Categories
Emotional Work

Day 635 and Wide Horizons

I am absolutely wiped at the moment as I rode a wave of enthusiasm all day. I felt focused, energetic and free of self doubt. I felt like my life was open to possibility.

Perhaps it’s the regular reminders of personal responsibility I get in therapy. Perhaps it’s it’s the sense of accomplishment I got from completing my wilderness medical incident certification last week. The case of the Yips that I felt a few days ago is swiftly resolving.

The strength in my marriage with Alex has always been our commitment to working through our emotional journeys together. He was able to be reassuring my through slow climb back from the depths of my health challenges. He helped me turn it into a source of strength. Next year will be ten years together and Alex really got the “in sickness” portion of the vows a little earlier than anticipated.

This is the first time in both of our lives we’ve ever truly been stable. And that’s a strange thought. That our lives have been so chaotic for so long. We finally have money and a home we own and good health and it’s all at the same time. All of the instability of startups and limited resources and bad health are over. And only really in the last six or seven weeks has that been true. As we just finally bought our first home. We moved to Montana in August.

We climbed through the aftermath of the Great Recession together, made our first angel investments together, raised venture capital together, and now finally thanks to the pandemic we’ve been able to secure a place to live and a wide horizon to plan how to use our resources and time. I am responsible for talking this blessing and letting it provide the foundation for our long term goals. Millennials might just accelerate in middle age just yet! I know it feels like I am.

Categories
Emotional Work

Day 634 and Responsibility

The best part of committing to therapy and emotional work is taking responsibility for your feelings. This is also the worst part of doing any kind of emotional growth. I suppose this is how you know therapy is a worthwhile use of your time.

Emotional work has a bit of the “wherever you go, there you are” tension of acceptance. I’ve also come to appreciate the truism that having is evidence of wanting. We are always living exactly the lives we want. Attachment and delusions and self limiting beliefs are all part of the way we protect our ego.

I’ve got a lot of my identity wrapped up in my coping mechanisms. I’m sure this is quite relatable to many people. If you are willing to be a vulnerable you start to see just how many habits and behaviors are built to protect yourself.

For me I have found comfort in overworking. If I crash and fail I protect my ego by saying little stories like I’m fragile or have high standards or whatever else seems acceptable. When of course, I could have simply made different choices to accommodate my physical state or the expectations I had for quality.

But accepting that I am ultimately responsible for my strengths and weaknesses in equal remains elusive. Personal enlightenment is a minute by minute experience. Ego destruction isn’t easy.

I try to remind myself that any traumas I may have experienced that enabled the development of these coping mechanisms are in the past. I am now the parent to my inner child. And no one is responsible for her happiness but me.

Categories
Politics Travel

Day 631 and Reunion

I normally spend a lot of time my husband. During the pandemic we got very accustomed to being around each other twenty four seven. We quite enjoy each other’s company so it’s been a life upgrade.

But occasionally we take longer chunks of time apart. It started as a deliberate effort, but now as the post pandemic world works itself out travel is starting to happen naturally again. We haven’t seen each other for two weeks. And completely organically.

And we couldn’t have had more diverse life experiences and seen more varied cross sections of America if we’d planned it. Alex was at an investment firm’s CEO summit in Santa Barbara while I was in Billings Montana taking wilderness medical incident first responder training. He was hobnobing with bankers while I was doing “stop the bleed” with wildfire fighters and EMTS.

When we reunited this evening after being apart, and for such disparate types of experiences, it was so much fun to compare notes. The types of concerns and the expectations for the good life couldn’t be more divergent for the two poles of people. And I am modestly afraid that as America polarizes and different industries code for different versions of America that it will be rare for different classes to intersect.

And that’s a real problem if bankers are so far removed from paramedics as to have entirely different interests and ideals for their shared country of America. It’s clearly possible to encounter all types of Americans across all classes but I’m not sure I’m optimistic about enough people making the effort to bring us all together.

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
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
Aesthetics Biohacking

Day 624 and Goblin Mode

A trigger warning for folks. This post contains discussions of poor eating habits, food trauma and possible eating disorders.

As much as I like being a bit of a loner, I am often comically inept at having to take care of myself. My husband has been busy with work and I have been left to my own devices to manage cooking this week. Let’s just say it went a bit poorly. Or at least it was comical. My husband is practically a chef and I can barely microwave a hot pocket.

I’m exactly the sort of person that Soylent, the tech bro reinvents NutriSlim beverage, was designed to appeal to. I am easily overwhelmed by the thought of even basic cooking. I’m extremely picky about texture, smells and presentation (thanks autism). And if I’m really honest I just don’t want to eat anything that isn’t perfect. So if it’s not exactly what I want, I might has well have a nutritional slurry. I hate to waste calories in unappealing food so I’d rather get in my macronutrients and vitamins.

I’m embarrassed to say that I did exactly that for a few meals this week. I tossed 2 scoops of protein powder, a scoop of vitamin mix, and some GI stomach support into a glass of water and called that dinner. Even lower rent than a packaged shake but probably healthier. I got 35 grams of protein out of this bad boy.

A protein slurry in water.

I realize this sounds like I’ve got an eating disorder. And maybe I do. Before anyone has a clue that I might be autistic I had some knock down drag out battle of wills with doctors.

One of the defining traumas of my childhood was my pediatrician telling my mother I needed to eat more dairy. I hated the stuff and refused milk & yogurt as small child. My doctor’s solution (and I am not making this up sadly) was to not allow me any food till I ate dairy

Julie Fredrickson from Day 368 Eating Disorder Season

That story doesn’t end well. I didn’t eat the dairy. I passed out. Starving kids into compliance is perhaps a bad idea. But it did leave me with a sense of comfort and control with fasting. If I cannot eat for any reason I know I will be able to manage feelings of hunger. So not a total loss.

I have enjoyed some of this feral goblin mode stuff but I’m glad that Alex is back at his cooking now that the week is over and it’s Friday. Pulled pork is definitely better than nutritional slurry. Well, sometimes slurry has its place.

Categories
Culture

Day 622 and Uneven Bars

I’m not very temperamentally even. I run hot and excited and passionate and I’ve got a mean streak a mile wide. I can only assume the reason I’m so popular with some men is they love a bitch. Everyone does.

It’s not the most appreciated trait in popular culture but it does seem to be the dominate preference of a lot of very intelligent people. At least these days plenty of people both conservative and progressive appreciate the necessity of a ball buster. It’s a status object too. We don’t trust men with weak wives. It makes them look weak.

But I’m not sure anyone thinks it’s a particular good thing for the majority of women to act forcefully. If you hold your ground it can bring out howls of ostentatious victimhood. Which if you point out, they quickly gender the tactic a dark feminine trait of less less powerful that they learned from you.

It’s a really stupid party trick that somehow works well past the age of reason. After about 21 you should have really learned men tell you are weak because they know you are powerful over them. But honestly I still get caught flat footed by it. It’s a fickle power to be wielded without assurance or trust. But it is still a power and it’s insulting women women don’t claim it.

Women deciding to dismiss the uneven hold of their power makes balancing power for everyone a bit of a mess. The default switches from human manufacturing got reset.

Gender essentialism is pretty deep. It’s very jarring for the literal minded mainstream of society in particular. And unfortunately for everyone the world is run by the mainstream and they are prone to revanchist sentiment. Just look at everyone simpering for monarchy. Even if you are above that sort of thing no you are not. And so the uneven bars of progress continue. If you aren’t a realist about it you might get screwed.

Categories
Chronic Disease

Day 621 and Pain’s Anxiety

Before I was diagnosed with my spinal condition ankylosing spondylitis, I didn’t really understand that I was in pain. I know that sounds weird, but I just knows I felt like shit. I hadn’t yet pinpoint the origins of the crisis in my own body. I was a stranger to myself.

Back then getting a diagnosis involved a lot of questions about my mental health. Are you anxious? Would you consider taking an anxiety medication just to see if it help? Are you sure it’s not all in your head? No doctor I’m not sure of anything that’s why I’m asking you.

The thing is I did feel anxious. My central nervous system was in a perpetual state of fight or flight from the pain. I had tachycardia. I was twitchy. I wasn’t a sleeping well. I didn’t want to be touched. It hurt too much. I was exhausted all the time and felt overwhelmed that no one seemed to know what was wrong with me. I’m lucky no one asked me if I was depressed or I might have been put on Prozac.

I’m one of the lucky ones. My chronic disease has a simple blood panel and physical exam to diagnose it. It only took me a few specialists to get to a rheumatologist.

I fear I would have been given an anxiety diagnosis and told it was all in my head if I’d had something more complex. But thankfully we untangled that any anxiety or depression I felt was simply a function of being in an inflammatory condition so acute every movement was painful. You’d have a racing heart and a fear of movement or touch too if everything was painful to the touch

The thing is I am scared of my pain. I do regularly get caught in fight or flight fear responses if the pain appears and I’m not prepared for it. I am militant about certain aspects of self care and my biohacking as I fear flares. I fear the drugs that are required when it isn’t controlled. It makes me anxious to need drugs at all to control my symptoms. Especially in America where a war on drugs has made it hard to need anything stronger than Advil.

Everything about pain and it’s treatment is anxiety inducing in America. And that’s a hard comorbidity to live with in a disease. As if pain wasn’t enough, the latent fear that you might not be believed lingers.

Categories
Aesthetics

Day 619 and Indoor Clothes

I have one issue on which I am a little obsessive compulsive. I hate when someone wears dirty clothes on a clean bed. It just drives me absolutely up the wall.

I suspect this is born of some totally rational preferences. I am very outdoorsy and always have been. As a child I spent as much time as I could negotiate at the barn. I worked as a stable hand as part of keeping my own horse’s board and feed paid. If you’ve ever kept animals or worked on a farm you know how barn clothes smell at the end of a long day. You don’t wear your barn clothes except when you are choring. It’s rude.

Then when I left Colorado for New York City I found another reason that your work clothes should be taken off at the door. Instead of smelling like manure, urine and stale sweat after a long day mucking stales you’d smell like shit, piss, the subway and traffic exhaust. City smells are no more polite to bring inside than barn smells. Getting splashed by a cab or sitting too close to someone who hasn’t showered in a while on the subway is just normal life in a city.

You can probably imagine now a routine in which I take off my outdoor clothes and swap them for my clean indoor clothing. I try to do this as fast as is possible. I can’t fully relax unless I know I’m in my indoor clothing. Because unless I’m clean I cannot get into bed. And there can be no dirty clothes on clean beds.

I simply will not let myself even get on top of the comforter of my bed with outdoor clothing on. If I want to get under the covers and fully relax at home, I better be in clean designated “indoor clothing.”

It still upsets my brain when I see a teenager on television lounging on their bed with shoes and jeans on. Maybe suburban sitcoms neighborhood are a cleaner environment than the one I grew up in?

Or when an adult couple is about to get it on and then tumble into bed with their coats and jackets and high heels. I just hate that. I shudder. I don’t want to bring dirt and shit into my love making. Sorry it’s just my preference no shame if that’s your kink. But absolutely not in my house.

I’ve finally fully trained my husband on this quirk. He keeps a clean set of pajamas to change into and is careful to keep barn clothes to the barn. As for me, I like this quirk. I keep a cleaner house because of it. Sure it’s a little weird but I love a nice clean safe place.

Categories
Politics

Day 617 and Overnight

I plowed through a bunch of choring yesterday. Which apparently tuckered me out. I took maybe an hour nap before dinner. I had a little extra CBD beforehand and found myself drowsy as hell. I passed out sometime around 8:30pm.

Alas the napping and the early bedtime, if you can call just utterly losing consciousness “bedtime,” had consequences. I came to around 1am and found myself wide awake. Oops.

At first I wasn’t quite sure how to approach this unexpected moment of being lucid and energetic in the middle of the night. I toddled over to the bathroom to pee. I crawled back into bed. I debated if I should try to force the issue with an Ambien. But I didn’t have anything in the morning so I thought maybe I should take those sleep hygiene folks seriously and just do something till I get tired.

Of course, the thing I decided to do was read on my phone. I cleared a few back logged essays from my collections on my favorite reader app Matter. I logged into Bloomberg to check pre-market sentiment. I opened up the New York Times and read Queen Elizabeth’s obituary.

Around 2am it seemed clear I wasn’t sleepy at all. Whether from the back lighting of my phone or the five hours of sleep I’d logged earlier. So I said fuck it and opened Twitter. I dig deep into the feuding discourses of “God Save the Queen” versus the survivors of British empire. Monarchists loved their kindly grandmother and the Irish did their best to be polite about the genocide of it all.

If the sun never sets on the British Empire the doom scrolling through the celebration of the end of the longest reigning monarch seemed like the way to go out. But unsurprisingly there was a lot of darkness to be found in the pre-dawn sentiment. I tweeted a reminder to myself to explore how enclosure movements and anti-colonial “fuck the federales this is our land” historical context plays into the American political moment.

Eventually I got drowsy. I feel asleep around 5am just as the rest of the country was waking up. I slept till 9am or so.