Categories
Chronic Disease Medical

Day 1100 and New Symptoms

I am experiencing some ongoing nausea today alongside a number of odd side symptoms like body temperature disregulation. I am displeased with this development

It’s probably a cluster of symptoms related to a migraine. So I’ve taken an Imitrax. I had some sort of reaction to dinner last night (possibly allergic though to what I couldn’t say) that hasn’t quite subsided. I am in a dark room silent with an ice pack popping Zofran and praying.

I always hate when I have a new symptom as it’s scary. I don’t know if it’s a new problem or something a new spin on my existing autoimmune issues.

It’s easy for me to slip into fear as I run through a differential diagnosis. The idea that I might have a new dimension to deal with in my daily health routine triggers all my autonomic stress responses. I’ve got a handle on my existing health issues and I don’t have any desire for new ones.

There is a strange aspect of chronic disease where if you’ve reached any kind of stability or continuity you simply don’t want to mess with it. Adding in new treatments or medication is always a scary prospect. I’ve been doing bodywork that seems to have significant impact in a positive way but I’m terrified that as it improves things I’ll have down days as systems interact. I shall pray it improves soon.

Categories
Aesthetics Culture

Day 1088 and Christmas Eve

I enjoyed a very American style Christmas Eve today. My husband and I have been so busy with professional obligations that we had not done anything to prepare for this Christmas week.

We piled into the car today, braved some unplowed snowy roads (more slippery than deep) and got ourselves to Costco. I am a big fan of the buyer’s club and its merchandising. You can find a lot of odd cheer at Costco over the years And it did not disappoint. While more traditional centerpieces like filet and lobster were available it was the Junior’s New York Cheesecake that was the surprise this year.

New York Style Junior’s Cheesecake from Costco

After we a did a run to the proper grocery for other necessities like satsuma tangerines (the rare Christmas citrus has a short season in December) we headed home laden with marvelous delicacies and at least ten meals for the week ahead. I was then very grateful to get an afternoon nap. So rare to be relaxed enough for REM sleep in the middle of the day.

We have done a feast of the seven fishes as our Christmas Eve meal over the years but it’s a challenge to eat that much when it’s not a crowd. So this year we’ve narrowed it down to three fishes. Technically they are crustaceans.

My hope is tomorrow will be a peaceful one of rest, prayer, relaxation and probably some movies. It will be Die Hard tonight as is tradition and hopefully A Christmas Story tomorrow.

Categories
Chronicle Culture

Day 1087 and Christmas Weekend

I plan to work most of next week so I am particularly intent on resting throughout this weekend and Monday.

I was thrilled to wake up to a snowfall this morning as it’s been an unseasonably dry winter in Montana. My husband was up before me and started a fire in our wood stove.

I wandered into out into the living room sleepy and tired to find the coziest scene. Mountain living is wonderful if you’ve got the temperament for long cold nights.

I am tired which makes me more reactive. A soothing winter calm is a tonic for my nerves. I do not feel as if I am particularly reflective at the moment as that would require more control than I have the energy to muster.

I will watch some movies, enjoy a few meals, and otherwise let the season sooth me. I hope it’s enough as I am expecting 2024 to start with a bang.

Categories
Biohacking Emotional Work

Day 1068 and Routine Versus Speed

I always find myself disappointed by how much time I put into health. Perhaps it’s a sign of how high expectations are for performance in the tools we use daily that it seems preposterous that it should require a third of your time in maintenance.

Perhaps this is an unfair intuition on my part. For every hour of flight the F-16 needs around 17 man-hours of maintenance. I’d prefer to not be quite so resource intensive as a fight jet but maybe fighting entropy does require 8-10 of my day.

As I try to do more with my days and push myself to do more in less time I still have to put in the effort to stay at my old baseline. I put my faith in the miracles of compounding. What was once a huge effort is now a habit.

I try to fight my tendency to optimize even as tracking my own data has its benefits. Most of my inputs are just a refinement on existing heuristics. Occasionally I’ll find someone who has a fix so might better than what I’ve been doing it fundamentally resets my understanding of my works model. It happens more than you’d think.

In accelerating I must apply more energy to my existing systems. Or course the old systems seem to call out depending more. As I push for performance my body demands its sleep, its fuel and any other number of needs. Sometimes it’s a want. It’s not always clear so I test.

Categories
Travel

Day 1064 and Faster San Francisco

I am energized by my day. Any residual pain from the challenges of travel have been mitigated by rest, exercise, meditation and lots of medication.

If I could to give only one argument in favor of acceleration, it would be our capacity to improve medicine. I’d like to find a cure to my ankylosis personally, but it’s bigger than all that. I believe we should do everything we can to improve the health and well being of humanity.

I do so much to balance my own health and wellbeing just so I can keep working and contributing to the startups I love so much. Often I miss so much of life that others take for granted like socializing together. Hobbies, socializing and much of the tapestry of living together is off limits to me as energy budget is too high.

I’d like more capacity in life so I can chose not only to work, but to go to meetups, dinners and whatever else folks get up to in their leisure and community hours.

I am not one for FOMO while I’m in bed recovering, but on the occasional day where I get to do leisure activities I am reminded that I could have more of life if we agreed to prioritize the acceleration of medicine. My energy budget is only limited by the state of our healthcare.

On that note I’ll be at an e/acc meetup tonight in San Francisco. If you think you see me do please come up and say hello. I’d love to meet you. I’ll be wearing the leopard dress I have come to think of as the “spot me in the wild” outfit as well as three distinct wearables.

Categories
Travel

Day 1030 and Helsinki in 24 Hours

I spent the night in Helsinki after taking the ferry from Tallinn. Amusingly the hotel heavily advertised having once been a prison. The receptionist informed me that I stayed in a suite that would have been home to seven juveniles. A Finnish prison is apparently an ideal boutique hotel for millenials and is part of the Marriot telegraph family.

In thoroughly international manner, I ordered Indian from Wolt. The hotels breakfast buffet was inside another set of cells in the basement. Nothing like eating chia pudding contemplating prison.

I felt like I made the most of my day. I walked through Tove Janssen’s small public park which is next to the very impressive Helsinki Cathedral. It’s the dioceses seat of the Finnish Evangelical Lutherans. The church was originally built from 1830 to 1852 as a tribute to the Grand Duke of Finland, Tsar Nicholas I of Russia.

I was able to walk through several intersecting islands from Katajanokka through to Market area to the Esplanade and ended up next to a brutalist train station.

Naturally I made a stop at the Moomin store to pick up half a dozen postcards and trinkets as I’m a huge man of the children’s series by Finnish author Tove Jansen. I am a Little My person. Think of it as a Nordic version of picking which Winnie the Pooh character suits your personality.

I ended my day at the Helsinki Port on the excellent ferry. I may have overdone it a bit by booking a cabin but I am comfortably paying down on a bed while I write my post for the day. It’s probably best to buy the business lounge tickets as it has an excellent meal service but for a once in a lifetime trip it’s pretty lovely to write from bed in your own cabin on a boat. It’s like being transported to another era.

Categories
Aesthetics Travel

Day 1029 and Daytrip

I am in a pocket of personal heaven that I did not know existed until just now. I’m on the Tallinnk ferry to Helsinki. It’s just before sunset and briskly cold. The wind is whipping small white caps as we exit the bay.

I had not expected the serene calm that overtook me. The many shades of grey and blue where the sea meets the horizon’s soothe my autonomic nervous system. Watching the small waves crest as we roll ever so gently sends me into parasympathetic. I feel cozy.

Tallinn Bay. Passing another ferry.

I decided at the last moment to go to Helsinki for a day. I wanted to visit for my birthday but didn’t feel well enough. Since actions define who you are, I booked myself a business lounge ticket on Tallinnk ferry. It’s fifty miles and about two hours.

I have a lounge chair at the very front of the ferry. It’s as large as a cruise ship and feels as smooth. It’s clearly a premium experience. I paid 60 euro for the privilege and was rewarded with an excellent dinner of poached trout and chocolate mouse. I have a lingonberry juice in a proper glass.

We are passing other ferries with some regularity. There are routes to every imaginable Nordic destination. There is even a ferry to St. Petersburg. Google maps lists out the routes as I peel out of Tallinn Bay. Twitter mutuals note that the Nordic ferry system is the envy of the world. And I can see why. What a pleasurable way to travel.

I feel lulled into a peace I hadn’t considered possible with travel. My Bose headphones are playing Endel’s AI generated relaxation music. I have my Apollo Neuro set to relax. And I have an hour or so to contemplate the beauty of the ocean. If you ever find yourself with the opportunity to take one of these ferries do it.

Categories
Medical

Day 1008 and Pesky Hormones

I’m enjoying a double header of hormones today. I’m in my luteal premenstrual phase which always leaves me tired and emotional. But I am also just letting go of the last bits of adrenaline and cortisol from my travels last week.

As the last bits of stress hormones drain away and my cyclical hormones flow in all I can feel is the weight of the world. I’m sure this dramatic phrasing is merely a function of the pounding hormonal migraine that always accompanies this time of my cycle.

If this all sounds a little foreign to you, Alisa Vitti’s life’s work has been to help women understand their hormonal cycles impact. I’m always looking for ways to hack my physical performance and health so I’ve been especially focused on pesky stress hormones.

Hopefully a little bit of salmon, some greens, and more rest will get me through it. And by next week I’ll be well on my way to peak creativity and energy. The lull will pass soon.

Categories
Aesthetics Travel

Day 1005 and Settling In

I really appreciate being able to get into a routine in a new city. Doing some grocery shopping is a grounding experience. If you can sort out breakfasts and sensible lunches you can probably keep a routine going.

I personally love the search for a grocery store that caters to a hipster class. There is always demand from some some band of picky upper socioeconomic band that expects a lot of its retail.

I found a spot inside of a mall that appeared to be some variant of an Erewon meets Whole Foods. It had an organic section. It had several choices for high end vinegars. There were multiple types of fish counters. I got some gravlox and horseradish sauce. I got some nice bread for toasts. I was got a nice head of lettuce and some balsamic.

I was very pleased with the basics for living. I realize it’s a little cringe to discuss a day in the life but I think people imagine much more glamorous meals. When the reality is always some variant of prepared food no matter where you are. Though I will say I appreciated good bread and good smoked fish. I’m feeling very cozy Baltic. It’s nice when a town has good vibes.

Categories
Travel

Day 1004 and the Muses

I’m such a homebody that I sometimes thinks the joys of travel are lost on me. But then I go shopping and I remember that markets are muses. What sells tells you something about a place.

Now you may think crass commercialism is more of a vice than a virtue. But I think it’s wise to hear what works. A market can tell you about what’s popular. Being an American is a niche experience but we’ve got a bigger footprint than our mere population would suggest.

But also the spoils of capitalism have priorities that are about the efficiency of the market. And you see it in every large city of any density or wealth. The layers for consumption of good and services have a logic to them that defies too much local concern. The algorithms have trust and safety teams but scale takes you pretty far. And every city at a certain size needs market logics.

It’s just important to remember each market has a local gem. There are great performers that outclass by wide orders of magnitude. It’s usually some combination of what appeals locally but is also legible to the larger global cosmopolitan skill sets.

Many of the food wars are just city tastes fighting country tastes. Some situations are more market based and transactional. Sometimes that is even good. I’m personally delighted that I can show up to a city and get food delivered. There is always orange soda brand in every market. And you can always get French fries.