Tag: Prepared

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Chronic Disease Politics

Day 658 and Time Perception

I don’t know about you, but my sense of time has never really recovered from the pandemic. Time got distended and warped in ways that were hard to appreciate at the time. I struggle to tell if I’m making progress or if I’m standing still.

If I’m really honest with myself, I started losing the thread on time when Trump got elected. I was one of those people for whom that fractured my reality a little. Not because I couldn’t conceive of him winning but because I could. That was my first moment where I felt like I was beginning to split from shared reality as I was so sure he would win and so desperately wanted him to lose.

Somewhere midway through Trump’s term, my health got fucked up. My sense of reality fracturing combined with my first taste of time being distended was when my health went sideways. As I stopped working somewhere in 2018 but it’s hazy. As I spent more and more time in hospitals, doctors offices and in bed, and less time at the office, the usual ways I used to tell time degraded further. Reality had already shattered so no reason not to let time shard too.

So I can’t entirely blame my sense of displacement from time on the pandemic. My sense of instability absolutely predates it by several years. By now much I couldn’t exactly tell you. Between my health and Trump I ended up a step or two off of consensus reality.

This did end up being lucky. As the pandemic was inbound I was prepared before it hit. I had tied myself so effectively into the immune system of the information environment I knew it was coming in December.

But I wasn’t entirely prepared for how much I’d up end my life as the second order effects of the pandemic kicked in. We did the first few months in an apartment, the first summer in a vacation house on the Hudson River and then decamped for my home state of Colorado.

It’s only just as we’ve decided to commit to Montana that my sense of unreality is easing a bit. We’ve got a home that we own and a set of preparations that makes it stable through some gnarly potential futures. So why isn’t the time dilation is easing? Why does it always feel like there is never enough time and also far too much time all at once? If anyone has the answer I am listening.

Categories
Community

Day 639 and Act Local

I grew up in a hippie college town that was fond of bumper sticker activism. Showing off your sense of humor and your political priorities was a fun thing to do with your Subaru Outback in the late nineties and early aughts before Facebook and the rise of social media.

A classic of the genre was “Think Global, Act Local.” I found this example on Etsy. And no I’ve got no idea what charity it ties back into.

Think Globally, Act Locally Bumpersticker

Maybe it was just less cringe to have this sort of thing on your car before we all spent half of our days yelling at strangers on the internet. I personally remember thinking Visualize Whirled Peas (a band from Austin) was a hilarious way to protest American war mongering as a teen. Of course, I still wrote Amnesty International letters at the time.

Now I’m not even sure who to donate money to at the end of the year as institutional trust continues to break down. Thinking globally is often the source of much anxiety. Currency collapses and the threat of nuclear war from Russia might be throw backs, but doomscrolling and feeling helpless is too modern. What is old is new again but in more potent anxiety inducing form.

So it was a bit of a relief to enjoy the “act locally” part of the classic bumper sticker this morning. Our local volunteer fire department had a pancake breakfast. Now as an adult my husband and I live outside of a completely different college town in the wider surrounding Gallatin Valley.

The rural (as opposed to city) county fire departments operate with a lot of local good will. They have a professionally trained but all volunteer force and cooperate with other districts through mutual aid frameworks. Practically, that meant a lot of college students taking advantage of living at the fire station to offset their costs while deepening ties to the community. A pretty ideal set up for a tight knit rural community. We get talent and they get skills and housing during their college years.

But calling them volunteers makes it sound less professionally run than the reality. I was impressed with not only the depth of knowledge of the entire department but also just how well maintained all of the equipment clearly was. Sure they probably cleaned stuff before letting their neighbors come in for a visit but everything was so shiny and new. I came away feeling a lot more secure about making a 911 call.

Now maybe that’s just function of meeting the fire chief and chatting with EMTS. And that’s probably exactly why they host these pancake breakfasts. But after two hours of touring equipment, and talking to everyone from the Medivac helicopter pilot to the youngest college kid on the squad, I felt like this was a team that has its shit together.

Now I’m actually excited to vote for a bond issue to get another fire truck or two! But in the meantime we dropped a few twenties into the boot on the table.

Pancakes and a fire boot for donations to the county fire department.

Categories
Aesthetics Travel

Day 633 and Hospitality

One of the things my husband Alex and I were most excited by when we bought our homestead in Montana is inviting our friends and family to stay with us. We have an entire floor of the house dedicated to guests and have plans to turn part of our barn into a separate guest house as well.

We’ve begun the process of designing and furnishing our guest floor. We have two rooms, a bathroom and a separate living room. The furniture is slowing turning up. Which means it is time to work on the details of making it as comfortable and hospitable as possible. Naturally we asked Twitter to weigh in on what makes people feel at home in someone else’s house. And you did not disappoint.

Toiletries

Traveling with full toiletries and skincare can be a challenge especially when flying. Here is a list of the most requested grooming items and toiletries

  • Hairdryer
  • Roundbrush & Styling Tools
  • Shampoo & Conditioner & Body Wash
  • Lotion & Body Moisturizer
  • Skincare Basics (SPF, Face Creams)
  • Skincare single use masks for face & under eye bags
  • Dental Care (Brush, Paste, Floss)
  • Small Individually Wrapped Soap
  • Q-Tips & Cotton Rounds
  • Tampons & Pads
  • Tissues
  • Bandaids & Pimple Patches
  • First Aid Items (Headache, Allergy)

Bathroom Comfort

Grooming items isn’t the only thing that you need in the bathroom. Personal hygiene requires some thought.

  • Trash Bin
  • Dark Towel for Makeup Removal
  • Plenty of Extra Bath Towels
  • Wash Cloths
  • Hair Towel & Turban
  • Extra Towel Hooks
  • Plunger & Brush
  • Bidet and Squatty Potty
  • Septic Care Sign
  • Cleaning Items
  • Extra Toilet Paper
  • Tissues
  • Poo-pouri or matches to mask smells

Organization

Keeping your personal items from overflowing can help make a guest room feel more comfortable. Remember power strips & plugs! Some of the most requested items include:

  • Pens & Notepad & Scissors
  • Desk Power Station
  • Bedside Power and USB
  • Hangers (including pant & skirt)
  • Trays/Landing Zones for small items
  • Coat Hook
  • Dresser & Closet Space
  • Full Length Mirror

Bedding and Sleeping

Getting a good night sleep in a new place can be very challenging. Providing for your guest’s sleep and relaxing needs was a top request.

  • Extra Pillows
  • Hypoallergenic Options
  • Duvet Cover
  • Robes & Slippers
  • Dirty Clothing Bins & Laundry
  • Dimmer & Good Bedroom Lighting (not too bright, preferably lamps)
  • Books & Reading Materials
  • Nightstand Space (w/ power & USB strips)
  • Eye Masks & Earplugs (ideally also blackout curtains)
  • Water Glasses & Jugs
  • Wifi QR Codes
  • Speakers or White Noise Machine

Other requests including desks and working areas. Our current plans are to have adjustable standing desks and ergonomic work chairs in each bedroom. Plenty of landing spaces and areas to keep your items visible but not cluttered (including luggage stands) is also commonly requested. Separate sitting, sleeping and working areas is best. Also a surprisingly large number of people suggested a white board. So clearly our friends like to brainstorm on the road. External monitors and keyboard were also mentioned.

We have plans to write a basic FAQ document that includes things how the house works. We will include details on water filtration (we have an expensive filtering system so you can drink from any tap in the house), where food is kept and expectations on hours and interaction. Also details on things like heating and cooling are crucial for comfort. People should be able to maintain their ideal temperatures for sleeping and working.

We are also planning to outfit the guest common areas (private to guests and separate from the house common areas) with a mini-fridge stocked with favorite beverages and snacks. Having a coffee maker and tea service was a popular request as well. We are also considering extra boots and outdoor gear for city guests that do not have country gear or simply cannot travel with Wellingtons and barn coats.

Another huge area of interest was maintaining health and fitness. We have a full gym including squat rack, pull up bar, treadmill and a Pilates reformer along with mats for stretching and yoga. We’ve got a Theragun, medicine balls & foam rollers. I am also keen to have supplements for basics to keep your immune system happy like Vitamin D, C and Zinc. We also have a hot tub and have plans for an infrared sauna (might even include a cold plunge).

If you’ve got hospitality suggestions we’d love to hear them. And of course if you are one of our many virtual friends we’d be delighted if you’d consider becoming an “IRL” or in-real-life friend by coming to visit us. We are booked through October but would be thrilled to have you come for ski season!

Categories
Preparedness Startups

Day 632 and The Yips

I think I might have a case of the yips. If you aren’t familiar with the term, it’s most commonly referred to as type of performance anxiety associated with experienced athletes. They suddenly find themselves unable follow through on techniques they otherwise know well.

Though as it turns out it’s not actually a form of anxiety at all, but rather a failure to consistently execute on muscle memory in experienced professionals which manifests as a loss of fine motor skills or a struggle to follow through on common chains of decision making, especially ones that are subconscious.

You might also associate it with analysis paralysis, a phenomenon in which someone has access to all relevant information but gets lost in decision making rather than simply acting on their reasonable informed instinct. One’s ability to simply execute what is in front of them is diminished not through lack of knowledge of experience but rather inaction.

I am an experienced startup operator. I am also a competent angel and early stage investor in private markets with a speciality in technology driven businesses. At this point, I’m not only well into my career with a number of concrete successes (I’ve built and sold companies) but I’ve also got generational memory from being the daughter of a startup operator. And yet I’m still nervous about swimming into the deep end of my investing career. I’ve got the the yips.

I hadn’t noticed that I had the yips till I came back from a wilderness medical incident technician certification course. I was doing a hands on course meant for front line first responders in rural and back country scenarios. It was heavy on scene and scenario execution so you could build muscle memory and quick response times.

In medical emergencies, especially in a wilderness context, you have limited resources and personnel. Acting swiftly with the knowledge and materials at hand is crucial. If you don’t take action, someone will die. Startups are famously resource constrained environments. Paul Graham of Y Combinator has an entire framework that assume you are default dead unless you take action to assure survival. This is as as applicable mindset for wilderness survival as it is for startups.

I had some sort of instinctual foresight that this wilderness medicine course would be useful not only practically in day to day life as someone who lives in Montana, but also as a mindset for my investing work on the chaotic thesis that the world is getting more complex. And that complexity has consequences for all of us.

The more chaotic the world, the harder it is to act with confidence as complexity builds.

Only by getting outside of my own skill set and professional world did I finally see how much I’m holding myself back from acting. Whether it is out of fear or analysis paralysis I do not know. But I do know that if one does not act the consequences can be dire. We are all default dead unless we make decisions to remain alive. There is no safety or progress to be found by staring at your problems and becoming overwhelmed by the challenge. If there is a cure for the yips it is to simply keep playing no matter how hard the game becomes.

Categories
Medical Preparedness

Day 630 and Sympathetic Nervous Response

One of the downsides of having any kind of medical bullshit is having to keep an eye on yourself. If you over do shit you’ve got no one to blame but yourself.

I’ve been doing a wilderness medical incident first responder course this week. I initially went into it slightly concerned with my ability to physically keep up given my ankylosis. I was easily the odd duck out in a group of former military folks, paramedics and wild land firefighters. If I’m honest I didn’t want to embarrass myself by showing too much frailty. I was already the only woman in the class. I didn’t need to be the cripple on top of that.

But over four days I’ve managed just fine. I did wound packing and splints. I did a number of incident scenario responses ranging from anaphylactic shock to heart attacks. I even did multiple mass casualty response drills. Today I managed one as a triage incident deputy and comported myself quite well.

I was feeling pretty cocky about how well I’d managed through the week. I was enjoying that sense of accomplishment right up until 5pm or so today when we had our last assignment of the day. We’d just finished up a drill with five patients who had been caught in a tornado. It was an hour of field work and triage outside. I was thinking alright maybe I’m getting the hang of thing. But no I was about to embarrass myself on one of the easiest tasks in the course.

It was time to pack up our own medical kits. We got a big baggie with all the supplies we could possibly need for our our first aid kits and dumped it out on the desk. Our instructor began going over all the items and how to pack them up into the bright orange brick that serves as your kit bag. I was doing my best to follow along but my brain was just not having it. I kept trying to figure out what items went where and how it was meant to go. And I was not remotely keeping up with the class or the instructions.

I’m starting to feel overheated and I’m struggling to concentrate. And it’s then I realize “oh shit I’m in a bunch of pain” and I realize I haven’t taken my pain medication for hours and it is starting to show. I just ran around in a big field doing triage for an hour. So I think to myself well I’m having a sympathetic nervous system spazz out. The pain and fatigue is sending me into fight or flight and I’m losing decent coordination and fine motor skills. I am becoming one of my own patients.

I didn’t finish packing out my kit. I had to excuse myself. I briefly considered if it would be funny to have a medical incident in a first responder course. But I was fully capable of treating my own acute stress response. I was getting worked up by an inflammatory response from my ankylosis and low and behold the pain in my spine was going to spike.

The end of the story is that I’m in bed and the non-steroidal anti-inflammatory drugs have kicked in. My pulse and respiration are fine. I’m no longer in fight or flight. And yes I’m a little embarrassed that packing a bag is what did me in. But on the other hand, that’s a very “Julie” way to learn a lesson.

Categories
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.

Categories
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.

Categories
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.

Categories
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.

Categories
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.