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Biohacking Medical Travel

Day 1846 and Doctor’s Orders

I have had a lot of experience with doctors over the last few years. A chronic autoimmune condition isn’t the sort of illness that gets “better” like a virus. It can only be managed.

I have come up with endless ways of collaborating with people who far too often believe they are more informed, powerful and intelligent than me.

Sometimes they are even right about that perception. It’s a frustrating fact of life that doctors value their status occasionally more than their patients.

Today I went to a tourist hospital renowned for its extensive offerings and professionalism. My usual interpreter (it’s in a foreign country as many nations from Mexico to Turkey to South Korea serve American patients) had a number of procedures and visits organized for me. I felt confident I’d learn a lot and maybe find new pathways to healthcare management.

I happened to have an aesthetic elective treatment first. A plastic surgeon met with me to refresh some Botox. That seemed excessive given a nurse does my light work back in Montana but why not get a professional opinion while you have the chance.

I’d intended to spend the afternoon at the hospital doing a number of more productive activities than smoothing my fine lines. I’d set up rheumatology and immunology lines of questioning and I was excited to get some holistic work done including ozone and an IV infusion of vitamins and minerals.

Alas I was stopped in my tracks by a physician who simply would not approve the IV I had set up, the ozone work, nor would she approve the alternatives I suggested (an intramuscular B vitamin shot). I made my case with the interpreter and my AI.

The doctor wouldn’t budge. She even obfuscated suggesting that glutathione was illegal though backed down when it turned out to be a malpractice issue related to compounding pharmacies.

I very much wanted to buff up my immune system, especially having chosen something elective to go first, and I could not make progress. It shut down my whole afternoon. All that was left was tests and waiting.

There was no order the doctor was willing to give for short term immune improvements unless I committed to five weeks of procedures which given it was a tourist hospital seemed a little ironic.

I am demoralized but doctors will be doctors. I never seem to manage to convince them when I really need it. Doctor’s orders are not always for the benefit of the patient. Maybe no one wanted a woman sitting around hooked up to a vitamin infusion. Who knows. I probably would have skipped the Botox though.

Categories
Aesthetics Biohacking

Day 1843 and Does Enya Listen to Herself In The Bath?

As a woo child of the New Age 90’s era of music, I love listening to Enya in the bathtub. Pure Moods and a hippie mother set a tone for bathing for the remainder of my life.

Alas in Montana we do not have a bathtub in any of our bathrooms. We have a hot tub but the chemicals bother my skin so I only get to enjoy a bathtub when I’m traveling.

And you better believe I have Enya downloaded on Spotify for those occasions even though I’m certain at some point we probably owned all of her music on tape and CD.

While I love the classics (who doesn’t want to sail away?) I had Wild Child come up as I was soaking up magnesium yesterday. Which is not a bad checklist for becoming present in the moment.

Ever close your eyes
Ever stop and listen
Ever feel alive
And you’ve nothing missing
You don’t need a reason
Let the day go on and on

Let the rain fall down
Everywhere around you
Give into it now
Let the day surround you
You don’t need a reason
Let the rain go on and on

What a day
What a day to take to
What a way
What a way
To make it through
What a day
What a day to take to
A wild child – Enya

I’m no wild child but I don’t need a reason to enjoy a bath or a day. Rest up and rejuvenate.

Categories
Aesthetics

Day 1798 and Rush Hour

You can tell the year is wrapping up as soon as Thanksgiving and Cyber Shopping discourse gives way to “best of” discourse. The transition was so smooth today. Stories of the American consumer are giving way to all kinds of beat and end of year lists.

Writing a “best of” lists is a thankless job. It is probably a bit worse than being a gift guide editor, as at least those jobs might involve some cool products to test.

I wouldn’t mind doing a gift guide for skincare for people in your life as I love to give beauty gifts but the pressure of doing an Allure “best of beauty” run through is pain from all directions.

And so I’m seeing the “rush hour” part of 2025 go out at speed as Substackers, literature, and all types of style sections bring out the “best of” pieces on Giving Tuesday. Because can we please be done with shopping?

I am about as done as I feel I can be with this very strange year. I wouldn’t mind a rush hour if it sped us up. But I’m sure the traffic jam of finishing up December will be the actual look of rush hour. Just like with a real life rush hour. Maybe we are close to Waymo fixing that for good. Now that would be a “best of” for technology for any list.

Categories
Aesthetics Internet Culture

Day 1797 and Last Minute Cyber Week Shopping

Shopping in a highly bifurcated consumer market is an unpleasant experience. No more so than over the great shopping holiday that has become Cyber Season.

Regular consumers feel gaslight enough as it is by smart pricing strategies and persistent inflation. Their trust that they can make a better purchase is at a low. Their Black Friday looks very different than it did during the ZIRP years.

But many brands are battling it out for the ten percent of consumers that do 48% of the spending. And that is a brutal business. I can’t spend time on image or video social networks for fear of triggering some kind of shopping allergy. Being in that group of consumers makes you a target.

And very few of them are battling on the merits of their products. I went brand by brand through my usual suspects of Black Friday brands and found better deals and less to like.

I bought cashmere and skincare and I still don’t know if I got scammed on the cashmere. Ironic as I’m buying seconds of items I already own hoping the sourcing didn’t change in the intervening seasons.

I genuinely miss the Ann Taylor of 2010 when I worked there. You wouldn’t think it would be a glory year for the brand but there was hope. It was still publicly traded American brand. And it had a real estate portfolio of stores to envy from Madison Avenue to the Magnificent Mile.

Imagine an American brand like that now. It had strong supply chains, good relationships with vendors and it had just hired a hot new young executive with a hot new designer.

This was when you could imagine an MBA reinventing a brand’s look for a new generation of working women. Millennial feminism was on its way up, a blonde Gen X feminist beauty from Harvard led the charge and everyone believed. Heck maybe we’d even see a female president who wore our pants suits.

And we know how that broader cultural story turned out. We made pant suits cool for a brief moment in time and private equity ate the brand and now it’s shit. But I know we did good work and I’m glad our MBA leader landed on her feet at Amazon.

I just look at where I shop now and I look at Ann Taylor and the prices are roughly the same but it’s not the same cashmere sweater for that $200 absolutely anywhere. And if you want that sweater be prepared to spend over a grand.

So while I did a little shopping I think maybe I’ll get lucky. Maybe I’ll get a good batch. But it’s not always a sure thing. I got my replacement retinols. And I finally found my old Mansur Gavriel tote (going on year 12 or so) for roughly the same price as I bought it.

I’ll use my beat up on still but I thought hey maybe they still make good bags. But I don’t know if their private equity guys are any good. Fingers crossed as it’s a great tote.

Categories
Aesthetics Internet Culture

Day 1795 and Luxury BNPL So Techno-Capital

Like anyone who has worked corporate retail, I keep a close eye on Black Friday narratives. I named a few sales I thought were particularly unusual in my beauty blog based on how I shop for myself on Black Friday. I am a very value driven customer even though I will spend a lot with a brand who earns my trust.

I’ve found there to be less and less worth shopping across fashion, beauty and other consumer goods. Still I do use the holiday to strike a better bargain with a brand I might consider becoming a regular with.

It is a delicate dance between better customers and quality providing the original layer of trust that makes loyalty. This dynamic plays out every Black Friday with a few purchases. Are these your best customers? Maybe if you don’t disappoint them.

Now you have to wonder about higher end customers who use Buy Now Pay Later options like Klarna. Is this just an extension of the freedom we afford luxury consumers in their lives if bizarre credit choices. Why not spend a little more to not require additional liquidity. Maybe that is a more efficient way of social signaling on Instagram for some. I think I’d be worried about that consumer. Their defaults are on another planet.

As for myself I like buying an extra retinol serum and some fancy shampoo. I am not buying $400 moisturizers being resold by Quince. Thats just a little too odd for me. But maybe I will get those weird recovery boots. I wonder what luxury purchases that don’t use extending credit say about my financial niche.

Categories
Aesthetics Biohacking Chronic Disease Medical

Day 1787 and On The Same Wavelength

For someone with clear skin on my face (not even a humble brag), I spend what feels like irresponsible amount of time and energy on my skin health. The rest of my dermis is not as tractable as my face. I’ve been fighting eczema my whole life.

This year has been a particularly challenging, as my the IL-17 immune suppressant Bimzelx, I take for my ankylosing spondylitis and psoriatic arthritis (it’s eczema on the inside), has left me almost catastrophically prone to skin infections.

I’ve had maybe 3 weeks without a disaster (and I traveled) though have still needed doxycycline so I’m optimistic.

I am hoping I can rack up a few more weeks or maybe even multiple months without needing to slice an abscess, manage a deep tissue infection, or get a subcutaneous skin infection.

I do have a new weapon in my battle to keep my skin healthy. I recently acquired a new deep infrared cosmetics mask from Beauty Pie that they are calling “medical grade” but mostly means it has one longer wavelength than their previous mask offering.

Beauty Pie
The Dynamo Deep LED

Medical-grade technology
Collagen-Boosting Mask $238
  • Medical-grade LED mask proven to improve the overall skin complexion
  • Using 1070nm – the deepest penetrating wavelength used in at-home LED devices to date – to reduce under-eye bags and puffiness, and smooth texture and tone
  • Helps the skin look fresh & hydrated. Using 830nm – supports the skin’s natural restorative and healing function – to boost circulation, improve blood flow, and increase oxygen
  • Skin looks plump & glowing. Using 630nm – enhances the production of collagen and reduces redness – to leave skin radiant and hydrated

I don’t know if it will do much but the longer wavelength is an improvement on their past mask which required something closer to 4 months of continuous use to see results and I was simply never off of antibiotics that interact negatively with red light long enough to get any results. Theoretically I should see results in a few weeks with the longer wavelengths.

I can’t recommend it yet as I just got it and I’ve only used it twice but I used it on my face, my neck, my left butt cheek where I had the infection from inserting testosterone pellets (long story if you missed that one) and on my scalp to see if I can stimulate some growth on my scalp as I shed a lot of hair this year from the stress.

That’s about 40 minutes of mask time so no joke but also pretty amusing. I hope I can use it enough between antibiotics rounds for a win as infrared is meant to do a world of good for pain and inflammation in addition to cosmetics so I’ll use the heck out of it while I can.

Categories
Biohacking Chronic Disease

Day 1764 and Not so Easy In and But Out of the Woods

It has been sixteen days since I confidently decided to insert testosterone pellets by tiny incision into my left buttocks. I was felt certain we’d checked all the appropriate risk factors and my tolerance threshold was met.

I felt I was making pretty decent progress on healing over five days as I had not only the benefits of HBOT but also read light therapy. I was pretty darn pleased and felt well.

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.

Categories
Aesthetics Internet Culture

Day 1762 and New Nodal Points

I suspect that if I am any good at seeing the future it’s because I enjoy touching the present so much.

I think it’s a fools errand to professionalize “the spark” of active players meeting and exchanging information. Not to say that working at your game is wrong. You should work at it. But know what game you are playing.

I’m experiencing a kind of multi-modal view of my own focus and how it can be turned into more time touching reality. I know it sounds silly but the verbiage of the moment is enabling in strange ways.

I don’t always like consensus. I need to experience the consensus myself before I’ll join up. But I love to be first. I love being your first fan. I love being first to a new trend, narrative or aesthetic. I want to see a thing first.

To engage with others in this market place of ideas and trade in our knowledge for our own priorities, is for me, the stuff of life. I love a market. What is the mood of now so I can find others who might understand the possibilities of tomorrow. Every angle counts

I do think it’s all up for grabs future at the moment. I am leaning into some personal weirdness partially for my own happiness but partially because I think maybe this strange node of “people who want to communicate that they value beauty” to the world will be a vector for finding interesting people working on what is going to explode next.

Put out a little value for people with your own skills and maybe that is the node through which you have the opportunity to see what they see and in return you both learn more together.

I am trusting when everything goes up in “the churn” I enjoy picking up new skills. I am enjoying turning myself in a new direction. I think it might actually get me to my original goals. To invest in founders building their weird chaotic nodes of next should be.

Categories
Emotional Work

Day 1759 and Who Are We After Someone’s Death?

They say you shouldn’t make any significant changes after a death in your family. Grieving is a process and allowing oneself to feel the range of emotions in loss is important.

You might not feel your grief if you jump into something new. Making a change could be hiding your grief from yourself. And so I am trying to sit with my grief.

The loss of my father on the last day of the summer was both expected and painful. As I have had to find my own way to grieving, without being part of his memorial, I thought a lot about what life going forward meant as I honored our past and let him go.

I wondered about which parts of my history and my identity gave me my life. If I wanted to make changes in my future, or to broaden my horizons, what would it look like?

How could I be sure I was being true myself in the challenges of my chosen life and true to the deep and complex relationship I had with my father. All these questions arise.

Somehow I am happy. I feel more love for myself as I see the ways I tried to love my father, and how he tried to love me as his child.

Being who we are, means seeing the child in ourselves who wanted to be loved for who they were, while learning as an adult that acceptance is up to us, not the generation who birthed us. The liberation of birth anew.

I hope the many experiments I’ve run with my biohacking over the last two months are helping me stay in my body during this process. I am on my 25th hyperbaric chamber oxygen therapy treatment today. Which is fortunate as I am healing yet another skin issue as I try to find ways to have the strength to be myself in my very challenging body.

And so I wonder, am I the same without my father as I was with him? I am always searching for ways to become better, stronger, more informed, more capable, more successful and ultimately I fear those are all synonymous with finding ways to be more lovable to him? I couldn’t always tell.

I’ve found myself wishing to indulge a past professional calling with a side project. I’ve been writing a beauty shopping column where I go deep on my autistic special interest in skincare and the business of appearances. It’s been making me happy.

I have even decided make a special offer founding members who join my first year as I wish share some of my own happy knowledge. For a nominal fee I’ll build a routine from my cosmetics library and decant and organize the perfect skincare routine optimized exactly for the life you are living.

And so I ask does this count as a change? Am I jumping into something new, even if it is small, too soon?

All I know is that it feels right and like a joyful offering, even if there are parts of me that hurt. Perhaps there is a good kind of change to be had in endings with new beginnings. A personal passion once put aside, reemerges to serve others.

I think that is something my father would have liked to see me do. I have pursued so many of the things I know he wanted for me in this life. I do have a future full of technical change and a portfolio focused on the future of computing.

And yet here I am feeling freed to show that some aspect of who I am as a woman does want to serve others. If it is in the cause of helping be comfortably in your own skin that seems rather a positive thing to become after this life change.

Categories
Aesthetics Biohacking

Day 1756 and Oops I Did It Again

Oh baby baby! So it seems as if, in my infinite wisdom, I did not pay enough attention to the early warning signs from my Whoop biometrics and I did indeed need to worry about the fun and games of a subcutaneous tissue infection.

I swear that this IL-17 inhibitor drives me nuts. Despite its impressive effect on my inflammatory biomarkers, it leaves me very susceptible to skin infections. And I have to be constantly vigilant to the first signs of an issue.

I’ll be fine. I did in fact catch it before it turned into anything serious. Where I am at it’s easily treatable with a short antibiotic course that may formerly be prophylactic. My wound area had not shown any signs of spreading nor was I running a fever or otherwise exhibiting other signs of serious infection.

I just had crappy HRV numbers and high resting heart rate three days in a row and it’s not worth risking it. I threw back some basic antibiotics last night and woke up with a normal heart rate again. My HRV is coming up just a little more slowly. Glad I didn’t wait as this isn’t worth any amount of risk to me.

I comforted myself by working on my beauty blog where I’ve got routines coming along for founding subscribers and a fresh post about Shrinkflation at Sephora and a minimalist men’s routine on sale at Amazon.

Retailers are a bit twitchy and everyone needs to be shopping early is the message we are getting everywhere. It’s a weird time. Or at least the retailers need to encourage the top 10%. So if that is interesting to you go subscribe as I’d love to have you in my strange beauty shopping blog meets the business of appearance.

Or if you are feeling adventurous for an honestly embarrassingly low fee I’ll put together a custom routine for you from my sample library or go full autistic and decant you the perfect mix of potions and lotions to meet you precise lifestyle and budget. My autistic obsession is your gain. It’s so much for me for and your skin will look amazing.