Tag: Health

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Medical

Day 1884 and Post Op Shop Bop On The Head

I am a stricken by the malaise that comes with minor injuries. Yesterday I had some dental work done (with a laser) and today is all wretched inflammation.

An affliction that requires recuperation gets me down as I can’t say I’m really miserable or in much. I live with worse pain whenever I flare with my ankyloysis. I just feel pretty shitty and my brain is slugging slowly through the muddy waters of stress toxins.

It’s m the mixture of stress, antibiotics (doctor recommended prophylactic course given my soft tissue infection risks of my biological injection) and the tide going out in the cortisol. Being flooded with cortisol is not just a meme.

And so I don’t recommend being this in this state, but you also need to do proper care and maintenance of things like healthcare. And your teeth are a core part of this. After a certain age you can’t just ignore problems. And so I’ll be on Twitter as I can’t concentrate well enough to do much useful today. And my husband will kill me if I do any more cosmetic shopping.

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Aesthetics Medical

Day 1882 and Crowning Glory

I have always been fastidious when it comes to dental hygiene. I floss twice a day, I brush morning and night. I always carry dental picks for good measure.

I didn’t earn enough for steady dental care in my younger years so I knew my habits would have to carry me. But I did have a few tricks that helped me manage in my twenties. I would volunteer my time as a patient at the NYU Dental Clinic.

Not only were you not charged for procedures but you’d learn a lot as students went through clinical hours and professors lectured using your mouth as the live lessons.

I thought this was a pretty good trade for low stakes maintenance work like cleaning but I let them do more involved work including a filling on one of my molars which I’d cracked.

Fifteen years later that the crack which has been filled needed a little maintenance. A another crack had formed and it was looking a little unaesthetic. I was experiencing some dull pain so I decided to get it looked at. And it’s a good thing I did.

For a brief moment there was concern that the nerve in the tooth had died. I should have felt more pain than I did. But the cold test cleared it up. I don’t think I’m healthy enough to manage a tooth being pulled and replaced with my immune suppression medicine.

As I explained the filling’s provenience and just how old it was, it became clear that it needs to be redone. A bit of it had edge over to the back molar I’ll get two teeth filled.

A filling is a treatment where a dentist removes decayed or damaged tooth structure (sometimes it’s a cavity others a crack ) and replaces it with a material (like composite “white” resin, metal amalgam, or other restorations) to restore shape, strength, and function while preventing further decay.

It’s not a crown so the title is a misnomer but it is a bit glorious that one can get care from students and have it hold up for so many years. It’s always something in the maintenance and care of one’s body and I tend to prepare for the worst.

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Aesthetics Culture

Day 1881 and Attemplate

I’ve wandered far from the traditional life paths that might have recognizable to past generations of my kin.

It scares me. Any time I contemplate the change I have already experienced, I imagine how much more change I can expect to see.

How are we supposed to raise children, mentor young leaders or align artificial intelligence with the good, the true and the beautiful when we adult humans have experienced life so far from past ideals?

So I’ve been toying with a portmanteau blending attempt and template to express the idea of “an experimental framework” or “proto-template for living, learning, or skill-building.” I need templates to help me attempt to adapt while retaining my humanity.

We will all be re-skilling, re-learning, and re-engaging with our values and as I try to structure templates that help me walk a life and prototype styles that might work for myself and others.

I hoped to communicate both clarity and flexibility with the choice. We are building good ways of being in a world of rapid change. Templates must change and we must always be attempting to learn and adapt.

I liked that attemplate sounds like a natural word you felt like you may have already encountered. It does a nice job of mirroring the thoughtfulness of contemplate. A template for a new era which will be attempt to build, even if the foundations we thought were firm in the past give way to much broader ways of being.

I played with “attempate” which sounds procedural (almost bureaucratic) as if one would take a sheet of paper with an assigned attempate to fill out and live. Why yes, I took the project management attempate sheet to see if I had natural aptitude for detail work.

“Temptlate” sounded engineered. Maybe it would be suitable name for an internal tool or concept document. We will add that to the family Temptlate and see who bites on it for Saturday plans. It’s cute, playful and almost experimental, but not entirely as serious as the scaffolding one hopes to build upstairs n.

Maybe I’m the only one who feels like I lost decade between Trump Derangement Era through Pandemic Biden Gramsci End of March Institutional Capture.

What I thought was true slammed into things I wished were not. And then we fought years of anarcho-tyranny as the state refused to budge even if you attempted to follow its templates.

So here I am trying to find new ways of being for myself, for the future, and for my present. Maybe it’s entirely selfish. Templates for how to live are the anchors from which we used to build religion and power.

We’ve stripped much of the meat from life and turned past ideals into brands and merchandised them into outfits and starter packs. But it’s worth an attempt don’t you think?

Categories
Culture Travel

Day 1871 and Private Terminals

The downside of living in a world where everyone posts all their luxuries, is regular people who spend too much time on Instagram worrying about things that wouldn’t add much to their lives. Instagram breeds discontentment for everyone.

My husband grew up ten minutes from a global international airport hub, and as such has unrealistic expectations of how quickly one can get from place A to B and how many legs a trip should have.

He longs for the most efficient trips complete with special passes, lines and hopefully a plane dedicated to just his crew and their final destination. I doubt I’ll manage to buy it for him but if one of my better seed investments pans out I’d acquire a gulfstream for his buddies to fly.

I’ll admit I’ve been a little spoiled as well, as by the time my family could afford to fly more regularly the old Stapleton airport had been replaced by a global United hub in Denver International Airport. A spookier more haunted airport there has never been (mind the killer blue Mustang and Masonic symbolism) but it flys connections everywhere.

Now we are in the spokes and farther from hubs. Flying can be a challenge for me as in the past fewer people abused disability requests like wheelchairs.

My ankylosing spondylitis has good days and bad days so on occasion I wish I had help with heavy bags, long lines and lugging stuff around.

Wheelchair access has alas become just another scam people run to board first, so I can no longer guarantee that I’ll even make my airplane given the lines and lines of maybe crippled as if you log disabled you often can’t even get your boarding pass from a kiosk. You have doomed yourself to the thousand person line.

Alas become used to popping Advil, throwing elbows and working my way to the front of the line filled with folks who know little of flying etiquette, status boarding times and the rest. If I can’t beat back a Balkan auntie seated in the back of the plane for my own seat at 2C then what sort of world traveler am I? I claim space but I don’t like it.

Yet as I stomp around smaller spoke airports I’ve learned it’s not too expensive to get a priority pass to private terminals. Groan I know.

In a few spots, it’s less than fifty bucks to skip check in with your airline, avoid security and passport checks with the whole airport by doing it in these terminals and they will drive you in a van to board the airplane first.

That means no more fighting for prime position in line to get prime position to board to get prime position on the bus to race up the staircase to the airplane before someone else blocks you.

I can’t imagine a better use of the time and money frankly. I could easily have arrived much later but I wasn’t sure how easy it would or wouldn’t be.

The demographic feels a bit petty oligarch with a cigar lounge and exotic alcohol but I’m just happy I haven’t had to do any heavy lifting for the moment. My bags are handled. I have food and water.

Categories
Travel

Day 1870 and Cutting Down On Packing Time

I am a very thorough, well honed and time tested, and Karen hardened packing methodology.

I have a little bit of childhood anxiety around packing for having moved around a lot that has alas never left me. Many people having anxiety about flying so at least it is a bit relatable but I don’t know if packing anxiety is as common.

For me it’s not about being in the air but rather leaving behind an established base for parts unknown. Will I be able to find medicine for issue that arise or soap that won’t trigger eczema? What if I need to appear at an event requiring a dress & makeup? What if I need to walk for two miles with all those things?

Every time I pack I go through the same routine and I use the same bags with the same labeling system to manage all the permutations I might encounter. And it is a science.

I have a small pajama bag I carry in my backpack in case of an unexpected overnight or long delay. I carry small clear vanity case to clean & groom myself with full allergy protocols that passes even the crankiest Heathrow checkpoint. I am prepared.

I carry on my person a a small pill bag with every detail labeled that can handled medical incidents big and small along with my first responder certificate. If you have an issue on an airplane you want to be seated next to me.

From there in my carry on suitcase I label the packing cubes with every item I bring, from underwear to wrap dress and ballet flats. Everything that is packed in my larger Tumi that gets checked is also labeled and I place an itinerary on top as I find my bags opened more frequently than seems reasonable.

There are no questions from the TSA or the most belligerent customs agent that won’t be immediately cleared up with minor inspection. Now with artificial intelligence I can translate my labels on the fly into any language.

Despite this clarity and organization, I admit I’ve had a few amusing incidents. Once through Heathrow I unsettled a British Airways agent with my fiber and protein powder baggies. Because clearly middle aged woman would smuggle in a quart sized baggie of cocaine in her purse.

I really wish with all the travel I do and my very strict system that this would all somehow take a little bit less time than it does. I generally allow myself two days to pack as I like to check and double check as it’s an iron law that things will be forgotten. And Montana is remote enough that if I forget a fancy serum or a favored sweater I won’t get a replacement easily. We only just got a Sephora this year.

I am however headed for a large American city that has absolutely everything I could possibly want in short order. So as I leave behind a European home base where I do keep things on hand (I didn’t always but extended family has been kind to me) I feel much less pressure this time. And still somehow I will allow myself to let it take more time than I’d prefer.

Categories
Emotional Work Medical

Day 1865 and Letting Things Fester

I let something fester for far too long. A family member had some health troubles that were not immediately threatening and I didn’t want to push them. They promised to see to it after a lengthy set of other issues were resolved.

Well, now the list was all finished or at least that is the rationalizing we are all doing around it, as it’s gone too far to be left alone. And it has to be seen to with a surgery.

Now they are healthy, young and the damage can be undone with a little science but I can’t help but feel I failed them. I knew they were leaving it to fester but the first rule of medical ethics is informed consent. The patient chooses even if you think you know better. This goes for doctors just as much as family.

And so here I am feeling guilty that I knew they were putting it off based on actions that I was partially responsible for resolving. They kept pushing it off citing this and that needing to be done first.

Now budget was an oft cited reason and I aid on that to some degree but it was really about a whole tangle of issues or managing till it was unendurable. And I don’t control their endurance or capacity to tolerate discomfort.

I know I couldn’t have done anything to force the issue, especially when the pride of an individual is concerned, but I still feel like shit about it.

Why couldn’t I have pushed forward the other issues and projects to rid the excuses? Why wasn’t I more forceful insisting they get it looked at sooner?

You know how guilt works when you have some responsibility but no ultimate say in the doing of the deed.

Not only did they let it fester but now it will fester with me as I try to forgive myself for something I couldn’t have changed. The body is sovereign and it wasn’t mine so I better let it go and help them recover.

Categories
Chronic Disease Travel

Day 1862 and No Gas in The Tank

I am very fatigued today so I’ll excuse myself to get on with it. I have had a few eccentric missions and side quests keeping me quick as we all adjust to whatever this strange moment in the world might be.

I haven’t had too steady a course of sleep thanks to some of the overflow on this terse intersections with reality. A few of them are fun but we’d probably all agree it’s weird out there.

So I found myself taking a nap as I had a bit of a sleep deficit. Now I realize I could do well with a lot more sleep. So I’ll see myself out. The the lights off if you are the last one out.

Categories
Biohacking Medical Travel

Day 1856 and Always Something So Always Trying Something

The world is a topsy turvy place and I am doing my best to meet it head on. Physically I’ve managed a surprisingly steady period from December through January, even though I spent a decent portion of that on the road.

I credit this mostly to using antibiotic and anti-fungal regimens prophylactically. The biologic immune suppressant I currently take for my ankylosing spondylitis is quite frankly too good at its job. And I’ve tried quite a few.

That means I am locked in a battle of constant vigilance in order to keep my inflammation numbers down while also not becoming a host to bacterial, fungal or other infections. It’s a balance that is anything but delicate.

In 2025 I had been unable to fight off skin, soft tissue and mucosal infections seemingly at all. Even with extensive protocols for decolonization (intranasal mupirocin, chlorhexidine washes, environmental decontamination) I had four major infections.

Of those infections, three required surgery and the fourth was the result of a very minor incision to insert testosterone and estradiol pellets. Those surgical interventions proved very trying and also very expensive.

The last one (testosterone) helped quite a bit with energy but being energetic doesn’t matter much if you can’t fight off infections.

So while I know there is an individual and social long‑term systemic risk in using antibiotic prophylaxis, I will say it does seem to be helpful in mediating say outbursts of allergens flaring into soft tissue infections from skin breakage or having exposure to molds and fungal growths that fester in old damp buildings and water systems creep their way into any opening available.

Since it is always something, I figure I need to always be trying something. Frankly I am over the push and pull of managing medical care in America. It’s a mess and mostly designed at risk mitigation for the health systems.

I have found going abroad to be much more useful and cost effective in many cases. I may even find that it would be useful to document the experience in a format beyond a blog as I doubt I’m the only person manage complex chronic disease.

Categories
Travel

Day 1847 and Cardio versus Packing versus Ski Bunnies

I’ll be on the road for a portion of tomorrow. Other members of my traveling party have already pulled ahead to parts unknown, as shifting obligations and vehicle needs turned schedules this way and that. Nomads as we adapt to a new world.

Europe is in a tense state and the weather hasn’t helped much. As I’m writing, Davos is awaiting Trump speech in the Swiss mountain town.

I finished a workout in the hotel gym but my room wasn’t quite ready for me, so I went down to the lounge to take in the BBC having had my fill of Bloomberg commentary while in the gym.

Management must keep up with their bosses

You can probably spot the hotel brand and imagine easily my experience intaking the World Economic Forum by proxy as I attempt to manage my life and health in the unspooling of the order of things.

I packed up a slightly unusual range of things for my transit tomorrow, as I had been going by car but will hop a low cost carrier to recenter. Somehow this has my large luggage separated from me. I’m carrying a very fine leather duffle I recently acquired as a gift for my husband.

Will this work for my carry on and personal item?

I have gone from doing a bit of cardio bunny as I work to improve my V02 max to a pack rabbit, as I moved around this and that to be sure my cascade of items and medications were within reach and packed appropriately. And would make weight but I’ll get to it.

I’ll not end my travels as a snow bunny in Davos though I have seen rather a lot of snow in Southern Europe as far south as Greece.

Why are bunnies on my mind? Well I have to keep in mind some odd weights for the low cost carrier I’ll be using for a short hop. Just look at this guide to baggage.

3kg is a silly amount of weight for a bag. That’s the weight of a house pet like a bunmy

3kg (3 kilograms) is equivalent to approximately 6.6 pounds. While this weight is roughly the size of a medium-to-large house rabbit rather than a “small” one, it is a common weight for many everyday household items like a large bag of flour or three liters of milk. Via Perplexity and Weight of Stuff

For whatever odd reason, the carrier listed your personal item or under seat bag as needing to weigh 3kg. This is about the weight of a house rabbit.

Which is honestly not a lot. I doubt any purse I’ve ever carried is under 3kg when you account for laptop, shoes, cosmetics, wallet and other sundries. But we shall see if my backpack can do it. Nothing but pajamas and medications ought to keep it light.

Categories
Biohacking Medical Travel

Day 1846 and Doctor’s Orders

I have had a lot of experience with doctors over the last few years. A chronic autoimmune condition isn’t the sort of illness that gets “better” like a virus. It can only be managed.

I have come up with endless ways of collaborating with people who far too often believe they are more informed, powerful and intelligent than me.

Sometimes they are even right about that perception. It’s a frustrating fact of life that doctors value their status occasionally more than their patients.

Today I went to a tourist hospital renowned for its extensive offerings and professionalism. My usual interpreter (it’s in a foreign country as many nations from Mexico to Turkey to South Korea serve American patients) had a number of procedures and visits organized for me. I felt confident I’d learn a lot and maybe find new pathways to healthcare management.

I happened to have an aesthetic elective treatment first. A plastic surgeon met with me to refresh some Botox. That seemed excessive given a nurse does my light work back in Montana but why not get a professional opinion while you have the chance.

I’d intended to spend the afternoon at the hospital doing a number of more productive activities than smoothing my fine lines. I’d set up rheumatology and immunology lines of questioning and I was excited to get some holistic work done including ozone and an IV infusion of vitamins and minerals.

Alas I was stopped in my tracks by a physician who simply would not approve the IV I had set up, the ozone work, nor would she approve the alternatives I suggested (an intramuscular B vitamin shot). I made my case with the interpreter and my AI.

The doctor wouldn’t budge. She even obfuscated suggesting that glutathione was illegal though backed down when it turned out to be a malpractice issue related to compounding pharmacies.

I very much wanted to buff up my immune system, especially having chosen something elective to go first, and I could not make progress. It shut down my whole afternoon. All that was left was tests and waiting.

There was no order the doctor was willing to give for short term immune improvements unless I committed to five weeks of procedures which given it was a tourist hospital seemed a little ironic.

I am demoralized but doctors will be doctors. I never seem to manage to convince them when I really need it. Doctor’s orders are not always for the benefit of the patient. Maybe no one wanted a woman sitting around hooked up to a vitamin infusion. Who knows. I probably would have skipped the Botox though.