Categories
Medical

Day 503 and Halftime

I really thought I’d kicked the flu this Monday. I drove back from Montana and I was feeling amazing about my life and my decisions. And then yesterday I just straight up crashed back into symptoms again.

I managed to both write and correctly tag and post while I was riding a modest fever high. Which is pretty fantastic. That’s how you know your habits are good. I was able to maintain my writing schedule on the strength of the rhythm alone. My husband who got tagged in yesterday’s post on Twitter was impressed that I was actually coherent. Practice really does make perfect.

I’m a bit annoyed that the flu had a halftime show. Now I’m fighting out the second half of the game and I probably didn’t take advantage of the respite of having a decent day or two. Now I’m back in the storm, to use an entirely different metaphor, and I’m upset the eye has passed.

Categories
Medical

Day 502 and Fever

I had a late lunch today. Maybe at 3pm or so. I took cough syrup with it. It’s now 7:13 and I’ve been asleep with a fever tossing and turning the entire time. I vaguely recall my husband coming into the bedroom to tell me he was going to tennis. I couldn’t wake up enough to tell him I was sick and needed help getting situated for the evening.

My best case scenario is I’ll crawl out of bed to the bathroom drug cabinet for NyQuil. I don’t think I can make it downstairs for more water though. I’ll have to drink from the tap. I’m finding myself wondering how much longer Alex will be out. One hour? Two hours? How long is tennis? The shades calendar isn’t on my phone. I’d need my laptop to check and I have no idea where it is as I’ve not unpacked from Montana. My Whoop needs a charge. That’s at the edge of my fever brain. Maybe I can wait till he’s home to address that as well. What’s one night without data right?

I keep trying to access parts of my mind about what I need for a stable night I can sleep through. Do I have it? Can I wait? Will I be able to wake up enough when Alex is home to get the help I need? Can I push through with what I have now. I actually had no idea I could still spike a fever this far into the infection. And I bet when I read this post without the fever high it will make even less sense than it does now.

Categories
Preparedness

Day 498 and Safety

The reality is sinking in that my husband and I are actually moving to Montana. And it’s unleashing all kinds of powerful emotions and realizations.

Alex told me he’s much more willing to honestly look at unpleasant political realities in America. He’d been ignoring the news for fear it would distract him. But even if Trump wins another term, the populist wing of the GOP sweeps and Roe is overturned, at least we are safely in the demilitarized zone of the inter-mountain west. Want to fuck with us? You are armed. We are armed. Let’s keep it polite. Our libertarian preferences might still have a chance out here and if not it’s awfully hard to subdue gun toting mountain people.

That libertarian zone means business gets done. The important work of capitalism doesn’t stop because of conflict or silly culture wars. The companies that will do the best will be the ones that can get away with ignoring culture wars and focus on making stuff people need to keep their lives afloat.

We also feel safer about our personal resilience. We will be less reliant on failing electrical grids with backup power from both solar and fuel generators. Considering the warnings being issued for this summer’s black outs and I suspect we will be glad to be less dependent on the grid. I’ll be glad to be somewhere cool where my air conditioner won’t be going out. And in the winter I’ll have a wood burning stove. I’m excited for having a stream on the property along with a pond and a well that does 25 gallons a minute. I look forward to making it a home that has backups for any emergency.

I’m also a big believer in traditional skills. Having a close relationship to the land benefits our bodies and souls. Putting time into the natural rhythms of the planet keeps us healthier. I want my circadian cycle to be nurtured. And if I am ever so lucky to grow some of my own food not only is that good preparedness but it’s certainly next level wellness shit. I want that kind of power for me.

The kind of safety and sense of security we are accessing with a homestead will help us access our deep talents. There are no excuses anymore to ignore the instabilities in our dusky lives. The crumbles have arrived. And I’m so deeply relieved we are finally taking the right steps to live with them.

Categories
Emotional Work Medical

Day 496 and Pardon the Interruption

I’ve been on quite a streak of processing as I’ve written through the emotional rollercoaster of a potential move to Montana. We found a house that seemed absolutely perfect but had to work through our feelings on the matter. We put an offer on the house and as of tonight we are the leading offer and negotiating the legal deal points.

I am however really sick. Alex tested positive for Influenza A last week and while I briefly felt under the weather, I thought my hyperactive immune system had beaten it. Alas the data suggests I very much have the flu and I’ve done my famous “double dip.” This happens to me fairly regularly where it looks like I’ve beaten something abnormally quickly but if I am stressed or not well rested the latent infection doesn’t quite clear and a week later it roars back full force.

Welltory reading showing high stress, los energy and my health at risk
Whoop reading showing a dangerously low blood oxygen count and an elevated respiratory rate this morning

Given my current status I am going to take a bunch of NyQuil and stay in bed and send my apologies to anyone who might need me tonight as I’m clearly a bit addled in the head.

Categories
Medical

Day 489 and Day Dreams

I had a dream during the day today. I mean the rapid eye movement kind not the fantasyland imagination. I had laid down to rest my eyes while my migraine medication worked it’s way into my system.

Generally I don’t fall asleep in the middle of the day. This is doubly true if I’m beating back a migraine. Triply so if it’s a particularly bad one. This migraine was so bad I needed nausea medication as well. I frantically texted my husband in the other room to help me look as I couldn’t locate my medications as keeping my eyes open triggered cascades of lightning flashes behind my eyes and nausea so bad I was afraid I’d lose the contents of my stomach.

I put on noise canceling headphones and a face mask and passed out. I woke into a dreamscape city that resembles the west village in New York. I was being instructed by a coach of some sort to forgive someone. Maybe it was myself. Maybe it was a cofounder of a past startup. The texture of the city was busy. Tourists were everywhere blocking the sidewalks. I recall a conversation about the end of the pandemic. Perhaps everyone was out celebrating. There were posters for movies or shows on every available service. I distinctly remember one in front of a fry shop that had media quotes promoting Billy on the Street combined with Family Guy characters. I’ve never seen Billy Eichner’s television show.

I woke back up nearly four hours after having originally gone to lay down. I felt dazed. I had the slightly unsettled feeling one gets upon waking in a bed that is not one’s own. I was disoriented and dizzy even laying down flat. My nausea still has not disappeared entirely. But the migraine had mostly passed.

Categories
Politics

Day 488 and Life

I woke up today feeling betrayed. I’ve never been concerned that my reproductive health would be decided by anyone but me. It’s been a luxury not to fear my own body knowing I had a right to chose for myself. It was my belief my family would do it’s own planning.

And we did plan. We did fertility treatments and it went catastrophically badly. Four years later I’m just barely stabilized from the attempt to extract eggs and freeze eggs and embryos. The vast majority of people have to cope with our reproductive health in some capacity. Having a family is pretty standard issue. Mine just happened to be a little more dramatic than average. But I never had to worry if it was my life or my unborn child. Or who would get to chose. I never got that far and now I’m a bit afraid I never will. I’m afraid to be pregnant in a world where my health decisions are not my own.

In case you missed the news, last night someone decided to leak a draft opinion from Justice Alito (supported by the conservative justices but without any indication where Roberts stands) that would overturn Roe vs Wade. Abortion would no longer be a federal question but devolve to state authority if Roe is overturned. After 49 years it looks like a major reversal is possible. To be clear it is a draft and while Chief Justice Roberts confirmed it’s authenticity, he said it’s not final or representative of any current justices or the courts final authority.

But it didn’t fucking matter what anyone intended. Chaos has absolutely ensued as various parties look to assign blame for such a massive breach of judicial norms. Everyone is jockeying for position and speculation is rampant. A topic like when life begins is guaranteed to generate strong emotional response. Who gets to decide is a big question. But I’ve generally fallen onto the side that the woman has autonomy over her own body. A fuck ton of other people felt about the same as I did. I’ve seen social media erupt in fear and hurt.

I’ve got very complex feelings on abortion. I’m against it in principle (and I’m deeply grateful I’ve never been faced with that choice) but I am not convinced a fetus is a person. Lord knows if an embryo is a person I know I’d have a very different opinion. I’m not even sure I would have been comfortable doing IVF if I thought an embryo was a person.

This is all complicated by the fact that I don’t think any of society’s crucial issues should be legislated by courts. They enforce laws they don’t make them. We have a legislative body for a reason. Why won’t we try passing federal legislation for anything? Like honestly I’m sick of the courts having to be a backstop. I think most people are. I just don’t get it.

I don’t fully understand how we build out laws to enumerate natural rights but I’m pretty sure it’s meant to be an amendment. We have sucked at this amendment thing traditionally and I don’t really grasp why.

I failed Constitutional Law so my opinion maybe doesn’t count. In my defense, I took it with Will Baude as a fellow classmate as an undergraduate and well now he is is famously a world class constitutional scholar. He absolutely wrecked the curve for my class of twenty. But maybe I understand the issue marginally better than I imagine. Just not as well as say someone tapped to regularly review how the court operates. I don’t know! But at a certain point the contentious shit is going to be an amendment right?

I don’t have a tidy summary to any of this except to say I know this is hard for everyone. I wrote this post because I’m scared and hurting. I can now imagine a world where if I’m faced with crisis like an ectopic pregnancy it’s not clear that the choice to terminate to save the geriatric mother would be in my hands. And I don’t think that’s right.

Categories
Biohacking Medical

Day 483 and Medical Logistics

As you probably know, everything about the American medical system is a pain in the ass. I was expecting a delivery last night of a medicine that needs to be refrigerated. I went to bed assuming it never came. I woke up this morning to find it has been left out outside all night.

A $5000 dollar dose biologics injection (that’s only $150 in Europe) got left at door I don’t use without a knock. Thank god it didn’t get porch pirated as I cannot afford to replace it. I discovered the medicine this morning when going out for an espresso as it was left in dry ice by the basement door. Just a little chaos for the start of a day filled with other medical logistics.

Today is the day I pick up my prescription refills for the month. I have to do it once a month instead of a convenient quarterly by post situation as I take several controlled substances of which I’m not allowed to have more than a 30 day supply. It’s a real pain in the ass to travel for this reason as it has to be organized around when my insurance and the government will allow me to do so. If I want to be on the road for six weeks or go to Europe for more than a month I’m shit out of luck.

I take a lot of prescriptions to manage my chronic illness. I wish I didn’t need any of them. If I’m honest I put a lot of effort into wellness and lifestyle as part of a long term effort to ween off the pharmaceuticals like my biologic anti-inflammatory injections. I don’t want to be left for dead in a crisis as I’ve got no illusions that we will protect the sick and vulnerable. I protect myself.

I have to do the pharmacy dance now whether I like it or not. I have to take half a day to make sure everything comes in on the same day and in time for any mitigating factors like travel. I maintain a spreadsheet to keep it all organized. I have to use up valuable energy and focus on something that your average Canadian or German would find comically foreign. And that’s just the way it is and probably will be for sometime.

Categories
Emotional Work

Day 480 and Responsibility

I usually have therapy on Mondays. I stack all my emotional work into the first day of the week so I can be my most present for everyone in my life. But today I just couldn’t show up for my emotional work. I’m in a lot of pain and a bunch of things are up in the air professionally and personally. I’m just not able to be here.

Thankfully I’m lucky enough to be surrounded by people who are working on deepening their emotional practice. Someone was able to help me see that I wasn’t able to show up even though I physically showed up. They did it with one insight too.

Responsibility is having ability to respond

One insight and my mind was blown 🤯. In that moment I didn’t realize I didn’t have the ability to respond. I was abdicating responsibility. I was reactive. It wasn’t under my control. I couldn’t preserve my ability to today today. I was not preserving my response ability.

I quietly bowed out of therapy for the evening. Well not so quietly I cried a little and shared my disappointment. I needed to take responsibility for myself in that moment. So in order to preserve my capacity to respond I had to make the decision to bow out. I needed to be the adult that would take care of whatever portion of me was incapable of working through the physical pain of that moment. My inner child needed me to parent and I did. Now hopefully I can continue that streak through mealtime, bath time and bedtime so that my adult and my inner child can respond to the best of our ability to tomorrow.

Categories
Chronic Disease Startups

476 and Temptation

When I am feeling healthy I love to over do it. Most days I feel basically fine. Which is a significant improvement over even two years ago. I was living a little low. But maybe once or twice a week now I will just feel terrific.

Today is one of those days. I woke up early after a restorative night of sleep. I didn’t miss anything on my extensive wellness regimen. I was just nailing the day.

The sad part about doing wellness because you have to for a chronic disease is that you aren’t even ever hotter for it. Healthy women be doing yoga & taking supplements and practicing wellness and it’s a fucking Instagram campaign. I do all that shit and at the end I’m “ok.” It’s actually pretty demoralizing. I engage in flawless yuppie next generation wellness because it’s actually keeping me alive.

With this context it’s clear that I resent having to take good care of myself. It feels like a burden. So when I have a really good day. When I’m just energetic and focused and, yes moisturized and thriving, I’m also plotting how to undermine myself.

Because I felt terrific I just hand to indulge in it I took a bunch of calls and did a bunch of portfolio work. I went for an hour long creekside walk to discuss some communication strategy with Alex. I was vibing. Until I wasn’t. I crossed some little threshold and realized I needed to pull back the energy expenditure. I recognized I have given into temptation this time.

Categories
Medical Politics

Day 475 and 4/20

Last year on April 20th aka 4/20 aka the day America celebrates weed culture, I wrote an post on using medical marijuana for my ankylosing spondylitis. It’s a thorough look at how I incorporated THC & CBD into a pain control regimen for an inflammatory autoimmune disease. I’ll recap some of it here as my views haven’t changed at all in the intervening year.

As a libertarian I’m pro-legalization but I likely wouldn’t have chosen to use THC recreationally except that it happens to be a drug that has demonstrated benefits for my condition and is comparatively less dangerous than other pharmaceuticals I am also proscribed (namely opioids and high dose NSAIDS). For some context, despite being a native Coloradan I had never smoked weed till this year. As a kid it just didn’t seem appealing (that’s what hippie boomers do), and to be candid as I got older I didn’t love the idea of tying a health need to something that wasn’t legal everywhere.

I spent months testing everything from bud and regular joints to elaborate butter and shatter concoctions in an expensive Pax vape. None of it achieved the desired effect which was pain mitigation and minimal head highs. It was expensive and demoralizing. It was hard to manage dosing and consistency and I was unsure if it would remain a part of my medical regimen. I wasn’t sure weed was ready for prime time but I did feel it was important to document it all both for my own biohacking purposes but in case it could help others.

After all of that experimenting, I settled into regularly using patches. It’s one of the least celebrated formats and, because that’s how it works, the last format I tried before settled into a routine. I use a brand called Mary’s Medicinals that makes an excellent 50-50 THC to CBD blend. It is completely reliable on dosing and effect. It has little to no head high. And it lasts for eight to nine hours. Basically as close as I can get to a pharmaceutical. Turns out I wasn’t kidding when I said I really was in it for the pain relief.

I genuinely hope that THC continues to cement its place in American culture and medicine. It’s a cheap easy and effective drug that replaces a lot of expensive and potentially dangerous pharmaceuticals. Of course we’d have powerful interests working to ban that. It’s a a national shame and I’m glad Americans have fought back. I’d rather weed replace alcohol and tobacco. Why get drunk and wake up feeling shitty when you can get calmly high and feel better in the morning. But it’s a long path and sadly it’s still viewed negatively by some. I hope to do my part on 4/20 to encourage folks to see it’s benefits.