Tag: Istanbul

Categories
Aesthetics Travel

Day 1848 and Call To Prayer

The call to prayer echoed out as I stood underneath one of many loudspeaker towers bristling with surveillance equipment.

Strong winds buffeted cell equipment and 360 degree video eyeball cameras as the firm melodic voice of the muezzin recited out the first words of the Adhan.

“Allahu akbar”

I wonder how many cameras were scanning my face as I watched the speaker quiver from the wind and snow as I shivered waiting for the black Mercedes driving me to Istanbul went through giant X-Ray machine.

Loudspeakers and surveillance cameras

I briefly let my eyes scan the area to see if this prayer would delay my transit across the Turkish border. I was in no-man’s land between Greece and Turkey and I felt alone. I prayed. God is the greatest.

I saw no one rushing to prayer rooms or unrolling prayer mats. Maybe others were praying as I did. Silently inside the privacy of their own mind. The siren indicated the giant car X-ray was on.

A kind of Doppler effect buffered the prayers from each tower over the sound of alarm, layering prayer and warning as sound rose and fell over my head.

I switched on my Bose noise canceling headphones and closed my eyes. I went to wait out the cold in the duty free but the smell of the perfumes made me nauseous. I went to the bathroom feeling ill. I finally found the prayer rooms. I was still the only one there.

I found the prayer rooms next to the bathrooms at the Duty Free shops inside.

This was my second time driving to Istanbul through the rolling coastal mountains of the Balkans into Greece. I had not expected this kind of life for myself but I seek to be exploring far reaches in this life and little of it makes sense. I experience reality as closely as I can.

To be a traveler to the crossroads of the great empires is a privilege for princesses not a lowly citizen but here I am. An America woman with a passport has power even a Venetian trader did not.

How long that lasts I can’t really say. Even in the panopticon of the crossing I felt safe but the world is in a strange place. Still for now I was welcomed. Constantinople welcomes all travelers.

Three hours later the open roads of Turkish farmland slowed to potholes and frantic taxis gummed up by city traffic. Istanbul drivers are terrifying. Each near miss I found myself saying God is great. Praying that I would make it to my hotel. That feeling would last through every taxi ride I took.

EDFM techno radio and a tricked out taxi expressing his love for the American Cadillac

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.

Categories
Medical Travel

Day 1655 and Healing Waters

I am now forty eight hours post operative and I feel like shit. I was warned but I am not enjoying how the very intense antibiotics make my brain feel.

The first five to ten hours after surgery when the local anesthetic hasn’t fully worn off and your adrenaline is still pumping are the easiest. I was smiling and happy to walk myself to the hotel and I was snapping pictures of the Turkish Cipro in amusement. How cool was all of this?

It didn’t stay cool. The first 24 hours are weird as you are still gooy and gushy so it’s tons of clean up and hand done hygiene. You aren’t allowed to shower yet, so it’s just a liminal state of grossness as you wait for swelling to abate and antibiotics to work.

Well, I’ve passed hour forty eight and I’m brain dead. I can’t think straight. The work I was excited to do in bed as I stared out over the Bosphorus was probably a fantasy.

I’m tired. I’m swollen in very tender areas. The idea of showering is simultaneously appealing and too exhausting to even contemplate. I am staring at the lovely bathtub I can’t use. Suddenly all the sources of water submersion are a threat instead of a joy.

We don’t have a bathtub at home so I only get to relax and soak a tub when a hotel and here is a beautiful one that I cannot use

Despite my exhaustion it’s very hard to sleep well in this situation. I need to keep pressure off the wound so it’s all about pillows and angles. I stayed up playing on Twitter where someone asked how a bottle of water for skincare could possibly sell at such a high price.

Right about now as I contemplate my banishment from the pool, the beach and the bathtub I think about how much I’d enjoy the healing waters of a mineral hydrotherapy spa.

Categories
Chronic Disease Medical Travel

Day 1654 and Post-Operative Exhaustion

As I slowly walked myself out of surgery yesterday, I thought to myself “I actually feel much better!” And I genuinely did.

If you have a gentle stomach, maybe stop reading here. I’m fine. I’m on my way to well. And this will be graphic.

I do feel dramatically better having had the “slouching towards septic” abscess drained of infection as well as removal of the initial pearl style irritant (a 3mm deep entirely horizontal hair growing not up but sideways like an underground fracking tube).

I appreciated having the walls of the abscess pulled out bit by bit in a delicate curettage by my silk sundress clad physician. It was all a success.

But post operative care is hard? I’m a mess. I’m exhausted, loopy, and the hotel’s guest services are concerned enough that they are doing me such kindnesses like sending up tea and maxipads. Turkish hospitality comes from a place of genuine kindness and I need that right now.

It’s been a long journey of stupid to end up in Istanbul to get a smart fix. Going from a squishy movable almond sized lump without any pain six weeks ago to a hard plum sized lump was disconcerting enough. Especially having done my damned preventive care visits with the useless Dr Oetkin in Montana.

Have had two days of prodding, poking, squeezing, moving and ultrasounding done in the Mediterranean, I was swollen, feverish, and all hurt to the touch. I was afraid.

How did I get here? How had my next generation IL-17 managed to cause me so many negative side effects even as I was doing better across all biometrics and across quality of life metrics?

No wonder the doctor in Istanbul was so concerned. All the previous doctors had done was make my situation worse though inaction and delay m, and then the action they took made it worse.

Now I have recovery ahead of me. Last night as I went to pee, I realized why they had padded the upper areas of my underwear with maxi pads. I’ve got no discharge downstairs but on the upper bikini area there was no such luck.

I only needed one stitch to close up thanks to the careful work of the doctor, but a lot of goo came out during the surgery drainage and I was warned there was still more to come, though it would taper off.

I gently washed the area with a cloth and antiseptic soap before application of antibiotic cream (my third type of antibiotic). I gasped as I saw the first lightly red sticky watery fluid gush out rapidly around the stitch. It was so fast and there was so damn much. Bodies are disgusting what else can be said?

I mopped up with a clean moist towel and applied a thick layer of antibiotic cream, but I had learned the deflation of the abscess wasn’t quite done. The swelling, I was told, would take a week or more to full abate.

I’ll be sleeping this off for the day but if you are in Montana with an autoimmune disease and need a dermatologist I’d recommend you stay away from Dr. Tara Oetken at SkincareMT. Without her hasty heuristics and lack of conviction I wouldn’t be in this mess.

Categories
Medical Travel

Day 1653 and Slicing Then Cipro

Well it’s been exciting day for me and I may be a little bit high (alas not the fun or good kind) as I just had an abscess surgery in Istanbul.

I’m waiting on the lab work for the culture and pathology but from what I saw come out of the abscess it can’t be anything good as the doctor prescribed multiple antibiotics including Cipro while we wait for results.

Bimzelx has some gnarly side effects and I don’t know how much more slicing up infections I can manage for an immune suppressant biologic. My biometrics are better but 2 eye infections and one abscess surgery that almost went septic isn’t making me feel great about the balance of value on the drug.

I can’t say enough nice things about the Turkish medical system and their treatment of foreign “tourist” patients. It’s my second time this year having my Bimzelx side effects treated here.

A lovely interpreter and patient advocate was with me the entire time. The physician was so empathic. She was astonishingly effective in technique and her whole being moved with an efficient alacrity that was admirable given she was in a floral print silk sundress, high heels and pearls.

Imagine being so good at your job you can squeeze infected goo out of another human that you do it in white silk? I was impressed.

She on the other hand was not impressed by the care I received in America.

“They knew you were immunocompromised and did not insist on an ultrasound and immediate treatment?

What do you mean they said wait and see?”

“I don’t believe the other doctor thought it was a swollen lymph node given the clear folliculitis literature warnings for your biological drug.”

I was headed straight to sepsis and in her mind having multiple doctors leave a high risk patient to “put a compress on it and wait and see” when it was easily 3mm below the skin was malpractice to her.

Quite the big abscess eh? And look at that irritating side ways hair in there so deeply buried

And indeed I am on the kinds of antibiotics you’d expect someone close to septic shock might be on. I am amazed to be doing as well as I am. But I am frankly furious.

I tried to be responsible with preventative care and was ignored. I just kept on going until the small lump became a large lump. Then it rapidly became so swollen and infected it couldn’t be ignored. What a metaphor for the American healthcare share. You try to be responsible and are shown the door till it’s a crisis. And then they can’t even fix the crisis.

On the bright side I’m in a lovely hotel next to the hospital receiving excellent care. I could afford to fly in and get it taken care of without any worries (for the curious this was $2,000 for surgery and follow up care). I was in a very space age room after being in surgery and all my intense antibiotics were hand delivered to me. Now we wait to see what the labs say.

A private recovery suite
Categories
Biohacking Travel

Day 1563 and On The Road

Life has been screaming loudly at me to pay attention to hyperbaric chamber oxygen therapy.

Concurrently we are moving through a massive global economic reorganization that impacts how one plans for even local businesses like a med spa.

So while we’ve purchased our first chamber before the tariffs have gone into effect, it seems reasonable to get ahead of the game and begin the sourcing process.

Now I know this sounds crazy, but I’m driving through Greece to visit a factory in Istanbul that manufactures some of the best HBOT options available.

Sharing the road with sheep

Any good road trip is filled with unexpected surprises like sharing the road with sheep but by tomorrow I should be in a slightly more urban setting.

Categories
Finance Medical Travel

Day 1562 and Istanbul

In a twist that one of my friends described as “an extremely Julie situation” I’m heading to Istanbul tomorrow. I’m in Europe so I’m actually going to drive. Any recommendations for hotels, great meals and must see sights are most welcome.

How I ended up on this last minute surprise journey is a long involved story that includes spotting a maintenance issue on a hyperbaric chamber, having a friendly mutual who swears by HBOT email the CEO to troubleshoot, and a long Twitter conversation to do said troubleshooting.

This then turned into an offer of a tour of the factory by their team (since we are in the market as we plan out our Montana medical spa) that was topped off by an offer to discuss the experience on my favorite podcast.

Apparently manufacturing complex medical equipment in this new era of tariffs and bilateral trade agreements is a topic of interest to many people as Turkey may end up a better trading partner than China for many categories of sophisticated equipment.

The Trump administration is making attempts to reorient more of the world under our trade & defense umbrella rather than China is obviously on everyone’s mind. Turkey is an advanced manufacturing industry from which I have imported in the distant past for textiles so I’m sure I’ll learn a lot from this trip.

One of the machines I’ll be checking out