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Biohacking Chronic Disease Medical

Day 1688 and Deciding What To Outsource to Artificial Intelligence for Health and Wellness

One of my Twitter mutuals recently published an artificial intelligence prompt for making an adaptive fitness coach which works inside any of the major large models.

Having recently been saved from going septic and a gnarly deep tissue infection thanks to clever diagnostics from the commercial chatbots I am considering what else they might be able to help me along with in my day to day.

Being failed rather regularly by doctors over a decade of chronic illnesses has made me skeptical of the institutions in American medicine. But having one doctor (a dermatologist) miss a glaringly obvious differential really shook me.

Her dismissal of the details and particulars wasn’t malice, but a function of the systemic inability to put enough attention on the details of the person in front of her. Attention really was all she needed ironically.

I’m sure she didn’t set out to be that kind of doctor, I’d bet she hates that it’s all 90 second visits and Medicare coding and making money for the private equity group who owns the clinic. I feel for her. She surely wants to get back to doctoring.

No one can spot every detail and retain the complexities of every case. Especially one like mine. But a computer has a much better shot at mimicking Dr House than I do at finding a Dr House for myself. And it certainly has a better chance than someone who let the system dominate them into breezing over the details.

So I am using my mutual’s prompt to see if I can outsource a very slow and adaptive return to fitness after my month off from exercise to recover from surgery. I like what I’m seeing from all models that I’ve tried it on but I imagine I’ll have all the same “me” problems with overdoing it and pushing too hard. But who knows, maybe this aspect of wellness is better handled by machine than by me.

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Travel

Day 1685 and National Lampoon’s European Vacation Albania

We just wrapped up a week long “coastal convalescence” tour otherwise known as Alex and Julie’s European Vacation tour. Typically we take time off during shoulder season which is the off peak months for a destination.

Not being bound by school vacations or particular holiday schedules, shoulder season works better for many reasons from fewer guests to lower prices.

Mostly it’s because I struggle with high season summer heat and we live in one of the most in-demand areas for vacationing in America. Why go to Greece when I can go to Yellowstone? Why go to St Moritz when I can go to Big Sky?

And yet somehow between the Istanbul surgery incident and a general “why not” attitude we decided to be like the masses, head to Europe and enjoy the Ionian and Adriatic coastlines in high season. No we didn’t go to Sicily or Italy or France. We went to the Balkans.

Ksamil at sunset where you can see Greece.
High above the Mediterranean

If you pay attention you may have noticed a fondness for Albania which sounds odd but isn’t as unusual as you might imagine. Many older military families served in the Balkan campaigns and recognized the beauty of Albania, Croatia, Bosnia and Herzegovina as well as Serbia and Kosovo.

The Ionian Sea is quite clear

Our Congressional representative Ryan Zinke served there as well many other Montanans. Heck, a guy I went to college with studied Balkan languages with the goal of being deployed there for peacekeeping operations with NATO in order to avoid being deployed to “the sandbox” during the war on terror years.

Albania in particular likes its American allies. They like us so much there are streets named after Madeleine Albright, a Clinton and both Bushes. There is even a town that made Trump an honorary mayor.

I wonder if this closeness to America has contributed to the country’s troubles in managing an ascension to the European Union despite being country you could easily mistake for Italy in climate, culture, scenery and history. It’s closer to Italy by boat than Helsinki is to Tallinn.

High above Vlore which is so close to Italy you can almost see it and can cross over by ferry

And yet they are treated as if they aren’t Europeans at all by dint of being on the wrong side of the Iron Curtain. Which you’d think Germans would appreciate.

Alas Albanians prefer the good ol’ USA to Brussels and this is a problem. That Europe let in less European countries than Albania into both the EU and Schengen feels unfair.

And it sucks for them as their passports are some of the worst in the world despite producing superstars from Dua Lipa to Mira Murati. Don’t give me guff about corruption or timelines either. If Romania and Hungary are part of the bloc then surely they can hurry up and let a NATO ally in during this time of crisis for the continent.

In my opinion, Albania is in every way superior to Italy from the kindness of its people to the beauty of its countryside and the quality of its food. Even the Italian luxury houses have exported most of their leather goods and clothing manufacturing to the country but that’s meant to be secret.

So if you want to experience the mysteries of antiquity from Thucydides to the birth of Rome to its empire years don’t look simply to Greece or Italy but to the Balkans. Delphic temples, Melian cities, even a Roman emperor are from this region.

If you enjoy Positano style sea vistas and clear blue Ionian waters go to Albania. And then please tell Brussels to let them into the European Union.

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Aesthetics Travel

Day 1683 and Caftan versus Cutouts

I am doing a bit of coastal convalescence. Americans would be loathe to call a vacation anything but a euphemism. What are we French?

That said, sunlight is the best disinfectant and I’m sick of taking antibiotics after my exciting Istanbul surgery adventures after a physician was a bit cavalier about my request for preventative care given details in my case file.

So why not get a little bit of time off with the loved ones and see some sights. A spot that particularly captured my imagination has two distinct demographics with widely divergent tastes.

A resort a thousand feet above the Ionian Sea

There are a number of beautifully styled women in their prime forties and fifties with gracefully maintained skin, silk caftans and sunhats. They seem to have children and husbands and are otherwise living their best life.

And then we have the younger crowd who I’ll call the cut-outs. In an ideal world, this would be Norma Kamali technical fabrics showing off her pioneering swimwear. That would be very sexy.

But it’s mostly different ways of showing off suggestive swathes of bare skin in clingy clothing. Lots of neon colors and odd cutout areas that get close to the action (side boob is popular) but still count as being covered. It is also mostly skintight but occasionally some volume is added to let some other salacious details pop.

These appear to be gaggles of girlfriends mostly. They don’t have men with them that I’ve seen, though I’ve seen a few couples where a young man has a woman dressed like this on his arm. And they are all made up in full beat makeup that would make a drag queen think “not very demure.”

When you make odd choices for travel and off the beaten path you sometimes see a hospitality culture that is both expensive enough to attract the tasteful but with enough flash that it plays on social media so the Instahoes aspire for picture. And believe me this spot is extremely Instagram friendly.

I am neither caftan Parker Posie mom nor young beautiful aspirational influencer (or OnlyFans star depending on who you ask) so I am staying out of the culture clash between richer hipster travelers and “it’s expensive so let’s show off” personas.

I am in a more wrap dress and kimono style woman when pools and beaches are involved. I am happy to enjoy the salt room and infrared sauna before a massage without styling my every single fit for the occasion. That said I did feel as if I nailed the vibe. All cotton and silk with one floral kimono for the pool. Even I need to live a little.

I got captured taking a selfie during golden hour before dinner
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Travel

Day 1681 and Going On Vacation Mode

In discussing with our cadre of friends taking time off this week we all realize it had been many varying years where we had multiple days in a row, in the same place, with nothing planned.

We’ve got that time off ahead of us so we’ve been discussing the ways we trick our bodies into accepting emotional decompression and physical relaxation.

For me it’s a playlist and a certain kind of pulpy paperwork. For others it’s a Mexican beer in the sand, another a meandering walk though a hotel property looking at all the options for lounging.

Bouncing from one hotel to another can be a lot of fun then you are driving. A new novelty is over every range and the switch road back slowly brings you to something magical.

Sightseeing and activities have their own merit. I am always asking to see ruins and museums. Some folks are foodies. Others like nightlife.

But we’ve got a few days of staying in the same place ahead of us and any desire to seek novelty is entire up to us. I’d post some pictures from the travel but I prefer to do that afterwards. Just as a precaution even as I share so much.

As we transit desert scrub looming above us in mountain terrain, we are riding high over sea level as we gain and lose altitude. From that vantage we see coastal towns and mountain set backs. From sea to sky on one set of switchbacks.

The car sickness makes an enjoyable roller coaster of views and the focus on the ride helps you avoid the annoyance of slow traffic. A little sick and a little scared and a little excited. A layered set of feelings for going on vacation mode.

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Travel

Day 1677 and Fighting Tourist Traffic in the Era of Infrastructure Underinvestment

I’ve been in traffic for almost two hours and I’ve gone a sum total of 19km or 11 miles. High season is a mess when the world is trying to pack in leisure time all at once.

It doesn’t matter if it’s the entrance to America’s beloved natural parks, a scenic coastal highway or the route to a dysfunctional regional airport. All paths to time off from Montana to the Mediterranean are a mess.

I slathered myself in sunscreen and I’m so glad I made that decision as even inside an air conditioned car with tinted windows I feel the sun beating down on me. Sunglasses and a hat can only take you so far.

There are many places who make big claims of wanting tourism. Sure you hear protests from some of the most popular European destinations about over crowding of attractions and the toll it takes on infrastructure. But it pays the bills for millions of communities.

Still experiencing the stand-still road traffic of a poorly resourced area who hasn’t invested adequately into infrastructure makes you wonder. You say you want the money from tourism but won’t make the capital investments and expenditures to make it work?

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Travel

Day 1675 and Running to Stand Still

The accelerationist types must be feeling smug as the disorientation caused by so much of the world speeding up is a persistent feature of life now.

I’m trying to organize a fairly elaborate vacation that I should have nailed down the details on at least a month ago. I am alas doing it what is functionally last minute and I’m panting at the effort of coordinating preferences, availability, timing and the thousand other logistical details.

We have a range of preferences to accommodate and it’s driving me a little bit nuts and I have no one but myself to blame. I cant manage more than three hours in a sitting position in a car or airplane without hurting. Standing helps but it’s really laying down and relaxing my spine that helps.

The other preferences are more of the one person likes fine dining and Michelin caliber restaurants and another likes delivery and Netflix.

We have to balance intensive activities in hot weather like hiking and sightseeing against the desire to lay out in the sun near a body of water. Really all the classics of different strokes for different folks.

I don’t want to be too ambitious about any of this as I am really just barely out of the woods from July. And I’m being vague about when and where, as I’ll like pretend like we have some amount of operational security. Writing is all about the specific but the best I can do is say it will involve driving and water.

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Medical

Day 1674 and Venturing Out

I had a very indoor July which I was not expecting. One of the joys of Montana in the summer is relatively temperate conditions until you hit the end of July and into August.

Obviously freak heat waves come when they come (a lot more than I expected these days) but generally you enjoy low humidity comfortable sixties and seventies temperatures with full sun and the occasional afternoon thunderstorm.

We enjoyed some cabin camping in June but because of my absolutely out of left field emergency surgery for a deep tissue infection I’ve been an indoor cat for the remainder of the summer.

No sweating, no swimming, no excessive movement and lots of rest. Some classes of antibiotics come with very specific warnings for sun exposure as well.

I was meant to be in bed resting and frankly work was almost impossible during some of the worst of the antibiotic transitions as the pain from systemic stress was hard. Which is atypical as I’m almost always able to work through pain.

But as I am almost finished with the last round of antibiotics and I’m seeing good progress on the wound I went outside today and even broke a little bit of a sweat.

I didn’t do anything crazy just some groceries and errands but I walked two miles in the process and I’m doing pretty well. I was feeling so optimistic I bought a sun hat. We’ve got some much needed vacation activities planned and I’d like nothing more than being outside in the shade with my family.

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Community Travel

Day 1640 and Ebullient

Having spent a whirlwind 72 hours at a campout with weirdos I am in a very good mood. Minus getting called demonic by a coward who wouldn’t face me, the entire trip including the long drives was amazing.

It’s always a pleasure to spend offline time with real people. Especially when they disagree with you. Which happened a lot as it was a fractious group of eccentrics from all walks of life.

Technologists, theologians, farmers, military men, musicians, mothers, writers and even a journalist or two. We were missing a trucker friend and a former hobo (his wife is due to deliver a baby any minute now) but it was full in spirit.

We drove home through golden time with a sunset so brilliant it made me wish I could capture even a fraction of its beauty with paintbrush or camera. Alas it will remain a memory that is impossible to share.

Stopping for gas and getting Maxfield Parrish
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Travel

Day 1637 and Day Tripping

It’s positively verdant in the Rocky Mountain west. This far into June it doesn’t seem as if it should be Irish countryside green heading into Wyoming.

Both because I was driving, and an iPhone picture can’t ever do a landscape of such texture and vastness any amount of justice, I have few pictures.

Some portion of I-90 in Montana

We’ve got a little camp out with some of our oddest friends. As befits the oddity of the open road we made a pit stop on our day trip at one of the centers of interstate commerce Loves.

The various locations of Loves in America

If you’ve not encountered a Loves, I don’t quite know what America you live in but it’s quite the experience. It ain’t no Bucc-ees but it’s a vibe. The smooth loyalty driven core business of truckers bumps up against the families headed to parts elsewhere. And its merchandise reflects this intersection of oddities.

Keep on rolling with two or we upcharge a whole buck for these meat sticks
Cover those meats with a push of a button.

All I acquired was a half tank of gas, a king size Starbursts for Alex, and a Pina Colda Bai. I made it about a third of the way through the drink before calling uncle.

There was other similarly faux foods we encountered on the road. An equally loyalty driven chain whose signature simulacrum only exists because of a Ray Dalio arbitrage. I wonder what Baudrillard would make of American food in 2025.

Categories
Aesthetics Culture

Day 1623 and a Costco Birthday

Today is my husband’s birthday. He genuinely is a very low key guy and when his birthday falls on a weekday he isn’t into big to-dos. But he said he’d be up for a Costco date.

No surer sign of enjoying middle age than loving the finest buyers club values of Cost. But to be honest we’ve both always loved Costco. And you can really get into Costco when you have a multiple barn freezers and backup power so no apologies for our love of a practical Costco date.

Bounce house for sale? Birthday win

Though it didn’t go entirely to plan. If it means anything to the pulse of America the Bozeman Costco was a chaotic in a “concerning operational decay” way.

Now we noticed a lot of categories completely out. No lemons. Several steak cuts we’d been hoping to get for a birthday dinner. Produce in general was pretty bad. Enough to make you wonder if they were affected by the United Natural Foods hack.

But other things were off. Staffing wise you had to wonder if they fired half the staff or no one planned for managing checkout flow for June in Montana high season? Nothing is as predictable as tourists going to Yellowstone if you’ve got a manager with any tenure or common sense. but maybe they don’t. I have a Twitter mutual who burned out on a Costco job so two strikes guys. Talent is part of the Costco brand.

Alex works New York hours so we got there around 2:30 or so which you’d think would be quiet but is not in midsummer in southern Montana. It was summer high season traffic you’d expect on a Saturday though.

We walked every aisle and there was a lot of fun oddities. Japanese toilets, water bottle drying racks, sound absorbing wall panels. And there were some less fun selections.

We usually do a better business with bear spray

There was a disturbing amount of slop packaging products and rapidly prototyped TikTok trends follow ons. Dubai chocolate ice cream bars? The zoomers will enjoy their summers up here I’m sure.

Lots of grouchy Boomers and exhausted families were looking for basics in the middle of the store as we perused the sides of the store for fun. Everyone is in Montana it seems. As we waited checkout I heard discussion of how JD Vance meeting with the Murdoch family at their ranch in Dillon.

We had intended to go end it with a hot dog and pizza slice respectively but it was so intense at the checkout area we didn’t even try. The lines were unmanageable which is how we got so much gossip. Montana isn’t so big that you can fly Air Force 2 to Butte without chatter about which ranch you are visiting.

I hope Costco has made some margin on selling gold bars to happy men like my husband. We also found a few other things