Categories
Culture Preparedness

Day 986 and Risky Business

I’ve been giving a lot of thought to how we see risk the past few years. What is an acceptable risk? What are the boundaries of risk perception and how much variability is there between two people? How much of those tolerances are innate versus cultural? Can you consent to risks you don’t understand?

Philosophers have been working on these questions for a while and we don’t seem to have gotten much further on the problem than some of us dislike change and some of us are more open to change. Figuring out any grand causal theories of openness doesn’t seem any more legible with regression analysis.

We have little coordination of acceptable risks at the individual, local, national, planetary and species level, just as we most need to understand if we can all collectively tolerate significant social, economic and political risks associated with new technologies.

We just don’t seem to have consensus on risk much beyond “don’t get someone killed.” Yelling “slow down” barely works with toddlers, so I don’t see how anyone considers it a viable tactic for coping with, let’s just say, artificial intelligence.

I don’t consider myself to be someone who takes a lot of unnecessary risks. I like to do my homework. While I was never a Boy Scout, I do subscribe to their motto. “Be Prepared!” But if you asked my friends and family they’d probably say I am a risk taker. Who is right? It’s clear that preparation and planning mitigate known risks. Beyond that it’s not up to me. It’s probably not up to you either.

Categories
Medical

Day 985 and Know So Little

Every time I have have cause to interact with any medical speciality I find myself blown away by just how little we know.

I’ve been going back to doctors to understand what my options are for living with an autoimmune condition and having children. And the truth is we just don’t know much.

I made a life altering decision several years ago by letting a medical decision be framed to me like a consumer product. We opted to freeze eggs and embryos and it turned our entire lives inside out. It triggered an autoimmune response in me that I’ll live with forever.

Somehow in the intervening half decade years we’ve learned precious little about women’s health and fertility. And we are advocating for somehow knowing even less.

Because that’s what we’ve done by letting the government into our health decisions. Don’t kid yourself into thinking when we involve government and bureaucrats we somehow improve our knowledge and safety. At it’s most friendly, when the government shows up it’s about ass covering. At it’s most hostile it’s about control.

We argue about ethics, safety and life as if we even have a shared ideal of any of those concepts. Whose life? My life? My unknown children? I’m not convinced we ever cared about women’s health as an independent variable. We treat fertility as a sideshow and hormones as some variable over which we pretend to have control. And yet every time I try to assess my own risks I find out that we known just about nothing. There are no good answers. And it’s all poorly understood risks.

Categories
Emotional Work Politics

Day 984 and Distrust

I had a bad migraine over the weekend that simply took up all the space in my mind and body. I woke up with a break in the pain and a deep urge to throw myself into something that felt like momentum.

I found myself awash in sadness. I couldn’t stop myself from crying. It was as if my entire body felt despair. I’ve come to accept the value in embracing emotions as they come. “The only way out is through.”

I trust that my nervous system knows as much as my cognitive mind. I go so far as to say it knows more but that sounds a little woo to folks. And so I listened to my sadness. I cried. I rambled at the many problems large and small facing my corner of the universe.

The distrust I have for our elders who twenty two years ago used today as a catalyst for sending us down an inexorable path of death and fraud. I cried over petty inconveniences like the broken visa system keeping people I care about outside of America.

It’s hard to understand how we came to this point across a generation. But easy to see why millennials are unsure if any of our institutions can be trusted. And I wonder what it’s like to have no memory of a time before 9/11.

Categories
Medical

Day 982 and Not Small Men

I’ve been working on getting a deeper understanding of my hormone profile and where I can better support my cycle.

I’ve been surprised by just how little we seem to know about women’s health and the baselines that are considered ideal. Between the battles over health education in school (abstinence only) and the eagerness with which we put my millennial generation on birth control as teenagers, we’ve got both an under-informed and potentially over medicated population. Which wasn’t the case for our mother’s generation who went on birth control much later in life if at all.

A tweet from last week

I’ve had my fair share of fucked up fertility experiences and yet I’ve only just in the last few years learned to understand how my follicular phase impacts me so differently from my luteal phase. If you don’t know what that means either well it’s probably time.

The phases a woman’s cycle

I generally feel most energetic, pain free, and happy during my follicular phase. Despite knowing this I couldn’t tell you what an ideal FSH hormone level would be. I don’t know what balance of estrogen I should have at any given phase. I have no clue what my LH should be during my luteal stage either.

It strikes me that these levels should be taught along with implications for what it means and how to work with them just as we know our ideal blood pressure rage and resting heart rates. It’s some of the most crucial and basic self knowledge about our bodies.

When I think of how many other crucial biometrics I’ve got memorized (I track my SED rate and CRP quarterly for inflammation) it seems odd that something so crucial as one’s hormones wouldn’t be known, tracked and improved. I watch my heart rate variability like my recovery depends on it because it does. So do most serious biohackers.

Knowing more about own health is part of being a responsible adult. And I’m sad that we do so little to educate women on basic rhythms. I can’t tell if it’s a lack of interest from women or a dismissal from the medical profession. Women aren’t just small men.

Categories
Culture

Day 975 and Escapism

I’ve never really understood why Labor Day weekend was meant to mark the end of summer.

The fall solstice is still three weeks away but kids have back in school for an awkward amount of time that’s too short to appreciate time off. And to not too put too fine a point on it, America doesn’t give a fuck about celebrating labor.

It’s a stupid time for a long weekend. Maybe I’m just always rushing to be out of summer as I find it to be a miserable season. And yet Labor Day is still this iconic last hurrah of a summer with BBQs, time at the beach and long weekend travel as the dominant imagery in America.

Jimmy Buffet passed away today. The Margaritaville singing Boomer beach bum soft rocker making his final exit during Labor Day weekend is an aesthetic I hope brought him and his loved ones some joy. If my legacy was summer, I’d like to go out at the most “end of summer” possible moment.

It’s always sad to lose a cultural touchstone but maybe putting a final note on escapism should tell us all something. Perhaps it’s time to let go of the season of escapism. And I don’t just mean for this year. Maybe it’s time to shoulder the burdens of harvesting what we’ve sown.

Categories
Culture Emotional Work Politics

Day 972 and Falling Faster

I’m starting to feel like summer is losing its grip on me. I cannot even begin to express my relief that September is almost here. I loathe summer and this one has been particularly hot and horrifying.

Being in Montana for the summer has given me the nicest possible version of summer still possible on a warming planet. You wouldn’t imagine being a mile higher than sea level and in the Rocky Mountains would make for hot summers. But you’d be surprised. Thankfully it’s not a persistent condition like Houston.

I love being home. But I love winters in Montana about hundreds times more than summers. Ironic then that I usually find myself traveling for work during the times I most prefer to be at home. I struggle to remember the allure that travel once held before the Great Weirdening collided with the Pandemic Years. I remember yearning for Hong Kong and Dubai. Now I’m avidly negotiating Airbnb so I can stay put in a relatively centralized European city.

Can you imagine thinking that going abroad to do business was a sane use of time before say 2016? 2019 and onwards has given us closed borders to the lawful and state capacity collapse and immigration and visa panics. Hard to imagine that doesn’t feel like some kind of change to American idealism.

I truly pray if my writings are ever preserved for any kind of historical usage in some artificial intelligence that you will remember there was a time when New York and San Francisco were the gravity wells of an era. It’s been a long fifteen years since the Great Recession.

Whatever that time was it’s not the current moment. Maybe it comes back. I was a post 9/11 New Yorker who came from the country to do patriotic things like build businesses. Let’s not get into the war that happened in the process.

I’m glad I’ve gone home to the west. But I know you’ve got to journey from home to appreciate it too. I’ll keep my corner in the edge of the empire as renewal comes from the edges. Fall may turn into winter but you know in all seasons things turn.

Categories
Culture Emotional Work

Day 964 and Haunted America

I’ve been getting the sense that more and more of my social circle is uneasy about our cultural moment.

The personal battles being waged are numerous and deadly. The losses feel as if they are mounting even for those of that look objectively successful to the outside.

Health challenges and illnesses are debilitating and expensive. The past traumas of dysfunctional families weigh on the more functional among us. Families struggle to cope with addiction, depression, and suicide. Violence eats around the edges in too many cases.

I see more people pulling back into perceived safety as they look to escape the wounded and the traumatized. We’ve got enough troubles in our own family so why take on problems that aren’t our own?

The ghosts of bad decisions and long troubled histories linger. The weight is heavy and I see people stumbling.

Categories
Emotional Work

Day 963 and Chronic Stress

I don’t think of myself as living a particularly stressful life. I’m one of the luckiest people I know. I love and am loved by my family. I own a homestead in Montana. I work with brilliant people.

My one burden in life is my health. I don’t want to undersell how much it affects my life (my ankylosis needs careful management) but I simply treat it as a fact of life. There is no reason to be upset about reality.

As social fabric tears and lives get worse under stress, it’s easy to become a victim to the things in our lives that trouble us. We can compare our gifts to others but one man’s troubles is another man’s perfect life.

I see the stress that is affect everyone I encounter. The fears range from existential to quotidian. Everything from the challenge of finding a doctor to the collapse in fertility rates can be a sign of the times.

I work to regulate my nervous system to accommodate whatever reality is in front of me. Sometimes that will include stress lot of my control. But I can work to control my response to it.

The better I get at this process of regulating myself I open up to the world. Taking on the agency you have available to you is a powerful social signal. I connect with others more readily as I show others that I can take care of myself.

Categories
Community Emotional Work Media

Day 960 and Summer Frailty

Rounding the bend into a thousand posts is teaching me some lessons in humility and frailty. I am reaching to get words word as my mind is slow.

I am not reacting to something in an average way and it’s been a struggle to keep going over the laser week or two. I’ve put one foot in front of the other but I can see that I only slept for a couple hours last night. Ironic to be considering averages when one’s own responses are so slowed.

I am just trying to get through August. If my standards are simply to plod through then any achievement like throwing a successful policy night or recording a podcast for Wealth Actually on early stage venture capital count for something.

Much of my struggle is probably just some better living through chemistry problems. A new addition to the biohacking routine went awry. I’m struggling with the heat wave and the air quality of summer in the mountain west. The long days of bright lights slowly unspooling my sanity as I wait for cooler less cruel months to come. Just breathe in and out and try to eat and sleep.

Categories
Emotional Work

Day 959 and Averages

I did not react to a drug in an average way. I’m really pissed about it. I went in so confident based on what the studies has shown. We’ve got this fantasy of science and specifically medicine that has very little appreciation for what it does to outliers.

We discuss what’s most likely. What’s average. What’s typical. We explain the difference between mean, median and average. We have rigor. We have regressions. We can come to an understanding of what the models agree is conforming to our understanding. You should probably see these results.

And then we gloss over the bad data. The outliers. The grits of sand. The flecks of reality that make your model jitter. The shit that just makes things more complicated. So maybe you toss it out.

And it mostly doesn’t matter. Because your body probably is pretty average. And that’s a great thing. We tell stories about what it means to be unique even as you are no different than anyone else. Pixar movies are about our ineffable spark of humanity soul even as it reflects on how we are all really just the same. Shared human experiences are universal. Probably because our bodies are pretty similar.

I sincerely believed I was average for most of my life. I was raised with that as a value. And now as an adult I see how I’m average in so many ways. But my body will never fully reflect a shared reality. You get to know what works for you even if you know what boundaries are a little different for you.

You’ve got to know the contours in which you are exactly as your reality would indicate. That’s your ego speaking generally. But the ways in which you are not matter too. That’s where you tailor treatment.