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Why Donating a Kidney is a Good Idea

See the Dutch column version of this article

It’s been seven days* since I donated my kidney, and I feel like my old self again. Sure, I have a scar of about 10cm around the waist. I’m not running a marathon yet, but I feel entirely normal besides that.

If you’re not afraid to suffer a little uncomfortableness, I’m here to convince you that donating a kidney is not a big deal – and a massive deal for someone else at the same time.

Why donate anyway?

By donating my kidney, I’ve given someone a second chance at life. His** kidneys were failing, so his life was cut short. Though dialysis can partially replace the function of a kidney, the process of being hooked to the dialysis machine every second day significantly reduces someone’s quality of life.

A new kidney, from a living donor, will last for an average of 22 years. Kidney transplants are regularly done, and 98% of them are successful.

In short, donating a kidney gives someone another lease on life.

There are currently over 800 people waiting for a kidney in the Netherlands, waiting an average of two years for one to become available. If they don’t receive a kidney, dialysis is the only option. Of those waiting, 8% die and 14% see their condition worsen to a state where a transplant doesn’t make sense anymore.

Donating a kidney also positively impacted me. I feel joy at being able to help someone else. I feel grateful for being able to help another person, even though I never get to meet the recipient.

The potential risks of donating a kidney

When I initially shared the news with my mother, who is retired and had been looking forward to becoming a grandmother, her reaction wasn’t exactly what I had expected. Instead of being overjoyed and grateful, she was taken aback and expressed discomfort with my decision to donate a kidney.

“Don’t you need the kidney yourself? What if someone close needs a kidney?” were two typical reactions I got when telling others about my plan to donate.

The answer to the first question is a resounding no. Kidney donors, on average, live the same length as other people. There is an increased risk of end-stage renal disease, but the chance, measured over 15 years after donating, is lower than 0.5%. And if things go wrong, I’m automatically prioritized on the waiting list.

If someone close to me needs a kidney, they are not getting my other one. But the chance of them getting a kidney transplant is 1 in 18000. In other words, there is a tiny chance that someone I know personally will need a kidney. Even if they did, there is a big chance that I wouldn’t be compatible with them.

A third cost is a chance of dying during the operation itself. The chance of dying on the operating table, from data between 1994 and 2009 is 1 in 3000 (I’m mentioning the dates as it’s probably overestimating the risk). This is roughly the same cumulative risk you would incur by riding a motorcycle for 3000 km.

The actual costs of donating a kidney

The hospital doesn’t cut out your kidney without knowing with certainty that you’re healthy enough to donate.

I visited the hospital six times before the operation, two visits which lasted multiple hours, the others being a quick in and out for a blood test or scan. As I live in the same city as the hospital, the total duration of the visits was less than two full working days.

The day before the operation, I got my own private room with a view. There was some nervousness, but for the productivity obsessed, I was able to work through the afternoon which was only interrupted by taking some blood samples and inserting an intravenous catheter (for pumping fluids into the blood circulation to get the kidneys hydrated and active).

During the operation itself, I was under general anaesthesia so I can’t report much there. When I woke up a few hours later, I got an ice cream (‘raketje’) and after half an hour of coming to, was wheeled back to my room.

What surprised me most was the lucidity I felt after the operation. I was on pain medication, and my girlfriend said I did sound a bit high. But I could voice message friends that I was doing well, and after visitations spent the rest of the day watching Netflix and listening to an audiobook.

Around four times a day, a nurse would come by and take my vitals and ask about my pain level. I received two slow-release morphine tablets (the first two days), four oxycodone tablets (lasting about six hours), and two aspirins three times a day for the first three days.

The first two days the pain level reached an eight, both times in the evening when I was trying to get to sleep. But this was all manageable with the oxycodone, and I slept relatively well. By the afternoon of the third day, I’d taken the last of the aspirins and hadn’t needed more painkillers since.

By the morning of the fourth day, I was in a taxi driving home.

The experience of others may vary. I’m in exceptionally good health, do sports most days, and deadlifted 200kg the week before the operation. This is just my experience, which was less burdensome than expected.

A week after donating, I feel the scar tissue around the waist, mainly after walking longer distances. I have to be careful when straining my core (e.g. getting out of bed), but that is about it. I’m not allowed to lift heavy weights for the first six weeks. I’m walking the dog, hanging out with friends, and back in the office again.

Before I forget, the intravenous catheter isn’t the only one set. You also get one that goes through your private parts which is removed the following morning. And yes, this hurts intensely for a few seconds, but less so than getting kicked in the balls.

Donate a kidney if you can

I’m happy that I’ve donated a kidney, as are most donors. I will live a normal life without limitations. I even get a yearly health check for free. Someone else will get two decades of life back***.

The costs were worth it, for me.

I can’t reach through the screen and tell you that the calculation makes sense to you. There aren’t many people who made the same calculation as I did. There are about 500 living donations in The Netherlands per year. But if you’re thinking about donating, to a person you know or altruistically, I hope my story has helped make that choice easier for you.

To get more information about donating a kidney, see the information on the Dutch Transplantation website.

*The first draft of this article was written seven days after the operation. Now – a few weeks later – I can report the situation is still good. I’ve caught the flu and did take a week to shake that (vs. normally never getting the flu, but no fever, only coughing). Another person I’ve spoken to had a longer recovery time (constipation for a week, feeling tired quickly for two/three weeks, but lower pain levels)

**My kidney donation was anonymous, meaning I didn’t get to meet the person who received my kidney. I do know that it’s a man who had multiple people ready to donate but who didn’t match his blood or tissue type. I didn’t match his blood type but it was a perfect match on the tissue values. Donating through the blood type means that more antibiotics must be given. On average, the success rate is the same.

***In some cases, you might be able to start a chain of donations. Meaning that you donate to someone who has a non-compatible friend/family member who will then donate to someone else who’s on the waiting list (some donation chains can be up to six people).

Sources

98% of kidney recipients are still alive after one year in the US – Temple Health

99% of kidney recipients are alive after one year in the UK. The average function of a living kidney is 20-25 years, but up to 60 years of success have been reported – NHS

Life expectancy is the same – The Lancet – Life expectancy is lower by 0.5-1 year – BMJ Open

The chance of dying on the operating table of 1 in 3000 from data of 80k donors – JAMA

The risk of dying from different activities as expressed in ‘micromorts’ – Wikipedia

About 800 people are waiting for a kidney in The Netherlands (they wait an average of 2 years for one to become available) – Nierstichting

The are about 1000 kidney transplants in The Netherlands (population 18 million) per year – Erasmus MC

Public Commitment 2023

Theme: Expansion

This year I’m focusing on expanding myself and my impact on the world in various domains. It follows from a year where a lot of groundwork was done (e.g. finishing v1 of Blossom’s database). In 2023, it’s time to build on that and expand outward.

The expansion can take many forms, from moving to a bigger house, to offering more things with Blossom. It also means improving what I’ve done in terms of fitness and ‘recovering’ from the kidney donation (by ‘expanding’ to higher numbers on the big lifts).

Another way of putting the theme, with a slightly different meaning, is ‘Big or Bust’. It’s a bit more aggressive, but also captures the pruning side of the equation. Expanding means building on what is working, but could also mean letting go of non-productive parts to make the expansion possible.

House

Objective (O): Live in the dream house

Key Result (KR1): Get financial information from the accountant by <5 Feb

KR2: Get ‘inkomensverklaring’ info and/or check for financing from ABN AMRO

KR3: After the above, look seriously on Funda and refine the criteria once more

I want to live in my dream house* when possible. It looks like it should be financially possible to buy the dream house, so why wait? I’ve listed the first steps to making it happen here. This area would best be captured by the ‘big or bust’ framing. I don’t want to settle for an ‘ok’ house.

*Dream house: 500m2 ground, 150m2 house, no neighbours, space for sports outside, space for the vegetable garden outside, preferably near woods, can be old (do lots of work self) or new, preferably place where you can throw a party and not think about the neighbours.

Finances

O: Make 10k p/m

KR1: Keep track of finances p/w

KR2: Spend <50% of income on normal living expenses

I’ve built a good foundation with Queal, and now the first signs of income are starting for Blossom too. Over the last year, I’ve been bad at keeping track of my expenses, though it takes one hour per month. Therefore I’m changing it to once a week (<30min) to be more on top (shorter feedback loop).

I should be around spending <50% of my income on living expenses, and as my income (could) increase, I might raise this number further. The living expenses include things like groceries and mortgage payments, the latter of which could rise substantially if the dream house is acquired.

Flotte

O: Strengthen the relationship

KR1: Have 1+ deep conversation per week that doesn’t side-step challenging parts

KR2: Follow our habits such as Tuesday date night, meditate evenings (3+ p/w), check-in monthly

It’s always, for me, difficult to fit a relationship with the OKR framework, though the goals here should reflect the ‘new’ things relatively well. The most challenging part, again for me, is to stay with discomfort and seek out deepening conversations that aren’t always fun.

Relationships

O: Maintain a diverse set of relationships, and meet (expand) new friends in my interest areas

KR1: Call friends when walking Max 3+ p/w

KR2: Meet 2+ new people in Q1 outside work (>100min)

I have amazing friends and have (a) diverse friend group(s). One thing I can do more, which unfortunately others also don’t do, is to call friends more. I walk with Max every day and instead of listening to podcasts can call friends.

Outside the current groups, there is still room to meet others who share my interests, from EA to mindfulness. Possibly through Twitter, or via friends I already have, I would want to meet others who I can share interesting ideas with.

FW.com

O: Have a lively (>1 post p/m) personal website

KR1: Finish update of design site & personal brand

KR2: Post updates on what I’ve written on social media

KR3: Write one large (>1000w) post p/m

KR4: Write a post about kidney donation in Jan

KR5: Post major updates (~1 p/m) in personal newsletter

I’ve found new inspiration to start writing again on my personal website. This time, I want to focus on making a few excellent posts (no more than 1 p/m) that showcase things I’m thinking about. This can be related to these areas, a large review of an impactful book, or even some fiction I’ve written (e.g. update to Spero).

Part of why I write is to strengthen my thinking (making it clearer by writing it out), partly to remember things better, and partly to promote the ideas (and myself) I consider helpful.

Blossom

O: Expand the impact of psychedelics as medicine

KR1: (re)Launch PsychedelicsCourses <15 Jan

KR2: Have ~2 calls with new people p/w

KR3: Launch own (60-75min) course in Q1

KR4: Reach >$1000 p/m income from non-consultancy work

KR5: Reach >$3000 p/m income from non-consultancy work

This year, I want to expand the reach of Blossom and the income I can generate from that. Part of this plan is the overhaul of the courses website. Another part is getting more money from memberships, for instance, corporate memberships to Blossom, or more personal memberships.

I also want to expand the luck ‘surface area’ by connecting with more people. For that cause, I will start reaching out again for calls (I have some incoming, but would also do well by doing more outreach myself).

Queal

O: Maingain with a focus on customer satisfaction

KR1: Launch QQ offering each quarter

KR2: Relaunch go bars (<15 Feb)

KR3: Post blogs 3x p/w

Queal is still going strong, and I eat one to two meals per day myself (Cool Chocolate Athletic and Ready Berry Good most days). We’ve remade the big (40 meals) offering and will focus on providing more value to our customers.

The adjunct products are being revamped, with the bars taking much longer than expected, but a relaunch is getting closer.

Flo Coaching

O: Help 20+ people experience psychedelics to expand their minds

KR1: Relaunch Flo Coaching in Q1 but after relaunching PC

KR2: Remake customer flow including coaching talks

KR3: Retest workflow with 2+ acquaintances in Q1/2

I’ll be doing Flo Coaching together with Lotte. It’s something that will take away time from the other goals, so I have to be conscious of that. But if possible, I want to relaunch it and coach people one-on-one. My focus would be on self-development and professional creativity (e.g. helping an entrepreneur find new inspiration). Lotte would focus on self-development and women.

Sports

O: Expand my all-round fitness to exceed that of 2022

KR1: Do sports 6x p/w (3x cardio & 3x gym), after kidney recovery

KR2: Lift more than 440kg on big 3 (squat, bench, deadlift)

KR3 (uncertain): Incorporate stretching goals later in the year

This year, I will expand my all-around fitness without doing any specific races (I must prepare for, anti-goal). Last year, I did 440kg so it will be a good challenge to go bigger than that. I will also have to build back my cardio, which I will do with three cardio sessions per week of different sports (swimming, running, biking, etc.).

Health

O: Be in the best shape ever

KR1: Do 3 experiments (1x in Q1) with standard meals (2 meals x 5-7 days)

KR2: Track 3+ health metrics (e.g. free test)

KR3: Walk >15k steps p/d

Health-wise things are going great. I did donate my kidney (still have the other one), so will have to recover from this. I intend to track some health metrics, but haven’t done much and might want to talk to others to know what is smart to track. One person who invested a lot of money into improving his health found out that walking was great for him, and I plan to walk more than I’m currently doing.

Mindfulness

O: Improve the state of my mind, and expand it

KR1: Meditate >3650 minutes (60 hours)

KR2: Investigate & find 1+ meditative path to explore

KR3: Take psychedelics for exploration 4+ times, including 1 new compound

I’ve been blessed with an exceptionally calm (and rational) mind. Overall, I’m super content with how things are going, and my stress levels are miniature. I’ve read about others who’ve explored meditation more (e.g. jhanas) and would be very interested in following a meditative path beyond what I’m currently doing (10min meditation daily).

The Perfect Day

6 – wake up

7-12 – deep work

12-14 sport

14-17 communicate/various work

17-21 relax/write more/game

Habits of Note

The goals above include some new habits that I’m forming or strengthening. Other notable habits that I have include:

  • Daily flashcard training (Thought Saver)
  • Reading (no specific goal anymore, but average about a book per 2 weeks at the moment)

Notes

Two things came up that I haven’t incorporated yet into the goals. The first is that I would want to seek out coaching again. I did so last year and found it helpful. This was in regard to life/work but also have had positive experiences with coaching for sports. I want to do more research (talk to multiple coaches) beforehand this time around. The second is that I probably want to define my hobbies better. There is already a lot here, but I might benefit from a passive/relaxed hobby like watching movies with intent. In other words, have something high-quality to do when relaxing.

Public Commitment 2022 – Recap

I’ve discussed my goals with my coach (Chris) each month. But I failed to update the website here.

I will do a short recap to still have something in writing. Expect more recaps every quarter in 2023.

The theme of last year was ‘living fully’, and I can say that I’ve lived up to that. I went on many vacations, from Vietnam to Bulgaria and Norway. I’ve enjoyed the work that I’m doing and generally am very content.

Here is a short recap on the goals/mood for each ‘project’ of my life.

House

No major updates. Looked at redoing the kitchen, but there isn’t enough space to do it properly (add things). Did look at moving houses, and if it works will do so in 2023.

Finances

Had no specific goals, but did manage to bring in revenue for Blossom, though I also spent a lot on a full-time employee.

Flotte

Made more time to do fun things together (remember: Covid restrictions only ended somewhere in January).

Relationships

No specific goals, but I enjoyed a lot of time together with friends.

FW.com

I spent nearly no time on this site, which I hope to counter very much this year.

Blossom

I didn’t get to $3k revenue per month from recurring revenue. I did do consultancy work and helped organise ICPR. I’ve learned a great deal and will keep applying this in 2023.

Flo Coaching

I’ve made a website that features Lotte and me, but I’ve not actively worked on client acquisition. This is something that will change in 2023 unless other significant opportunities present themselves.

Sports

I trained for and had a lot of fun doing a 42km obstacle run. The run went great, and it was fantastic training for it. The day itself was hot, but luckily it was the water edition. I did the run with my brother Tom, a friend Maikel and a few of his friends.

After completing the run, I focussed on weightlifting (powerlifting) and finished the year with a 140kg squat, a 100kg bench press, and a 200kg deadlift.

Health

Healthwise, I have nothing to complain but did do something radical in December of 2022. I donated my kidney to a stranger. I will write more on this in January 2023. Overall, super happy with the decision and nearly fully recovered within a week.

Mindfulness

I started exploring mindfulness by reading a few books and doing a mini-course. I’ve also picked back up the daily 10-minute meditation from Sam Harris (Waking Up).

Public Commitment 2021 – Recap

The last year didn’t go well with regard to my goals.

Because of a lot of different circumstances, I spent very little time reflecting on the goals I made and working towards them.

Though covid didn’t have a personal impact on me per se (I did catch it, but next to the loss of smell for a few days, had no other negative consequences), the time of being at home the whole time didn’t positively influence me.

I won’t bore you, the reader, with too much detail, here is a mini recap of the goals I set.

Goal 1: Write something every day

I’ve kept up with writing and actually produced a report of 200 pages in the summer, I didn’t write each day. It’s something that I do want to do most days and hopefully will get to in another form with my 2022 public commitment.

Goal 2: Promote my work

This is something I haven’t done enough of when I look back. Still, something that I aspire to do and could take more action on. For Blossom, there will be a lot of promotional activities coming up, and there is much to read and learn about this process.

Seen differently, it’s being proud of what you’ve made and sharing this with a wider audience so they can benefit (and possibly buy some services from you).

Goal 3: Meditate daily

I might have dropped off somewhere, but for the last 3-4 months, I’ve been meditating each morning.

Goal 5: Learn three songs on the harmonica

Alas, I let this one go and don’t foresee myself picking it up again soon.

Goal 6: Add 2 features to this website

The dark mode is here; no other features were implemented.

Goal 7: Improve my learning process

Here is also room for improvement.

I have updated my work-day scheduling and end of the work day process.

Goal 8: Move more money towards effective charities

Not something I actively accomplished. I did donate quite a bit, and the final number should be on the EA page.

Goal 9 (new): Achieve the elusive six-pack

I did work on this and did a photoshoot at the end of September/beginning of October.

Feel free to ask me about the pictures.

Public Commitment 2022

This year’s theme is Living Fully.

Last year (2021), I was less happy/satisfied/fulfilled than I thought I could be.

So this year, living fully is the underlying theme.

One example of where I plan to improve is to be better at stopping work at 6 pm. This will give me more room to enjoy things in the evening, but also more energy and focus on getting work done before that time. As Cal Newport (also featured in last year’s update) would say, we are working 20% too much (number of tasks/commitments). By cutting out some of that, also next to work (e.g. voorzitter VvE, EA Rotterdam meetups), I think I can be more fulfilled and produce better results.

Here is the preliminary Q1 2022 plan

  • Blossom: get (average) revenue >€3000
  • Flo Coaching: Book 10 clients
  • Sport: Finish 19km obstacle run (start of April)
  • Relationships: Stop working after 18:00 on most days
  • Life: Read in the evenings (vs YT etc)
  • House: Plan new kitchen

Power to the People

Power to the People by Pavel Tsatsouline is one of the classic books on strength training. Here are my notes.

Wired for power

  • We already have more power in our muscles than we’re using (20-30%)
    • Part of training is getting more ‘neurological efficiency’
    • We won’t completely overcome this ‘strength deficit’ as otherwise you would tear your muscles
    • (as seen with bodybuilders who gain more strength than their tendons can hold)

Tension, what force is made of

  • Tension = force, we want to increase tension
  • High tension training has five key conditions
    1. Slow exercise performance
    2. Maximizing muscle tension (flexing) regardless of weight
    3. Heavy (85-95%) weights some of the time
      1. Lifting heavy is needed for spine, joints, tendons to get accustomed to pressure
    4. Minimizing fatigue
      1. “High values of fatigue and tension are mutually exclusive”
      2. So program should focus on having (and inducing) low fatigue
    5. Taking advantage of various neurological phenomena

Training to failure or to success?

  • “[Y]ou must push your limits of weight/tension, and not reps/exhaustion if you want to get stronger.”
  • Hebbian rule (Cells that wire together, fire together)
  • If you are training to failure, you are training to fail”

Don’t water down your strength with reps and fatigue

  • How to minimize fatigue
    1. limit reps to five or fewer
    2. increase rest between sets to 3 to 5 min
    3. limit sets to 2
    4. pause and relax between reps
    5. don’t practice a lift more than 5x per week

(check back later how this contradicts with building muscle?)

Advice is to train almost every day, but breaks are ok, taking more than one day off reduces effectiveness by 50%

More low rep advantages

  • Why it’s safe
    1. The stabilizing muscles are not fatigued yet
    2. You are (forced to) concentrate(d)
    3. Can develop strength without training to failure

The idea is that these types of workouts will give you energy (vs draining it after more reps)

Rigor mortis, or why high reps failed to tone you up

  • You feel the ‘burn’ after high reps because you run out of ATP (as a dead body does too)
  • Strength = tension = tone (i.e. get muscle tone by residual tension over active/energy exhaustion)

But I don’t want to bulk up

  • Lifting heavy weights will not necessarily build big muscles

Machines are the wusses’ way out

  • Learn with free weights, better to have stability before going to heavy (free) weights
  • “The more fixed the object, the more likely you are to develop a pattern overload,” explains Paul Chek

Isolation exercises, Frankenstein’s choice

  • Instead, do movements that involve more than one joint to form a ‘kinetic chain’

Irradiation: Getting strong and hard with only two exercises

  • “It’s not daily increase, but daily decrease – hack away the unessential” – Bruce Lee
  • E.g. tense your fist, now tense harder, more… then you feel other muscles up to chest contrasting
    • Law of Irradiation
  • The deadlift & pside press (over bench) as the two exercises
    • Deadlift being the 80% important (Pareto)

Emphasize your problem areas without adding exercises

  • Change up the variation of the big two exercises (to focus in on muscle that is lacking)
  • But, probably also not necessary, as building up load on basic exercises will recruit the lazy muscles

How to become a bear: A Societ commando’s secret

  • What if you did want to build ‘show’ muscles?
    • Longer time muscle under tension, so more reps
  • The method
    1. reduce reps to 4-6 per set (so still relatively heavy weights)
    2. perform 10-20 sets
    3. stop a few reps before failure, so you can keep doing same reps/sets
  • e.g. instead of 100×5 (and 90×5 for second set), do 80×5, 30-90sec rest, stop when you can’t do 80×5 anymore
  • reducing rest time promotes HGH production(?)
    • and reduced rest time allows for the best training total time of 45min for testosterone release (?)
  • do workouts less often but still 3x per week for each muscle group

Last three pieces of the big biceps puzzle

  • Eat a lot of protein
  • Note on health: no, having a lot of big muscles is also straining the body
  • Book on diet: Anabolic Diet (Mauro Di Pasquale)
  • REST
    • “Don’t run if you can walk, don’t walk if you can stand, don’t stand if you can sit, and if you sat, might as well lie down and take a nap.”
  • Calm mind = big body (i.e. less stress is good for muscle building)

Virtual Masculinity

  • (some critique of building muscles by pumping them full of blood)
    • Sarcoplasmic hypertrophy
  • This is in contrast to ‘myofibrillar hypertrophy’ which is a result of heavy weight training
  • Building with high reps does both, but leads to ’empty’ muscles

On variety, soreness, and keeping things in focus

  • Your body reacts the same to exercise as to smell, not smelling something again unless intensity or taste is changed
  • (notes on ‘plateau’ as just being the level where someone has started to get accustomed to an exercise)
  • So, do the same exercises, but change the routine’s load (cycling)
  • There is no correlation between your level of soreness and progress

Cycling: The Russian breakthrough for continuous improvement

  • Don’t max out; you won’t get improved results over time
  • Do periodization, build up weight over time, take breaks after intense periods (competition)
  • Three types of periodization
    1. Linear Cycle
      • Start with 80% of 5RM, e.g. weight you can do 10x
      • At least 8 workouts in cycle
      • Stop if you can’t make the set
    2. Wave Cycle
      • Go back in weight during the cycle
    3. Step Cycle
      • Stay flat for a while, then go up a bigger step
      • Or a small step, so good program if doing lighter weight exercises
  • If you have been ill or otherwise away from the gym for 7 days or more
    • Then go back 2 to 3 workouts and pick it back up again
    • Or even if you’re feeling shitty
  • A cycle is about 8-16 workouts

Hyperirradiation: How to boost strength and safety

  • Next few chapters about ‘neural programs’ and how to use them in training
  • Hyperirradiation: tense all your muscles when doing the lifts, as to activate/recruit them and gain strength
    1. Squeeze the weight as if you are trying to crush it
    2. Squeeze your glutes as if pincing a coin
    3. Tighten your abs as if bracing for a punch

Hyperirradiation: “Cheering” not “Cheating”

  • Brace yourself against the ground (for Olympic lifting)
  • Slack muscles absorb the ‘recoil’ of the muscles that are at work
  • Benefits
    1. Increased strength through additional neural stimulation of the target muscles by the impulses from working ‘extra’ muscles
    2. Increased strength through providing a solid and efficiently aligned foundation to lift from
    3. Improved workout safety through dramatically improved body stability

Hard abs + strong hands = Powerful body

  • Training grip can help with deadlift
  • When training with heavy weights, the core muscles take on a significant part of the load (abs included)

Power breathing: The Karate secret of superstrength

  • Tensing the abdominal muscles helps with strength (so karate also employs this with screaming at the end of a punch)
    • This included contracting the rectal sphincter
  • Alternative is to breathe out, but with tension in the stomach still
  • A belt does something similar, though it should be avoided (as it creates a weak link in the midsection)
  • A way to exercise this is to do concentrated/contracted breathing (8 reps, 8 sets?)
  • More in Beyond Crunches: Hard Science. Hard Abs.
  • Breathing tips
    1. Inhale 75-100% before loading muscles
    2. Hold your breath, breathe out at the end or right after
    3. Take a breath (if exercise allows) between reps
    4. Don’t expel all of your air, to not lose tension
    5. Can take more breaths between reps (e.g. with deadlifts)
    6. Keep your midsection rock hard but do not let your stomach bulge out
    7. Always use the anal lock (contract your rectal sphincter)

Slow and steady wins the race

  • Lift heavy weights slowly
  • Three to five seconds up & then three to five seconds down
  • You will not be able to lift more weight if you go quick

Feed-forward tension

  • “Because your strength generally does not exceed 30% of your tendon structural strength, the strength governor mechanism is set up way too conservatively”
  • Feed-forward tension
    • Maximally contract your muscles with a submaximal weight
    • Or even without weight, done with dynamic tension
    • This (may) break(s) the feedback loop and allows for more tension also under heavy loads
  • Feed-forward tension is not the same thing as ‘feeling the muscle’ either. Feeling your entire body cease to be a carbon based life form and get compressed to the density of a black hole is more like it!

Pre-tension for max power and safety

  • Build tension first (before load is touched) to lift maximally

Successive induction

  • Successive induction: if you tense one muscle group, the opposite one (e.g. triceps and biceps) will be disinhibited as they are expecting the other side to hold the tension
  • E.g. doing bicep curls, but on the way down, push with the triceps

On shoes, gloves, and mirrors

  • Running shoes bad for lifting
  • Shoes with least support/spring are best (deadlift shoes)
    • e.g. Chuck Taylors
  • Also, no gloves (less feedback/pressure)
  • No mirrors, means better internal feel for muscles
    • So lifting with eyes closed could help in some regard

Power Stretching

  • “[A] muscle that can easily relax into an extreme stretch is a muscle that can do things”
  • More in Beyond Stretching
  • Do only light stretches before a workout
  • Stretching may lead to muscle damage that leads to muscle splitting, hyperplasia
  • Possibly this is the yin and yang of strength training, contracting and stretching (=better results)

The Drills

  • The Deadlift
    • Keep weight on heels
    • Eyes forward/ceiling (don’t look at bar when picking it up)
    • Knees backwards (not over bar, as vertical as possible)
    • Push butt backward
    • Recommends alternating grip (mwah, hook grip ftw)
    • Flex triceps as this ensures arms are straight
    • Knees straight forward (cue may be to push them out)
    • Core tight
  • The Side Press
    • Why it’s good
      1. Full body action, also for stability of core
      2. Also good for grip
      3. Easier to learn than miilitary press (hmm)
      4. Teaches good overhead lifting skills
      5. Shoulder in external rotation, better for safety
      6. Uses lats
      7. No spotters necessary (nor rack)
    • Brace core (etc)
    • Press working shoulder and elbow down
    • Push yourself away from the barbell (instead of barbell up)
    • When going down, actively pull the bar down (induction)

The Power to the People! Manifesto

  • Scientists who study non-linear dynamics know that complexity on one level implies simplicity on another. They even have a term, simplexity, which refers to the emergence of simple rules from underlying disorder and complexity. In Power to the People! I have attempted to deliver a ‘simplex’ approach to strength training, decades of scientific research and hundreds of years of lifting and martial arts experience distilled into a no frills power formula anyone, from a recent couch potato to a world class athlete, can use.

Amazon Unbounded

Amazon Unbounded by Brad Stone recounts the recent history of Amazon and is a follow-up to his previous book The Everything Store. The book details the meteoric rise in the valuation of the company, the many new services offered, and the demanding management style of Jeff Bezos and colleagues. The outsider perspective is critical but fair, curious and critical. A light read that will leave you more informed about what goes on inside the everything store.

Read: 1x | First: July 2021

Summary Review of Amazon Unbounded

Part I: Innovation

The first part of the book describes the rise of Amazon starting in 2010. It is crazy, from our vantage point now, to think that about 10 years ago Amazon was worth around $80 billion, less than 5% of the current $1.7 trillion it’s worth now. The same goes for the number of employees, which has risen from 33k to 950k (1 in 153 employees in the US are working for Amazon). If nothing else, this book is a story about how to scale a business through constant innovation.

‘Do more with less’ and ‘think big’ are two of Amazon’s leadership principles. Amazon is constantly trying to reinvent products that the customer wants and doing this at a scale and pace that others are not trying it at. What stood out from these pages is that even though a product fails (e.g. the Fire Phone), the lessons and technology from the product production are taken into account.

Innovation is still a hard thing to pull off. The company has had many misses and for several projects, the pay-off is years away. The intuition that Jeff Bezos has developed over the years (coupled with data) is what sometimes has moved unprofitable projects forward that in the end might turn out to be winners (e.g. cashier-less shops). The same can be said for the development of Alexa, which took many iterations before it became a product that did its job well enough.

Being a strong leader did have its downsides, as many in the Fire Phone group had their doubts about the viability but didn’t dare speak up to Bezos. Thus a balance between vision (top-down) and ground-level feedback (bottom-up) was possibly skewed too much in favour of the former.

The focus on customers is what has made Amazon successful. Throughout this book, you will see that this principle supersedes other concerns such as the quality of life of employees (using a ranked-firing/stack-ranking system such as Netflix also has) or the sellers on Amazon marketplace. The former did possibly improve, for white-collar workers that is, as the forced firing was abandoned later on.

Jeff Bezos personally buys the Washington Post and through instilling some good lessons from Amazon turns the paper profitable. It seems that the move is both altruistic (preserving good reporting) and in the end a great business decision. Later chapters do point out how the association of him and the paper, and the battle with Donald Trump, might have had negative externalities. A government contract that was awarded to Microsoft (worth more than $10 billion) might have been theirs be it not for the feud between Bezos and Trump (but who knows, this is a counterfactual after all).

Amazon Studios tried to be as scientific (data-driven) as the engineers at Amazon had been, but soon they would find out that the creativity needed to make hits didn’t match their formulas. Going with experienced script/plot-writers did solve this later on. Though, now that I’m writing this, I do remember that House of Cards was something that Netflix had conceived based on a lot of data from what customers wanted/liked. So I guess both ways can work.

The biggest needle movers will be things that customers don’t know to ask for” – Jeff Bezos, in a letter to shareholders

Mini notes

  • Minimum lovable product – as an alternative to minimable viable product
  • Single-threaded leader – each team needs to have someone who is responsible for this task, and this task only
    • For a start-up (as I’m running) this does ring true, but I think also needs to be adjusted to you yourself having one task/hat on for a period of time and then switching task/thread/hat for another part of the day
    • Chapter four also mentions that Prime day needs to mean one thing, something I have to remind myself of a lot of times, you can only be one thing in the minds of customers
  • Start with the needs of the customers and work backwards from that – e.g. people don’t want to wait in line at the supermarket so remove the checkout part (through cameras that track what you take of the shelves)
  • “Stubborn on vision, flexible on details” – Jeff Bezos
  • Amazon spent more than $22 billion on R&D in 2017, eclipsing Google and the other tech companies (and cleverly, but I would say justifiable, the tax system)
  • Keep trying things” – Jeff Bezos, on their India expansion, and the need to go fast and try, try again
  • Two-way door decisions – a mental model of decisions that they could make that were reverseable (vs one-way doors), making it (mentally) easier to make a choice to do something as it could still be reversed later on
  • Amazon was very secretive about their financials and hid the profits they made from AWS for a long time to not give competitors ideas

Part II: Leverage

Amazon’s flywheel (also see Turning the Flywheel) is the virtuous cycle that guides their business. It consists of offering lower prices, which lead to the loyalty of (Prime) customers, which leads to more sales, which leads to more sellers, that offer lower prices (or better quality products/wider selection), repeat. Whilst growing, Amazon also had a focus on growing the revenue faster than the expenses. The question they have repeatedly asked themselves is as follows: “How could they reduce costs in their operations while maintaining sales growth?” (note that this excludes R&D costs, which are a huge part of the business).

The company has been accused of using profits from some parts of the business (AWS) to fund other parts of the empire (Amazon marketplace). And in a way this is true, and possibly anti-competitive. At the same time, the S-team and Bezos, in particular, were aware that every part of the business should carry itself. One example is that when advertising showed to be hugely profitable on their website, they still hammered that the marketplace should be profitable without this part. Automating many pieces of the business is what marked this era of Amazon.

ROBOTS

Mini notes:

  • Many changes at this time led to disgruntled sellers, who were being outsmarted by other sellers with fake reviews and knock-off products
  • Amazon expanded into unprofitable, but staple, products (CRaP) to become even a bigger part of someones life/shopping habits

Part III: Invincibility

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Het Tekort van het Teveel

Het Tekort van het Teveel (The shortcomings of too much) by Damiaan Denys offers a critical perspective on mental healthcare. The main thesis is that we want to do too much, for too many people. We should focus our efforts on those who are suffering the most, whilst limiting the public investments into helping people who are doing so-so. Going broader than this, Damiaan (or at least my interpretation) argues that we shouldn’t try and solve everything, we should be able to sit with our pain and live with discomfort.

Read: 1x | First: June 2021

We were in the jungle. There were too many of us. We had access to too much money, too much equipment. And little by little we went insane.” – Francis Ford Coppola (quoted at the start of the book, director of Apocalypse Now, describing the situation in Vietnam

Summary Review of ‘Het Tekort van het Teveel’

1. The Paradox

  • One in four people will develop mental health issues during their lifetime (WHO, 2001)
  • Those suffering from mental health issues have double the chance of dying from cardiovascular diseases
  • 90% of suicides are accompanied by mental health issues
  • 60% of those in need don’t receive mental healthcare, leading to 13,5 million deaths per year (The Lancet, 2018)
  • The estimated lost productivity and Disability-Adjusted Life-Years (DALY’s) lost between 2011 and 2030 is estimated at 16.300 billion
  • The investment, per person, on mental health care is but 2,5 dollar per year (between 0,1 to 21,7 dollar, Knapp & Wong, 2020)
  • Many experts are calling this a ‘global mental health crisis’

Damiaan identifies three problems underlying the crisis:

  1. The incompetence of governments
    • More than 40% has no mental health care policy, 30% no program, 25% no laws on this (WHO, 2001)
    • No government is able to provide adequate funding (though, see his later points on this, Andrews & Henderson, 2000)
    • In developing countries, there is a severe lack of access to mental health care (The Lancet, 2018)
  2. The inability of current science
    • Psychiatry itself is in crisis (Gardner & Kleinman, 2019)
    • There haven’t yet been much progress in the understanding of mental health disorders
    • (me: I would say that some therapies including those with psychedelics are paving a way forward here)
  3. The immense scale of psychological suffering
    • It’s estimated that 1 billion people are suffering from mental health issues (alas no source given)
    • 14% of lost (happy) years is due to mental health issues (no source)
      • From Rehm & Schield (2019);
      • 1 billion people living with mental and addictive disorders in 2016
      • 7% of global burden of disease as measured in DALYs
      • 19% of all years lived with disability
    • Since 1990, there have been no improvements in mental health globally (The Lancet, 2019)
    • Although there is the same prevalence (number of people with X), the need/demands on care keeps rising (MHF and other sources)
    • Those living in wealthy (WEIRD) countries are impacted more and are more vulnerable for psychological suffering

The subtitle of the book is ‘The Paradox of Mental Health Care’ and it’s explained as follows:

  1. The first paradox is that you would expect richer countries to do better, not worse
  2. The second paradox is that (in the current system) it’s unsolveable as the actions taken have the opposite effect of what is wanted

The Netherlands

  • 5th place on world happiness ranking (39)
  • 89% thinks they are psychologically health (40)
    • 95% of kids between 12 and 16
  • 40% will develop a mental health issue during their lifetime (42)
  • In each year (year incidence) this is 20%
    • 21% mood disorders
    • 20% anxiety disorders
    • 19% addiction
    • 9% attention & behaviour issues
  • The Netherlands spends 7,3 billion euros on health care (43)
    • 4 billion of this on curative (to cure)
    • 1,7 billion on protected living
    • 1 billion on youth mental health care (‘jeugd-GGZ)
    • 0,6 billion on long-term care (44)
  • The percentage of the budget going to mental health care is the highest in the EU (45)
  • This care is being done by 19.000 professionals (49)
    • 3.500 psychiatrists
    • 15.000 psychologists
    • 24.000 nurses
  • The Netherlands is the best place to go crazy.”
  • Between 1980 and 1997, there was a doubling in the number of intakes (51)
  • Between 2000 and 2010, the costs rose from 2,9 billion to 6,1 billion (57)
  • Between 2003 and 2018, the number of psychiatrists rose from 2400 to 3700 (59)
  • Or in other words, the number of personell or the abundance of money aren’t the problems here
    • More health care institutes are filing for bankruptcy (61) WHY?
    • Waiting lists are becoming longer and work pressure is rising (FIND SOURCE)
    • At the moment of writing, more than 90.000 people each year are on waiting lists (per year or at any moment???)
    • It takes about 8 weeks to be referred somewhere
    • The work pressure is leading to many health care professionals wanting to leave the field

The rest of the book will dissect this paradox by looking at the three components in this system, 1) the health care system, 2) the care offer, and 3) the care demand.

2. The Health Care System

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3. Care Offer

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4. Care Demand

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5. The (ab)Normality

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6. The Paradox

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7. The Shortcomings of Too Much

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8. Epilogue

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Project Hail Mary

Project Hail Mary by Andy Weir is another cool space engineering adventure by the author of The Martian. Here our adventurer wakes up on a spaceship and needs to find a way to save the earth from astrophages. A lot of engineering and dry humour later, well you will have to read for yourself.

Read: 1x | First: May 2021

This was another great read (listen) and it had many of the characteristics of Andy Weir’s previous books (The Martian, Artemis). It was fun, showered you with cool engineering and physics problems, and didn’t take itself too seriously.

Ryland Grace is the protagonist of the book and the sole survivor of the space journey that has taken place before the present time. Because of the medically induced coma (he thinks), his memory from before is fuzzy and the reader is presented with bits and pieces throughout the book. Or in other words, that is used as a convenient way to tell the backstory.

It’s interesting to see the reluctance that he started with, that he even didn’t want to go in the end (and that Strat drugged him), but throughout it all, he did want to do the science and contribute to the survival of humanity.

Whilst at Tau Ceti (a nearby solar system) he meets an alien who is also the lone survivor of his mission to save his home system. He and Rocky (who looks like a huge spider) learn to communicate (the latter speaking in musical notes, and not having vision but echolocation) and become friends.

After a lot of science, some major screw-ups, and a visit to a local planet, the two figure out how to stop the astrophages from consuming the sun(s). Instead of coming back a hero, Ryland comes back to save Rocky and go to his solar system.

There, Ryland ends up a teacher (which he was before too) and the book comes full circle.

All and all, amazing book, and definitely one to re-read someday.

Getting Higher

This post originally appeared on Blossom Analysis.

Getting Higher by Julian Vayne is a manual for exploring the use of psychedelic substances, and provides a variety of things that someone may consider doing before embarking on a psychedelic journey, which includes cleansing the body through washing, intentional diet, choosing clothes to wear, decorating the physical space and setting an intention. It emphasizes the importance of choosing a group of people to trip with that have mutual trust and respect for one another, and the importance of rounding off the ceremony with a formal conclusion of the session. Furthermore, it introduces techniques that can navigate or even intensify the psychedelic experience, such as breathwork, meditation, and other forms of concerted group activities, as well as artistic explorations that include drawing or painting, consciously consuming sensory content.

Read: 1x | First: April 2021

Publisher Summary of Getting Higher

Getting Higher is a manual for exploring the use of psychedelic substances in the contexts of spirituality, self-transformation and magic. This is the psychonaut s essential guide. The techniques presented here work whether you’re a scientist or a shaman; there’s no requirement to believe in anything other than the wonder of your own neurochemistry and the value of the psychedelic experience. Getting Higher describes the psychedelic triangle of Set, Setting and Substance. It suggests strategies to hold and enhance the psychedelic experience; from games to play when you are high, through to complete entheogenic ceremonies. It will help you to intelligently explore the territory of both traditional sacred plants and modern magical molecules. Getting Higher is a toolbox for technicians of the sacred; ideal for both novices and experienced psychonauts. Inspired by the wisdom of ancient cultures, and informed by the latest advances in psychedelic science, this book is a powerful ally for all those following the Medicine Path.”

Summary Review of Getting Higher

Getting Higher finds its roots in esoteric culture, in the occult realms of shamanism, witchcraft, parapsychology, and tarot cards. And it is good to know that this is what has formed some of the ideas presented in the book. But if there is one thing to take away from this summary, then it is that this book is accessible to everyone. From the aspiring rationalists to those who are more in touch with spiritual practices.

David Luke says in his foreword that Julian Vayne has written a book that combines drugs and magic. Or as the author put it himself, the book is a manual for both experienced and novel psychonauts. The manual offers insights for everyone from those seeking therapeutic experience, to those who just want to get really high. And, as is often the case, people come at a psychedelic experience with multiple intentions. In the broadest sense of the term, this book is intended to help you get higher.

Chapter 1 – Calling to the Spirits

The first chapter describes the preparations done at the start of a psychedelic experience. For someone less familiar with altars, the following describes does well in highlighting why it’s there: “We have externalised the psychedelic experience into this icon so we can speak to it as we would another person.” Making the invisible visible, to have something present during the experience.

This externalization, or making concrete, possibly also mirrors how Internal Family Systems (IFS) therapy makes the different aspects of your psyche/personality more visible.

Chapter 2 – The Medicine Path

Mind altering drugs go with human spirituality the same way that music goes with human celebration.” (see The Immortality Key for more on this).

There are many reasons to do psychedelics, and these are just a few of them:

  • Self Exploration – examining your own psyche
  • Healing – of psychological ails and sometimes/possibly also physical problems (or learning better to deal with them)
  • Numinous Experience – positive peak experiences
  • Other Realities – as defined by the individual themselves
  • Occult or Parapsychological – using them for acts of magic
  • Creative Insight – creative problem solving
  • Preparation for Death – simulating the experience of dying
  • Reset – as a starting point for new directions
  • Recreation – experiencing the joy of life

When using psychedelics with care and within ritual, the effect may be greatly enhanced. This has been seen both with therapy with MDMA in a clinical setting (e.g. Jerome et al., 2020), as well as the large placebo/contextual effects of the psychedelic setting (Uthaug et al., 2021).

There may be neurological benefits to the use of psychedelics. Here Vayne highlights some of the changes that happen in the brain of someone on psychedelics, from lower top-down processing to more connections between different areas of the brain (e.g. Luppi et al., 2021).

Chapter 3 – The Psychoactive Triangle

The psychoactive triangle consists of the set (mindset), setting (social and environmental context), and substance (the psychedelic in question).

When investigating the dosages of psychedelics, Vayne has ranked them in this order:

  1. Baseline – before (or after) psychedelic ingestion
  2. Placebo dose – where expectancy effects can still lead to changes, but no drug has been given
  3. Microdose – a low enough dose that is perceived consciously (see all papers on microdosing)
  4. Threshold dose – sometimes also called a mini-dose, where it’s just barely perceptible
  5. Effective dose – where you do really feel something
  6. Low, medium, and strong doses – increasing levels of effect
  7. Dissociative dose – where memory is impaired and unconsciousness could happen
  8. LD50 – the dose at which half of the population would die, this is 100s of times higher than a strong dose for psychedelics (and only a few times higher for alcohol)

The useful ranking system from PiHKaL is also repeated here:

  1. Minus – no effects
  2. Plus/Minus – threshold action, just perceptable
  3. Plus One – there is action, but not quite definable (e.g. the jitters during a come-up)
  4. Plus Two – real effects, but you’re still able to suppress it and go about your day
  5. Plus Three – ignoring is not possible anymore, totally engaging experience
  6. Plus Four – peak experience, a state of bliss, religious experience

There are different ways of ingesting psychedelics and range from slow (eating, drinking) to rapid (IV, or absorption via a cut). Technology has recently added new ways of ingesting psychedelics, from continuously releasing patches to vaporizing devices.

With regards to the naturalness of psychedelics, Vayne argues that both are valid and that the line between them is more blurred than sometimes is assumed. Even if a psychedelic can be found, we usually still do some man-made processing such as heating them. A plus for artificial drugs is that the dose is usually easier to calculate (and thus effects can be somewhat more predictable).

The effects of psychedelics are (broadly) defined as uppers (amphetamines), downers (opiates), and those who change our perception of the world. Of course, many compounds show characteristics of multiple effects (e.g. MDMA or ketamine combine the upper/downer effects with mind-altering effects).

Body load refers to all the effects that psychedelics have on the body, from yawning to feelings of anxiety. Rituals around the use of psychedelics usually help reduce the negative experiences around body load. Experiences such as singing together, to playing card games during the come-up are just two examples of ways to focus the attention away from the body (load).

The chapter ends with a note about contact high, experiencing psychedelic effects by someone who is with a group, but has taken no substance themselves. Vayne suggests that someone who wants to (lightly) experience psychedelic effects, could do it via this route.

Chapter 4 – Beginning the Journey

Psychedelic drugs radically rearrange our experience of the world. They cleanse the doors of perception, so that the most mundane of things can be appreciated as wonderful, curious and even divine.”

There is a large contrast between the traditional use of psychedelics and that with clinical studies. In the former, psychedelics are taken within the context (setting) of a group and with the leader/host often participating in taking psychedelics. In the latter, someone is (usually) alone with a therapist. This chapter highlights some things we can do before tripping, at the start of the journey.

  • Washing – ranging from just hands to taking a bath
  • Fasting – which can be a psychological experience and also leads to faster absorption
  • Wear loose-fitting clothes
  • Blankets – for keeping warm and feeling safe/comfortable
  • Making your setting beautiful – cleaning the house, adding art, flowers, etc
  • Have water available
  • Turn of your phone
  • Arranging light – from candles to electronic (strobe) lights

One should be aware of the level of trust and respect required when experiencing psychedelics together. Often personal details are disclosed, and one should be aware that this may/will happen.

Prayers, spells and invocations can also be said at the beginning of a trip. Another way of putting this is the ‘statement of intent’, saying out loud what you hope this trip will bring you.

On page 32 the text of an opening ritual is given.

Chapter 5 – Core Techniques

This chapter discusses various ‘core techniques’ that one can use during a psychedelic experience. Some are similar to what is being used in clinical studies, but many are much closer to what people do in psychedelic experiences from Amazonian shamanistic rituals to Western group experiences.

  • Breathwork – “deliberately slowing and deepening the breath serves to calm the bodymind as a whole”
  • Hawk breath – forceful breathing in combination with raising and lowering arms from over the head towards the heart or tan tien (slightly lower)
  • Sun Moon breath – breathing to access/connect to yin energy
  • Partner and group breathing – passing a breath around (one breaths after the next one)
  • Breathwork systems – these include ones such as Holotropic Breathwork
  • Light breath and Tonglen – imagining breathing in positive and breathing out negative energy
  • Meditation – e.g. mindfulness meditation and becoming aware of the here and now (can also be beneficial before and after a session)
  • Pre-recorded music – “Listening to music provides both a wrapper around the trip and interesting content to focus on while high” (see all papers that mention music)
    • Multi-layered music, it is proposed, can be most interesting during the peak of a trip
  • Making music – from singing to mouth harps
  • Drumming – usually at 200 beats per minute in Native American peyote rituals
  • Movement – dancing together (e.g. like is happening at a festival or rave) can create a shared experience
  • Posture – the posture you take may influence your mood (alas the psychological research into this has been largely debunked, still there may be a small (and amplified under psychedelic) effect here)
  • Balance – doing anything from yoga to slacklining
  • Weaving the ‘Web of Wyrd‘ – “The Web of Wyrd is a metaphor for fate and destiny derived from women’s spinning.
  • Gestures – this can be anything from holding hands to doing mirrored movements
  • Sensuality and sexuality – think group hugs and massage, but be very clear about what is appropriate before the session starts
  • Animal forms – simulating the movement of animals (just like martial arts use this as an analogy, but here also meant more literal I think)

Chapter 6 – Internal Journeys

This chapter presents two examples of ‘guided imagery processes’, the use of stories that aim to induce a state of trance vision.

Chapter 7 – Advances in the Ultraworld

Just like the fifth chapter, this one offers suggestions for many things that one could do whilst tripping. They range from visiting a museum, to experiencing a festival.

  • Artistic explorations – drawing, painting, etc. “Psychedelics provide us with an opportunity to play with paint, draw in the sand or mould clay in a way where we can reconnect to a child-like appreciation of exploration and fun without self-critical judgements about making ‘good’ art or a specific final product.”
  • Consuming content – movies, series (some of which are made to be enjoyed whilst high)
  • Wonderful things – become enamored with everyday objects
  • Sculpts – moving/placing objects within a space and endowing them with meaning
  • Cut-ups – rearranging things to find serendipitous meaning
  • Playing games – from Frisbee to Twister (personal recommendation: Dixit during come-up)
  • The Superheroes game – describing the superhero qualities of your friends
  • Psychogeography – playing with movement and location (going on an exploratory walk)
  • Museum level – “describes a dosage of any substance that allows the user to successfully enjoy a public space … in an altered state of awareness”
  • Vigil & vision quests – doing a solo journey (sometimes also done with fasting)
  • Raves & Festivals – celebrating life with others, and also giving meaning to the preparation before such an evening
  • Mindful Smoking – smoking tobacco, sometimes part of shamanic rituals
  • Sigil – a representation of a desire in an abstract way
  • Mimetic magic – also known as sympathetic magic
  • Divination – externalizing your thinking in objects (e.g. tarot cards) and finding meaning and understanding that way
  • Sensory deprivation – from blindfolds to floatation tanks (one such ritual under the influence of ketamine is described)

Chapter 8 – The Medicine Circle

This chapter is inspired by the Native American peyote circle and describes elements of a medicine circle. A circle is usually led by an experienced person (Roadman, Medicine Carrier), who can be assisted by several helpers who can help with anything from keeping the fire going to helping people who are ‘getting well’ (i.e. vomiting).

Many medicine circles recommend that people engage in a variety of preparatory rituals. These range from eating a certain (usually plant-based) diet, fasting the (half) day before, and refraining from sexual activity.

During the ceremony, a central altar could be made that represents a certain ‘energy’ and makes visible some of the abstract thoughts/ideas/intentions.

When a group starts, a statement of intent could be made. Confessions, or talking about what problems you’re bringing to the circle, are then shared, a talking stick could be used to facilitate this ritual. When taking the medicine (which should be voluntary and could be skipped at each round by the participants), the leader should take into account the state of the participants (e.g. using the Shulgin Scale).

The latter parts of the chapter describe a variety of other things to do during a ceremony. Time for silence, taking breaks, drinking water, prayers, movement, and more are discussed.

In the end, Vayne stresses that there is no clear distinction between spirituality and fun, both can happen within the same ritual. Challenging experiences and hearty laughter can happen in the same evening, and relaxation and deep contemplation are not mutually exclusive.

Chapter 9 – A Guide for the Perplexed

Experiences with a guide can also be helpful, and this is how Western/clinical experiences usually are conducted. A guide can provide context, grounding, integration and reflection. Unlike in some/many circles, the guide or sitter doesn’t take the psychedelic themselves.

Sitters can also provide grounding through physical, non-sexual, touch such as holding hands.

Chapter 10 – Dealing with Challenges

Challenges may arise during a psychedelic experience and they shouldn’t necessarily be avoided. “These processes can be vital part of the transformative power of the trip…” Then can, however, be attenuated by employing one of the following strategies:

  • Changing the setting: changing music, offering a blanket, going from inside to outside
  • Changing the set: focussing on breathing, recalling a pleasant memory, focus on the music
  • Changing the substance: seek medical attention if needed, keeping the airway clear if vomiting (but most challenging experiences are caused by anxiety and not bad/adulterated drugs)
    • There are currently no trip-stoppers publically available that are guaranteed to work, but anecdotally a vitamin C pill or fruit juice may help (if only as a placebo)
  • Relax and float downstream: ride it out, know that ‘this too shall pass’
  • Refining your rapture: not taking more of a substance, but increasing its effects by fasting or other methods

Chapter 11 – On Coming Down

When coming down from a trip, making sense shouldn’t be the immediate priority. This could be left for another moment when you come back together as a group (the next day or week). Recording thoughts during, immediately after, or the next day could be helpful in processing the trip.

All that is left is to integrate the experience back into daily life. Are there lessons to be put into habit or insights that you can bring forward? Doing this consciously (e.g. discussing the trip afterward) or unconsciously, will hopefully help bring lessons from the trip to your daily life.

More resources related to this book can be found at theblogofbaphomet.com/getting-higher