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Aesthetics Biohacking

Day 1929 and Lacking The Executive Function for Dysphoria

I am no spring chicken. That’s why we bought some spring chickens this weekend. I kid I kid. I do however have a forever 35 face. I come from a line of women who age well sure but I have very consistent habits.

I’m lucky to have an ageless look. My husband would say I have a forever 28 face as I somehow look better having crossed into my forties than I did when we met at 28. Meanwhile my husband has gone from boyish wonder with full head of hair to distinguished grey beard with a bald pate.

Now sure husbands are supposed to say nice things like “no honey you haven’t aged a day!” Except I really do seem to have benefited greatly from genetics and routine.

He may be right, not out of any urge to flatter me, but simply because some women do look better with a little age on them. I looked young with a rounded features right until I looked ageless somewhere in my late thirties.

Alex and I at 29 where you absolutely can spot my pre-retinol skin
Alex and I two weeks ago before touring the West Wing during our trip to D.C

I don’t look all that different when I compare and contrast between photos from then and now. I gained and lost as much weight as a Kardashian (more than once damn you prednisone and bless you semaglutide) but my face has somehow retained its plump without a maximalist approach without gaining wrinkles. I’ve lost the fine lines.

Yet the approaches are getting more and more maximalist by the year. The difference between a 2016 routine and 2026 routine is enough to warrant a fresh round of social panic and scolding complete with a Big Story from New York Magazine’s The Cut.

Now I myself have left comments on extreme routines for twenty somethings to convince them that it’s too early for Botox as you do want to keep tools in the box for when you need them.

I didn’t start Botox till forty and I’m grateful as I need much less now. I didn’t pull anything out either even when cut looks were all the rage. I’m glad for my rounded features now.

But I have added in more to my beauty routine as I age because I enjoy it. I found it humorous when a 31 year old pursing a doctorate in clinical psychology said out loud what I’ve darkly joked about with girlfriends for years. It’s really hard to be completely controlled.

For a year in my early 20s, I was also spending literally all of my money on a psycho 100-step skin-care process. Looking back, I didn’t have the executive functioning to be successfully anorexic, which is what I also wanted. But I did have the discipline to enjoy this complicated multistep ritual of the skin care. I found it satisfying.” New York Magazine

Now we can all joke and say she shouldn’t be in practice but I never felt I could pull off an eating disorder either even though I often wished I could. That eating disorders are dangerous enough to kill you isn’t the point. It’s being able to control your body enough that you can kill yourself that we desire.

I hated that no matter how much effort I put into diet and exercise I could never achieve the standards of waif like beauty put out in the heyday of Anna Wintour’s heroin chic era. Millennial beauty expectations were a bitch and I could never quite work up the control to hate myself. Sure I got really fit with a heck of a squat but I always had to watch every single macronutrient and instead of skinny I got lean.

And while I appreciate a good Molière joke about The Imaginary Invalid, weight was never the issue that got me in trouble. It was hormones that got me.

So I knew poor health with a healthy weight and I knew poor health with a lot of weight gained trying to fix the poor health.

I will never allow myself to get over the BMI band again to avoid the medical discrimination I faced when I gained weight while on prednisone.

Alas no my autoimmune condition was not mitigated even an iota by weight loss. I had it before I was fat. I got fat treating it. I still have it now that I’m at a healthy weight.

But the desire to maximize your looks and your health always intertwine with women. Increasingly it does for men too. Body dysmorphia respect neither sex nor gender. I doubt it will ever again.

Beauty is a skill set. And some of that skill set is now pharmaceutical in nature. And if we are honest, it’s been that way for a few decades. It’s just that everyone know about it now. The network age comes for us all.

Categories
Biohacking

Day 1912 and Informing Ourselves

Some 20 years ago, before I knew I’d have medical troubles of any length, my college job was working for a medical ethicist who was a physician with a grant to study informed consent.

Now, years later, as I have worked my way through institutional resistance to how I may come to be disabled and generally dismissed as a patient, I come to find that much of the skepticism my mother had as a crunchy hippie is now functionally being proved a quarter century on. These uncomfortable trends drives skepticism in even the most informed minds. And most patients can only ever be expert on their symptoms.

This comes at the end of a crisis of communication about the value of public health and personal responsibility in a community. Many people did not feel that they were given adequate consent and no longer trust anything said by doctors. Would most medical professionals agree they had informed consent? I think most argue they were. I agree.

Now of course we’re all desperately trying to prevent harms here and patients more than ever feel that, as they don’t trust what’s coming to them because we’ve not effectively decoupled population-level information from the individual human behind a given case. Is that informed consent? Yeah as best we can do it.

Now how does research play into all this? I also happen to have the misfortune of having working on the early years of on one of the worst medical misinformation spreaders in all of healthcare. I say this lovingly: it is Gwyneth Paltrow.

Now if you root around Twitter, you will find commentary about how the supplements hawked on Goop and the supplements hawked on various right-wing sites are functionally identical. But she got a lot right because she is a rich well connected white woman with money. So again who is informed and to what degree?

Unfortunately some of the things that are sold as treatments or supplements they sell are real and have proven out. We’re working our way through the science on our gut biome, infection and its links to preventable autoimmune diseases, and any number of other previously heretical paths.

But we’ve really not transformed the way we process our information on what we know and what is actually considered best practices. The gap is very wide. Like a chasm. I am way outside the norms because I fucked myself up believing I wouldn’t be a statistic as it mostly worked for most women.

So I live with issues. But do I think that people have a right to experiment with what we think might be snake oil? Absolutely. Everyone calculates their own risk. Heck Sarno is just one giant placebo doctor on letting go.

We know that some of the avenues of exploration will prove to be placebo effect if they work. And we still somewhat trust things that are actually going to cause harm aren’t really making it into the popular press and mass consumption unless there’s some evidence. I sort of believe that to be true.

More people should feel that they have the right, if they have informed themselves over a period of time as patients, to work around the system if they make no progress despite best efforts and years of work.

There’s just a lot to balance on being informed about your conditions and your capacity to manage your own health that is up to you. I think that generally speaking the paternalistic attitude has not produced superior outcomes.

And the quality of care I get as someone who can pay for health care anywhere in the world, it is galling to me that the gap between what we know and how far we can go in practice is so wide.

So let the guy advertise the doggy cancer vaccine because at least it’s teaching people that we have solutions to more than they know. They can judge risk reward and be a little bit strange. Humans are humans.

You get to decide it based on your own understanding of your own life and you get what you get. I was disabled by my own misjudgment of informed consent on treatments recommended by a COO of a major company who paid to have as a perk to her workforce. Egg freezing was an approved elective procedure that everyone was on board with ten years ago.

I was informed. I consented. I got it wrong. Now let me see if I can fix it in my own manner of choosing. And I won’t trust mere authority next time. Neither celebrity nor pharmaceutical company is to be trusted.

Categories
Aesthetics Culture

Day 1907 and Blurred Velvet Glove in Their Iron Fist

I’m on what appears to be family spring break in Washington D.C. I have conferences and dinners and I think it’s lovely that everyone is doing their level best to get the county through the moment to a better end.

The cherry blossoms are in bloom, the weather is warm, and I am trying those trendy serum coral blush that are apparently in style. That’s code for every brand has a version and quality varies greatly. Also no one likes the millennial dewy white bitch. She is dead. So I must carry on with the a new look says Vogue.

The last 12 months have made clear that matte is definitely back, but it’s been rebranded a bit. Dry, cakey formulas have been swapped for ones that offer hydration while diffusing the look of pores and fine lines. The result is a velvet, satin, or cashmere effect that reads softly blurred.

Thanks Vogue! I am not entirely sure of what kind of events I’ll be attending this week but more than one is the sort of where you want to look up to the moment and polite.

So I’ve been playing with new foundations and lipsticks and putting on spring dresses. It’s a lovely way to spend time the first weekend of spring.

I do see a way forward if we can focus on the ingenuity of American people. We are the end beneficiaries of a host of technological innovations that we paid to produce. I see new kinds of ways we could use that compute in clever and intermediate ways. Maybe I’m an old cyberpunk but banks are now with us.

So I try to remember the changing of trends are are also changing realities of how we must remember the coalition to take compute and speech from Americans is doing everything it can by making you afraid.

It comes from a patrician sense and you want to question if it passes your shit test. I don’t think anything good comes from believing scare tactics. We’ve had a good example of long forecast expert doom being completely wrong.

Which is probably why there are still magazines at all, if life were changing so sharply maybe we would still have a Vogue to tell tell us that it’s nice to have a smart sharp gloss that blurs to matte.

And it’s nice to have a Sunday with blousy colorful dress with the perfect handbag. It’s just a nice spring day in any city. This one is just right on time. Montana might take a little longer to get to spring dresses.

Categories
Aesthetics Community Internet Culture

Day 1888 and Touch Sand

As the “monitoring of the situation” reached whole new levels, I took some time to touch grass today. I don’t think I opened more phone more than a dozen times before writing tonight.

So many mutuals are teaching themselves automation skills by building situation monitoring boards that maybe the Department of War doesn’t need Claude. It was charmingly easy to keep up. Which is a very distorted and dystopian way of living out the hard realism of kinetic power in real time.

If America is backstopping Loyld’s of London shipping insurance, then to repeat a Keanu Reeves meme style. Yeah I’m thinking that America is back. But I’m getting to old for this shit. It’s all TV tropes now as we unmoor in the propaganda. Which is run by an honest to goodness critical theorist who trained with Jurgen Habermas.

So instead I stared out over the horizon as the wind gently brought fresh air in from across a wide open vista. I enjoyed my friend’s company as we talked about jhanna meditation and compute pricing. We saw a seal winning along the shoreline. I put on sunscreen twice as we stayed out in the sun.

How luxurious is it I had long leisurely in-person time with a friend. Not all of my business is with friends but I cherish the ones with whom I do.

We walked and talked and broke for lunch and discussed problems from the most abstract to the most precise. Having given the world so much access to all of human creation and taste, did the market provide an original version of the driftwood horse decoration or has there only ever been the mass market design? Neal Stephenson fans get it. Baudrillard too.

Fashion people and technology people worry about these questions of taste because they are questions of control and tooling. The source culture of engineering culture shared context. How abstract is too abstract? What is enough to enable the builder to use your tool?

It was good to be outside in the sun with someone and talk. That activity needs no shared context beyond humanity. We have missed it in the hubbub.

Isn’t it funny how just as the internet is losing its humans, the humans who met only thanks to the marvels of the network are finding new offline systems? The network can reprogram itself.

I have dear friends and successful investments that I have spent hardly a single moment commingled in time and place with. I imagine that age is either just beginning or just ending and I am not sure which. So today I was outside in the sun talking. I don’t know if we made any progress but maybe I’ll only know in the far future.

Categories
Aesthetics Culture

Day 1881 and Attemplate

I’ve wandered far from the traditional life paths that might have recognizable to past generations of my kin.

It scares me. Any time I contemplate the change I have already experienced, I imagine how much more change I can expect to see.

How are we supposed to raise children, mentor young leaders or align artificial intelligence with the good, the true and the beautiful when we adult humans have experienced life so far from past ideals?

So I’ve been toying with a portmanteau blending attempt and template to express the idea of “an experimental framework” or “proto-template for living, learning, or skill-building.” I need templates to help me attempt to adapt while retaining my humanity.

We will all be re-skilling, re-learning, and re-engaging with our values and as I try to structure templates that help me walk a life and prototype styles that might work for myself and others.

I hoped to communicate both clarity and flexibility with the choice. We are building good ways of being in a world of rapid change. Templates must change and we must always be attempting to learn and adapt.

I liked that attemplate sounds like a natural word you felt like you may have already encountered. It does a nice job of mirroring the thoughtfulness of contemplate. A template for a new era which will be attempt to build, even if the foundations we thought were firm in the past give way to much broader ways of being.

I played with “attempate” which sounds procedural (almost bureaucratic) as if one would take a sheet of paper with an assigned attempate to fill out and live. Why yes, I took the project management attempate sheet to see if I had natural aptitude for detail work.

Temptlate” sounded engineered. Maybe it would be suitable name for an internal tool or concept document. We will add that to the family Temptlate and see who bites on it for Saturday plans. It’s cute, playful and almost experimental, but not entirely as serious as the scaffolding one hopes to build upstairs n.

Maybe I’m the only one who feels like I lost decade between Trump Derangement Era through Pandemic Biden Gramsci End of March Institutional Capture.

What I thought was true slammed into things I wished were not. And then we fought years of anarcho-tyranny as the state refused to budge even if you attempted to follow its templates.

So here I am trying to find new ways of being for myself, for the future, and for my present. Maybe it’s entirely selfish. Templates for how to live are the anchors from which we used to build religion and power.

We’ve stripped much of the meat from life and turned past ideals into brands and merchandised them into outfits and starter packs. But it’s worth an attempt don’t you think?

Categories
Chronic Disease

Day 1863 and Head Above Water

Yesterday I wrote that I had no gas in the tank. Today is not much better. I am barely keeping my head above the proverbial water line. I finished a major purchase which I thought would give me respite for a few days.

Alas changes in destination, an emergency dental appointment for a family member, and the promise of rest was more like a promise of fretful semi-consciousness.

After days of rushing around seem to have swept me off my feet and into bed I still am not quite rested.

I thought I was mended yesterday but it seems as if I’m on the second day of exaggerated sleeping patterns with long arcs of sleep in the wrong places and times. Add in a bit of overheating on top of it and something feels off.

It’s not unusual for me to absorb major changes and shifts throughout their unfolding via some migraine induced osmotic pressure. I feel the animal spirits and global vibes push in past my physical limits and I shut down. I hope I’ll reboot soon.

Categories
Biohacking Medical Travel

Day 1846 and Doctor’s Orders

I have had a lot of experience with doctors over the last few years. A chronic autoimmune condition isn’t the sort of illness that gets “better” like a virus. It can only be managed.

I have come up with endless ways of collaborating with people who far too often believe they are more informed, powerful and intelligent than me.

Sometimes they are even right about that perception. It’s a frustrating fact of life that doctors value their status occasionally more than their patients.

Today I went to a tourist hospital renowned for its extensive offerings and professionalism. My usual interpreter (it’s in a foreign country as many nations from Mexico to Turkey to South Korea serve American patients) had a number of procedures and visits organized for me. I felt confident I’d learn a lot and maybe find new pathways to healthcare management.

I happened to have an aesthetic elective treatment first. A plastic surgeon met with me to refresh some Botox. That seemed excessive given a nurse does my light work back in Montana but why not get a professional opinion while you have the chance.

I’d intended to spend the afternoon at the hospital doing a number of more productive activities than smoothing my fine lines. I’d set up rheumatology and immunology lines of questioning and I was excited to get some holistic work done including ozone and an IV infusion of vitamins and minerals.

Alas I was stopped in my tracks by a physician who simply would not approve the IV I had set up, the ozone work, nor would she approve the alternatives I suggested (an intramuscular B vitamin shot). I made my case with the interpreter and my AI.

The doctor wouldn’t budge. She even obfuscated suggesting that glutathione was illegal though backed down when it turned out to be a malpractice issue related to compounding pharmacies.

I very much wanted to buff up my immune system, especially having chosen something elective to go first, and I could not make progress. It shut down my whole afternoon. All that was left was tests and waiting.

There was no order the doctor was willing to give for short term immune improvements unless I committed to five weeks of procedures which given it was a tourist hospital seemed a little ironic.

I am demoralized but doctors will be doctors. I never seem to manage to convince them when I really need it. Doctor’s orders are not always for the benefit of the patient. Maybe no one wanted a woman sitting around hooked up to a vitamin infusion. Who knows. I probably would have skipped the Botox though.

Categories
Aesthetics Biohacking Travel

Day 1845 and Lake Effects

I feel a ray of optimism emerging like a bulb who mistimes a false spring in late winter. I am in the dead of winter and I have the first glimmers of light.

“How you do one thing is how you do everything” is an aphorism about character that would take a natural born contrarian to engage.

I made a series of small decisions to keep myself still and make use of resources and skill clusters so I didn’t have to stress myself for a timeline that I didn’t make.

I took a few days to back off into medical tourism and longevity experiments. Nothing fancy or even novel. I wanted good sleep and a classic NAD+, Myers Cocktail, essential trace minerala, glutathione, Alpha-lipoic acid. Just good clean anti-inflammatory fun.

I want the good decisions about sleep habits and nutritional choices (sea bass, shaved vegetable salad, prawns and artichokes), the good exercise decisions (mobility and V02 max if I can’t push muscle too hard without impacting my my nervous system’s vagal tone).

I feel so lucky that this is a choice I can make. I need to be in fighting shape or the compounding choices of my health will have the wrong trend line. I want to see our future.

I am breathing slowly and watching a kind of lake effect whip up the water in the pool outside giving a fluid dynamics show to anyone who loves the movement of water and wind. That makes me want to live in our present.

Categories
Aesthetics Biohacking

Day 1843 and Does Enya Listen to Herself In The Bath?

As a woo child of the New Age 90’s era of music, I love listening to Enya in the bathtub. Pure Moods and a hippie mother set a tone for bathing for the remainder of my life.

Alas in Montana we do not have a bathtub in any of our bathrooms. We have a hot tub but the chemicals bother my skin so I only get to enjoy a bathtub when I’m traveling.

And you better believe I have Enya downloaded on Spotify for those occasions even though I’m certain at some point we probably owned all of her music on tape and CD.

While I love the classics (who doesn’t want to sail away?) I had Wild Child come up as I was soaking up magnesium yesterday. Which is not a bad checklist for becoming present in the moment.

Ever close your eyes
Ever stop and listen
Ever feel alive
And you’ve nothing missing
You don’t need a reason
Let the day go on and on

Let the rain fall down
Everywhere around you
Give into it now
Let the day surround you
You don’t need a reason
Let the rain go on and on

What a day
What a day to take to
What a way
What a way
To make it through
What a day
What a day to take to
A wild child – Enya

I’m no wild child but I don’t need a reason to enjoy a bath or a day. Rest up and rejuvenate.

Categories
Biohacking Chronic Disease

Day 1830 and Itchy Twitchy Bitchy

It’s one of life’s truisms that we may wish for prestige, power and money, but none matter without your health.

The first wealth is health” by Ralph Waldo Emerson.”

I don’t think it is self flattering to admit I have got some amount of respect, influence and capital. And yet every spare dollar and moment I have I spend trying to improve my health.

The other types of wealth I have don’t matter if I’m in too much pain to think or I am so regularly infected that my resting heart rate is in the mid nineties.

Yesterday I started getting what I call itchy and twitchy. It’s often the first sign of an infection that has broken through an altered window of immunity.

My entire body will itchy. Sometimes it will be accompanied by a rash like eczema. If the rash is bad enough to be opened through itching I can easily get a bad infection. The discomfort of all that makes me twitchy from the anxiety of it all.

I suspect I am itchy twitchy at the moment as I am in a city with polluted air from major construction and high air mold counts from the winter rains. It makes me want to hit the road immediately for dryer climates but I’ll take prednisone first.

That should make me very pleasant. Anyone who has taken the steroid knows it’s a joke as the drug makes everyone who takes it feel a bit crazy. And you get fat and moon faced for added insult to injury. So apologies in advance if I’m going to be a bit bitchy.