Categories
Biohacking Medical

Day 483 and Medical Logistics

As you probably know, everything about the American medical system is a pain in the ass. I was expecting a delivery last night of a medicine that needs to be refrigerated. I went to bed assuming it never came. I woke up this morning to find it has been left out outside all night.

A $5000 dollar dose biologics injection (that’s only $150 in Europe) got left at door I don’t use without a knock. Thank god it didn’t get porch pirated as I cannot afford to replace it. I discovered the medicine this morning when going out for an espresso as it was left in dry ice by the basement door. Just a little chaos for the start of a day filled with other medical logistics.

Today is the day I pick up my prescription refills for the month. I have to do it once a month instead of a convenient quarterly by post situation as I take several controlled substances of which I’m not allowed to have more than a 30 day supply. It’s a real pain in the ass to travel for this reason as it has to be organized around when my insurance and the government will allow me to do so. If I want to be on the road for six weeks or go to Europe for more than a month I’m shit out of luck.

I take a lot of prescriptions to manage my chronic illness. I wish I didn’t need any of them. If I’m honest I put a lot of effort into wellness and lifestyle as part of a long term effort to ween off the pharmaceuticals like my biologic anti-inflammatory injections. I don’t want to be left for dead in a crisis as I’ve got no illusions that we will protect the sick and vulnerable. I protect myself.

I have to do the pharmacy dance now whether I like it or not. I have to take half a day to make sure everything comes in on the same day and in time for any mitigating factors like travel. I maintain a spreadsheet to keep it all organized. I have to use up valuable energy and focus on something that your average Canadian or German would find comically foreign. And that’s just the way it is and probably will be for sometime.

Categories
Internet Culture Media Politics

Day 482 and Vibe Shift

A month or so ago a piece written by a New York marketing executive titled Vibe Shift went viral among the chattering classes. The premise is that we are on the precipice of a cultural change that is upending everything from politics to fashion. And depending on your perspective, this shift might include crumbling dystopian decay or vibrant fuck it optimism. Or in the case of web3 absolutely both.

I think the Vanity Fair piece on the New Right is chronicling one of the first emergent vibe camps to emerge from the vibe shift. The article is a look at the art, intellectual environment and personalities of the “not quite conservative” new right. And it’s a largely positive even glowing send up.

If you believe the Citadel is a corrupt institution and moral moral crisis then the Vanity Fair piece should have been negative. It’s a surprise that it wasn’t. Not long ago we were subjected to intense narratives about the dangers of nRX neo-reactionaries and it’s infiltration of Silicon Valley. It was a real and urgent issue that the center of so much money and power might doesn’t align with the cultural values of media or academia. If you don’t speak this language the Citadel is code for the left leaning creative and cultural institutions like Hollywood, academia and media.

So why isn’t it a crisis any more that there is a new breed of influential “not quite” conservatives? If anything the right in America has shown itself to be capable of so much more than just boat parades and goofy hats. Some of these fuckers were expanding the Overton window on peaceful transitions of democratic power on January. It might actually be getting worse.

Except now the left fucking sucks too. Now I’m not justifying fascists. These Christian Nationalists are trying to roll back modernity and pluralism. Fuck them. They fuckers don’t even have a demographic majority. So it pains when I say the vibe shift is showing the left as the worst version of themselves while the right is showing a new cultural ascension.

To a lot of normal moderate people the left looks controlling, scolding, frigid, and conformist. Everything from mask politics to gender relations has started to make the left look insane. It’s entirely rational people would be seeking a vibe shift for something more welcoming.

My theory is we are about to see a massive resurgence of affection for all kinds of conservative hobby horses. Especially of vibes that used to be the province of the traditional left. Everyone is sick of being shamed while they go about living their lives. And whoever wins that vibe war will win America.

Categories
Aesthetics Emotional Work

Day 481 and The Mood

There is a scene in Dune where heir apparent Paul Atreides is dismissing the danger he is in from the Harkonnens. He tells his instructor he is “not in the mood” to train.

It proceeds to be a standard issue coming of age issue. Paul realized being responsible means finding the mood if the need arises. The circle of manhood. You’ve read Joseph Campbell too so you can fill in the hero’s journey.

But I’ve recently noticed an uptick of people not being in the mood. This isn’t for lack of desire to build and and will manifest. People are exhausted by the increasing chaos. The entropy pulling on all of our lives is weighing on us. People have let big life decisions go by as the uncertainty plays out. We want to stop to attend to those problems. We’ve got health issues we’ve not checked out. We’ve got family members who are struggling. We’ve put off buying homes and making trips and investing in things b

But we cannot let the pace and uncertainty of the now prevent us from setting the foundations for our future. We may not be in the mood. We may be tired and scared and overwhelmed. But the occasions that require action do not care for our moods.

Categories
Emotional Work

Day 480 and Responsibility

I usually have therapy on Mondays. I stack all my emotional work into the first day of the week so I can be my most present for everyone in my life. But today I just couldn’t show up for my emotional work. I’m in a lot of pain and a bunch of things are up in the air professionally and personally. I’m just not able to be here.

Thankfully I’m lucky enough to be surrounded by people who are working on deepening their emotional practice. Someone was able to help me see that I wasn’t able to show up even though I physically showed up. They did it with one insight too.

Responsibility is having ability to respond

One insight and my mind was blown 🤯. In that moment I didn’t realize I didn’t have the ability to respond. I was abdicating responsibility. I was reactive. It wasn’t under my control. I couldn’t preserve my ability to today today. I was not preserving my response ability.

I quietly bowed out of therapy for the evening. Well not so quietly I cried a little and shared my disappointment. I needed to take responsibility for myself in that moment. So in order to preserve my capacity to respond I had to make the decision to bow out. I needed to be the adult that would take care of whatever portion of me was incapable of working through the physical pain of that moment. My inner child needed me to parent and I did. Now hopefully I can continue that streak through mealtime, bath time and bedtime so that my adult and my inner child can respond to the best of our ability to tomorrow.

Categories
Politics

Day 478 and Extremists

Over the past twenty four hours I have spent time in two communities known for attracting extremist viewpoints; immigration reform and education. And I feel a bit demoralized by the level of discourse that I’m having in person.

I attended an event on Friday for an organization I’m excited about as I wrap my head around why the American immigration system is so broken. I wrongly labored under the assumption that our system was flawed and inefficient, but still had the occasional success story. Now I realize it’s a hopelessly broken set of incentives wrapped inside heavy emotional baggage.

I don’t think the average American can conceive of how bad it is until dealing with it personally. And it’s crushing our competitiveness as a country. In twenty years when our population continues to age we will regret not fixing it. It’s actually an existential problem for our country’s future.

But somehow the entire debate centers around comical battleground partisan issues where they argue for the least relatable shit. We will never find common ground if we leave it to the extremes on either side. We are letting a crucial issue get sidelined.

I experienced something similar on the education front as well. Families are arguing over truly crazy shit that you cannot imagine any same adult bringing to a classroom of children. But this manifests in small ways too. We fixate on the purist forms of educational pedagogy instead of being pragmatists about protecting our children’s sense of self.

I only bring this up because sometimes I assume that real life must be better than whatever discourse is happening online. That social media must be reflecting some unnatural tendencies we only see thanks to access. But alas I’m seeing these fights happen in person. In communities that know each other. But we are adopting some of the tenor and habits of “the discourse” with our neighbors. And that worries me a little.

Categories
Chronic Disease Startups

476 and Temptation

When I am feeling healthy I love to over do it. Most days I feel basically fine. Which is a significant improvement over even two years ago. I was living a little low. But maybe once or twice a week now I will just feel terrific.

Today is one of those days. I woke up early after a restorative night of sleep. I didn’t miss anything on my extensive wellness regimen. I was just nailing the day.

The sad part about doing wellness because you have to for a chronic disease is that you aren’t even ever hotter for it. Healthy women be doing yoga & taking supplements and practicing wellness and it’s a fucking Instagram campaign. I do all that shit and at the end I’m “ok.” It’s actually pretty demoralizing. I engage in flawless yuppie next generation wellness because it’s actually keeping me alive.

With this context it’s clear that I resent having to take good care of myself. It feels like a burden. So when I have a really good day. When I’m just energetic and focused and, yes moisturized and thriving, I’m also plotting how to undermine myself.

Because I felt terrific I just hand to indulge in it I took a bunch of calls and did a bunch of portfolio work. I went for an hour long creekside walk to discuss some communication strategy with Alex. I was vibing. Until I wasn’t. I crossed some little threshold and realized I needed to pull back the energy expenditure. I recognized I have given into temptation this time.

Categories
Preparedness Startups

Day 474 and Unsettled

I don’t own a home. It was never a financial reality before the pandemic. But then the world accelerated and suddenly we had options and money. But still it seemed impossible to commit to another asset with a long time horizon even recently. We were startup people so every other asset was a long hold.

I don’t feel that way anymore. I have written about how I would like to buy a home now. I feel like it’s time to find a place where we can build some stability. But of course the chaotic thesis haunts me.

The chaotic thesis is the one that undergirds all of my investing. The world is getting more complex. That breeds chaos. The biggest macro-level mega trend of the next decade will be adapting to the chaos.

And as it turns out adapting to chaos is really hard. Everything that allows you to cope with the chaos in high demand. A safe place to call your own? Sorry, it’s never been harder to become a homeowner.

I wish I could say that knowing this is our reality makes it easier to adapt. Knowing isn’t the battle as it turns out. Acting on the knowledge is the hard part. Making good decisions under pressure is what will separate out who thrives and who merely survives.

I don’t think it’s going to be pretty and I’m genuinely worried it’s either hit the singularity or a new dark age. There is a reason we think we need the metaverse and it’s not because reality is getting better. It’s because it’s getting worse. I allowed all the web3 kids working out there working on Plan B.

Categories
Emotional Work

Day 473 and Technical Difficulty

I have a long-standing appointment on Monday. It’s had the same Zoom link for almost two years now. A function of pandemic necessity has made this link one of the anchors of my calendar.

It wasn’t working today. I got on at 415pm and was faced with a “host is in other meeting” sign. I thought ok whatever I’ll wait. But then I started to blame myself. Maybe I got the link wrong? I went back to my calendar and clicked in. Still wasn’t working. Let me reboot the application. Still isn’t working.

Needless to say my mind kept winding itself up about all the ways in which this minor technical hangup was obviously my fault. This despite any significant amount of evidence that it was in fact a mistake or error on my part.

And it’s just a fascinating thing to see how much I’m willing to accept all of the blame for something. Even in an instance where I bear no responsibility at all for the outcome. I suspect I’m not alone in this. The feminine urge to apologize is a punch line. Hell it just made it into Saturday Night Live joke this week. Ironic as Lizzo was hosting and she is one of the least apologetic woman I’ve ever seen.

I’d like to think it’s a kind of small narcissism that drives these obsessions with being at fault. To think that we have so much power everything that has gone wrong must be directly attributable to our actions. Except women being gluttons for punishment couldn’t ever enjoy the fun kind of narcissism where everything is a function of your genius. I’d love that on the next lifetime if I’m honest.

Categories
Chronic Disease

Day 472 and Missing Out

I never had headaches in my twenties. Migraines were a cultural phenomenon I was aware of it never experienced. After I did fertility treatments about four years ago my body went though a number of changes for the worse. I developed an inflammatory condition. And I became acquainted with migraines.

My migraines are the light and sound sensitive type. They leave me nauseous enough I have a prescription just for that. I’ve tried a number of treatments for the migraines prophylactically, but only Imitrax really helps once it starts. If I’m lucky I can turn one around in 3-4 hours with medication and a cold dark room.

Today wasn’t a day where I could turn it around fast enough. And I feel sad and alone and depressed about it. I was supposed to meet friends for a nice meal to celebrate with them and I’m missing it because I couldn’t control the migraine fast enough. Alex my husband made it to dinner with our friends but but alas at home in a dark room waiting for my Imitrax to kick in.

I debated if I could force myself into showing up but it was decided the amount of pharmaceuticals required wasn’t passing a cost benefit analysis. I tried to make a case for it saying if I just tossed enough pain medicine at the migraine maybe I could do it. But the rational vote from Alex was a veto. And he’s right if it takes an opioid to get me out the door that’s not something I can justify for a social event.

The irony is I actually dislike fancy dinners out. I find them to be exhausting. Having to sit on uncomfortable chairs and socialize for two hours is very expensive energetically for me. It probably takes a day to recover from the energy expenditure and I often have to up the doses of my stabilizing medications. I tend not to say yes to them as it’s expensive for me and I don’t enjoy them.

So I don’t know why I’m so upset that I’m missing this dinner. But I am so upset. Maybe it’s because I’ve had months of stability without any issue. When I said yes let’s go I expected to be fine. The last time I recall having a major crash was in early February. Since then I’ve flown internationally, lived on my own, and made it to a crypto conference in Miami with little incident. So maybe I was due for a bit of a crash. Maybe it’s just inevitable that if you push you need to rest.

But I feel miserable, inadequate and guilty about it. Like I should have tried harder. Should have taken more drugs. Or at very least been more upfront that sometimes my body is unpredictable and I find it challenging to have be “on” and in public for social things that aren’t strictly speaking crucial. But now do you tell beloved friends that they aren’t crucial? You can’t really. I just have to hope I can do it. And mostly I can. But not today. Today I couldn’t.

I feel like maybe I owed my friends a performance. I can perform in even dire circumstances. I never miss a dinner or event or appearance at which I’m required professionally. But I don’t hold myself to that stand personally. Sometimes things happen and I just can’t do it and I have to let my body dictate my schedule.

That reality makes me feel isolated and alone. Because I can’t make the same commitments as regular people to socialize and enjoy normal things. There is always the risk that I’ll have a bad day. And I save my energy for work because I have to. So that means I don’t get to have a normal social life like other people. I don’t usually mind but today I do. Today I’m missing out.

Categories
Internet Culture

Day 469 and the Discourse

On the one hand, the discourse today is horrible. Elon Musk threatening to buy Twitter is breaking people’s fucking minds. On the other hand, it’s the height of culture to be so singularly obsessed with a topic of such little consequence. The zeitgeist is full on psychotic.

This isn’t about free speech. Fuck that. No one gives that much of a shit about corporate governance that they’d super impose a civilizational problem like free speech onto securities law. This isn’t an episode of Billions. In except that both make me want to scream “that’s not how this works, not how any of it works” into the void.

This is all an elaborate publicity stunt to feed the narcissism driven logic of markets obsessed with celebrity and personality. Because everyone knows what everyone knows, pricing discovery is a function of lurching forward a narrative for the vox popli. Except everyone is convinced they are uniquely brilliant so they can’t possibly also be manipulated by the transparent agitprop. Yeah yeah sure I’m a galaxy brain too. We’re all playing 4D chess. Everyone is winning and the markets only go up.