The Tuesday before Thanksgiving is a weird day for travel. If you could get the whole week off, chances are good you already traveled over the weekend. If you couldn’t swing the time off, you are probably running with the masses on Wednesday.
Those only taking one day off of work is a bit of a no man’s land for transit. I am oddly in that camp this year. For many years I worked Black Friday and simply didn’t consider any portion of the week a holiday.
I’m lucky that the Bozeman airport is one of the most pleasant airports in all of America. I breezed through security with a golden retriever puppy behind me and a chocolate lab puppy in front of me.
Part security you have gorgeous views of the Bridgers, friendly people, hilarious warnings to leave your bear spray behind, and a spot to get a wood fired pizza before takeoff that is actually good.
The woman checking my bag in said the record was 30 confiscated in a day but the most she had personally handled was 5 of them.
Even more exciting was finding I’d been upgraded to first class on my commuter flight. Sometimes you do just get lucky when you hit the road.
Navigating the rifts and eddies in the river of human scale time takes more skill and endurance than I fear I have.
Even if I assume that Earth time still running on any sort of human scale (which I don’t believe to be true), I find myself wondering if it’s better to head for the riverbank for a moment. Like Lewis and Clark, I only dimly understand where this river will let out.
I once paddled lightly, easily, even joyfully with the currents of my time. When I capsized, to continue with kayaking metaphors, I would simply snap myself back upright with a sweep or C-to-C Roll roll and carry on downstream spluttering wet and bursting with laughter.
Kayaking the Zeitgeist River was a fine past time for the quick witted and able shouldered amongst us. One could build an entire career by correctly the judging the river of time. And what fun it was to carry along with friends as time did most of the work.
But ever more frequently, I search for the eddies to pull myself out of the stream to stop for a while. Tired and hurting, I look for a refuge to catch my breath and slow my heart. As the timeline rages on without me, through crashing white water and its drowning currents, I wonder if I should even be alone on these waters at all.
Simply staying upright is now a bare minimum of a concern. A hip snap and good instincts does little when the course never ends and the rapids unexpectedly turn from a fun day of Class III rapids to Unrunnable class VI without so much as a posted sign. There are no maps or forecasts to be had. Your gear might be whatever you brought onto the water in entirely different conditions.
There be dragons here? Hardly so dramatic a metaphor applies from naval history pertains to river ways. But it’s no less dangerous for its lack of vista. Unseen rocks, snapped branches and water logged organic materials rise and decay into froth and burble. Lurking like so many unseen estuarine creatures swimming inland.
I already feel as if the tattered veil which separates our shared reality with whatever exists beyond is far too fragile. That any one of us can choose to run the rapids of passing time serves to remind me of how fraught the pastime of participating in history can be.
A small kayak with one intrepid soul can be righted quickly. But an endless run of rapids designed to sink any who choose to run it? The public experience of our shared time should not be such a battle. We all want to see where we are going don’t we?
Shit just doesn’t feel right. That’s been true for a long time but the edginess of the moment seems nastier, grittier, closer and uncomfortably liminal. It feel like things are changing but into what I could not say.
Whatever we are phase shifting into as a species, or at least one with a shared reality, seems hopelessly fragile. We are coming apart and historical precedents don’t seem to be very helpful. Is this the furthest down the simulation we’ve come?
That is a pretty grandiose way of saying that America’s current troubles are accelerating and it’s hard to ignore how much stress this is causing.
Being on any portion of the internet is like being inside a tense family situation with billions of people who have poor impulse control. And no one is in charge.
Which to some extent means the planet wide project of nation states and the liberal capital system, is buckling under the weight of the network.
We can see too much of each other and the past rationalizations we’ve used to keep our world in check feels ridiculous.
Nothing feels rational to anyone, but only because the complexity of all our lives is now mapped across an enormous overlay of individual players which we can sense beyond our immediate daily lives. And it’s too much man. People are going offline and with it a contraction is happening.
I know more not only about my own country but can feasible access billions of other human players through the data that I have access to at any given moment. And it’s like watching every layer of Dante’s hell as your feed goes up and down the layers of a Hieronymus Bosch painting in an elevator. Except it’s not a metaphor.
Just the mechanics of global human scale seem insane. Player versus player at billions of players seems impossible. I didn’t sign up to be a character in Civilization. I don’t even think I’d like playing Civilization on God Mode.
I studied economics at University of Chicago in another lifetime. An institution started by an industrialist. That investment by one of the richest men to have ever lived did go on to educate minds. And while splitting the atomic changes the course of our societies, so did unleashing number of economists onto unsuspecting countries.
Eventually I realized that all our models are at best approximations, and every input is entirely reliant on mere maps of the actual terrain. Maps made by people just like me. I went to seek my fortune in the markets as a rational actor. Centralized systems did not seem to work.
I’ve got no idea where we are headed. I am intaking information as a totally irrational actor only aware of the hubris of any prior certainty. Is it irrational to behave rationally in an irrational system? Let us all smack into that paradox. Let us just consider that we are all trying to get through it changing as best we can.
And then it seemed I took a turn six days further on. Perhaps some trauma from the lidocaine and epinephrine induced enough of altered window of immunity that some bacterial weaseled its way in the wound and viola a subcutaneous infection called cellulitis.
I was put on two different antibiotics and we figured it would clear quickly. That was incorrect And it has been a slow healing process
Barely improving day by day. And I had somehow made the decision the night before the procedure that I would just waltz into a new beauty shopping blog as the holiday season warmed up. So that was perhaps bad luck on my part. And has slowed me down on something I was doing for some joy so I hope I didn’t let anyone down. I am muddling through.
Today I got an ultrasound on the wound after a fever spike and did a number of blood tests to see where my white blood cells and inflammatory markers were at.
The local hospital was having computer troubles which meant trouble scheduling an ultrasound but we managed to find another imagining clinic this morning.
Back at the hospital for bloods (they do walk ins for blood draws) they still appeared to be having issues with computers. “Your insurance isn’t recognized” was the verdict thirty minutes after using it at other lab. That made for a chuckle but we got it done.
The results are already in and we seem to be looking at healthy epithelial tissues and my CRP and Sed Rates were not elevated. Of course, half the reason I am worried is I take an immune suppressant for chronic autoimmune inflammatory condition.
It seems to manifest frequently as skin infections. My old drug wasn’t nearly as effective but it also didn’t have side effects. S
Hopefully slowly and with lots of protein and rest I’ll be healed and can spend my time on work and my pet beauty blog.
And tomorrow I’ll cross my 30th HBOT treatment mark so maybe it can make progress on building me up instead of dealing with a flesh wound. Which is actually just damned good luck on our part.
It has not been an easy year for me or my family. The struggle to find a path to a sustainable place of health feels harder than ever.
I am living in some type of thermodynamic hell. Everything I try comes with equally forceful reactions and I wish I could say more of them were positive.
Even when results look positive they have high costs that make me reconsider if I should have done it at all. Switching my immune suppression drug put my inflammatory markers in the best place we’ve seen them in years.
Alas it is so effective that I’ve had four major skin infections in 2025 of which four required going under the knife. And the fourth was caused by a small incision that was considered so safe and routine we almost didn’t consider antibiotics at all.
I just so badly want something to work in a way that doesn’t come with staggeringly high costs. Normally I’d link around to all the relevant posts but I just need a break so I’ll leave it as an exercise.
But can you imagine anything more depressing than having an infection on your ass? I sure can’t. I am stuck trying to keep pressure off of it while working on all the various projects of life and I am a slow healer.
I don’t even get to see if the HBOT is doing anything for my main concerns, as if it is we are only going to see it when I clear this crazy infection.
I suppose the good news is that one of the best treatments for high risk wound care is actually hyperbaric oxygen therapy so the positive and the negative are at least balanced.
My inner child finds the idea asking if “you want to see something gross” to be funny. Of course, I want to see.
Gore and violence don’t get this reaction from me. I dislike it in movies and in the real world. But to see gross and the weird in the real world. I get it. Maybe lots of humans thinks seeing gross things are cool.
I think it is a bit sweet. It is as a very human reaction go “ewww cool” when faced with non lethal wounds. Maybe it’s truer with boys than girls, but if a kid said “do you want to see something gross?!” in Colorado when I was a tween the answer was a rousing yaah! Gross things are cool.
Maybe it’s a type of survival mechanisms where if we can learn more about what is lethal, and lethal injuries look like, it then improves our Darwinian fitness. We judge risk more accurately.
Flesh wounds need proper care and do turn out absolutely fine. And boy have we improved on the science of wound care since I was a kid. We have evolved past the bandaid.
But even in a hard situation like a fire burn or the dermis getting sliced open, I still had a bit of that bravery of a little girl. That is cool! The bravado of a human who believes we can fix it
If you enjoy a story of plucky Rocky Mountain woman learning to do emergency care for herself and her community I’m glad we shared this time together.
Hopefully you never need these emergency skills. We take learn the risks and practice for them so we may never experience them.
So if you don’t feel this way, I’m giving you your ticket out of here. Stop reading now. But if you want to see something gross stay on.
This is my wound on Wednesday morning after I had the procedure. It’s much bigger a slice than I’d expected but first time practitioners (I asked for the experiment) and while the treatment is safe across most vectors, I was a nervous immune compromised patient who prepared for the worse.
So this a real 10/10 “let’s see how it goes from here” experiment especially if the returns it delivers are real. I hope for the energy, pain tolerance and healing benefits the average patient sees
So I am using a 90 minute full 2 atmosphere protocol already as I go went this treatment. I had also begun testing the GLOW stack from a peptide spot where I trust the owner. I’m helping him test. And this is the recommended stack for recovery.
.01 of the GLOW stack which is a regenerative peptide therapy with three peptides—BPC‑157, TB‑500, and GHK‑Cu—it was made to promote healing, tissue regeneration, and collagen production,
So I am absolutely throwing the gold care package at this. I am taking collagen and biotin, we’ve got the local food and the lack of seed oils, we’ve got the best current standard for peptides on injury and surgical recovery.
And somehow I am still scared. I never heal well or easily. I bruise easily and badly. I was so slow this summer to heal from an abscess surgery. I took a risk and I worried.
But I woke up this morning and my open wound has closed and the bruising has retreated in just five days to this. I’ll be in the scar mitigation territory in no time, and soon it won’t even be visible to the naked eye.
Day 5 of recovery from testosterone pellets
Progressively, the wound has moved from acute bruising and erythema toward decreased inflammation and resorption of bruising, with steady wound closure. Monitoring should continue, but the pattern suggests healthy tissue repair
So I hope you enjoyed seeing something gross. As it is keeping less and less gross by the minute.
Many moons ago, when I was first attempting to get a diagnosis for why I was always in pain and exhausted, I got a battery of allergy tests. I did the “gold standard of allergy testing” called patch testing which is a form of pin prick testing designed to pick up responses that may be delayed.
It was an awful experience. I barely made it through the 5 day trial between the 100 allergen pin pricks and final measurements.
I remember begging the doctor for a way to measure early. I asked if I could take some Benadryl to take the edge off. Alas the only way it would be accurate and covered by my insurance is if I gutted it out.
You are not allowed to shower, sweat, be exposed to UV rays (no going outside) or take immune suppressants that might subdue your body’s response.
I was struggling to breathe, my entire body itched and ached, and I had a migraine so bad I couldn’t see for the stars & dizziness. It’s possible I wasn’t stable enough to have adequately consented to the test but I did get my final results.
Out of 100 common allergens tested it was confirmed I was extremely allergic to 10 of them with another moderate sensitivity set of twenty or so that I should merely try to avoid as opposed to my firm “no go” list.
The dermatologist gave me a sheet with 75 different chemical names and formats that I might encounter in the wild from these core allergens:
I instructed to search ingredient lists for these names any time I purchased a household product, personal care item, cosmetic or other item which might include these ingredients which ranged from nail care to vaccines.
It was honestly quite overwhelming. And some of the above ingredients are in basically everything. I dare you to avoid Limonene for a month.
So my husband and one of our best friends did what any practical minded engineer would do and they made me simple Google sheet where all 75 varietals could be checked if I plugged in the ingredients from any item.
I used it for years. I’d plug in the INCI from every brand I encountered into the sheet no matter what. I gave away a lot of products to friends.
Today it occurred to Alex that we should probably vibe code the thing into a proper web application using Replit so other people could check ingredient lists for their own allergies.
You can set your own allergens or click a few buttons for common allergens and “clean ingredient standards” and run a check for an all clear.
It isn’t super fancy but it doesn’t need to be. It just needed to keep your data safe, be easy to log into so you can securely check and access your personal list and generally functional enough to change and set allergens. We’ve put it on our own little domain just to see how much this will cost to run (and we’ve set up alerts so it doesn’t go bonkers) but we figured this should be accessible and simple.
And while there are other options on the market, most are bloated, overly paranoid and designed for scaring California moms rather than quickly helping people with clear preferences for avoidance and actual tested allergies. So hopefully our pain can help you breathe easier.
Some options for chemicals and irritants you can select on our app. My own settings of allergies and sensitivities
She had had teeny tiny testosterone pellets placed into her subcutaneous fat and had remarkable results in terms of energy and focus. This and that happened, and the summer was a mess, but today was the day I finally followed in her footsteps.
Vials of compounded testosterone
We’re started me with 10mg of estradiol (range 6-25mg with 8-10mg being most common), and 75mg of testosterone (range 50-150mg with the most common being 75-100).
We’ll aim for labs at 4-6 weeks after insertion which would represent peak levels. We will repeat dosing at 3-6 month intervals. We will check levels at 4 months or so, or earlier if I feel the effects waning.
Do be warned that within a paragraph or so, there will be images of needles, scalpels, and some blood. So feel free to not scroll down further.
Part of the difficulty with dosing this stuff is that the pellet doses are wonky and frequently out of stock – estradiol comes in 6mg and 10mg increments so 8mg is impossible.
Naturally, we’ve made surprisingly little progress when it comes to women’s health, particularly as it relates to hormones.
Prepared and ready to go
But as I am happy to be a guinea pig and my luteal phase is a mess of migraines and misery I figured I had little to lose and much to gain. I was the first patient my doctor has done the procedure on so if anyone in Bozeman is interested, you can confidently give it a go with him as I’ve survived it.
These cool tubes don’t actually go inside too far but sort of shoot the pellet into the incisions
I was given a local numbing agent with epinephrine. I needed a surprising amount of it but I was a bit nervous. Once I was just able to feel pressure and no pain it was time to make a small incision with a scalpel and in popped the tiny bit of hormone on the left butt cheek.
No big deal at all.
But if you don’t want to see it going in don’t scroll.
Just giving you space to turn back.
A tiny incision in my goose bumped bum with the little pellets easily tucked in
I am all bandaged up and still riding the cortisone of it all but I feel alright. I’ll be adding in progesterone orally to temper the estrogen as that’s another matter. I’m excited to report back on it as if I have even a fraction of Cate’s experience with it I’ll be quite happy. Also it’s about $70 a month so not cheap but not at all expensive for something that could potentially mitigate some long term issues I’ve struggled with for years.
Being a victim in your own life is a choice. We get dealt a hand of cards and we have a say in how we play it even if it’s a crappy hand. The odds being what they are you probably got dealt some bad cards.
I’ve learned the most about empathy from the men in my life. It’s not always true for women but being raised to accommodate is part of being the weaker sex. One need not always accommodate in life though. Sometimes their problems just not about you at all. And that is ultimately alright. Everyone hurts including you.
Of course it’s unwise to reinforce a victim mindset in people, but sometimes people actually just have been victimized, sometimes repeatedly and brutally, and lasering in on their small slice of responsibility just reinforces their pervasive sense of being totally alone. At some point you hope they look at their patterns and see if change is possible. But if they’re going to get there, it’s going to be because someone was kind enough to sit with them, believe them and hold space for them until they were ready. VividVoid
Letting someone see you in the way that they need to see you has its purpose. It’s a beautiful thing to sit quietly and let someone really blame you. Be disliked. Letting someone who has genuinely got shit going on just be furious at you is a form of empathy. Be their villain.
I’m learning to sit comfortably while being someone’s villain. If that’s what they need in their hardest hour I can be that. It’s not something you should give too freely but this is where boundaries are a blessing.
I’ve seen more men than women be capable of handling this kind of rejection. The empathy of not engaging. Let them be hurt. You can suck if they need it. I believe it’s a strength to cultivate comfort being the bad guy
Every parent learns to do it, anyone with responsibility for making a goal or a bottom line or a budget work knows that sometimes you just have to be the bad guy to make it work.
The parameters of all of that is hard and we are reworking our way through helping people overcome their hurt. We’ve let cultural expectations dictate so much.
Everyone is fighting their own hardest battle and if you let them be mad at you and don’t take it personally you just might help.
I love Carl Sagan’s Contact. I first read the book in my middle school years and was allowed to watch the movie starring Jodie Foster despite having a very limited “screen time” diet.
As I got older I was allowed to watch edifying science fiction and book adaption only if I had read the source material. Contact passed both tests
It’s a beautiful story of faith and science about on a radio astronomer who finds a signal from alien intelligence which kicks off a planet wide space race to make contact.
There is a scene in the film where our protagonist Dr Arroway is set to launch a machine which we humans do not fully understand but is presumed to be some sort of transportation device.
Just as the countdown nears zero, she loses contact with the ground team. Roaring machinery and turbulence drowns her voice as she repeats over and over “I am OK to go” until a blind colleague finally picks her voice out of the static. The capsule is let go. I won’t spoiler it.
I’m OK To Go
I had a little moment of being out of contact myself today. I am now the proud owner of a hyperbaric chamber but still getting used to the machine. Alex, watching me as I adjusted, communicated with me through the glass with gestures.
Hyperbaric chamber oxygen therapy has roots in diving as managing pressure changes is an important aspect of safety for underwater and high altitude work.
When diving you don’t give a thumbs up to show you are alright. Thumbs up actually means ascend. You give the OK sign to communicate that you are doing fine.
The “OK” hand signal in diving is formed by touching the tip of the thumb and index finger together to make a circle, with the other three fingers extended upward.
Even as I was a little dizzy and struggling to acclimate I was ultimately “ok to go.”
