Categories
Medical Travel

Day 1248 and DayQuil High

I got a bit of a viral thing going on as my time in Austin for the Consensus conference wraps up. I feel as if missed a lot of time with people I’d wanted to catch up with simply because I was sick. I made it to all the programming and a few gatherings.

I am not the only one who is being stricken by various forms of infection. It seems like a lot of folks even at the conference were struggling. So perhaps it’s just a case of conference crud but it’s still annoying as nothing is so awful as a DayQuil high.

If I missed hanging with you I am very sorry. I am available on other channels. And I hope my panels were ok! For now I’ll rest and appreciate that the DayQuil high is keeping the misery at bay

Categories
Biohacking Medical

Day 1229 and Hormones

I was pleased to wake up to a near perfect recovery score on my Whoop today. Because I manage a few chronic health issues I am a bit of a stereotypical biohacker type.

I happen to be rounding the corner into my best two weeks of the month and am seeing my biometrics improve.

While it’s fun to joke about moody women, I sometimes wonder if we’ve done ourselves a disservice by insisting that our hormonal rhythms be kept outside of polite conversation.

It’s not any fairer to men to keep discussions hormonal health quiet. Culture war nonsense aside, one of our major health systems surely deserves more public discussion and advancement.

As if the bounds of social propriety simply cannot accommodate anyone discussing say the follicular phase for women or what men can do to increase testosterone. Our fucked fertility deserves better than polite Victorian euphemisms.

If you aren’t sure about the state of your hormones and feel as if you could be in better health consider this permission to learn more about yourself. Your body deserves your self knowledge.

Categories
Chronic Disease Medical

Day 1221 and Migraines

I get really bad migraines. I do what o can to manage them but they are a frequent and challenging enough issue for me that I’ve got 45 separate entries on the topic.

I’d prefer not to discuss it at all as it’s not a very pleasant experience but it can be so overwhelming that it’s all I can think about on a given day. I probably should have seen it coming when I starters making jokes about Cardassians light torture yesterday.

I’ve taken about as much medication as I can (more than two Imitrex otherwise known as Sumatriptan it is a dynamite medicine but you don’t want to risk over doing it as overuse can make the migraines worse. It’s the 109th most prescribed drug in American with over five million prescriptions in 2021 so there is a lot of good data. Plus there is some fun asides.

Overdose of sumatriptan can cause sulfhemoglobinemia, a rare condition in which the blood changes from red to green, due to the integration of sulfur into the hemoglobinmolecule

Since I was making Star Trek jokes earlier this might be the closest I ever get to being a green blooded Vulcan.

Categories
Media

Day 1220 and Four Lights

There is an episode of Star Trek: The Next Generation where Picard is captured and tortured by an alien species called the Cardassians. It is called Chain of Command and is a two part episode.

It’s become a touchstone episode because of a famous scene in which Picard is tortured by a Cardassians Gul using an interrogation technique with lights.

Gul Madred attempts another tactic to break Picard’s will: he shows his captive four bright lights, and demands that Picard answer that there are five, inflicting intense pain on Picard if he does not agree.

Picard withstands the torture but is saved. Later it is revealed he would have broken. His defiance is shown in this popular image macro.

There are four lights.

Variations on meme are a stable of social media. It’s popularity has a meme format has extended beyond just Trekkies.

This is all a long winded set up for my own meme. I was being subjected to Kardashian style torture today. Similar to the Cardassians, the Kardashiam methods and brutal and efficient means of controlling female prisoners

I went to a spa to get waxed. Dramatic right? As I looked up at the bright migraine inducing industrial lights I thought of Picard and saw four lights. Honestly four would have been better. Five in this light arrangement seemed to invite a migraine.

Kardashians torture techniques including dribbling hot wax onto hair and ripping follicles out in one hard movement.
Categories
Preparedness Travel

Day 1209 and No Mercy On The Road

No matter now much I prepare, and I clearly take packing and travel preparedness seriously, there is no overcoming the random shitshows that plague travel these days

I swung through Chicago’s O’Hare in an economy seat to position myself for a long haul flight. That short haul economy flight went without a hitch. I landed in Terminal 1 and made my way t Terminal 5 which is how things started going sideways in multiple directions.

The bus system/holding pen for transit between terminals is amazing for its on the ground access to airplanes but it sure is slow. Once I got to Terminal 5 it was clear the lounge assigned me via the airline wouldn’t work. It was 5 degrees warmer than in the airport terminal (a European airline of course) with no available seating, or inexplicably, any bathrooms. So much for having paid a premium.

I wandered up and down Terminal 5 looking for a food court. Frontera’s takeaway sandwiches had a forty minute wait. Dunkin Donuts was fully stocked but with a 40 person deep line. There was somehow no McDonalds.

The upscale fast casual options like Wow Bao and other private equity branded spots all took turns shouting what they were out of to the crowd waiting. No falafel or pita at the Mediterranean spot. Only 3 options were remaining at the Asian fusion spot. I got half my dumpling order. I didn’t have the heart to press for the remaining items from the single harried worker. $8 didn’t matter.

I went to my gate to wait for the flight afterwards. I sat on the floor. There were no seats anywhere in the terminal (or as previously mentioned the lounge). Somehow, once I boarded my long haul flight the crew managed to change my assigned seat on it without consulting me. It was a much worse seat than I had purchased.

If I had any idea how bad this new seat was going to be I might have fought it at counter, alas they gave no indication this new seat would be an issue.

It was the worst possible seat in the class without any place to store a backpack under foot nor were there holders or nooks for water bottles or your other sundries. I struggled to reposition medication and liquids on the tiny table. The chatty friendly Boomer next to me didn’t realize he was using both his table as well mine making it even order to find space to groom and medicate.

I tried to get that across to him. That all of the space he was using wasn’t actually space but meant to be my side. I failed to get that through. He stole my pack of tissues when I left it out. He did give them back when I pressed him. He seemed embarrassed. Later I released he’d also taken my water bottle. I feel there must be some wider lesson in this.

It wasn’t a proper flat lay seat though I’d paid for a business ticket. I had nowhere to put my medications, toiletries or other sundries. There wasn’t even a spot to put a water bottle. I rearranged as much as I could to avoid having all my things fall into the aisle, took an Ambien, prayed I’d not need access anything else and went to sleep.

I woke up on the other side of the ocean, gathered my things and deplaned.

My watch dinged. Your iPad has been left behind. Somewhere in this process my iPad must have been lost. I didn’t take it out of my backpack to my knowledge so that was a mystery. As I deplaned I was sure I had everything.

Behind where was the question? I only had 30 minutes to get rush to the last leg of my flight but I vainly went back to previous gate trying to see if that was where my iPad had been left behind. There was one at the gate which seemed fast.

As I unpacked all my bags trying to see if the tablet might be somewhere in my luggage I fell and broke my iPhone screen in the process. The top half shattered. It might hold it together for a day or two. Maybe.

Then I had issues clearing the next leg security with my injection medications for my ankylosis. I was told I didn’t need to clear security at this transit point so I wasn’t fully prepared. My bag got unpacked again. At least at this point it was clear my iPad really was gone.

Finally I make with 10 minutes to spare to my final leg. I am upgraded to first but they refuse to allow me to bring my carry on. “It is over 18 kilos!” I begin to cry. It was not over 18 kilos. I weighed it myself.

No one else was even in my 3 rows around me. The empty upper baggage storage had no other bags in them. I tried to sway them saying I have a medication I can’t afford to lose. Nothing works. She wants to exercise authority. My grey roller bag is put below. I pray it’s not also lost to me.

At this point I’ve not eaten a real meal in 24 hours, two crucial electronics are status “unsure” and I’ve got no way of knowing if either my roller bag or checked luggage will make it. Thankfully my three bag cascade system has me with a change of pajamas, basic toiletries and my medications. No matter the effort I point in there never seems to be mercy for the traveler

Categories
Biohacking Emotional Work

Day 1181 and Up All Night To Get Lucky

I’m in a new and odd pattern of activity recently. I maintain a flow like hyper awareness on my rotation of professional obligations with little sleep for two or three days. Then I break to sleep with as little movement or energy expenditure as I can manage for full day. It seems to be working for me.

I would prefer to call this approach “fits and spurts” or “the lion hunts when it’s hungry” but that sounds more like a behavioral problem than a protocol. Which, given the endemic narrative civil wars against empiricism in the N of 1 gym bros, seems about right aesthetically. Experimenting with your body is your right.

I have made many shitpoasts about this culture after yesterday New York Magazine “are we having unrealistic expectations about the same traumatized dude” essay. I don’t know anyone involved in that particular situation but I take lots of biohacking tips from broken people because I am also broken. Physician heal thyself. Biohacker hack thine own protocol and or behavioral problem.

So any distinction between a protocol and a behavioral problem is perhaps unnecessary except for optics. We can do a wash coating of public relations speak but it’s a virtue to seek to serve your gifts while carrying your sins. I personally advocate for a minimum viable approach to this but omnia vanitas

We do what we can to fix and accept parts of ourselves that we cannot live with and pray we find wisdom as we accept our own hypocrisy and failures. I hope that I do less harm to others and most especially less harm myself. I do not accept any type of coercion I didn’t choose myself. Neither should you. Don’t ride any dicks unless that’s what you like.

Categories
Chronic Disease Medical

Day 1150 and Gut Biome

At the risk of being “TMI” (this is a gesture of self knowledge to readers not an actual concern of mine that I will ever include too much information), I did something stupid to my personal biome today.

I took an expired a probiotic. I fucked up my bacterial mix. In my defense, I didn’t know it was possible to have an expired Lactobacillus mix. Expired doesn’t seem to mean dead. It just is not doing what I’d hoped and I feel worse not better.

I honestly sort of believed that most probiotics on the self were bullshit. It’s hard to decide what’s medical woo anymore. But I acquired it from a German pharmacy last year and I guess GlaxoSmithKline supplies better shit in Frankfurt than it does in Bozeman.

I immediately nuked the new, supposedly friendly, bacteria from orbit with a one-two punch of doxycycline. I always carry some with me when I travel. Don’t tell my health insurance I’m so cavalier with my over-the -counter bacteria.

I’m joking, but only just. I’m sure artificial intelligence will be put out to nefarious purposes like denying health care coverage to random idiots who blog about their bodies any day now. I just doubt any lawyer will care what nonsense I got up to with yogurt when so many other forms of Medicare fraud are more accessible.

So in the spirit of my blogging forefathers and mothers, I’ve included you in the circle of trust as to the inner workings of my co-infections, symbionts, and other biological processes. Let’s hope, unlike in the case of Ripley, that nuking from orbit works. No need to be carrying aliens in my dark places.

Categories
Medical

Day 1146 and Quesy

I had kind of a weird night. I feel asleep feeling earlier than I wanted. I was tired in a way that suggests either manually dosing oneself into sleep or intense physical exhaustion. I’d experienced neither.

I woke up multiple times drenched in sweat and freezing. It’s unpleasant to feel salty and worked up from sleep rather than exercise. I finally gave up on it around 6am.

I’m on GMT+1 in Europe which put my wake time at late Monday evening on the West Coast and early Tuesday afternoon in Japan. I used the opportunity to connect in real time with a friend who lives in Tokyo and catch up on the end of the El Segundo hackathon attendees.

Now it’s evening for me and I’m drained and a bit sick to my stomach. I can’t tell if I’ve got some odd form of stomach bug or if I’m fighting off something else entirely.

Honestly with how frequently I nuke my own gut biome it’s unclear. It feels as if I’m on a course of antibiotics but I’ve not taken a dose of anything recently. The symptoms are not the full on gastrointestinal effect of food poisoning neither are they the unpleasant travel stomach one associates with new foods & water.

In an ideal world I’d use differential diagnostic artificial intelligence but that would clearly be unsafe so I’ll have to ride through it with over the counter medication, witchy self knowledge and a bit of suffering.

I suppose that’s no different than any other medical condition I’ve had to treat in the past on my own. I’ve had a host of irritating chronic conditions I’ve only pieces together with what feels like endless effort and consultation. I wonder if we will look back on the American Medical Association as a cartel in the not too distant future. It certainly doesn’t feel as if keeping me from healing myself benefits me.

Categories
Chronic Disease Travel

Day 1137 and High Friction

I’ve been experiencing several forms of friction over the last week or two.

Some of it was a deliberate step back to be grounded and present. I introduced the friction myself to focus on my nervous system.

But other things have acted as more of a drag on my days than I’d have anticipated. The ambient noise of city living. The small frictions of daily needs like cooking and cleaning.

I even added some friction to my own shopping to speed up my decision making. So maybe there is a theme to be found in the extra friction. And truthfully I’m not sure all of it is net positive. I’m in the red more than I’d like. So I’ll cut down on any friction that isn’t performance enhancing.

Categories
Biohacking

Day 1135 and In The Red But Climbing

I’d love to know if this happens to anyone else. I find I’m easily influenced by the data that my fitness trackers share with me. Sometimes it will even affect my mood negatively. A green recovery can make me feel more optimistic.

I’m a user of both a Whoop and an Apple Watch. I’ve got a whole biohacking routine like every other Silicon Valley bro.

This morning, after a fitful seven and a half hours of sleep, my Whoop showed my recovery was in the red. My HRV was 26 which is low even my my standards.

I felt worse yesterday than I do today so it’s my hope that my Whoop is merely showing me the bad day I had after the fact. Pain can affect my recovery significantly as it’s a lot of stress. I’ll manage my way through it slowly and with lots of rest. And I’ll try not to let it get to my head. A quiet day in bed reading the internet is is a good day in my book.