Categories
Biohacking Medical

Day 949 and Stomach Stuff

I was very excited for today. My first Monday with my new schedule after my “season of no” cleared the calendar.

I am into the day brimming with optimism. Naturally, it was only fair that I lost my entire day to some kind of stomach bug.

I am experimenting with a new GLP1 agonist and have found the side effects to be troublesome. I made an attempt to have a protein shake and it cascaded from there. So I don’t have much to say today except that my biohacking went awry so I’ve got little to say.

Instead I’ll recommend you go read my post from yesterday on assigning value. It’s some thoughts on alignment for artificial intelligence and the impossible task of being sure we all share the same idea of value.

Categories
Culture Medical Politics

Day 948 and Assigning Value

What does assigning value mean to you? How do you begin to investigate what is valuable? If someone asked you to value “object X” do you know what tools you would use first to make a measurement?

If I tell you determining value is a cultural problem, you may investigate the problem of value through religious or philosophical frameworks. If I tell you value is an artistic problem, you may use taste in finding value.

If I tell you that assigning value is primarily a computing problem, you may search for weightings, databases and referents to determine value.

So what happens when determining value has to account for multiple or even contradictory frameworks? Which framework assigns the ultimate value? And how do we align them?

Congratulations, you’ve known become an artificial intelligence alignment researcher. I bet you thought that required a doctorate but it doesn’t.

It’s not an entirely intractable problem. The Industrial Revolution found ways to align competing frameworks. We assigned labor value and made currencies to facilitate the exchange of different goods.

Markets can, and do, spring up for all kinds of previously impossible to value things. Capitalism done its best to make cultural value fungible and legible to an agreed upon value. Sure, artisans and artists complain we conclude incorrect values regularly. But we don’t always agree on value.

Generally we’ve found that what can pay for itself survives and what can profit for others thrives.

Not all people are motivated by profit, but we all are motivated to survive. And so we contribute what we believe has value to each other and hope the frameworks of value that others have will align with ours. The balance between the two has held together humanity for sometime.

But deciding on value isn’t the same thing as a thing driving a profit and we have to remember that truth. Between the gaps in the models of what we value is the epsilon of what cannot be calculated.

If you’d like to read a horror story on how assigning fungible value in a database can end up assigning a value to something we humans generally don’t consider interchangeable at all, then I’d go read this piece on how public hospice care’s incentives have been perverted by private equity profit motive.

I don’t always agree with the author of the piece Cory Doctorow. But I think he’s raising a powerful point on how we are assigning value when we overlay competing frameworks.

This is the true “AI Safety” risk. It’s not that a chatbot will become sentient and take over the world – it’s that the original artificial lifeform, the limited liability company, will use “AI” to accelerate its murderous shell-game until we can’t spot the trick

If you aren’t familiar with Doctorow, he’s a powerful voice in right to repair circles, a classical hacker opposed to corporate oligopoly, and a bit of a anarcho-syndicaticalist in his preferred solutions.

I like markets more than governments for most things. More of us can contribute to markets than we can contribute to specialist bureaucracies

But we have assigned value to end of life care inside the convoluted system of profit motives and medical ethics and it’s not the value most of us share on life.

And that’s going to happen a lot more as we get further and further abstracted away from the existing models of value that govern our lives. So remain skeptical when someone tells you that they know what you value. How they assign value might be different than you.

Categories
Biohacking Politics

Day 946 and Compounding Our Incentives

I don’t want to brag (that’s a lie for rhetorical flourish I am bragging), but I woke up with excellent biometrics today. My first instinct was that I should rush into a long “to do” list for the various priorities I have remaining in the month.

And I do have some priorities I’m very excited about this month. If you are in Montana I’m hosting a get together to celebrate the “Montana Miracle” of the housing reform we successfully passed. Would love to have anyone near enough to Gallatin to pop by and meet me, my husband and our friends in person.

If you aren’t based here, you might be interested in our successful campaign cut out California style regulations so we can build more housing.

We think we can be a model for other western states looking to reclaim rights for their citizens from the government. I believe in individuals pursuing their own freedom as a long term incentive for growth.

The focus on long term incentives is key to understanding both my stance on individual freedoms and how I spend my own time.

Because I’ve got to turn this blog post around to why I was tempted to run into my immediate to do list but held myself to my routine.

I was reminded that my biometrics are good because I’ve been focused on core activities and processes that make my own “system” of incentives tick for my physiology.

I have to sleep, eat, exercise and otherwise take care of my body. If I simply responded to every dopamine hit and desire I had I’d be sick as a dog. I can promise you this is true as I live with a chronic condition I manage with good habits and some better living through chemistry.

I’d prefer we manage as many problems through good compounding longer term incentives. From building for a future that’s arriving to quickly to keeping our bodies from imploding. So get enough fiber, lift heavy things and build more housing.

Categories
Culture Medical Politics

Day 945 and Secrets and Safetyism

Keeping secrets used to be a lot easier. Noble philosopher kings with priestly knowledge kept that shit under under lock and key so some uppity courtesan or eunuch didn’t get too clever.

Not that it was all that necessary. Nobody was accidentally misinterpreting the layers of mystical knowledge because illuminated manuscripts were expensive as fuck. And that was cheaper than the previous method which was memorizing oral histories. The expense of sharing information has acted as a control mechanism for centuries.

If you’ve got the money, you can store your sex toys and drugs in layered secret drawers behind a hidden bust of Socrates. But some asshole will post a primer online and your benzodiazepines and vibrator will be long gone.

The metaphor I’m working with on this silly desk is that humans love to horde secrets. We’ve got a lot of incentives to keep knowledge locked away. Drugs and sex in my joke mere proxies for ways we access altered states. Eve’s apple was a metaphor for forbidden knowledge so I’m not reinventing the wheel here.

So where are we today on secrets? Well, I think we are trying desperately to put the genie back in the bottle.

We think we’ve got an open internet but ten years ago Instagram stopped including the metadata tags to allow Twitter to display rich content embedded directly in a Tweet. Now Twitter and Reddit are taking the same approach as Instagram did as data ownership becomes a hot issue.

Closed gardens are meant to keep thieves out and Eve in. And depending on who you are it’s likely you will experience the fall from grace of Eve and the persecution of the thief. God clearly knew something as his conclusion was that once you’ve tasted the bitter fruit there is no point in protecting paradise.

Every time there is more access to information we have the same debate. Fundamentally you either believe people should have access to information and how they apply it to their lives (side effects included) or you don’t.

I’m happy for you to argue the nuances of it. Want a recent example that looks complex and might actually be deadly simply?

The clown meme format asks if it’s
a joke to conclude confident that “LLMs should not be used to give medical advice.”

I know it’s tempting to side with the well credentialed researcher over the convicted felon when faced with a debate over access to medical advice. But I don’t think it’s as simple as all that.

From Guttenberg to the current crop of centralized large language models, it’s just more complexity and friction on the same old story. It is dangerous to let the savages have access to the priestly secrets. I for one remain on team Reformation. Rest in power Aaron Schwartz.

To quote myself in my own investor letter last month.

Most builders remain deeply skeptical of Noble Lies, “for your own good” safetyism, regulatory capture, oligopoly control, and the centralized nation state control as the most effective methodology of innovation for a dynamic pluralistic human future. We are having cultural and financial reformations at a frightening speed. It’s beyond future shock now.

So if I have a gun to my head (and that day may come) I’d like to have it on record that I don’t think secrets have any inherent nobility. It’s just a control mechanism. Keeping people safe sounds noble. But you’d be wise to consider how you’d feel if your life depended on having access to medical data. How would you feel if the paternalism of a noble lie to keep you from it? It’s not great Bob.

Categories
Chronicle Preparedness

Day 934 and Planning Ahead

I have been doing a short “season of no” over the last few weeks. I’m pruning my calendar and letting go of some projects, people and attention hogs. I’ve reoriented myself to obligations that give me as much as I give them.

The upside of saying no is that many obligations I’d assumed were set in stone are now blissfully gone. You can say no to more shit than you think as it turns out. I had a death in my extended family that provided me with clarity.

I do however feel as if it’s going to be hard to make plans too far out into the future for a while. A lot is happening and schisms in every community make it hard to see how some things could turn out. I’m keeping flexibility in my life so I can be mentally and physically prepared for rapidly changing conditions.

Especially as we come to grips with a world that is more chaotic, and a future that is less predictable, planning becomes the kind of exercise you hold gently. I’ve got goals and ambitions for the near term but I’ll play it as it lays.

Categories
Chronicle

Day 933 and Hot Hot Heat

It would seem that we’ve officially entered the high season of summer that even northern latitudes like Montana cannot escaped entirely.

I wish I had the capacity to work out a circadian rhythm that entirely accounted for how miserable long hot days can be even if you are inside in the shade. Siestas and late evenings could work but I’ve got the hang of it. I need my eight hours.

I never get cabin fever in the winter. Even the worst storm usually abates within a couple days. I can happily layer up and enjoy being in the cold and dark. I can be outside if it’s cooler, darker and clearer. If it’s not I’m basically a caged animal.

But there is nothing to be down about the sun being out till 10pm and with temperatures crossing over the 90F/32C degree mark, all that is left is escape indoors to a cold dark place and wait out the season.

Last year on July 21 I wrote about summer season affective disorder so it’s clearly a pattern I notice around this time. I’m simply grateful it’s starter later than it did when I lived in Colorado where hot streaks are beginning even earlier.

With Montana summers, I go to sleep when the sun is still out and I wake up and it’s already sunrise. If the heat weren’t so intense I think it would be bearable but the heat domes are becoming pretty common. I remain grateful it’s only six to eight weeks unlike most of continent where summer is longer and crueler.

Another factor in all of this is how challenging fire season can be for spending time outside comfortably even if it’s not combined with a heatwave. I went out this morning before temperatures climbed to get some sun and exercise. The air quality was still decent but multiple fires are popping off in Montana and I expect this to change shortly. I suspect I’ll need to find a way to manage more time indoors as the summer rages on.

Categories
Chronic Disease Emotional Work

Day 931 and Open Calendar

I am about to sunset a long-standing weekly appointment that has been on my calendar for literally years. And I was surprised to discover how much getting back that time made me happy.

The block on my calendar was for something I very much loved doing and valued highly, so the sheer joy was unexpected. But as it turns out I loathe having a consistent obligation on my time.

This isn’t to say that I don’t like being responsible, reliable, or on time. But rather I like knowing if something comes up that I have some flexibility. And I don’t like to disappoint people by needing flexibility.

My suspicion is that this represents some lingering guilt I have about having a chronic disease. While I rationally know that I did nothing to deserve being sick, I do carry a self limiting belief that being sick is a weakness.

I’ve always prided myself on being a “mind over matter” person. I’ve shown up to countless events, meetings, pitches, and other obligations while in pain. I’ve been known to repeat “Michael Jordan, Game 5” as a mantra to remind myself that I can perform in even the worst physical circumstance.

Michael Jordan famously played and won with the flu. And the logic in my mind was surely I can do the same when something is on the line. So I always have. If someone expects me to show up and perform I do it even if I am struggling.

But as my season of no has begun I think it’s time I stop romanticizing my capacity to work when sick. I love having my time back on my calendar and I love the flexibility that I have to work whenever and wherever I want.

Maybe some people would chose to work less under these conditions. For me though, having more flexibility in when I show up means I’ll find even more time to put into my work. Because I love showing up for me. And sometimes it’s easier for me to show up when it’s not a damn calendar block.

Categories
Biohacking Medical

Day 927 and Standard Operating Procedure

I’m going to be nursing my husband through oral surgery recovery this week. He’s run out the clock on wisdom teeth and they all need to be removed.

We will miss a few obligations this week but such is the nature of medical need. Necessity doesn’t always come when you want it. If we don’t do it this week we’d be waiting till November for the next appointment. Such is getting medical care in this day and age.

I’ve been in a bit of a frenzy preparing as I myself have some medical issues that are chronic so if we are both fucked up physically it gets a little tricky to manage routines. Particularly because we live a little bit country these days in Montana.

I’ve gone down a deep rabbit hole of procedures for surgical recovery. I looked up standard operating procedures for inflammation and surgical recovery from every source I could find. I consulted with our doctors. I looked at risk factors.

You’d be surprised at how optimal procedures differ from the standard median recommended ones. The fear of overprescribing pharmaceuticals runs pretty rampant even when it’s clear that some protocols would be beneficial like say post surgery prophylactic antibiotics. The NIH, Mayo and Cleveland Clinics agree it’s a effective way of preventing complications related dry socket. The condition can turn into a painful infection that is relatively dangerous if it gets out of hand given it’s proximity to your brain.

But we can’t make an antibiotic standard operating procedure as it’s not technically necessary. Especially since we have prioritized using less antibiotics overall as a public health policy for the wider social good of preventing antibiotic resistant strains of bacteria. Good of the many versus good of the one. I’ll admit I’d be inclined to say that my husband deserves the Spock treatment even if it is illogical.

I’ve written out an hourly schedule for the recovery procedure I intend to follow. I won’t post it all here as it’s obviously not in my best interest to disclose it. It’s involved and intended to reduce inflammation and have the maximum pain management that is responsible so that my husband’s body can recover quickly with no unnecessary stress.

Proteins powder, bone broth and soft foods

It seems as if a lot of recovery comes down to simply retaining adequate electrolytes balance with enough liquid calories. You have to meet a macronutrient balance that gives enough protein to knit the tissues and not make the body think it’s resource constrained. Which is harder than it sounds when you can’t chew or even suck on a straw.

I’ve got a number of techniques to leverage from lymphatic drainage massage to the woo woo options to reduce stress and promote recovery and I intend to use all of them. And yes I’m available for nursing.

Categories
Emotional Work

Day 926 and Hang Over

I don’t drink alcohol so this title is a little silly but I feel like I’m hungover. Maybe it’s having felt like I lived through several containment breaches in an unclear semiotics war.

Maybe it’s some of the grief and loss from a death on midsummer. Maybe it’s worry about my husband’s upcoming oral surgery. Maybe it’s the general sense of uncertainty and fear of future shock.

I am tired and achy and my cognitive processing is absolutely shot. I’ve been battling a migraine all day and even two doses of Imitrax don’t seem to dampen the intensity.

I want to put some of the intensity of the last month behind me but I often feel as if I write that exact sentence and nothing ever gets less intense. It’s always some new piece of human crisis. I went as many of those out of my life as possible so I come out the other side feeling more human.

Categories
Emotional Work

Day 924 and Backlog

It’s such a challenge to keep up with reality. Modern conditions have well overmatched human biology.

I’ve tried to keep my own physical biology from being overruled by competing inputs and attention competitions but it’s a losing battle. Sometimes the best you can do is ride the wave and be sure you know when to get up on your board.

I have a little bit of a backlog of inputs to work through. I should probably use the next few summer weeks to pull back and push through it. I’ve got a lot of sense making to do. A lot of inputs to be distilled.

I’ll do what I can to put things up as I see them and have a thought but I’m feeling the need to be a little more guarded. Can’t be out in world and accessible all the time.