Tag: Prepared

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Medical Preparedness

Day 629 and Working in Chaos

If you have been following along for the past couple of days you may have noticed I’m at a wilderness medical first responder course. I’ve been soaking up an inordinate amount of information. Part of the reason I am here is personal enrichment, but equally I am here because I’m working to understand chaos driven industries and the opportunities they present.

And the class is not disappointing. As we’ve have absorbed more skills and are moving further into the course, the chaos factor is being ramped up. The particularly enjoyable aspect of the specific course I am doing is that it is not just imparting book smarts. It’s designed to be much more hands on.

If it were a business school class they would probably refer to the methodology as case studies. But instead of ruminating on what you would do if you were management you are reacting as if you were the actual first responder on the scene. And the cases are getting more and more complex.

We started out with with the basics. We were deducing issues and imparting stabilizing treatments. But as we got more comfortable with figuring diagnostics and rendering basic aid the complexity ranked up. At the end of the day today we were presented with a car accident and four patients.

As we ran (literally) onto the scene we had to not only unravel what had happened but also treat several patients in varying degrees of distress. One of our patients didn’t make it. There was nothing we could have done. But we didn’t know that going into the scene. When we arrived we had no idea what happened and had to untangle the triage ourselves.

I was surprised at how challenging it was to leap into action. As the chaos of the accident presented itself our group of first responders had to decide on organizing ourselves and our resources. But the instinct is to simply begin rendering aid.

And that tension between acting and organizing in a crisis never goes away. You just get better trained at how to approach it. Working in the chaos is the job. I honestly thought I’d be better at it. Taking charge and working in uncertainty is something I enjoy. But as with any new skill, it takes work and practice. A certain amount of pressure is the only thing that teaches you how to work in chaos. And I’ve still got a long way to go.

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Aesthetics Community Preparedness

Day 628 and Intensity

If my brain is a sponge I think I’ve been sopping up more than I am designed to handle. But I am holding on and facing a lot of new information and acting on it quickly.

I’m at a wilderness medical first responder class. And I’m the odd duck out on the class. Everyone else is living with much harder realities than I do. They are the ones that fight our wars. Provide our security. Fight our fires. They keep up with where our most vulnerable live. It’s an on the margin make your best call world.

My body can feel that this reality is very different from what I live with and on different class and wealth bands. People that are more buffered from harsh realities often don’t want to face the costs of our lifestyles. But we are not in a morally neutral systems. And a lot of violence still happens on the margins.

I feel somewhat invigorated by the immediacy of decision making in these chaotic environments. If you are in a natural disaster like a wildfire your capacity to react calmly under extreme conditions is a given. So naturally we arm these people with more agency and skills as it’s a set of problems with a lot of nuance and grey areas too.

I am frankly exhausted even though I didn’t do anything that intense. I did some traumatic brain injury drills. And I worked on how to properly stint and secure broken bones if you are in the back country and need to hobble back in to society. I learned a lot about agency and context and the need for high emotional intelligence as you cope with those who are in need or duress.

I suppose with that in mind, it’s no surprise that I’d like to enjoy a good long night of sleep and a big breakfast in the morning. One has got to enjoy living when you have the chance.

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Medical Preparedness

Day 627 and First Responder

My hands are stained blood red. Despite a good scrubbing, my cuticles definitely show that I spent time packing wounds today. Ok, fake wounds. And it’s fake blood. I am taking a wilderness medical incident certification course. And it is very hands on. Literally.

A firefighter packing compressed gauze into a femoral artery simulator

I got the opportunity to take a spot in a course that one of my friends teaches. I’ve got so much exposure to medicine after the last several years of health challenges that I’ve been yearning to upgrade my knowledge to something more practical than my own personal biohacking. So when Tom offered up a spot in his medical incident certification course for wilderness response, I said you know what fuck it I’m going to do it.

And I’m so glad I did. Not because I anticipate needing to apply a tourniquet in the back country of Montana. Or that I’ll be faced with packing a groin wound to stop someone from bleeding out when they are hours away from the hospital. Though I am glad I now know how. But because I think hands on experience with a rougher world is experience I need to do my job investing in an increasingly complex, chaotic and unstable world.

I was absolutely enthralled by the first day. It was me and a bunch of other much more experienced EMTs, paramedics and wildfire fighters. I also met a number of extremely savvy folks who special in fire and emergency incident response.

I was very much thrown into the deep end of first responder world and I’m not ashamed to say I “died” on the very first scenario test as I’ve got no idea what I’m doing. But I’m soaking up as much information as I can as fast as I can. Though not quite as fast as arterial blood gushes. Yet. Ask me on Friday if I’ve improved.

I couldn’t tell you precisely why I think this kind of hands on exposure to emergency response is so crucial but something deep in my gut says that I cannot possibly invest in a changing world without having some on the ground exposure.

The folks who are fighting our worst wildfires and responding to our most intense natural disasters know something visceral about chaos and the fragility of modernity that the rest of us do a lot to suppress.

Just casual conversations as we went through lessons and practice opened up my mind to new areas of opportunity. I found half a dozen blind spots I didn’t know I had. The world is much more chaotic than the media and our social channels let on. But it’s also possible to tackle them head on. We are not helpless. And it’s not hopeless. And I’m feeling fully empowered to deepen my relationship to chaos as I learn just when and where I have more agency.

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Preparedness

Day 626 and Learning

I’ve been slowly making my way through a Korean show on Netflix called Extraordinary Attorney Woo. It’s about a young woman with autism who has a gift for the law. It’s warm hearted and charming and a bit of a relief to watch if you have autism or are on the spectrum. I highly recommend it.

The show really pulls on my heartstrings. The episode I am currently watching features the struggles of 10 and 11 year old kids who are at after school academic centers. I won’t ruin the plot but a young man sets out to “liberate” the kids by letting them play. I found myself tearing up the show went about discussing the need for healthy playtime.

I hated going to school even though I love learning. I found so much of the pressures of school upsetting. Being inside, being around lots of people and loud noises, and just generally being obligated to things like homework and deadlines to be exhausting and anxiety inducing. I found myself tearing up watching these Korean kids in similar situations.

I was quite lucky to have a mother who sent me to Waldorf schools and even the occasional home school year. When I could pace myself I’d would rapidly out run the curriculum. I just needed breaks and playtime and my own opportunities to self direct. I hated discipline from the outside but had plenty of my own if given the chance to be self directed.

I’m still an autodidactic type as an adult. This week I am taking a wilderness medical incident certification course. I’ve got some strong sense that this is meant to wrap around some wider learning experience about the practicalities of living in a more chaotic world. It’s a bit of learning by doing. Some perspectives have to be unraveled first hand.

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Medical

Day 625 and Shitty Day

I had a shitty day today. Not as in I had a bad day. Although it wasn’t great. I literally had a shitty day. I’m on a combination of medications that just do not agree with my gastrointestinal tract.

I am supposed to avoid fatty foods and also somewhat inexplicably dairy. One of the antibiotics I am on says do not take within an hour of any dairy product or something with a lot of iron.

Maybe it was the croissant. Perhaps it has too much butter. Maybe it was the splash of milk in my coffee. Or more likely maybe getting Chipotle for dinner last night sealed my fate.

Either way I spent the day getting close with porcelain. A lot of time was spent over heated and miserable on nice cool bathroom tiles. I prayed for it to let up but I had maybe six hours of misery

My tongue feels so dry it’s got the texture of a kitchen sponge. I am trying to rehydrate myself but I am still modestly afraid to do more than a few sips of a rehydration solution. What I wouldn’t give for an IV bag of saline salts and Zofran. But since I don’t I’m just going to curl myself around a coconut water and my rehydration fluids and tap out for the day.

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Preparedness

Day 616 and Choring

If I haven’t yet recommended it to you, my favorite sit-com is called Letterkenney. It’s about a group of young Canadians living in a small town in farm country. It follows the hicks, skids, and hockey players as they go about their lives of mostly manual labor and occasional drug dealing. This premise dramatically undersells the show which has the smartest writing and quippiest dialog this side of an Aaron Sorkin drama. Except it’s about ten times as vulgar and much less pretentious.

One of my favorite ongoing bits in the show is how everyone is always “choring” as a background. Or if you aren’t choring you need to get back at it. Want to go out? Pitter patter, let’s get at her by getting back to choring.

Between various work obligations today I have been getting back to choring myself. I had a whole host of both farm and house chores that got put away today in my frenzy of focus. First up was doing seed starts for my winter hydroponic lettuce and herb garden. I used this guide from my favorite resilient living website Unprepared.

We’ve had a lot of success with hydroponics in small indoor spaces with the LettuceGrow. We hadn’t yet done our own starts for it as we’ve had access to great nurseries. But our goal is to have a continuous seed to starter to full grown head of lettuce rotation system in place. If you’d like to try it out yourself, you can get $50 off with this link.

Feeling invigorated by the success of the mornings planting and by the nutrients in the head of butter leaf I harvested, I turned to other overdue bits of choring.

A grey bookshelf with an esoteric mix of books.

I unpacked and organized some of the books I keep on hand for reference materials. You might spot preparedness & resilience topics. Also my library on consumption, class & money. My capitalism meets Marxism meets political theory books. And then of course a lot of Greeks.

A pantry well stocked with dry goods

I then tackled the organization of the pantry. That’s got a long way to go but at least I took it from a bunch of stuff Willy Nilly into a basic organization. We’ve got shelves dedicated to dried fruit, an entire shelf for nuts, and other sundry spots for grains and sugars and the like. Shockingly there are drawers under this where I’ve put beans and lentils to keep the onions and potatoes companies.

I’ve got so many chores that listing out all the choring for one day both motivates me to keep at it but also reminds me that we get a lot day each day around the homestead.

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Emotional Work Preparedness

Day 613 and Timing

It’s hard to look straight on at your desires. Why is it that some of your life arises from your priorities and focus, but others are just chances and circumstances?

The hardest part about looking face first at being responsible for yourself is that you are both in total control and not in any control. We want to live with willpower. We want to be people of purpose. And yet life is happy to show us how much it’s all just dumb fucking luck.

Because we are what we make time for in our lives. And if we don’t make honest time for ourselves how the fuck will we ever know what we actually want. If you let life idle past you that’s fine. Because that is the path of fulfillment all along. And in letting ourselves just be maybe we find entirely new reservoirs of resources.

I’m considering taking a wilderness first responder course. I’ve got other priorities for the fall but I also made a commitment to a resilient rural life. Somewhere in my own desires I may find that what I want can and does align with the rest of my life. That by opening up to something new I also see who I am more clearly. I believe they call it getting perspective.

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Preparedness

Day 612 and Errands in the Apocalypse

A lot of preppers have fantasies about how they will come into their power with the fall of civilization. Their foresight will show them to be the stoic masculine leaders society always needed but were wrongly maligned in the feminized world of diversity capitalism. Needless to say I think this is quite silly even without the sexism and racism.

Total collapse scenarios are not your most likely outcome. Sure we all think about what it might be like. A safe society enjoys horror stories. Chances are much better you will experience a couple issues compounding on each other. A few cascade are enough inconvenience such that it fucks up your life, but not so much that your boss doesn’t expect you to go to work in the morning. And definitely not one where law and order breaks down so far that you can get away with shooting someone. The police can’t help you but in anarcho-tyranny they sure can hurt you.

My first taste of this was during Hurricane Sandy. Lower Manhattan lost power for close to 10 days. Gasoline shortages and food access became issues as some neighborhoods were in the dark. But enough of the city was fine, and enough institutions in dark zones like Goldman Sachs and the NYSE, had their own backup systems.

You as an individual might be fucked but the institutions expected your ass to show up for work. I had a girlfriend who had to walk from Greenpoint to Madison Avenue for a social media job. Can’t imagine anything more dystopian than having your corporate Twitter shitposting job require you to have a butt in a chair when your own home is without electricity and molding. Cyberpunk is here.

Today in Montana our air quality is an abysmal AQI of 120. Wildfires blowing in from western fires in Oregon have tinged the sky yellow. Apparently it’s worse in Missoula with a number sky of particulates trapped in the valley.

But it’s Sunday so I had errands to run. We were coming off having a houseguest with us so we needed to grocery shop. We had a prescription that needed picking up from the pharmacy. We live outside of town so we try to plan a bunch of stores per trip. It felt like the end times outside. You couldn’t see to the mountains. Visibility was limited. But damn it we’ve got work next week and the meal planning is done so we’ve got to keep going. Life finds a way. There will still be errands during the apocalypse so don’t get too hopeful about your cosplay.

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Finance Preparedness

Day 608 and What Timeline

I’ve been obsessed with a movie called Margin Call this summer. If you haven’t seen it, well it’s on Netflix, and it’s an exceptional piece of cinema with a top notch cast reflecting on why finance is so prone to boom and busts. It’s a great office drama even if you have no interest in banking. And it’s only an hour and forty odd minutes w two key Pete Davidson SNL skit criteria. It is both Tucci Gang and a Short Ass Movie.

One of the clincher scenes is Jeremy Irons explaining his job as the bank’s CEO to Zachary Quinto the young rocket scientist turned risk analyst.

I’m here for one reason and one reason alone. I’m here to guess what the music might do a week, a month, a year from now. That’s it. Nothing more. And standing here tonight, I’m afraid that I don’t hear; a; thing. Just — silence

Margin Call

I found this particular scene rather riveting as it reflects both the seeming ease and intense dangers of being in charge. Your entire job boils down to making a few big calls exactly right over a time horizon your average working stiff doesn’t even have the luxury to consider.

I’ve been considering my own preferred time frame on which to make decisions. I’m no Jeremy Irons. I don’t make exceptional calls on what will happen in a few months. I do however have quite a nose for what will unfold over much longer time horizons. I’d trust myself to make the right call over a decade. I scan the horizons.

Which if you are following along with some of my life choices should be modestly unsettling. I moved to Montana to a rural homestead. I invest in early stage startups that fit my chaotic thesis. I am comfortable being labeled a doomer and a prepper because catastrophic emergencies are in inevitability in complex systems.

And it’s hard to imagine a time when complex systems like climate change, geopolitics and macroeconomic trading pressure held more sway than now. Like Jeremy Iron’s character I am listening for the music. And my ear is trained on the silence coming down the pike.

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Preparedness

Day 605 and Inventory

I like to be prepared. It’s my personal opinion that this winter is going to be a bit rough. There is no single issue but rather a patchwork of intersecting crisis points that make me a little edgy.

You’ve got crop yields all over the place from another wild climate change year. You’ve got the rising costs of fertilizers. You’ve got an energy crisis brought on by the war Russia is waging against Ukraine. You’ve got whatever China is up to with its Covid policies. And then of course you’ve got our lingering economic fuckery and well you can see why I’m worried.

I went through our emergency food stores today and did some turnover and replenishment. We didn’t opt to move some things with us to Montana (some items had expiration dates necessitating donation) so it’s been on my to do list.

I’ve got a spreadsheet that includes fats, starches, sweeteners and less glamorous proteins like beans and canned fish. It theoretically calculates our our caloric needs and what is provided for in our supplies so we can more easily assess if we have enough on hand for different scenarios. In reality, I’ve never actually had full inputs clean enough to generate an output I trust. So I kind of wing it with this basic level of precision.

I’ve tried to abide by basic best practices for emergencies. Ready.gov is a surprisingly decent resource even if it might shock you what you should have in hand. You need supplies for a three day disaster like a snowstorm or hurricane. You need three weeks of supplies for an interruption that takes a bit of resolve. And you ideally three months of food on hand if something goes really wrong. The Mormon Church says you should keep a year of food on hand.

I don’t think we’ve quite got a year of food on hand but I have taken a lot of tips from the LDS suggestions for food storage. We’ve got pounds of wheat (and a hand crank grinder). We’ve got 25lbs sacks of rice. We’ve got big jugs of cooking oils. We’ve got sugars. We’ve got spices. I’ve got quite the collection of dried legumes.

I feel like I basically have what is necessary for a bad winter in Montana. I hope we’ve got enough for any supply chain constraints that might make it harder to get things to our modestly more rural homestead. But in truth I’m just following lists and hoping if something happens I didn’t fuck up too badly. And I’d we did well we’ve got shotguns and ammunition and the local deer are a little too cavalier about their safety. For now.