Categories
Medical

Day 1043 and Differential Diagnosis Failure

I’m throwing something up here as I am fairly certain I’ll be out for the rest of the day. I have thrown back an entire pharmacy in an attempt to remedy a barrage of symptoms that are so intense I can barely process.

I thought I had a cold or potentially some kind of flu based on my initial symptoms like heightened respiratory rates, congestion and pain in my muscles. But as the day progresses I’m not so sure. The mucus is clear and was easily improved by a Mucinex and cortisone nasal spray. The remaining symptoms of lowered body temperature (which feels feverish) a migraine, and tight muscles are now much more acute. I guess the cold medicine I took was a waste of liver stress.

It’s messy and conflicting and neither myself, my husband, my doctor nor the artificial intelligence chats have managed a differential diagnosis.

My hope is that with the sheer variety of drugs that we have thrown at this that I’ll be passed out for the foreseeable future. Maybe a full twenty four hours of sleep can fix this. Hopefully you will see me cheerful tomorrow.

Categories
Biohacking Travel

Day 1042 and Oh Dip

For the last three days I’ve been experiencing a significant dip in energy and function in the later afternoon around 4pm.

Not only am I fatigued, but I seem to have some sort of either allergic response or potentially common cold symptoms. It’s a little unclear as I don’t have consistent symptoms nor do I have a fever.

Some of it is probably jet lag as I returned home to Montana after a month in Europe over the weekend. I haven’t quite recovered my sleep deficit as I am pushing very hard on my workload as well.

I tried doing a bit of polyphasic sleeping today to see if it might help abate the intensity of the dip. The idea behind polyphasic sleep is to get your required 7-8 hours not in one monophasic chunk at night but across your own natural energetic ebbs and flows.

I did a packed morning of work and meetings and then slept between the hours of 3-5pm. I do feel better having been asleep during the dip but I could feel the symptoms rising while in the light sleep mode. I wasn’t able to fall into deep or REM sleep.

Whatever is happening I clearly need more rest. My attempts at diagnosis of any other symptoms and their proximal causes are unlikely to matter if I’m not getting adequate rest. In which case, I’ll try to sleep more at night and add in some naps till it passes.

Categories
Biohacking Chronic Disease

Day 1041 and Short Notice

I’m extremely frustrated right now. I didn’t get much sleep last night. I won’t get into the details, but it’s mostly because I was overstimulated by a very long workday after what was a very productive week.

I didn’t think it would matter if I was a little fucked up today from overexertion yesterday as I didn’t have any major obligations.

Except I got invited to mid-morning to something tonight. I wasn’t obligated to go but really wanted to do so as the guest of honor may end up having a significant impact on my life. And I’ve had an interest in it which I’d expressed months ago.

Now I had strong interest in attending as it won’t be a repeatable opportunity. So I wanted to push myself to go. I did my best through the afternoon to rest and prepare myself. But ultimately my body just couldn’t do it.

I cascaded into a migraine from the smell of my husband’s cologne. All my efforts to try to be restorative with the few hours of my afternoon were gone through a single small instance of environmental stressor. An obvious sign that I shouldn’t be going anywhere if something small could set off symptoms.

Now I’d like to say that I could have made it if I’d slept more. Maybe if I’d not worked so many hours yesterday. But I feel good about the things I prioritized yesterday.

But I am so fucking angry that I couldn’t have been given a little bit more notice as I would have found a way to make it. Literally even one day would have been enough so I could prioritize sleep.

It’s obviously no one’s fault. I’m simply furious that in an effort to budget my energy and physical capacity for what was my priority yesterday, I couldn’t find any remaining capacity today.

I guess the lesson is that if you want me to show up please let me know at least twenty four hours in advance. Or even just the night before.

Categories
Travel

Day 1038 and 9th Circle

Yesterday began my long twenty four hour schlep from Amsterdam to Bozeman Montana. I pissed and moaned about the chaos of Schiphol. I arrived plenty early and still barely made my flight.

The real challenge wasn’t in my sights yet. I did a layover in Dulles before heading to Chicago O’Hare for a final direct to Bozeman Montana. When I got to O’Hare, I had all the bags for a five week trip in Europe on my person.

I attempted to walk to the airport shuttle area only to get lost inside a parking garage. Finally I made it into what looked like a side alley for the shuttles and busses. And proceeded to wait for an hour for the Hyatt bus. Sunk cost fallacy caught up with me fast as I didn’t want you to lug my bags back to find a taxi half a mile away. I was already at 11000 steps, exhausted and half mad from 15 hours of transit.

I was in my own 9th circle. Middle management road warriors of a certain age fighting for an airport shuttle to a Hyatt Regency 30 minutes late. One lady blamed the extra traffic on “the immigrants” while a regional sales director discussed selling mortgage products to Wells Fargo wealth managers during the run up to the global financial crisis.

Big hair don’t care energy from a woman who sold mortgage products to GFC era Wells Fargo wealth managers. Now she sells pharmaceuticals

The woman who sold mortgage products to wealth manager began discussing her “hot mess labradoodle named Karma” and I swear this is not a joke.

She told her companion you can tell things are bad as her trip to Big Sky is too expensive this year. That I don’t lose it on her in that moment is an act of self control.

The delay at the shuttle was so long the line ended up being 50 deep to actually check in at the vast conference hotel.

And what a display of American exceptionalism. Not only was there a pharma conference (that’s where the mortgage product woman was headed as sales is sales) but there was also a regional dance cheer competition for tween girls and a field hockey & lacrosse competition for boys.

The demographics of this odd mix did explain why there are dozens of “not yet rich enough for ozempic but rich enough for Little Miss Subshine’s glitter and a stay at the Hyatt.” White obese stage mothers who spend too much at Ulta were heavily represented. Blessedly the lacrosse and field hockey boys were just noisy.

My flight touched down at 7pm. It’s now 9pm and I am finally checked into my room. I pulled the disability card with my ankylosis & begged a guy to get me a keycard. Tried to tip him $40. He wouldn’t take it. Compromised as I insisted on $20.

We discussed the mortgage products sales lady & how he didnt think his generation would ever own a home. He was a zoomer. He’s probably right.

As I finally gave up on the day, laying in bed I can hear two kids kid above me practicing catching and tossing with their lacrosse sticks Thwack and release. Over & over. Thankfully I had ear plugs. Only one three hour flight left to get me home to Montana.

Categories
Aesthetics Travel

Day 1035 and Past My Bedtime

I had the good fortune of attending a dinner last night with a group of very interesting people. I particularly enjoy dinner parties as a cultural gathering as I enjoy conversation.

It was a misty atmospheric evening with on-and-off rain in Amsterdam so I decided to take a long walk before the dinner to work up an appetite.

Normally I’d dress for a dinner party with heels and a cocktail dress but wet cobblestone streets made required boots with traction. Styling clunky flat walking boots with a flowing long black witchy dress felt right for Halloween. I had a piece of art deco costume jewelry to add a bit more formality to the whole affair.

I’ve got no idea if I pulled off the styling of challenge of an outfit for a Lindy walk and a dinner party but I enjoyed the challenge. There is a satisfaction in combining utility and social decorum in styling.

I wasn’t entirely prepared for the dinner to go till almost midnight or I might have passed on a long meandering walk beforehand. The conversation flowed until the restaurant begged us to let them close.

I gather most of the group continued on into the wee hours afterwards but my energy was flagging so I said my goodbyes and walked back to my hotel. It was long past my bedtime.

Categories
Biohacking Travel

Day 1034 and Green Light

When I travel I do my best to maintain a steady routine for my health. I find it much easier to manage stressors to my physical body, and my autonomic nervous system, if I get adequate sleep, nutrition, and restorative activities.

I’m the sort of person who travels with an organizer of supplements & vitamins, multiple biomarker trackers (my Apple Watch & Whoop) and helpful devices (Apollo Neuro Band, percussion massager, noise canceling headphones) to keep myself “in the green” no matter how much stress I throw at myself.

My Whoop strain tracking as I traversed 4 countries in 4 days. I traveled between Finland, Estonia, Denmark and the Netherlands.

And I put myself under some fairly significant strain over the last week as I traveled by boat and airplane through four countries in four days. As you can see from my Whoop data traveling induces more strain than rest days or work days.

I spent all day at a conference yesterday which involved a fair amount of time on my feet and socializing. But it doesn’t compare to the strain of taking a ferry to Helsinki and walking for five miles sightseeing in the cold.

I was careful today to rest after the conference so I’d be able to make use of the remainder of my time in Amsterdam. And my biomarkers seem to agree. My Welltory saw my heart rate variability fully in the green this afternoon.

Balanced stress, energy & health on Welltory say all systems are go for me.
Categories
Travel

Day 1031 and Refueling

I rarely let myself get too tired from excessive physical exertion. It’s a lingering fear with my ankylosis is that if I overdo it with fun activities like exercise, travel, or even too much time socializing upright that I’ll end up trapped in bed from inflammation and pain.

I pushed myself to my limits in the last forty eight hours by deciding to make a quick trip to Helsinki from Tallinn that I’d wanted to take over my birthday two weeks ago. I changed my schedule to head to Amsterdam next week for a work conference (hit me up if you are in Amsterdam) so I was running out of time to see more of the eastern Nordic and Baltics.

I packed it into a tight trip as I can more easily run on an adrenaline and cortisol hormonal spike if I know I have a day to sleep it off. Which is largely what I did today. I did laundry, tidied up my Airbnb, and began a repacking process to make sure I could handle multiple airports. I find packing and travel stressful so I fit in a nap in the afternoon.

Blissfully it’s snowing in Tallinn so it was a nice day to be inside preoccupied with chores and resting. I’ll be sad to leave the town. I didn’t accomplish all I set out to do but I enjoyed it immensely.

Categories
Travel

Day 1012 and Extra Rest

I laid down for a short nap after my workday and promptly fell asleep. I had to force myself back awake so I could write. I could easily sleep straight through.

I don’t know if I should give in to the impulse to be honest. I know I should do other things on my list long of “to do” items but even pleasant simple ones like wash face and eat dinner seem like too much.

I want to slide back into my nap and let it ride. So I will wrap this up and do so. Three paragraphs is enough to count right?

Categories
Medical

Day 1008 and Pesky Hormones

I’m enjoying a double header of hormones today. I’m in my luteal premenstrual phase which always leaves me tired and emotional. But I am also just letting go of the last bits of adrenaline and cortisol from my travels last week.

As the last bits of stress hormones drain away and my cyclical hormones flow in all I can feel is the weight of the world. I’m sure this dramatic phrasing is merely a function of the pounding hormonal migraine that always accompanies this time of my cycle.

If this all sounds a little foreign to you, Alisa Vitti’s life’s work has been to help women understand their hormonal cycles impact. I’m always looking for ways to hack my physical performance and health so I’ve been especially focused on pesky stress hormones.

Hopefully a little bit of salmon, some greens, and more rest will get me through it. And by next week I’ll be well on my way to peak creativity and energy. The lull will pass soon.

Categories
Travel

Day 1002 and Airport Lounges

I’m on my way to the Baltics and Nordic countries for the next few weeks. I’m doing a tour to see what Tallinn and Helsinki have to offer as two of the more interesting and established startup hubs in Europe. If you are based in Northern Europe hit me up!

I’ve come to accept lounger trips and more time on the road as the new “work from home” has become “work from your point of maximum leverage.” I do find that even with the glamor of being on the road, there is something about flying that makes me feel as if my body and soul have briefly stretched their bonds.

Damien’s theory of jet lag is correct: that her mortal soul is leagues behind her, being reeled in on some ghostly umbilical down the vanished wake of the plane that brought her here, hundreds of thousands of feet above the Atlantic. Souls can’t move that quickly, and are left behind, and must be awaited, upon arrival, like lost luggage.

William Gibson – Pattern Recognition

It’s 8am in Zurich and my soul doesn’t feel as if it’s caught up with my body. I’m in an airport lounge drinking my third espresso. Both my Whoop and my Apple Watch are sure I only got three hours of sleep.

I had a regional flight that got me to Chicago from Bozeman first thing Thursday morning. The Polaris lounge was quite good at O’Hare if you were wondering. I had some very decent seafood linguini.

Leaving behind Montana

But my Chicago to Zurich flight was that odd 8 hour “overnight” that goes from 2pm Central to midnight. That translates into 6am landing in Switzerland local. The only way you get any sleep is by forcing the issue with pharmaceuticals.

I guess Ambien and Melatonin can only do so much against a regular circadian rhythm. I’ve had three espressos in the lounge here and I’m really debating an another. I was greeted with a magnificent full moon over the river in Zurich. My phone didn’t do it justice.

A full moon over the water as the lights of the metropolis shine on before sunrise in Zurich

My final legal of the journey doesn’t begin until 10am. So I just just need stay alert enough to make the final flight, keep an eye on my bags, and drag myself to my Airbnb in Tallinn. Adjusting from there will take the time they it taken