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Medical Preparedness

Day 354 and Covid

The worst has happened. After nearly two years of being ambiently aware of Covid as a risk in the world I have tested positive. I honestly didn’t think I had it. I feel a little bit sick. I briefly ran a fever. I mostly felt the malaise from the inflammation. Little did I know that the game had changed with Omicron. That was all Covid.

I think we are in the middle of public communication crisis. The new symptoms for Covid are not severe coughing but the sniffles. And the vaccine doesn’t give you neutralizing immunity. It sure does help reduce the severity of the infection if the mildness of my symptoms are any indication. I worked several days before I realized the extent of the illness. And in no way had we reduced our daily caution. The only time I spent indoors with other people was when I had to go to urgent care for a torn ligament in my ankle.

I’ve got to be honest. This is going to happen to you. It’s happening fast and you probably didn’t see it coming. From when Omicron first got identified to me getting ill was less than two weeks. We have a rapid test shortage which means only those with flexibility and money will know if they are sick.

It’s going to be a very ugly month. Not because anyone is going to get extremely sick. But rather a lot of us are going to be a little bit sick. Let’s be gentle with each other when it happens. We are all going to be really miserable together.

Categories
Chronic Disease Medical

Day 352 and How To Be Sick

Everyone I know seems to be sick right now. My husband is sick. My media friends are sick. My finance friends are sick. My random internet friends are sick. No one is in bad shape but everyone is miserable. If Omicron is as transmissible as it seems you’ve got a good shot at getting sick in the next month or two even if you are fully vaccinated. Don’t panic. I’ve a ton of experience being sick so let me give you some advice on how to get through the misery in one piece. Being sick is an opportunity. You’ve got this.

Drink lots of water: basic but crucial. Down a full glass of water every few hours. Set a timer. Being hydrated is key to your body flushing out gnarly stuff.

Stay in bed: your body has diverted all your energy to your immune system to fight off invaders. You are going to be tired. Don’t try to overcome it with stimulants like coffee. That’s just going to make it worse. Accept that you won’t be as focused or as energetic. The less you try to push through it the faster you get better. Cancel everything. If you want to get back to normal the fastest path to that is letting yourself heal.

Intake lots of nutrients: your body needs all the help it can get. Now is not the time to restrict calories. Eat vegetables and high quality protein. Eat healthy fats. Take a multivitamin. Consider taking Vitamin C and Zinc. Drink broth as it keeps you hydrated and gives you nutrients. Here are some ideas from the Cleveland Clinic.

Take care of yourself: tempting as it may be to order junk food, binge watch tv and doom scroll social media, you need to build up your vitality and constitution. This is what had worked for me. Being in bed tightens up your muscles so do a basic stretching routine for ten minutes twice a day. Don’t overstimulate your autonomic nervous system. Go out in the sun and keep your circadian rhythm normal. Meditate even if it’s only a few minutes. Do deep breathing. Take a hot shower even if you can’t stand up for too long. Brush your teeth and your hair. Talk to to your family and let them know how love them. If you have the strength do something artistic or creative. You must maintain your humanity. That means finding rhythms that build you up.

Accept Help: being sick robs you of many of the building blocks of modern identity. If you have built your self acceptance on concepts like hard work and being productive, it’s going to make you feel shitty when you are in bed and can’t do anything. Being sick is a reminder that self acceptance is the key to happiness. You are more than what you do or produce. You are a human being worthy of love simply because you exist. At your weakest and your sickest you are as worthy as at your best. Be ready to accept help from others so you can accept yourself. Be ready to be cared for by others. You do not owe anyone anything. Your existence is enough.

Chances are you are used to feeling healthy. Being sick is going to rock your reality. But you will overcome it. Cultivating empathy for yourself is the best path for doing so. Don’t judge yourself. Care for yourself as if you were your own child. Without judgement. Good luck!

Categories
Preparedness

Day 351 and Preppers

The smartest people I know are preppers. Not the end times doomers and apocalyptic types; preppers I know are regular people who happen to have the means to get ahead of disasters. And they are quietly preparing for a much harder century ahead.

There is a significant amount of optimism in my world right now. Crypto and web3 has done well for startup people who saw the promise of blockchain early. But also more traditional startups like SaaS companies are having boom times as well. Every aspect of the pandemic has made life appreciably better for technology workers of all kinds.

Permanent work from home freed us from expensive cities like San Francisco. A stock market buoyed by stimulus made our equity heavy portfolios soar. We have been able to isolate if we want. We’ve had only the upside of the pandemic and born few of its burdens. We are the undisputed winners of the pandemic. And we see how that victory is fragile. An accident even. We did little to earn our comfort.

And so we are preparing for bad times. I’ve got multiple friends who have moved to rural communities from metropolitan cities where they have lived for decades. They are investing in farmland in some cases. In others, just little upgrades like gardens and chicken coops in small towns provide a bit of resilience. Gentleman farmers are making a comeback. Homesteading is to millennials what “back to the land” was for my boomer parents. Some of it is cozycore but a lot of it is genuine desire to get back to making things that keep us alive.

I’m seeing it increasingly from people who work in finance as well. There is a kind of quiet consensus that it’s wise to prepare for winter. Even in the midst of growth so impressive even the Fed is finally acting on inflation, the savvy finance folks know our world has risks. We talk about downside protection and portfolio diversification. But we also quietly talk about tail risks, complexity science and anti-fragility.

It’s not the we are Cassandras assuming that we live in a permanent bearish state. We aren’t convinced that if Rome falls so do we. If anything most of us are optimistic bulls who believe the best case scenario could show us into a new exponential age. But also many of us live in America. And who knows if America’s political situation will remain stable. Our liberal party can’t govern without panic and incompetence and our conservatives are openly adopting populism that flirts with fascism.

Add in that the regular climate driven catastrophes are now weekly. We are all aware it could be our homes in the eye of the next storm. And well it’s rational to be concerned that the world will be more chaotic. Some of us, including me, are convinced it will be an age for making fortunes.

But we aren’t idiots. We believe in scale, specializing and capitalism. We’d also like to know how to manage our own vegetables out back. It’s wise to know your local farmer and dairy. It just tasted better. We know it’s more resilient. Being decentralized may add in some additional friction. We think that’s a good thing in some cases. Why do you think we invested in Bitcoin?

Now I’m not saying we are right. I have no idea when or how some kind of disaster will befall us. But I am saying it couldn’t hurt to have some bottles of water and a couple weeks of food on hand. I’m saying you should prep. DM me if you need help.

Categories
Biohacking Emotional Work

Day 349 and Vibing

When I injured my ankle two weeks ago I was angry. I had been so focused on doing things. Every day was packed with obligations and routines. Walking, supplements, weight lifting, stretching and appointments all took up huge portions of my day. So I wasn’t exactly thrilled to add in an entirely new thing to my day. I was worried it would set me back on my progress both at work and with my health.

And yet it’s been delightful. I’ve just kind of let things happen. I’ve been in bed. I haven’t been pushing to get in steps or raise my heart rate. I’m just vibing. Whatever the day brings I’m taking it in.

And I feel fantastic. My mind is sharp. I’m moving forward all the projects and investments I prioritize. It feels like by pulling back on all my other routines because I needed my ligaments to heal I’ve suddenly improved everything else in my life. It feels like life is fun again. That I’m spending my time on things that make me happy.

It reminds me of a favorite line from my therapist. “Be a human being not a human doing.” Was it possible in my efforts to improve my resting heart rate or put gains on my lifts that I was affecting my happiness and my intellect? By trying to improve myself had I been making myself miserable? Once again I’m learning that just letting myself live is the best way to achieve my goals. If you feel stuck maybe just chill and vibe for a bit?

Categories
Emotional Work

Day 347 and Self Acceptance

Because a huge chunk of this writing exercise has been tagged under “emotional work” I’ve had the good fortune of chronicling much of my emotional growth this year. A huge theme? Learning to love myself. I know, it’s pretty core stuff. You are probably working on the same thing as me. Just because it’s fundamental doesn’t mean it’s easy!

My favorite coping mechanism is working harder. Didn’t get what I wanted? It’s my fault. Maybe if I’d put in make work I would have! I’ve got a whole circle of abuse I pour on myself. It’s always my responsibility if something didn’t work out. Not happy? Time for self improvement. It’s rarely occurs to me that I should simply accept myself and that sometimes things simply don’t go my way. I don’t seek out self improvement for the joy of it. I do it to punish myself.

I’m terrified of letting go of my coping mechanisms. If I was good enough I would have felt loved as a child. This is a horrible inner child logic that I’m applying to myself. As if an infant deserves love because of its efforts. We love our children just for existing. And yet I struggle to express love for my own inner child.

If I stop using hard work as a coping mechanism I am afraid I’ll never be accepted again. If I let it loop even further I am afraid I will die. Because I fear I only overcame my health issues because I throw so much effort into recovery. I am afraid it is only through effort, punishment and improvement that I deserve to be in this world. Any wonder I find Calvinism appealing as a faith?

I tell myself these are rational coping mechanisms. The world does reward me for hard work and continual efforts towards improvement. I pay my bills through hard work. And sure if I don’t pursue basic healthy habits and fitness then yes I probably won’t feel as well. But these arguments are just an excuse to keep myself from accepting that I’m worthy as a human independent of my work or my health. And because I have a hard time hearing this for myself I want you to know you are worthy just for being you too. Our humanity is enough.

Categories
Emotional Work

Day 345 and Trust

I’ve not always been accepting of my own weaknesses. Instead of focusing on how well I can hone my super powers, I’ve occasionally fixated on where I lack innate talent. I’m not particularly adapt at operations or logistics but I feel bad about it. I am however genuinely top tier when it comes to narrative & attention. Somehow I don’t feel equally good about this.

I’ve tried to work in teams where my talents & weaknesses are balanced out by others. I like teamwork now in a way I didn’t fully appreciate when I was younger. I’ve learned to trust my own value. And I am able to emotionally trust the people around me.

The psychological safety that comes from trusting yourself and others is a lifelong process. Even a few years ago I’d struggle to not compulsively overwork to overcome my weaknesses. When I should have been honing my unique talents.

I’ve got an opportunity over the next few days to really trust one of my teams. We’ve got a deliverable that isn’t in my area but I’d crucial to success. I could spend my extra energy worrying over it and making an attempt to contribute just so I felt useful. Or I can emotionally let go and appreciate the trust I have in others.

Categories
Emotional Work

Day 344 and That Was Easy

I’ve been off my feet all week because of my ankle injury. That means no weightlifting, no long walks, no breaks to raise my heart rate once an hour. I’ve been in a state of rest and recovery. And my mind has never felt sharper.

My quantified self data suggests I’m more recovered than I’ve been the entire year. My resting heart rate is a full 40% better than average. I’ve added in a few new routines to facilitate healing including infrared sauna, applied hot and cold therapy, percussive massage and electro-stimulation. But I really think it’s all the extra rest I’ve been getting.

I can feel it in my desire to do frivolous things just for the joy of it. But I can also feel it in my skyrocketing motivation. Some long term projects are coming into fruition in ways that not only meet my goals but wildly exceed them. Like all of the power I’ve ever imagined having is completely reasonable. I don’t even feel like I need to suffer for it. It’s there because I have joyfully brought myself it it.

It’s quite possible the lesson I should take away from this is that constantly pushing myself for improvements through hard work and pain is completely the wrong approach to getting what I want. That real power comes from letting yourself live within the rhythms of your own life. Letting what you want flow through you means sometimes it will be easy. And that’s ok too. Let yourself succeed with the power of your own unique approach. It’s the most differentiated thing. And difference is always an edge.

Categories
Biohacking Chronic Disease Medical

Day 343 and You Don’t Have to Feel This Way

Modernity is tough on our bodies. We sit hunched over glowing screens for hours and we call that necessary. We rationalize ignoring our meat sacks as logical. Cartesian logic like “I think therefor I am” is a convenient an excuse for disembodied living. Except eventually it will catch up to you. Maybe not for a while but it will. Maybe you’ve noticed feeling shittier recently.

I’ll tell you how it starts. You feel sluggish. So you stimulate your system. Maybe you drink more coffee and eat more sugar. Then you notice you don’t sleep as well. That makes you even more tired. So you stop moving as much as you did before. You don’t track any of this so it’s hard to notice till the effects compound. Then you notice aches and pains and you think well maybe it is just getting older. Maybe you start to have a back problem and friends tell you they have the same problem.

It’s the slow downward spiral of misery and it’s probably happening to you. It happened to me fast and hard but the path is the same. We accept feeling badly. We accept that deterioration is a fact of life because we’ve got to work and take care of the kids (if you are lucky enough to afford a family). We just accept lower standards of living because we get worn down.

It just doesn’t have to be like that. This shitty quality of life doesn’t have to be the new normal. Fuck the doctors who can’t diagnose you. It’s systemic. You’d be lucky to find one things so broken because it’s a place to start. Most people are justly subtly broken. But it’s not reached the acute stage where our medical system finally kicks in. Doesn’t mean what you feel isn’t real.

The shitty part is next. You’ve got to do the work. You’ve got to change your life. No doctor or health practitioner is coming to save you. They an give you a piece of the puzzle but you’ve got to assemble it. If you commit to getting well it’s going to cost you willpower. Because the path out is hard work. It’s nutrition, sleep, lifting heavy things, going outside everyday, taking supplements and vitamins, meditation and mindfulness. Frankly it’s a lot. I spend a third of my day on it so I can live what’s left well. But I no longer feel subtly shitty all the damn time.

Categories
Emotional Work

Day 340 and Unconscious

I have reached the stage of my recovery process over my ankle injury that I am wondering what unconscious desire did I have to put myself in a position where I’d be reliant on others again. I’d only recently felt fully independent and healthy within the last few months. I had come to consider myself recovered. And yet here I was laid up back in bed.

A lot of folks don’t appreciate the therapeutic process of plumbing one’s unconscious desires. It has an uncomfortable hint of victim blaming to it. If something happened to you, well you must have wanted it somewhere deep inside. That sort of misses the point though. The freedom to become responsible for ourselves is hard work. It is actually much easier to allow ourselves to be a victim of our past patterns and behaviors.

We have to regularly inspect our deeply held emotions and their origins in order to live up to being an adult. Sure we all have wild inner children with deeply felt but entirely irrational reactions. Sometimes those unconscious pieces of ourselves runs the entire show. We might even fear it is the source of our unique genius. But it doesn’t have to be that way. We can appreciate the benefits of our joyful creative wild sides while still being a responsible adult that manages our inner child’s emotions.

Categories
Medical

Day 337 and Good News

On Wednesday afternoon I had an accident. My husband heard a snap and I was on the ground. I fucked up my ankle. X-rays and urgent care visits ensued and we begged our way into an orthopedist to assess the damage and get an MRI and ultrasound. The initial shock was wearing off.

The mobility aids dropped off by my concierge doctor had me feeling much more optimistic that whatever the diagnosis I could manage. A walker could easily get me to the bathroom on my own power. A shower chair was arriving from Amazon so I could finally wash up with something other than wet wipes. We’d also acquired an infrared sauna, a number of supplements to supplements to support ligament recovery, and some cold compression devices. I’m hoping it get an electro-stim device as well.

The orthopedist we’d begged our way into first thing this morning had good news for us. I’d torn two ligaments but it was pretty run of the mill. For once I didn’t have an exciting diagnosis. It was boring and simple. It wouldn’t require any surgery. It would be two weeks of keeping all weight off my ankle and then a slow introduction to physical therapy. If all goes well I’ll regain mobility in a month.

I’ll be wearing a boot and using a walker for a while but we can slowly introduce weight bearing activities at physical therapy within a few weeks. Maybe by Christmas I’ll be able to get myself up and down stairs. Since I don’t want to miss our Christmas tree being upstairs for the entire season.