap them for my clean indoor clothing. I try to do this as fast as is possible. I can’t fully relax unless I know I’m in my indoor clothing. Because unless I’m clean I cannot get into bed. And there can be no dirty clothes on clean beds.

I simply will not let myself even get on top of the comforter of my bed with outdoor clothing on. If I want to get under the covers and fully relax at home, I better be in clean designated “indoor clothing.”

It still upsets my brain when I see a teenager on television lounging on their bed with shoes and jeans on. Maybe suburban sitcoms neighborhood are a cleaner environment than the one I grew up in?

Or when an adult couple is about to get it on and then tumble into bed with their coats and jackets and high heels. I just hate that. I shudder. I don’t want to bring dirt and shit into my love making. Sorry it’s just my preference no shame if that’s your kink. But absolutely not in my house.

I’ve finally fully trained my husband on this quirk. He keeps a clean set of pajamas to change into and is careful to keep barn clothes to the barn. As for me, I like this quirk. I keep a cleaner house because of it. Sure it’s a little weird but I love a nice clean safe place.

Categories
Chronic Disease Politics

Day 618 and Personal Politics

I hesitate to share too much detail about this but, I’m an opioid user.

Actually I’m not hesitant to share that at all, it’s in fact the core salient point I want to make today. I have a chronic disease and sometimes, blessedly more and more infrequently, it can only be effectively treated with pain medication.

Why am I talking about this? And in public no less? Because unless powerful people that have a degree of social, personal and political capital discuss things we deem unsavory we never make any damn progress on humanizing our inhumane responses. And our response to the opioid epidemic is inhumane.

The backlash to the crisis, a mash up of intense scrutiny, government intervention and rigid rules, has now reached a point where it is doing as much harm as the original crisis of overprescribing. And I hope my personal story allows you to see why.

My spinal condition (ankylosing spondylitis) can be so debilitating that the only way I can get out of bed to accomplish basic tasks is by taking a mild opioid called Tramadol. It’s not in the same category as OxyContin or Percocet but it’s not risk free either.

I’m lucky that my condition is relatively well controlled. I don’t need pain medicine all the time and I work very hard on alternative treatments in the hopes that I won’t need it at all in the future. I spent a small fortune making sure I don’t need a core useful medicine. Let that sink in.

I’m not an addict. I am monitored by a team of professionals. Every step of the way is in fact monitored extensively by state and federal systems along with massive insurance and hospital system oversight. It’s the closest I’ve come to experiencing the Panopticon. It’s life altering in its scope. My entire life by necessity has to revolve around when the system deems it safe for me to get a prescription. Not when my doctor thinks I need it. When Uncle Sam does.

I fucking hate relying on something so dangerous and so demonized but also so regulated. I hate that my entire private medical life is so closely monitored by the state. I hate all of it. But, on very bad days, the choice is immobilization or Tramadol. And I’m not at all ashamed to say I pick Tramadol. I want to be a working productive member of society and that’s hard to do when you are unable to move from the pain.

There is no grace in suffering but what it teaches us. And I’ve learned we use pain as a cudgel to control people in our society. That it is so effective is why I am both a libertarian and fiercely against the carceral state. One day it might be you suffering and you won’t deserve it either. And I pray that you will be shown grace in your personal circumstances.

But I’m lucky. I’ve got other pharmaceuticals, like biologic injections which treat inflammatory conditions, that I can rely on. I’ve got THC and CBD for their anti-inflammatory properties. I’ve got good old fashioned steroids like Prednisone. Which interestingly, my physicians universally believe is more dangerous than my Tramadol usage and did actually require an extended titration down as I was physically dependent on it, as your body stops producing the necessary hormones. They’d rather I use Tramadol for flares.

But you notice the government isn’t up in your face with a massive publicity campaign showing cops busting down Prednisone rings. There are no political advertisements showing how an opponent supports big steroid. Even though if you saw Donald Trump after he got Dexamethasone during his fight with Covid it was pretty clear he felt pretty good. Steroids have gotten me far more fucked up and also higher than any opioid ever has. But no massive surveillance program has ever come down on anyone for anti-inflammatory drugs.

Because that would be fucking ridiculous even though it’s just as addictive in driving physical dependencies , just as debilitating and depending on your body chemistry, just as “fun” as narcotics. Fun fact about me, I don’t have whatever chemical makeup that allows an opioid to give me a high. Which as I’ve learned is a saving grace. Not everyone does. That’s kind of the rub. The risk profile on opioids is a bit worse because some pharmaceutical executives lied about the percentages of people who get addicted. Or who found it’s side effects pleasurable in the absence of symptoms. They did not lie about the benefit of not being in pain.

And that ought to give you a good sense of the problem at hand. The iron law of prohibition strikes again. A massive bureaucracy imposing a fix that intervened in crude and inflexible ways is causing more suffering than it fixes. It wasn’t the intent but it is the outcome.

The iron law of prohibition is a term coined by Richard Cowan in 1986 which posits that as law enforcement becomes more intense, the potency of prohibited substances increases. Cowan put it this way: “the harder the enforcement, the harder the drugs.”

Because doctors were lied to about the risk profile of certain types of opioids in the first place, the backlash is now as bad as the original sin the pharmaceutical companies committed.

Regular law abiding people are getting fucked in their treatment plans because hard enforcement is making it harder to get the low dose drugs. We treat Tramadol users with arthritis with the same tools as as criminals addicted to illegal fentanyl. I know shocker that the American federal government can be as evil as Purdue.

But also historically you know it’s true. And now a huge portion of normal people like me, who just want the benefits of not being in constant pain, are being turned into an over surveilled over controlled population. And I’m not saying there are no risks. But who do you want deciding that? A doctor who knows you well? Or the government? Yeah I’d pick the doctor too.

Categories
Internet Culture

Day 614 and Cuckservative

At the risk of scandalizing any of my relatives, I learned about a sexual kink today called cuckholding. I was not, sadly, enjoying kink SubReddits. I learned about this term from a bunch of Trump acolytes. Apparently cuckholding means watching another man have sex with your partner (usually wife). So now you know.

For those that are not terminally online, the context is that in a lot of right coded spaces terms like cucking, beta cucking, and cuckservative get used to describe humiliation but also insufficient purity to the cause. The cause usually being some Platonic ideal of conservatism right up until it becomes indistinguishable from authoritarianism.

Now I’d not given a lot of thought to the term and it’s apparent intense fascination to conservatism men. But it keeps showing up in even ancillary spaces like gun culture and even Wall Street Bets. Every humiliation is cucking. Every instance of not holding perfectly pure in-group signifiers and adherence is cucking. The beta cuck is in a an internal battle with the alpha Chad. And frankly it got so prevalent I finally had a “lady doth protest too much” moment and asked wtf is the obsession with cucking.

Can anyone explain to me why the right is so obsessed with cucking?

I honestly didn’t expect to learn as much as I did about the anxieties of our age, the particular traumas of living with ego preservation needs from our childhood, and the sheer raging reaction formation that is American masculinity. Honestly I’m starting to spend a little more time there than feel safe.

I quite feel don’t feel up for analyzing the whole mess of reactions but it largely seems to boil down to a Slate or Salon article said this was the hot liberal fetish. This got percolated through forums culture and whipped into a frenzy by Trump meme magic. But because the internet gives you brain worms this turned into an actual thing people got sexually turned onto and now it’s maybe impossible to untangle what is fetish and what is meme. But there is definitely some wild sexual politics around power and property in America and who counts as a full person with agency. I’m including some screen shots for posterity as it might be helpful for later research as I fear this will end up being useful as some internet ethnography.

Categories
Emotional Work Preparedness

Day 613 and Timing

It’s hard to look straight on at your desires. Why is it that some of your life arises from your priorities and focus, but others are just chances and circumstances?

The hardest part about looking face first at being responsible for yourself is that you are both in total control and not in any control. We want to live with willpower. We want to be people of purpose. And yet life is happy to show us how much it’s all just dumb fucking luck.

Because we are what we make time for in our lives. And if we don’t make honest time for ourselves how the fuck will we ever know what we actually want. If you let life idle past you that’s fine. Because that is the path of fulfillment all along. And in letting ourselves just be maybe we find entirely new reservoirs of resources.

I’m considering taking a wilderness first responder course. I’ve got other priorities for the fall but I also made a commitment to a resilient rural life. Somewhere in my own desires I may find that what I want can and does align with the rest of my life. That by opening up to something new I also see who I am more clearly. I believe they call it getting perspective.

Categories
Preparedness

Day 611 and Consumer Packaged Goods

As Ive mentioned, I’m in a heavy “bitches be shopping” mode as I’m settling into a new home that is 5x larger than anything I’ve ever lived in.

I’ve purchased furniture, home decor, sheets & towels, work boots, denim, dry goods, storage bins & racks, paint, curtains, toiletries, vitamins, over the counter medications, and cosmetics. I’ve really “enjoyed” the full spectrum of American retail in all its consumer glory. Makes me feel all patriotic.

I’m lucky that I have several decades of experience in the dark arts of consumption studies and consumer marketing to guide me through. And even with that knowledge, I feel like I keep getting ripped off.

What is wrong with shopping in America?

Most folks are keenly aware of rising costs and supply chain troubles coming out of a pandemic that was treated with stimulus and zero interest monetary policy. Stimmy checks & a society wide health scare had all kinds of unintended consequences on everything. But the end result is everything feels more expensive. And also shittier.

One argument is that shrinkflation has come for America.

Shrinkflation, also known as the grocery shrink ray, deflation, or package downsizing, is the process of items shrinking in size or quantity, or even sometimes reformulating or reducing quality.

Wikipedia

It’s a maddening phenomenon as brands and retailers do their best to hide the basic fact that you are paying the same amount for less. We are a nation being gaslighted by an array of institutions that we’ve been raised to consider our pride and joy. It’s part of our national myth that supermarkets won the Cold War. American brands can be trusted. American brands are the best.

American brands are subject to market forces not central planning. And those forces are choppy at best. Which is how we ended up with our favorite popsicle letting us down.

Welch’s juice ice bars popsicles shown side by side. One is 1.5 oz and one is 2oz. Both cost the same at Costco but the 2oz is from 2020 before shrinkflation.

The otter pop’s my husband favors have gone from 2oz to 1.5oz but have stayed the same price at Costco. It’s not a huge change. We probably wouldn’t have noticed it except we had a couple older ones we bought early in the pandemic and were able to compare. It was a small betrayal but at least we knew it and could accept the increased cost.

But imagine if you weren’t aware of the macroeconomic forces at play. Or if you weren’t a careful observer of consumption and shopping. What if you were just a kid that got duped by a popsicles?

The compounding effect of lower standards of living is making us all go a bit stir crazy.

I suspect we are all experiencing a little bit of crazy-making from the subtle ways in which we can no longer trust our brands and retailers. It feels downright un-American. And I wouldn’t be shocked if it’s a contributing factor to the general sense of unease and institutional distrust. If you can’t trust American consumerism, well we don’t really have much left.

Categories
Preparedness

Day 604 and One Click

I’ve been procrastinating on two core projects for the fall. Both of which involve making a modest investment between $100 and $250 depending on how fancy I want to get. So it’s not a throwaway amount of money but it’s also not money I should be hesitating on.

I’ve been in my head about it for two or three weeks even though I regularly need to make decisions about much larger sums of money for projects with much longer time horizons. I finally got myself over the hump on clicking order after going over my plans with my husband Alex for an hour. Which we’d definitely bill at more than we spent.

PROJECT ONE: TEST APPLE ORCHARD

The first project is getting in a few apple saplings in a fall planting to test out where we want an orchard. It’s not a full orchard with a big wiz-bang multi-year permaculture plan. We literally just want to get in four to six dwarf trees in the soil as soon as possible as we’ve been told it’s feasible to do fall plantings of heartier Zone 4 varietals.

We did a soil sample and the results came back with very encouraging results. Our back pasture has excellent quality soil despite being compacted by horses.

A soil health assessment from Ward Laboratories.

And yet I struggled to make a purchase. I made a trip to the nursery. I fucked around on a bunch of websites. I ordered catalogs for next year’s spring plantings. Finally this afternoon we threw caution to the wind and bought six dwarfs from Stark Brothers. The total came to about $250 and if it all fails well I’m glad I spent the money on fruit trees instead of a disposable consumer good.

PROJECT 2: SEED STARTS

The second purchase was seed starter supplies for our winter hydroponic crops which we plan to cultivate in the barn. We got a LettuceGrow system early in the pandemic and absolutely loved the quality of greens we got out of it. We’d been able to buy starts (aka seeds that have sprouted and begun to grow) for it in Colorado but this winter I wanted to do my own growing from seeds up into starts.

The goal was to have constant rotation of red and green leaf lettuce along with romaine and kale by staggering seed tray starts. It would be easier and have fewer failure points if we did a new batch of seed starts once every couple of weeks for consistency and move them from one grow light seed tray to the LettuceGrow once it fully sprouted.

I had even less of an excuse here as one of my girlfriends did a massive seed start project this year from scratch and wrote up her entire shopping list and project guide complete with pictures. She did the hard work of translating various guides including one that I had even been involved with making from Josh Centers at Unprepared. He’s got a very thorough guide to starting a garden from seeds straight through to harvest which is worth paying for Substack for just that post.

Here were all of my friends and colleagues just out there doing the work. And I was too scared to experiment myself. Finally today we bought everything we needed from Amazon and purchased six or seven seed types from Johnny’s hydroponic collection. All told for everything it was $86 for a set up that should work for many seasons.

THE LESSON

While I’d never tell anyone to just go nuts putting shit in the ground without some research, I do think it’s possible to be too in your head about growing. I’ve been reading so much about fancy techniques like permaculture that I had neglected the most basic lesson of both startups and gardening. Execution is exponential. Just start doing something. Make it small. But you have to just start. Just plant. Just make things.

A bell curve with a smooth brain, a midwit and a Jedi. The midwit explains Sepp Holzer’s permaculture. The Jedi & the brain just plant.