Tag: Life

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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
Aesthetics Emotional Work

Day 481 and The Mood

There is a scene in Dune where heir apparent Paul Atreides is dismissing the danger he is in from the Harkonnens. He tells his instructor he is “not in the mood” to train.

It proceeds to be a standard issue coming of age issue. Paul realized being responsible means finding the mood if the need arises. The circle of manhood. You’ve read Joseph Campbell too so you can fill in the hero’s journey.

But I’ve recently noticed an uptick of people not being in the mood. This isn’t for lack of desire to build and and will manifest. People are exhausted by the increasing chaos. The entropy pulling on all of our lives is weighing on us. People have let big life decisions go by as the uncertainty plays out. We want to stop to attend to those problems. We’ve got health issues we’ve not checked out. We’ve got family members who are struggling. We’ve put off buying homes and making trips and investing in things b

But we cannot let the pace and uncertainty of the now prevent us from setting the foundations for our future. We may not be in the mood. We may be tired and scared and overwhelmed. But the occasions that require action do not care for our moods.

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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
Internet Culture Preparedness Travel

Day 464 and Miami

Miami is a real American city. You know those criticisms lobbed by conservatives against New York, San Francisco and Los Angeles? It’s not a real American city. It’s bullshit in plenty of ways as our urban populations define America as much as rural, but it’s also true. Places like Miami maintain an essence, a kind of “here-ness” that reveals a thriving ecosystem of all classes, backgrounds and beliefs living in the same place.

It’s a thriving cosmopolitan city with an extremely wealth ruling class. It has welcomed it’s new leadership in the form of startup expats from “fake cities” moving in. The irony is that those are fake places and no one lives there. It’s transient wealth moving in and out for opportunities. Which is exactly what they are doing to Miami. The churn comes for us all. Before it was tech it was drug money and mortgages. It’s a free enterprise kind of place.

But it’s a relief to see mix of people. To see the shitty neighborhoods and the anxiety about crime, reminds you we have to do better for each other. To see the luxury houses and the amenity industry pop up to service everyone rich from yuppie to billionaire. It’s a vibrancy of hustle that isn’t everywhere. It’s a positive thing. For me it smells like America. A belief in the future where things could be better. A sense that capitalism is working.

As I write this my Uber driver is complaining about the local cops. How unfair their targeting is of everyone going too fast. A real class solidarity moment against the fuzz. Lambo owners and ride share drivers. I feel like that doesn’t happen in striated societies where the top use the police to torture their plebeian neighbors.

I didn’t really enjoy my time here. It’s way too hot. It’s facing intense pressures from climate change so I’d like to come more often before it’s too late. It it’s already too late maybe.

There really are issues related to inequality and the challenges it manifests via societal issues. It’s got crime and infrastructure issues and intense political culture war currents.

If I’m honest I’d rather be in a colder less populated state where some of the existential risks of the future are better mitigated. But I admire the optimism of people who do. They are the optimistic people we need for a better future.

Categories
Biohacking Chronic Disease

Day 463 and Caretaking

My husband has a a weak immune system. He used to get colds once a month or whenever he would travel. I, on the other hand, have a wildly overactive immune system. I never get colds.

His immune system doesn’t fight shit off well, whereas mine seemingly never ever stops reacting. I have an auto-immune disorder which is marginally worse than getting colds so on balance Alex does more caretaking of me than I do of him. But it wasn’t always that way.

I used to take care of his regular colds when we first got together. When he married me and we lived together, he slowly absorbed my overly active immune system, eventually cutting down on his colds to a couple times a year. And yes this is weirdly a thing that happens. Your partner affects your gut biome. My health sadly got kinda worse over the course of our relationship. I doubt Alex’s shitty immune response made my life any worse (if anything I would be thrilled for mine to chill out and I take drugs to subdue it) but arguably him getting my overly active immune system has done wonders for him.

I stopped being a caretaker for him. He became a caretaker for me. It was an interesting transition I didn’t really clock at the time. Alex was used to constantly being sick for years but through exposure to me he kinda forgot how much it sucks. This was further exacerbated when the pandemic hit and we stopped being exposed basically any infections.

Alex went two years without a cold. It was miraculous! Alex really enjoys his identity as a health person. Hell he thrived as an active Colorado outdoorsman in a way he never did as an indoor New Yorker. But travel and life is rebooting and it would seem Alex’s old weak immune system is so out of practice it doesn’t do well with crowds and travel and public appearances. We’ve been in Miami less than a week and he’s sick as a dog. Thankfully it’s not Covid. But guess who got to remember what it was like to be a caretaker again? Yeah, I’m responsible for Theraflu and nose spray. I didn’t do any of the conference I’d planned for the day and had to cancel on a bunch of plans but honestly it’s not so bad. Caretaking is an act of love after all.

Categories
Emotional Work

Day 462 and Action is Not Power

Action equals power in America. But at the risk of repeating some basic definitional shit, action is action. Power is power. They are not the same thing. I have a bias towards action as the famous Amazon aphorism goes. I think action is often a beneficial force. But I am learning that sometimes I need to be still in my power without turning to action.

It’s a challenging concept for me. I have more power by allowing it to flow through me. But I prefer taking action to acquire it. I’m in an industry and country where no one is ever satisfied. The need to acquire more is a looming mimetic desire. And the clearest path we see to acquiring more? Take action! Do a thing. Make a move. Be a player.

But sometimes power is found in stillness. The slow places. The quiet places. The interiors of our lives. We meditate and contemplate. All these practices can help us access the power we already have inside us. The capacity that existed all along and simply needed to be honed.

I wanted to beat myself for not seizing more power recently. Why wasn’t I being more aggressive? And then I realized I already had everything I needed in me. I don’t mean this as some bullshit thought leadering either. I slept till 1pm today because I was out late last night. I needed the stillness and rest so my own power can through. I could have been up and seizing the day but that would have only resulted in action and not power.

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Travel

Day 458 and Jet-Set

I forgot what a pain in the ass it is to be on the road. I had three days back in Colorado after my trip to Frankfurt before I found myself repacking my suitcases to head to Miami. I probably shouldn’t have bothered unpacking in the first place.

I had a whirlwind of doctor appointments, injections, pharmacy runs and visits to various health care practitioners in the three days. Any kind of chronic health condition is a bit of a bad bed fellow with travel. Especially if you have medications that are controlled or require refrigeration. I’ve got both. So I timed my sojourn in Colorado to align with those pick ups and injections.

But that left me precious little time for other daily life type activities. I managed to sneak in a pedicure yesterday and it felt practically revelatory. But I’ve got so many other things to catch up that I’ve got no choice but to find a way to maintain normal life while on the road.

I have a round of blood work I need to get done before my next round of doctor appointments next week. Maybe I can get them down in Miami? They probably have quest labs. Doing a fasting lipid panel in the land of retirees seems kind of appropriate.

And while this may sound kind of stupid I really need a haircut. I just a point where it just can’t be put off any longer. It just started to look rough. So why not get it done in South Beach? It isn’t as if I’ve got a stylist in Boulder I love.

The muscles that come with life on the road are surely coming back if I’m considering things like blood work and haircuts. It isn’t the most glamorous part of being “jet set” but it sure as fuck is the most realistic. Travel has its own glamour and romance but you are never as far from the reality of your own life as you think. And maybe that’s a good thing.

Categories
Emotional Work

Day 457 and Pedicure

I did something today I haven’t done in two years. I got my nails done. And it felt so luxurious and yet also somehow normal. This regular act of grooming had once been a staple self care activity but today felt transformed into a ritual of joy.

I feel free and lucky in this moment. Getting a pedicure done means I have someplace to be where someone will see me. It means I am healthy enough to be going somewhere. It means I have a desire to be somewhere. All this cascading luck mixed to show me that my life was ok. I felt so much gratitude and self love in that moment. I am ok. The ok-ness of the universe in an act.

I know it sounds heady and existential and also a bit ridiculous as I elevate the act of a pedicure. But truly I feel so good about where I am in life that I can get my toes painted coral.

Also it’d worth noting that less glamorously cutting my toenails is hard for me to do on my own because of my spondylitis. So a necessity and a luxury in its own physical way. It is a quality of life improvement. So I’m grateful that this is where I am. May we all get little joys of normal in this chaotic world.

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Travel

Day 454 and Up In The Air

When I first started this experiment in daily writing my schedule was quite predictable. We were in the middle of the pandemic and each day could be relied upon to deliver some consistency. But now that era of at home living is slipping away for abled people, even marginally at risk folks like myself have to contend with new challenges.

In this case, the challenge is writing before being offline. It’s noon in Frankfurt. I’ll be catching a flight back to a Colorado early this afternoon. I’ll land in the late afternoon Mountain Time but for me it will be Thursday already. So I have to consider if writing on the proper day in both Germany and Colorado counts, or if I could leave it till when I land. I decided to do it ahead of time as it is both in the spirit of the daily consistent writing pattern but also I’ll be far too tired to do it after a ten hour flight.

What’s a fascinating to me is that this one big travel block felt like a one off. But once I broke the seal on being up in the air I felt like I could do it again. So I’ve booked a trip to Miami next week. And then Montana in May to spend time with friends working remotely and scouring for homesteads. And from there I’ll be headed to Austin in June. And so the schedule of travel renews.

It’s not exactly the new normal. Travel is still a nightmare. I just had a wheezing fit of tachycardia because of a security line issue and had to beg to have my mask off so I could take medicine and slow my heart. Flying is still a bit of a nightmare. But it feels good to take flight again. I am spiritually ready to be up in the air again.

Categories
Travel

Day 453 and 80% Rule

My husband Alex has this rule for travel he calls the “85% rule” for when to expect homesickness. It’s a pretty simple concept. You will feel the maximum amount of negative emotions as you begin the final days or weeks of your trip. But it clears up once the trip nears completion. You will feel worse when your completion bar is at 80% than you will at 99%. In your final day or even hours you will wish you were staying but two or three days before you will wonder why the fuck you aren’t already home

This rule holds true for business travel and personal. It’s remarkably consistent on short trips and as I discovered even month long excursions. I’m flying home to Colorado tomorrow which is a Wednesday. But last Thursday and Friday I was so done with being in Frankfurt. I just wanted to be done with it. I debated looking for earlier flights.

Thankfully Alex reminded me of the 80% rule. He encouraged me to feel the homesickness and sadness. Enjoy the discomfort even. And that by the time Tuesday rolled around I’d be sad that I was leaving Germany behind.

And just as he predicted today I was hit with the wave of happiness and nostalgia that comes at the end of a long enjoyable stay. I had to walk into the city center to get my Covid test for my flight back. As I finished up the errand I found myself slow walking back to the apartment to put off packing. I went by the big indoor farmers market to get a snack for the airplane. I veered over into old town to take one last look at the architecture. I even popped into a souvenir store to eye expensive cuckoo clocks and beer steins. I normally hate knickknacks.

I’m enjoying an immense wave of satisfaction and nostalgia. This trip has gone even better than my wildest fantasies could have imagined. I’ve reminded myself of my priorities and independence. It’s given me a new appreciation for my marriage and it’s importance to me. I’ve pondered been insights into my motivations and coping mechanisms. I wish I could stay longer to pursue the history of a city that perfectly aligns with my historical, economic and aesthetic history. I guess the 80% rule works. I’ll head home in the morning.