Category Archives: Aging

The enchantment of The Nutcracker – 34 years later

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When I was a little kid, I was obsessed with ballet. I loved watching the little foot moves, the twirls, the beautiful outfits. So when I was five, my aunt and mom took me to the San Francisco ballet to see The Nutcracker, and I was so, so excited. I was going to have an entire evening of what I loved most: Christmas and ballet! Unfortunately about half way through that performance, I started running a fever and wasn’t feeling well, so we had to leave early (I can only hope my aunt and mom didn’t spend too much on those tickets…). And that was my experience with The Nutcracker, or really, any ballet for that matter.

Years went by. My parents refused to let me do any ballet classes (“that costs money”). I lost interest in ballet. But when I got to adulthood and moved to New York City, I realized I was in the center of the world for the performing arts. And of course, I was now living in the home of the New York City Ballet — world renowned, the best of the best. I had to make this happen — this decades-long dream of seeing this enchanting holiday performance. Every year I checked for tickets, and they’d either all be sold out and/or insanely priced (clearly, I didn’t have any insider knowledge…). That was a challenge, plus I knew no one who wanted to go with me — either because they had zero interest in ballet, or they weren’t willing to spend this kind of money on a show. I finally made a friend who said she’d be interested if I could find tickets under a certain price point, and I got the tickets this year! And last night, I FINALLY WENT — 34 years later!

A friend joined me for the evening, and it was everything magical and completely transported me into my 5-year-old self, completely transfixed by the massive, gorgeous, sparkling, and GROWING Christmas tree on the stage; the dainty toe work and dancing, plus borderline acrobatics by some of the performers; the orchestral music that was so beautiful and moving that at some points of the songs, I was holding my breath because I wanted to really, really hear and feel the music. The costumes and the makeup were truly stunning. I had forgotten how many children are in The Nutcracker ballet performance; the littles were so adorable, so professional and graceful despite all being relatively young. As the minutes passed, it felt like it was going by too fast: before I knew it, Act I was done, and we were in intermission. Then once the entire show ended, I felt so sad. The magic was here and gone, just like that.

The entire experience truly lived up to all my expectations. I have zero regrets on these tickets, and especially on getting orchestra right, second row tickets; I had a perfect view of everything on the stage and was just steps away from the orchestra. If money didn’t matter, I’d go see The Nutcracker every single year and make it my Christmas tradition, as it really is such a fun, beautiful, and magical way to welcome the festive season. And once Kaia were to get old enough to sit through a two-hour show (plus appreciate how beautiful it all is… and actually understand how expensive these tickets are!!!!), I’d love to take her, too. But I was telling my friend that Pookster would likely need to be an older elementary school age before I’d be comfortable taking her so that she’d really, genuinely appreciated it. These tickets are not easy to get, and they certainly do not come cheap!

I’ll be playing The Nutcracker music a lot for the next few weeks as we get closer to Christmas and reliving the sheer magic that the ballet was last night. “The Dance of the Sugar Plum Fairy” is just enchantment in itself — my absolute favorite.

Lounge hopping at Heathrow Airport – a new experience for the Pookster

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We woke up extremely early this morning to catch an early morning flight from Copenhagen to London, where we had an over six-plus-hours long layover. While it did initially seem like a long time, the time really flew by quite quickly. We tried to go to the Cathay First lounge, but because they had first class passengers waiting to board a flight in about 90 minutes, they asked that we come back when they left (which made sense since they’re prioritizing their own passengers first). So while we waited, we hung out at the Qantas lounge next door. We eventually went back to the Cathay lounge, had breakfast in their formal dining room, hung out by the windows and watched planes come in and out. We had lunch (another delicious meal!), then I took Kaia to have a shower with me. We spent about 30 minutes showering, drying, moisturizing, blow drying our hair, and getting ready to board our flight back to New York. I think this was our very first lounge shower together, as previous times when I’ve showered, she usually sits outside the shower and waits for me while singing. This time, she enjoyed the shower thoroughly, making up stories of ducks playing and jumping in “puddles during the rain.” Every time I told her we were almost done, she kept on insisting that she wanted to play with the ducks more in the water.

As I dried her off and applied lotion on her, I kept thinking about how all of this will come to an end. One day, she will no longer need me to shower her, to dry her, to moisturize and dress her. One day soon, it will be considered inappropriate to take her into a shower or bath with me. Kaia is already slowly but surely dressing herself already. Every day she gets older, closer to the point of eventually leaving me and not being as close to me. I feel like I am just soaking these moments up with her needing and wanting me this much. I love watching her imagination run wild in the these fancy lounge bathrooms. I also love seeing how much she enjoys the lounge and overall travel experience. She has experiences at her age that I never got to have until my mid to late 20s. I wonder if she will look back one day and remember any of these experiences and think about what a lucky little Pookie she was, and how much fun she had with her daddy and mumma.

“Thank your body for being able to move in this way”

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Since college, I have lost count of the number of fitness classes I have taken, ranging from pilates, barre, zumba, yoga, trampoline — it’s been a lot. After I got a range of these foundations down, I was comfortable doing workouts via apps, whether they were just audio and now video. The encouragement throughout the videos always helps, especially when they know, based on their teaching, when potential “breaking” points are and to “hold it, HOLD IT!” But I always notice, especially during yoga and pilates courses, when the class is coming to an end, and the instructor usually expresses similar sentiments around calming down both the mind and the body from this exercise/practice, and giving thanks for this time, for this mere ability and privilege to move in this certain way.

The more I have thought about it, the more I really believe and know it’s true: It really is a gratitude, a privilege to stretch, twist, balance, and move our bodies in all these different ways. Not everyone is able to do this. Some people have to work towards different levels of flexibility and mobility. Some people have chronic pain. Others have joint or muscle issues. As I was finishing my pilates video class yesterday and especially twisting my torso in odd ways and getting the most intense (but quiet) workout in my core, I just thought to myself that it really is a blessing I am able to move myself like this. And the feeling I get at the end of these workouts is always the best: I always feel more energized, more lengthened and relaxed. I also really revel in the “good” soreness that I feel after these workouts. It’s definitely not pain. It’s a feeling of, “Ooooh. I want more of this!”

Perimenopause and planning

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Several of my friends, who are all within five years of age of me, plus or minus, have been talking to me about perimenopause. One of my friends who is several years older is already considering doing hormone replacement therapy and proactively looking for “perimenopause symptoms,” which I learned can come on as early as age 38. Another friend, who is health obsessed and tracks every gram of fat, protein, and carbohydrate she consumes, is trying to optimize her current exercise regimen (which is so above what almost any average human does!) to ensure that she is strong and doesn’t lose too much muscle when menopause sets in. I must have done a search on perimenopause to read about it on my own in the last few weeks because now, I am constantly seeing ads for perimenopause supplements and products, all of which I have continued to block. There’s marketing and a product for literally everything and anything out there!

Because I recently went to see my primary care doctor and had my usual bloodwork done, I decided to take my lipid panel results and throw them into ChatGPT to see what it says regarding the results and what they say about my perimenopause trajectory:

Quick Summary

During perimenopause, declining estrogen tends to cause:

  • LDL increases
  • HDL may decrease slightly
  • Triglycerides may rise
  • Total cholesterol and non-HDL increase

But:

Women who start with an excellent lipid profile—like yours—generally experience smaller, slower, or less concerning changes.

Why Perimenopause Affects Cholesterol

Estrogen has powerful, protective metabolic effects:

  • Raises HDL
  • Lowers LDL
  • Improves insulin sensitivity
  • Helps regulate fat distribution
  • Reduces inflammation

As estrogen fluctuates (and eventually declines), these benefits weaken.

How Your Current Profile Might Change

Here’s how each number typically shifts during perimenopause and what this likely means specifically for you.

1. HDL (Currently 77) — “Good” cholesterol

Typical change:

  • Can decrease by 5–10 mg/dL over several years
  • Some women maintain high HDL even after menopause

For you:

  • Even with a 10-point drop, you would still be in the very healthy range (60s).
  • Your high baseline gives you a lot of buffer.

2. LDL (Currently 76) — “Bad” cholesterol

Typical change:

  • Often increases by 10–30 mg/dL
  • Driven by hormonal shifts, not lifestyle

For you:

  • Even if LDL rose by 20, you’d be at ~96 mg/dL—still great.
  • You would remain well below the average levels seen in women your age post-menopause.

3. Total Cholesterol (Currently 166)

Typical change:

  • Often increases by 15–25 mg/dL

For you:

  • You’d still likely remain below 190, which is well within normal.

4. Triglycerides (Currently 45)

Typical change:

  • Often rise by 20–40 mg/dL, depending on insulin response, sleep changes, and stress
  • More sensitive to lifestyle during perimenopause

For you:

  • Even with a significant rise (to ~80), you’d remain excellent.

5. Non-HDL Cholesterol (Currently 89)

Typical change:

  • Often increases by 15–25 mg/dL
  • This is a key predictor of cardiovascular risk post-menopause

For you:

  • You’d likely still remain under 110, which is better than average even for younger women.

The Real Change: Body Fat Distribution

Estrogen decline affects where fat is stored:

  • More visceral fat around the midsection
  • Higher blood sugar variability
  • Slight insulin resistance

This can gradually influence triglycerides and LDL more than diet itself.

But women who:

  • exercise regularly,
  • maintain good sleep,
  • manage stress,
  • eat balanced meals with healthy fats,
    often blunt or even prevent these shifts.

⭐ Why Your Starting Point Matters

Your numbers are not just “normal”—they’re exceptionally protective.

This means:

  • You have significant metabolic resilience going into perimenopause.
  • You’re less likely to experience high-risk lipid levels even as hormones shift.
  • Genetics + lifestyle appear to be working strongly in your favor.

What Helps Maintain Good Numbers During Perimenopause

Evidence-supported strategies include:

  1. Consistent aerobic activity (biggest impact on HDL and triglycerides).
  2. Strength training (reduces visceral fat and insulin resistance).
  3. High fiber intake (soluble fiber helps curb LDL rise).
  4. Healthy fats (olive oil, nuts, seeds, fatty fish).
  5. Stable sleep routines (sleep disruption increases LDL and triglycerides).
  6. Maintaining muscle mass (protects metabolic health).
  7. Limiting simple sugars and refined carbs (prevents triglyceride spikes).

Hormone therapy (HRT) also significantly blunts cholesterol changes for many women, but that’s a medical discussion for your clinician.

Based on the above, I suppose I feel comfortable about perimenopause, especially given I am turning 40 in less than two months. But the visceral fat point above is definitely frustrating. Hormones are definitely not in a woman’s favor as she passes her prime reproductive years, and it almost feels as though it’s nature’s way of saying, “hey, you! Your purpose in life is done, finito! Time to get a move on to your grave! Gain fat, especially around your abdomen because no one cares about you or wants to look at you anymore!”

The reactions you want when you send out a birthday dinner invitation

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Food is something I’m passionate about. That’s a pretty huge understatement. I love food, and I love being around people who love food, and not just one type of food, but food from all corners of the globe, in all shapes and sizes, eaten with hands, forks, chopsticks, a shovel. And the more people like to try different foods and talk about food, the chances are higher that I will like you even more.

I sent out the Paperless Post invitation for my birthday party coming up in January, and within an hour, I got two responses via text from invited friends:

“Oh man. Are we getting lechon for your birthday??!!”

I love this response because a) this means that this friend not only saw the invite, but he also went to look up which restaurant this dinner was being held at (this is exactly what I would do). And b) it is obvious that he’s excited for PORK with CRISPY SKIN.

The second response I got was from a friend who I shared my Sunday plate date lunch experience with. This is what she wrote me with a laughing giphy at the end:

“Mmm, I can’t eat anywhere that serves pork. I had a little pig stuffed animal that was my best friend as a kid, and it would be wrong to eat them.”

If she were next to me and said this, I likely would have whacked her pretty hard.

She later followed up and said she’s super excited for Filipino food and is positive this place is going to be really good — simply because I chose it.

These are the reactions I love — from friends I have who love food.

First dermatologist visit and full body skin cancer screening

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After almost forty years of existence, I finally decided to schedule a dermatology appointment for a full body skin cancer screening. For many years, I wrongly assumed that you needed a specialist referral from a primary care provider for a “skin problem” to see a dermatologist. Then about two years ago, my doctor told me that I should actually see a dermatologist every year for skin cancer screening, and that it’s covered by pretty much every insurance — no referral needed. After trying and failing to make appointments at several derm offices that were in very high demand, I decided to go the ZocDoc route and find someone who got decent reviews and was semi close by. And so the appointment happened today.

It was pretty straightforward. I came in, confirmed the reason for my appointment, and then an assistant noted anything of concern or any spots you may want to have extra special attention looked at. Then, I undressed completely except for my underwear and put a fun gown on. The doctor came in and greeted me, asked me a few questions, and then proceeded to go section by section of my body, looking for any potential scary spots. The good news is that she said my skin looked great — I didn’t have any spots of concern. She was pleased to hear that I wore a hat and wore sunscreen every day (even inside, really). She did note a few freckles and sun spots I developed, especially the ones I pointed out to her on my face. We talked about potentially using a prescription grade 20% azelaic acid cream to lighten them. She emphasized sunblock and reapplication, plus covering up/wearing hats when outside. And given I knew it could be possible that insurance would cover a prescription grade retinol (and I am almost 40!), I decided it wouldn’t hurt to ask and spin it as, “Can retinol help with fading sun spots?” She said that it would help pretty dramatically and asked if I’d be interested in Tretinoin, the prescription retinol. She divulged that it is typically covered by insurance if you state it’s for the treatment of acne. “You do get the occasional pimple, right?” she winked at me. “Everyone does!” And then she quickly wrote me prescriptions for both the Tretinoin and the azelaic acid cream. She also told me that I had to be patient and consistent; I’d likely see changes over the course of three to four months. I could do that.

Within the hour, I got a text notification that my health insurance approved the Tretinoin, no problem. The azelaic acid cream was denied, though. Wahhh. So I will see how much it costs out of pocket vs. other methods and go from there. This is pretty exciting, though, to get a heavily subsidized prescription grade retinol for the first time. I am wondering if it will live up to the hype I read about in mom groups that it “changes your life” and skin completely!

Unexpected customer news today

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Some colleagues and I had a scheduled call this morning with a customer we hadn’t heard from in months. We had tried reaching out countless times to get a meeting on the calendar with them since April, to no avail. Finally, they agreed to this meeting today, so we spent a lot of time thinking about what we’d add to the agenda. Then, when our executive contact came on, she slowly spoke and revealed that they’d unlikely be renewing our contract when we reached the end date in the spring because they had not seen much a return on any of their e-learning providers and needed to rethink their strategy for internal upskilling. And in the same breath, she revealed that she had stage 4 cancer and would not be around for much longer. She would try to make all our scheduled meetings and respond to our messages, but if she did not, she reassured us that she was not ignoring us; she was simply prioritizing her health, or… she just wasn’t around anymore. She also said she’d try to remember putting up an out-of-office auto reply.

I wasn’t even sure what to say. All of us froze on the call, and the customer kept talking business. So that’s the direction the call went. But it just such sad, unexpected news. I didn’t even know she had any health problems. Plus, for her to talk about not renewing the contract and having stage 4 cancer in almost the same sentence was just completely baffling to me. Plus, the fact that she was reassuring us that she wasn’t ignoring us in the midst of everything she’s going through personally… I was just rendered speechless.

Life is short. None of us knows what is going to happen next. Death is just waiting to take all of us away.

Older, not necessarily wiser: I gave myself an ice burn

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I had to ice my elbows last night while reading to sooth the irritation in my elbows, particularly on the left side. While reading, I completely forgot the usual icing advice, which is to only ice for about ten minutes at a time. I got carried away and just kept reading. I probably left the ice pack on my left elbow for over 25 minutes before I took it off. The surface of the inside of my elbow felt irritated, but I didn’t think much about it since the area was already feeling uncomfortable. I woke up, exercised, and showered, to then realize that my entire inside elbow area was not only purple, but I had even developed a small puffy blister where the ice pack rested!

AHHHHHHHH. I was so annoyed. This was not from cubital tunnel syndrome. This blister and purple “bruise” is from excessive exposure to my ice pack. I started cursing myself in my head, thinking about how dumb I was to let this happen.

I am turning 40 in just under four months. I am definitely getting older, but sometimes in moments like this, I certainly do not feel wiser.

Cubital tunnel acts up once again

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I’ve had mild carpal tunnel and cubital tunnel syndrome for about five years now. Since September-October 2020, when almost nightly, I would have to ice my elbows, I’ve come a long way. I know all the right therapy, stretching, and strengthening exercises to keep the symptoms under control and prevent future burning and flare ups. I splint my wrists every night before sleep (very sexy), and whenever I feel elbow irritation, I even splint the annoyed elbow. I know the proper ergonomic computer setup for myself and try hard not to text too much (this really aggravates my elbows and sadly, is probably the number 1 reason for my cubital tunnel). But in the last week, first my right elbow has started bothering me. So I splinted it almost every night at bedtime. Then today, my left elbow started acting up. I wonder if it has to do with all my single arm planks I’ve been doing in the last week during my barre exercises. It’s likely this.

So I iced my elbows tonight while I read on my Kindle at a very specific angle so that my elbows wouldn’t be bent too much. Icing my elbows makes me feel like an invalid, but alas, this has to be done. This is part of pain and health management for me, and well, that also means it’s part of aging.

The clothes I forgot about post-childbirth and a reawakening

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When we moved to our current two-bed, two-bathroom unit from our one-bed, one-bath unit downstairs when I was pregnant, Chris got a bunch of large, deep plastic bins to make our move a bit easier. Since we moved, I have (very inefficiently and messily…) used these to store some of my clothes and Kaia’s bedding/miscellaneous cloth items. In one of the bins is a lot of my warmer weather clothing, including about four above-knee skirts that I would wear relatively frequently pre 2021. Once I had a child, though, I kind of forgot about the existence of these skirts, far preferring single-piece dresses, longer skirts for more coverage, and looser shorts. These were all more comfortable, and after you have a child, comfort is obviously key. I took a look at the bin this morning and thought, hmmmm. I am turning 40 in just a few months. I cannot not wear all these nice skirts that still fit me (plus, while I do not remember what they cost, I’m sure none of them were that cheap!). I still have to look at least decent in them, right? I exercise six days a week; I still have legs, don’t I?!

So I tried one of them on this morning to see if it still fit. Yes, it still did, and it still looked good on me. I decided in that moment that I could not give up on these skirts (or really, my body, for that matter) and give them away. I had to maximize the ROI of these skirts by wearing them as much as possible before I actually become old and wrinkly. And so, I wore one of them today proudly. Granted, I did not immensely enjoy running around a playground with this bright orange mini skirt on, or going down multiple slides wearing this skirt, but I figured that was a small price to pay for getting more wear out of clothes I have already invested money in.

I might be turning officially middle aged in January, but I still have a decent body. And I suppose I should still flaunt it while I still have it — that is what confidence looks like!