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31 things I learned in August 2020

1: “Just like the world needs small companies, it also needs large ones. There are things small companies simply can’t do. I don’t care how good an entrepreneur you are, you’re not going to build an all-fiber Boeing 787 in your garage. [But] we should scrutinize all large institutions, whether they’re companies, government agencies, or non-profits. [Amazon’s] responsibility is to make sure we pass such scrutiny with flying colors.”


2: Life in the United Kingdom: A Guide for New Residents, published on behalf of the Home Office, ‘approved by ministers’ and retailing at £12.99, is ‘the only official handbook on which the Life in the UK test is based’. Last week the Historical Association published an open letter – signed so far by more than 350 historians – pointing out that the handbook is ‘fundamentally misleading and in places demonstrably false’.” I remember a lot of fuss about this when the test and guide were first launched, but as the noise had subsided I unthinkingly assumed that it had just been quietly and gradually fixed. It seems that’s not true. I’ve tried three online practice tests and, while the content did seem a little like a pub quiz, I did pass all three, which clearly makes me a better citizen than the New Statesman team.


3: Covid has converted a lot of people to online food shopping, my parents included. It will be interesting to see whether the days of the trolley are over for good, or whether people will return to supermarkets in the future.


4: “All roads lead back to Barnard Castle mate. That’s what f**ked it.”


5: I still look young enough to have my ID checked when ordering alcohol…at least at Yo Sushi.


6: The commandments are not consistently numbered: in both Judaism and Protestantism, the seventh commandment is “thou shalt not commit adultery,” but that’s the sixth commandment in Catholicism. (And only 21 years late, I finally get the “joke” about the ordering of commandments in the first episode of The West Wing.)


7: I’ve been in two notable public toilets (!) in the last couple of days, which seem to me to be making steps towards greater inclusivity. One, in Geneva, had a tampon dispenser in the men’s. The other, in London, was a single combined facility for all genders and abilities (with individual cubicles including accessible facilities and baby changing spaces all off a central hand-washing atrium).


8: Major Harold Hering was sacked for asking a sensible question.


9: A load of genes have been renamed with an eye on how Microsoft Excel processes their names.


10: From a delightfully odd piece of writing in the FT by Judy Joo, I learned of Hugh Hefner’s “FU pea”.


11: Anything can be a temporary roundabout if it tries hard enough.


12: Alice Wickenden’s essay in the Summer 2020 edition of the Brixton Review of Books (not online) was moving and powerful. It made me think in detail for the first time about the particular and awful trauma of being raped by a friend and working out how to live with that.


13: New desk, new office, same job.


14: Some days are just exhausting.


15: In 2012, the Conservative mantra was to “streamline existing health improvement and protection bodies” into a single agency. In 2020, Conservatives complain that “instead of having an organisation that is constantly on alert for pandemics you have an organisation that has been concentrating on prevention of ill-health.”


16: “PHE employs some of the best, brightest and most hardworking clinicians and experts we have. There are simply not enough of them, which can partly be explained by the steady reduction in funding over the last seven years. We should not scapegoat PHE for the failures in the system in which they are but one cog.”


17: It’s possible for the Government to mess up A-Level grades more than anyone expected, despite having the Scottish experience to learn from in advance.


18: “Ministers cut PHE’s budget from £397.9m in 2015 to just under £300m this year and cut the public health grant that local councils in England receive by 22% over the same period.”


19: I’m less good at leaving work at a reasonable hour now that I work in a building that opens 24/7 rather than one that slings me out at 7pm.


20: “The virions in the surface waters of any smallish sea handily outnumber all the stars in all the skies that science could ever speak of.”


21: A conductor’s “baton has to be a certain length based on how tall the person is. Ideally it’s balanced, it should sit on the finger, so when you go to make a gesture the stick moves in a coordinated fashion. A great baton is one you don’t really feel.”


22: “At the end of June, the navy announced that the marines were getting new uniforms, which the Times described as ‘hi-tech’ because the material includes a small amount of spandex.”


23: “A typical microwave oven consumes more electricity powering its digital clock than it does heating food.” And ours isn’t even set to the right time.


24: “It can now safely be said, as his first term in the White House draws toward closure, that Donald Trump’s party is the very definition of a cult of personality. It stands for no special ideal. It possesses no organizing principle. It represents no detailed vision for governing.”


25: Perhaps a year ago, I had a very stimulating conversation with a friend and colleague about unconscious bias in medical education. It made me realise that it was something to which I hadn’t given enough thought, and I’ve been thinking about it quite a bit since. I’ve made a few changes in response to stuff I’ve read on the topic, the most noticed of which has been soliciting anonymous feedback via my work email signature—an idea I brazenly purloined from a friend who works in tech but who struggled with essentially the same question. I initially used Admonymous, but then moved to a custom-made single-question survey using my employer’s survey platform after (probably needlessly) worrying myself about information governance. Now, I seem to be reading more and more about the importance of curiosity in making accurate assessments about the world, like this article by Sanne Blauw. And really, failure to interpret the world accurately is at the heart of unconscious bias. So now I’m musing on how I can be more curious, which seems hard in the time-pressured conditions everyone in healthcare recognises. Food for thought.


26: Just like many smart watches today, the first digital watches didn’t have enough power to continuously display the time.


27: Eighteen months after my first visit to the Sagrada Família, this David Cerqueiro profile of Etsuro Sotoo—a sculptor who has worked on the building for more than four decades—gave me a slightly different appreciation for it.


28: Perfect Crime is the longest running play in New York’s history, performed eight times a week since 1987. Catherine Russell (who sounds a bit of a character) has played the lead in all but four performances.


29: “In a typical shopping trip, 60-80% of the time is spent in ineffective wandering, as customers deviate from a path that would be the shortest route to obtain the goods they purchase.”


30: Forensic botany is a thing. I know it features endlessly in the Sherlock Holmes books, but I didn’t know it happened in real life.


31: “We are going to die, and that makes us the lucky ones. Most people are never going to die because they are never going to be born. The potential people who could have been here in my place but who will in fact never see the light of day outnumber the sand grains of Arabia. Certainly those unborn ghosts include greater poets than Keats, scientists greater than Newton. We know this because the set of possible people allowed by our DNA so massively exceeds the set of actual people. In the teeth of these stupefying odds it is you and I, in our ordinariness, that are here. We privileged few, who won the lottery of birth against all odds, how dare we whine at our inevitable return to that prior state from which the vast majority have never stirred?”

This 2,498th post was filed under: Posts delayed by 12 months, Things I've learned.

31 things I learned in July 2020

1: I knew a little about Milton Glaser, but I didn’t know how prolific he was.


2: Priority postboxes, for return of completed home swabs for COVID-19, have appeared as if overnight. Or at least, stickers which designate existing post boxes which are already emptied later in the day as “priority post boxes”.

Postbox

3: Finland’s air force stopped using a swastika in its logo three and a half years ago, and no-one really noticed until now.


4: “These trying months have shown us a government and a prime minister of unique incompetence, deceitful and panicky, often inattentive to essential business (remember those five Cobra meetings that Johnson bunked), and incapable of pursuing a steady policy for more than five minutes. Yet when we emerge from the epidemic, we will be faced with the same government and the same prime minister and the same government demanding more powers, more central control.”


5: I’ve read quite a lot about Concorde over the years and the one parked up in Manchester is still on my “to visit” list. I’ve never read anything that got quite as closely into the financial side of the project as this 2002 article by Francis Spufford which I dredged up today.


6: In one of life’s stranger coincidences, after a few years of using Android phones, I bought my first iPhone since the 4S today—then realised that it is ten years to the day after I wrote about switching to the iPhone the first time round.


7: A mobile phone game can be a surprisingly powerful emotional experience.


8: Goats have rectangular pupils.


9: Someone wasn’t allowed on my bus today because they weren’t wearing a face covering: so I’ve learned that the rules are now being enforced.


10: “Nowhere in Christian scripture is there any description of a kingdom of perpetual cruelty presided over by Satan, as though he were a kind of chthonian god. Hart regards it as a historical tragedy that the early church evolved into an institution of secular power and social domination, too often reinforced by an elaborate mythology of perdition based on the scantest scriptural hints and metaphors. The fear of damnation can serve as a potent means of social control.”


11: Torontonians are without their water fountains during the current heatwave.


12: I learned only recently that it is expected behaviour—and, in some cases, a school rule—for children to make their own way to school from around the age of five in Switzerland. The Swiss government’s response to a five year old being fined last year for travelling on a bus without a ticket is heartwarming sensible: to make public transport free for young children, with the side-effect of further cementing this approach to school transport.


13: Commercial analogue radio is to continue for a further decade (at least).


14: There’s a feeling of change in the air. Yesterday, I felt hopeful that covid-19 may be bringing to an end this brief era of populism: it seemed plausible that the crisis might sweep away the bombast of Trump, Johnson and Bolsanaro in favour of quieter competence. In the UK, witness the poll rating of Sunak and Starmer as examples of senior politicians who can both think and communicate clearly. Today, The New Yorker’s historical review had reminded me that things are rarely so straightforward: things can get worse as well as better.


15: “Andrew Lloyd Webber has sent a cease-and-desist letter to Donald Trump” sounds like the setup for a particularly corny joke, but it turns out that it’s the news these days.


16: We’re at a curious point in the Government’s response to covid-19. The official advice on gov.uk remains “stay at home as much as possible” yet the Government is running a major advertising campaign to convince everyone to do exactly the opposite, presumably for economic reasons.


17: One of the scariest charts I’ve seen in relation to covid-19 in the UK so far:


18: “When the inquiry does begin, the primary target for the Johnson government’s ire is already clear: PHE. One health service official predicted it would be ‘toast’ after the inquiry. One minister says: ‘We haven’t blamed Public Health England — yet.’”


19: “When Carnegie Mellon researchers interrupted college students with text messages while they were taking a test, the students had average test scores that were 20 per cent lower than the scores of those who took the exam with their phones turned off.”


20: “Britain’s health secretary, Matt Hancock, delivered its message to the assembly. He spoke perkily, as if everything in his country was under control. In fact Britain is the country which, given its relative wealth and long warning time, has failed most grievously to protect its people against the first onslaught of the virus. Its failure lay primarily in its neglect of the low-tech, low-cost, labour-intensive public health methods and community mobilisation that successfully prevented disease in low-income countries: universal lockdowns, self-isolation, masking, quarantine and tracing – by people, not apps – of all those whom sick people have been in contact with. Yet in his short video message Hancock was speaking the old language of Americans and Europeans, coming up with a tech solution – in this case, a vaccine that doesn’t yet exist – to the world’s problems. ‘I’m proud that the UK is leading this work,’ he said, ‘that we’re the biggest donor to the global effort to find a vaccine, and that UK research efforts are leading the way.’ Hancock’s wasn’t the only speech at the assembly to prompt the thought that before there can be solidarity, a little humility would help.”


21: This Psyche documentary following actors at The National Theatre in the hour before they go on stage is fascinating.


22: I learned more about the history of Nespresso. I am a heavy Nespresso drinker. I do at least make sure all of my pods are recycled.


23: “Answering emails is hard, and no matter how fancy your email app, that email isn’t going to write itself. There’s no tool smart enough to cure human stupidity, so maybe we should stop looking for it.”


24: Victorian Britain’s relationship with the seaside was complicated.


25: I think I use singular “they” without really thinking about it: it’s not a point of grammar I can get worked up about. I hadn’t previously clocked this common usage: “How do you complete the following sentence: ‘Everyone misplaces ____ keys’? There is no way to do so that is both uncontroversially grammatical and generally liked. Most people, even those who as a rule don’t like it, will be pulled towards the singular ‘they’: ‘Everyone misplaces their keys.’ The problem with ‘their’ is that pronouns should agree with their subjects in both gender and number. ‘Their’ is fine on the first count, because ‘everyone’ is genderless, but fails on the second, since ‘everyone’ is grammatically speaking singular, and ‘they’ is plural.”


26: Meditation is probably associated with a lower prevalence of cardiovascular risks (at least according to this one limited study). All of my psychiatrist friends meditate themselves and tell me it’s the best thing since sliced bread, in much the same was as endocrinologists tend to talk about Vitamin D supplementation. I wonder what public health people are reputed to bang on about?


27: Satire may have finally been killed off. “Boris Johnson has today unveiled plans to curb junk food promotional deals as part of a new government obesity strategy triggered by the pandemic” just seven days before the start of “a government subsidy to offer people 50% off meals in fast food restaurants.”


28: From Walter Isaacson’s outstanding biography of Leonardo da Vinci, I have learned that Leonardo described the mechanism of closure of the aortic valve in 1510, but it didn’t start to gain mainstream currency among cardiologists until Bellhouse’s work confirmed the description in the 1960s.


29: The decline of the landline is changing literary fiction.


30: The teasmade has been reinvented. It doesn’t look like the one my grandparents used to have beside their bed: the new version is much uglier.


31: Unorthodox was a great miniseries.

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30 things I learned in June 2020

1: “The reason for the bite is crystal clear: it’s there for scale, so that a small Apple logo still looks like an apple and not a cherry.”


2: How Germany’s contact tracing system for covid-19 works.


3: Economic downturns tend to reduce gender inequality, but the one associated with covid-19 has disproportionately affected women.


4: There are four national anthems without lyrics.


5: Over the last month, I’ve received 3,100 work emails.


6: I heard on the radio this morning that Romans painted eyes on their ships because they believe the gods would protect ships with eyes on them. And it made me think: was this the real reason? Will people in two millennia look back at our time and say that we printed crossed-fingers on all lottery tickets because we believed it brought luck (as opposed to it just being a brand)? There are so many things in life which start as superstition but become traditions which are completely divorced from the original beliefs.


7: The Normal People TV series was better than the book. I know people say you can’t compare the two, but I’m doing it anyway.


8: A loose lock meant that I got to peek through a crack in the door into the southwest tower of the Tyne Bridge:


9: Balancing rocks really seems to have become a trend these days. I know this makes me sound grumpy, but I’m not really a fan: there’s something that feels entitled about taking a shared area of natural landscape and putting a personal ‘project’ on it rather than leaving it how it was found.


10: Citizens of Monaco are called Monegasques.


11: “Uncertainty is a natural state for clinicians and scientists; a reality that politicians seem unable and unwilling to grasp. This contrast plays out sharply when politicians claim to be ‘following the evidence’ in their response to covid-19. How can the evidence be so certain that it should be followed? Isn’t it better to accept uncertainty, communicate that uncertainty clearly to the public, but provide a convincing rationale for policy informed by, not following, the best available science and evidence?”


12: When I’m asked to give talks about antimicrobial resistance, I sometimes mention the issue of incorporating antibiotics into ships’ paint to prevent the formation of a biofilm on the hull which allows barnacles to attach. This initially seems like a ridiculous use of a precious resource, but the issue is actually a bit more subtle than it first appears: barnacles create surprisingly high levels of drag, increasing fuel consumption and carbon dioxide emissions from the ship far more than you might first imagine. I was therefore delighted to learn of the invention of HullSkater, which is basically Roomba for ship hulls.


13: What’s the difference between music and language?


14: “As disaster strikes, ‘baseball caps appear atop politicians’ heads like mushrooms after a rain,’ Jerry Ianelli wrote, in 2017, for Miami New Times. Ianelli called the disaster hat ‘performative folksiness.'”


15: I missed the news a couple of months ago that Renzi Piano’s replacement for the Ponte Morandi in Genoa has been structurally completed, less than two years after the shocking and tragic collapse.


16: It seems that Instagram’s artificial intelligence can’t reliably distinguish photos of naked people from photos of paintings or statues, even when backed up by 15,000 human reviewers. This is a bit of social media controversy which has been around for years, but has hitherto completely passed me by.


17: Solar panels in space generate more energy than those on Earth because our atmosphere reflects or absorbs over half of the solar energy reaching the planet. This topic popped into my head for no clear reason this morning, and the magic of the internet meant that clarification was only a click away. What a time we live in.


18: “The painful conclusion is that Britain has the wrong sort of government for a pandemic—and, in Boris Johnson, the wrong sort of prime minister. Elected in December with the slogan of “Get Brexit Done”, he did not pay covid-19 enough attention. Ministers were chosen on ideological grounds; talented candidates with the wrong views were left out in the cold. Mr Johnson got the top job because he is a brilliant campaigner and a charismatic entertainer with whom the Conservative Party fell in love. Beating the coronavirus calls for attention to detail, consistency and implementation, but they are not his forte.”


19: The OED defines “suspend” as “to debar temporarily from participation in something.” Today, I’ve seen the BBC using the construction “permanently suspended” for the first time, which seems like a significant moment of change in the use of that word.


20: Food is all about salt, fat, acid, heat… and Samin Nosrat, who is impossibly endearing.


21: “You often cannot innovate before the world is ready.”


22: Grief and paperwork come as a package in the US healthcare system.


23: “My experience of being a person is a continual act of becoming, of creation. If nothing else, you continually have to be another day older. To instead focus on the things that are never going to change—from the day that you are born—is like locking yourself in a room.” That struck a chord with me, which was an interesting and arresting experience because it was said by Lionel Shriver, whose opinions are usually diametrically opposed to my own.


24: What advice on covid-19 social distancing can be given to sex workers?


25: The last episode of The Good Place is almost as good as the last episode of Six Feet Under.


26: “In what may be the first known case of its kind, a faulty facial recognition match led to a Michigan man’s arrest for a crime he did not commit.”


27: Beautifully scented designer alcohol hand gel is a mainstream thing now.


28: This profile of Richard Horton gave me some new insight into his response to covid-19.


29: Midwifery is marginalised in the USA.


30: Fukushima serves as a reminder of the long-term consequences of major incidents on mental health. I worry that the response to covid-19 in the UK suggests we haven’t learned that lesson.

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