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?”

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”.

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.

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.

1: We’re actually decent people in a crisis – and stories claiming otherwise do harm.

2: A monk’s cowl is “meant to be impractical – you can’t run in it for instance. It slows you down and you can’t do much in the way of work as a result of the long sleeves.”

3: “While the rest of us headed into lockdown worrying about whether we had enough toilet roll and ketchup, the super-rich were desperately trying to recruit live-in staff.” I’m not usually partial to cheap reverse snobbery, but that article had some zinging lines in it.

4: Paul Collier’s critique in The TLS of the UK Government response to covid-19 is the best I’ve read to date (though admittedly I’m trying to avoid reading too much on covid-19 outside of work). I don’t agree with the detail of all of his conclusions, but I think he brings important issues to the surface.

5: “There are many modern thinkers who emphasise the individual’s dependency upon society. It is, on the contrary, only the cultivation of interior solitude, among crowded lives, that makes society endurable.” So said John Cowper Powys, apparently. I tend to agree.

6: “In Europe, bunks on a night train have traditionally been set at ninety degrees to the direction of travel, like the teeth of a comb. In America, the custom was to place them lengthways, so that your body, when horizontal, slotted into the train like a bullet in the breach of a rifle.” I could have lived my entire life without this delightful bit of trivia ever coming to my attention.

7: “The hope is that almost all of us will download the app, that we will be diligent about using it if we develop symptoms, that the detection of identifiers will be reliable, that the subsequent risk calculation will be more or less accurate, and that we will, by and large, self-isolate if the app tells us to. Crucially, the strategy also requires easy access to tests so people can be rapidly alerted if a contact who had symptoms turns out not to have had the disease.” I’m a covid-19 app sceptic: I don’t think the uptake will be anywhere near 80% of smartphones (as is hoped) and nor do I think that there will be comparable compliance with isolation advice given by app and that given in a human conversation. Twelve months from now, when this post is published and the app has proven to be a rip-roaring success, you can comment and tell me what a fool I am for posting such silly predictions.

8: Moving a Bank Holiday to a Friday makes it more difficult to know what day it is. Lockdown and the consequent intense but irregular working pattern already made it hard enough for me.

9: The details in The Economist‘s cover images sometimes pass me by.

10: “Stay alert will mean stay alert by staying home as much as possible, but stay alert when you do go out by maintaining social distancing, washing your hands, respecting others in the workplace and the other settings that you’ll go to.”

11: Gillian Tett’s observation that “Americans are wearily used to the idea that 40,000 die each year from guns, and many accept this as the price of freedom” helped me see grim fatalism as one response to the lifting of the covid lockdown: the polar opposite of the safety first, fear-driven response that many pundits predict will dominate.

12: “Britain is so preoccupied by the virus that it is devoting far too little attention to its Brexit negotiations, increasing the chances that an on-time Brexit will also be a bitter Brexit.” I’m fairly confident that, despite current bluster, the Government will end up asking for an extension of the transition period. (This post is rapidly turning into “31 predictions from May 2020” rather than 31 lessons…)

13: Will Self’s article on the mechanics of freelance journalism, published in the reputedly low-paying TLS, opened my eyes to the basic realities of that profession.

14: My local petrol station is now charging less than £1/litre.

15: “Senior Conservatives have called for all MPs to be allowed to return to the House of Commons as they become concerned Boris Johnson is struggling in the deserted chamber in his encounters with new Labour leader Keir Starmer.” Bless.

16: Uncertainty about the safety and effectiveness of contact tracing apps is growing. The Economist has a published a leader on the topic: “They are an attractive idea. Yet contact-tracing apps are also an untested medical invention that will be introduced without the sort of safeguards that new drugs are subjected to. Inaccurate information can mislead health officials and citizens in ways that can be as harmful as any failed drug. Governments should proceed with care.”

17: “The most important breakthroughs in medical interventions – antibiotics, insulin, the polio vaccine – were developed in social and financial contexts that were completely unlike the context of pharmaceutical profit today. Those breakthroughs were indeed radically effective, unlike most of the blockbusters today.” This is obvious when you think about it, but I’ve never really thought about it before.

18: Multi-person iron lungs existed.

19: Chloe Wilson, who I’ve never come across before, seems to be quite a writer.

20: Cereal taught me the Korean idiom “when tigers used to smoke,” meaning a very long time ago. And also the lovely saying “deep sincerity can make grass grow on stone.”

21: Vitamin String Quartet covered the whole of Daft Punk’s Random Access Memories album and somehow this news has passed me by for the best part of four years, even though I like Vitamin String Quartet and love Random Access Memories.

22: “A local leader characterises PHE’s response to the crisis as ‘carry on covid.'” It seems that even The Economist has now concluded that Public Health England is “unlikely to survive the crisis.”

23: This video introduced me to several new terms unique to the world of antiquarian book repair (though Slightly Foxed taught me the meaning of ‘slightly foxed’ some years ago!)

24: Itsu’s katsu rice noodles are lovely, even if they are basically a posh pot noodle.

25: Going for a drive to test one’s eyesight is, according to the government, an acceptable reason for deviating from “stay at home” advice.

26: How different artists approached drawing the SARS-CoV-2 virus.

27: Dr Bonnie Henry has had some shoes made in her honour. And they sold out quickly.

28: A month ago, I don’t think I could have confidently defined ‘pangram’. Now, I’m coming across them everywhere: there’s been a running feature in The Times diary column, they feature in Exciting Times by Naoise Dolan which I’m currently reading, and The Browser recently recommended an article about them. My current favourite is ‘amazingly few discotheques provide jukeboxes’.

29: The Twentieth Century Society made me aware that tax incentives promote new construction over refurbishment, which is part of the reason why perfectly sound buildings are often demolished rather than repurposed.

30: It’s been lovely to have a day off and go for a walk with Wendy. COVID-19 work has run us both ragged recently. I’ve also had my first takeaway coffee in several months.

31: According to anonymous sources talking to The Sunday Times, “Boris has always been clear that he doesn’t ever say sorry,” “these stories about Boris being fed up with the job are all true” and “the chances of Boris leading us into the next election have fallen massively.”

1: In terms of the response of many governments to covid-19, David Runciman suggests that “For now the war is all there is, and the peace will have to take care of itself.” I hope that’s not true. If there’s one lesson we always say we need to learn after every crisis, it’s that we need to do more planning for the “recovery phase”, the return to normality (even if that is a new normal). I hope the UK’s government is thinking on that.

2: Contrary to everything I thought I knew about myself, it turns out that I am the kind of person who stands in a queue outside Asda. Covid-19 has done strange things to us all.

3: Doctors often spend a lot of time moaning about the involvement of politicians in political decisions about healthcare. I appreciated this article from Political Violence at a Glance for giving a brief but thoughtful answer to the question: “In pandemics, should the experts or the politicians be in charge?”

4: Dies Irae is quoted in a lot of films. Who knew that Gregorian chant is so relevant to modern cinema?

5: Teacher training in England is a mess.

6: Mario’s moustache is there for a reason.

7: There’s a great article in the April/May 2020 edition of Courier—not online as far as I can tell—about what a company learned from deciding to pay all their staff the same salary. It didn’t work out for them. Courier does these articles on failed business experiments really well: it’s great to see failure embraced and learning shared rather than just pretending everything works all the time.

8: “There is no sweeter moment than passing a middle-aged man in lycra on a carbon-fibre road bike when you’re riding a Dutch bike in a dress.”

9: According to a lecture by Dr Mary Rogers who manages the Abbott Global Viral Surveillance Programme, from all the SARS-CoV-2 viruses genetically sequenced to date from over twenty countries, there is only variation in 149 positions in a 29,000nt virus (i.e. very little mutation and variation).

10: “Whether one agrees with Trump’s policies or not, his administration has accomplished much of what it set out to.” I sometimes think that the collective outrage at Trump’s policies obscures the fact that he delivers on them. I would never have believed on 9 November 2016 that Trump would still be in office today, let alone that he would have actually delivered on his outlandish promises.

11: Bats have weird immune systems.

12: Stoking anger and resentment in difficult times still sadly brings gainful employment for some, according to Andrew Tuck: “At the park there’s a man lurking by the bushes. He’s got a camera with a telephoto lens as long as his arm. He’s here not to spot a rare bird in the trees but to try to catch out people sunbathing, sitting on a bench, talking to someone who does not live in their household (I know this because a few hours later I check the tabloid sites to confirm my suspicions and there are his pictures). He’s also got a series of people allegedly cycling too close to one another. But they are not what they seem to be. He’s simply used the lens to make it look like people are super close by shortening the field of vision. With a country on edge, it’s incredible why anyone would try to sow unease.”

13: In the context of the Prime Minister’s covid-19 diagnosis, “Donald Trump described Johnson as a man who ‘doesn’t give up’. Which is about as disrespectful a thing one could say in the face of the tens of thousands of people who have died of the virus, and presumably just couldn’t be arsed to hang around.”

14: Canine life coach is a career option.

15: I read a lot of library books and have never really worried about catching infections from them. But Gill Partington seems to think I should worry (and according to this article, Public Health England has guidance on cleaning library books, which was also news to me).

16: It’s easy to forget the unprecedented pace of social change over the last hundred years, which means it’s easy for a news report from a century ago to knock my socks off with its attitude to gender politics.

17: The Government’s latest covid-19 graphic feels strangely reminiscent of certain 1990s weekend shopping trips.

18: It’s “unlikely in the extreme” that covid-19 will delay November’s US presidential election.

19: The Economist reckons that “apps built using Apple’s and Google’s new [covid-19] protocol ought to focus on providing information to technologically empowered human contact-tracing teams, not on automating the whole process.” I agree; I’m not sure whether or not that’s PHE’s view.

20: Streaming funerals online raises interesting theological questions.

21: By dint of being in the second half of the decade, I don’t think I can describe myself as being in my “early thirties” anymore. In Misbehaving, Richard Thaler suggested that people can no longer be considered “promising” once they turn forty. To wit: I’m now a “promising thirty-something.”

22: According to this headline, the ideal moment to invite more people to attend NHS services is the moment of greatest pressure on those services.

23: Some pigeons have their rectums checked for incendiary devices.

24: Some days, I just despair.

25: Van Gogh’s isolation in the Saint-Paul-de-Mausole asylum influenced his art in interesting ways.

26: A Time-ly reminder that hospitals are only as strong as their domestic workforce.

27: In The Sense of Style, Steven Pinker argues that “style earns trust. If readers can see that a writer cares about consistency and accuracy in her prose, they will be reassured that the writer cares about those virtues in conduct they cannot see as easily.” Events over the last few days have made me think a lot about how consistent and accurate advice is crucial for outbreak control, but I had been thinking in terms of ethics and efficacy. Trust is, of course, especially important too: people don’t follow advice they don’t trust. It’s normally the sort of thing I bang on about a lot, so it’s interesting to reflect on why it was so far from my mind this weekend.

28: “The rich world has no modern precedent but a 2017 paper by Keith Meyers, of the University of Southern Denmark, and Melissa Thomasson, of Miami University, on a polio epidemic in 1916 in America, made the lesson clear: closing schools hurts kids’ prospects. The younger ones leave school with lower achievements than previous cohorts and the older ones are more likely to drop out altogether.” (But but but…)

29: Today, I’ve had Adam Buxton’s take on the Quantum of Solace theme stuck in my head. It must be twelve years since I heard it on 6music, so I’ve no idea why my brain dragged that up!

30: I didn’t realise I was tired tonight until I woke up having falling asleep while reading in an armchair. I’m not sure this is correct behaviour for a promising thirty-something.

1: Talking about how to influence politicians, Professor Dame Sally Davies told the HSJ ”You’ve got to think ‘where are they coming from’ and frame the issues so it has salience for them.” When I was lucky enough to work alongside her, I learned a huge amount from just watching how Sally worked. It still strikes me as notable that many doctors take the approach she describes with their patients but don’t do the same in political discussion. 

2: Leaving portfolios until the end of the appraisal/CPD year is a bad idea. This isn’t really a lesson specific to this year, but I never seem to learn it regardless. 

3: Some days are longer and busier than others. 

4: In Grandeur and Greed, Giles Smith refers to Bassano’s painting The Animals Entering Noah’s Ark as having “the worst depiction of an elephant in any exhibited artwork in a major gallery”. It took me a while to spot it, which rather says it all: I think he might be right. 

5: It’s always lovely to reconnect with an old friend. 

6: Just as the first casualty of war is truth, the first casualty of pandemics is common sense. 

7: The more intensely I work, the more I lose perspective. This is a useful trait, great for total immersion in complex projects, for trying to untangle a complicated outbreak or for trying to make a useful and structured text from lots of conflicting ideas. But I’m learning that it’s not a helpful trait when working intensely to others’ plans, because it’s easy to become fixated on the flaws and fault lines of my little corner rather than seeing the bigger picture taking shape. Rest helps to restore perspective. 

8: I’m not sure whether I actually learned anything from it, but David Marchese’s interview with Aaron Sorkin in The New York Times Magazine was brilliant. 

9: I’ve learned what book reviewers think is the point of book reviews. 

10: Being woken in the middle of the night when on call seems to get even less fun each time it happens, and covid-19 means it is happening a lot. 

11: Sleeping for 12-and-a-half hours straight is still a thing that happens when I’m tired enough. 

12: The Electoral Commission recommends postponing the May elections until the autumn, and I’m surprised by how conflicted I feel about that. 

13: Mind-gardening is a thing. Apparently. 

14: I can’t remember the last time a cartoon stopped me in my tracks like this one by Ella Baron. 

15: Philippe Descamps’s article in Le Monde Diplo on cycling in Copenhagen was interesting—particularly the bit about having predictable provision according to the road’s speed limit. The article suggests that only 6% of daily journeys in Copenhagen are on foot, which I suspect is an artefact of the definition of “journey”: almost everyone will walk some distance on foot each day, and on the occasions when I’ve visited Copenhagen, I’ve enjoyed the fact that provision for pedestrians is as thoughtfully considered as the provision for cyclists. 

16: Despite it being (apparently) very commonly taught in schools and universities, it is only at the age of 34 that I’ve first heard of the “five paragraph essay”. 

17: The good people of Newcastle are, it seems, panic-buying chicken. 

18: Snail facials are exactly what they sound like. According to Race Across the World, there are 52 species of hummingbird in Costa Rica. This came as a particular surprise to me as I thought ‘hummingbird’ was a species. I know nothing. 

19: Even a fairly crude “guy walks into a bar joke” can be a delight when it’s well written. 

20: I usually walk to work: it takes a little under an hour, which is only a little longer than it takes by Metro or car. Today I learned that if the rest of the world self-isolates, it actually only takes nine minutes to drive. 

21: Traveling from London to Mallorca by train, foot and ship is easier, but less environmentally efficient, than I’d have guessed. 

22: I’ve never thought before about the fact that escalator machinery on the London Underground wears unevenly because of “the weight of those who dutifully stand on the right”. 

23: This time three months ago, I thought it was extraordinary that a Government would remove the right of citizens to live and work in any country in the EU. Never did I imagine a British Government could remove citizens’ rights to the extent that they have to stay indoors. I’m living in extraordinary times. 

24: Most of the time, letters responding to articles in medical journals add very little. Sometimes, though, they add completely new insights which change my perspective on an issue: pointing out that health improvement interventions that go along with screening tests are usually ignored in analyses of the effectiveness of screening programmes is a great example. 

25: I don’t think I’ve ever seen an episode of Doctors. 

26: There’s a reason why it feels strange to walk on a stopped escalator. 

27: It’s been too long since I last listened to Reply All. 

28: “Self-sacrifice has always been an implicit part of being a doctor. It is a source of both pride and pain, and why, on the whole, doctors and nurses deserve our respect. Rarely has it been so called upon as in the covid-19 crisis.” 

29: It’s tough to be a spy in a country in covid-19 lockdown. 

30: An article by Peter Blegvad in the latest Brixton Review of Books made me think quite a lot about the relative accuracy of each of imagination, observation and memory: a theme explored in quite a few novels I’ve read, but which I don’t think I’d really considered in art before. 

31: “Pineapple is the smell of masculine.” Apparently. 

1: Newcastle in County Down is nice, but I still prefer Newcastle upon Tyne.

2: Belfast International was ranked as the worst UK airport for passenger satisfaction in 2019, which feels reasonable.

3: My optician offered me “retinal screening” using optical coherence tomography, claiming that “the only downside is that it costs £25”. Cost is never the only downside to medical screening. I declined, but didn’t argue.

4: Someone has printed a map of China and put it on my desk. Hubei seems further East than the last time I looked. I’m pretty certain it’s my memory that’s faulty rather than the map.

5: Co-ordinating annual leave between Wendy and me isn’t easy.

6: After a 48hr run as Incident Director with an Incident Coordination Centre running, I can confirm with certainty: it’s exhausting. National colleagues doing longer stints with bigger ICCs under more pressure have some serious stamina.

7: The engineering challenges for high speed rail lines are more interesting to me, as a lay reader, than I would have imagined.

8: Americans report that they go to libraries almost twice as frequently as cinemas, averaging close to one library visit a month. I last visited a library two days ago and last saw a film in a cinema thirteen months ago.

9: “Amtrak recently announced that it’s getting rid of tablecloths all together because research suggested that millennials didn’t respond well to linen.” As far as I can tell, Amtrak hasn’t said anything about millennials’ response to linen, and the story about removing dining cars is four months old, so the lesson is that columnists can find straw men in the strangest places sometimes.

10: Boris Johnson’s government has started examining the feasibility of a bridge between Scotland and Northern Ireland. Anyone mentioning the offshore engineer’s view that it “is about as feasible as building a bridge to the moon”, or Johnson’s previous Garden Bridge fiasco, or indeed his proposals for a bridge between England and France will probably just be branded a doubter, a doomster or a gloomster.

11: It has a name, and that name is covid-19. I didn’t hear the press conference, but assumed ‘covid’ rhymed with ‘Ovid’ (ɒ); others at work are pronouncing it more like ‘cove-id’ (əʊ). It’s the culture war over French vs Latin pronunciation of “difficile” all over again.

12: I’m currently reading Pale Rider by Laura Spinney and my addled mind is getting confused between things that happened in the 1918 Spanish Flu outbreak and things that are happening now in the covid-19 outbreak. There is a surprising amount of overlap.

13: The M96 is unique, and some people get very excited by a road which I use regularly and to which I’ve never paid a great deal of attention.

14: Infrared thermometer guns, currently much-photographed in connection with covid-19, are not always terribly accurate, especially outside of controlled clinical settings.

15: Twenty of our Prime Ministers went to the same school.

16: The number of ministers in the UK government is capped at 109, but Governments frequently find ways around that limit (mostly by appointing people without paying them). For comparion: in 1900, there were 60 ministers; in 2010, India had 68, South Africa 66, and Canada 63. I’m sure every one of our UK ministers is appointed based on merit and public service value, and not as mechanism to force people to vote with the Government line.

17: “Since the Lunar New Year holidays concluded, many pupils in Hong Kong have been required to attend lessons via video conference. But some have become a bit too comfortable with the home-learning set-up, leading schools to introduce a strict “no pyjama” policy.” It’s interesting to ponder how outbreak control measures can influence social norms. Will we all have dress codes for working from home in future? I suppose it seems likely as videoconferencing continues to become more common.

18: The Brit Awards, which haven’t really felt relevant in years, can still unexpectedly deliver immensely powerful moments.

19: I eat meat. It’s not a strong part of my personal identity in the way it seems to be for some people, and I’ll happily eat vegan dishes when the fancy takes me (hello vegatsu). Nonetheless, I eat animal products every day, and I thoroughly enjoyed being challenged by reading an excellent Michael Huemer essay from which I learned more about the libertarian counter-arguments to intensive farming of animals: “If animal suffering were even one thousandth as important as (qualitatively similar) human suffering, factory farming would still be among the most serious problems in the world today. (Imagine that 74 million humans were being tortured in factory-farm-like conditions each year. Unquestionably, this would be among the world’s greatest problems.)”

20: “Burke Trend – a career civil servant in the Treasury before he became cabinet secretary in 1963 – once remarked that whatever the prevailing economic theory, the general ethos of the Treasury was fixed: ‘Spending money, like eating people, is wrong.’”

21: “Kinks and Convolutions” by James Lasdun in The LRB sold me on the book it was reviewing and also introduced me to the word “concupiscence” (Eager or vehement desire; in theological use, the coveting of ‘carnal things’, desire for the ‘things of the world’.)

22: In London, some people have now turned “entire new-build apartment blocks into de facto hotels designed for the short-term rental market”.

23: I’ve never thought before about how the basics of computer programming rely on a knowledge of English.

24: Gretchen McCulloch’s book Because Internet has made me realise that I use emoji as either “emblematic” or “illustrative”. I like it when books make me realise something about my own behaviour that I hadn’t fully noticed myself!

25: I’d never really thought about the association between certainty of opinion (“everyone knows Tories are scum”) and decisiveness in terms of action planning (“I know exactly what I need to do here”) until I read this Diamond Geezer post. I now see that they are both facets of decision making, but I hadn’t previously spotted that thread between things that I have previously thought of as distinct attributes of character.

26: I’ve been musing for a while that use of the word “skyrocketed” to mean “increased quickly” has been increasing quickly as compared to use of the word “rocketed” for the same meaning. I initially thought this was misuse of “skyrocket” which I’ve always taken to mean “destroy” or “blow up”, a near synonym of “torpedo”: amusing because its almost the opposite of the sense in which people are intending it to be taken. But then I came to think it was used too commonly to be an error, and thought that it was perhaps an Americanism. The OED reveals that I’m right in one sense: use of “skyrocket” to mean “increase abruptly or rapidly” is marked as being of US origin, while “rocket” to mean “increase suddenly and very rapidly” appears to be of less certain origin. But I’m more wrong than I am right: “skyrocket” to mean “destroy utterly” is marked as rare and obsolete, which makes me wonder where I picked it up from in the first place.

27: Laura Spinney’s brilliant book taught me that the respiratory tract of pigs is generally vulnerable to influenza viruses which affect the gastrointestinal tract of birds and influenza viruses which affect the respiratory tract of humans. Hence, swine are often the sources of recombinant strains of influenza which can cause large outbreaks in humans.

28: This is hardly an original observation, but I was nonetheless dumbfounded at The Louvre to witness the neverending line of people spending the entirety of their allotted 30 seconds or so in front of the Mona Lisa with their back to it, the better to take a selfie. If Dadaism says changing the context of an object can transform it into art, does changing how people interact with the Mona Lisa transform it into a different artwork?

29: “A writer in Gentleman’s Magazine in 1789 proposed charging a ‘sin tax’ on novels (like those on alcohol and cigarettes today). Taxing them—but not ‘books of real utility’—would bring in valuable government revenue and encourage better reading habits.”

1: Alan Bennett had open-heart surgery in Spring 2019 and the news completely passed me by.

2: A paucity of Papal patience provides problematic publicity for a Pontiff preaching peaceful pacifism to pious pilgrims.

3: Norovirus probably causes about two-thirds of care home outbreaks of gastrointestinal disease.

4: Fewer than 20% of schools in Texas teach children about safe sex. Texas is among the States with the highest teen pregnancy rate. Any connection is disputed by conservatives.

5: I’m reading Matt Haig’s Reasons to Stay Alive at the moment, and there’s a line advocating for greater ‘mood literacy’ which I found a rather lovely turn of phrase. It reminded me of this blog post advocating examination of one’s own response to the outside world to better understand one’s mood. Both taught me something about self-examination.

6: One of the room booking systems at work requires me to “invite” a given room to attend a meeting. I’ve now learned through bitter experience that rooms can decline invitations… which felt a little humiliating, even if it does open up a whole new seam of entertaining insults (e.g. “that meeting sounds so pointless that even the room declined the invitation”).

7: Populist ‘knee-jerk’ reactions in politics are commonly discussed and clearly dangerous. I’ve been reminded today by an article on the lack of legislation around in vitro fertilisation research in the USA that the opposite—a complete failure to react because issues are complex and divisive—can be just as dangerous.

8: Merely possessing a placebo analgesic, without even opening it, has been shown to reduce pain intensity.

9: The average age of a BBC One viewer is 61. If one considers that a problem, as the BBC seemigly does, then I suppose one might conclude that removing children’s programmes from the channel was not the right approach.

10: The Royal Botanic Garden Edinburgh is only a short walk from the city centre and is a great place for a winter stroll. The uphill walk back to the city centre is a touch more tiring.

11: Over the past decade, the proportion of the UK’s electricity generated from wind and solar power has increased from 2.4% to 20.5%. The proportion from coal has fallen from 31% to 2.9%. (As reported in Positive News, though the specific article isn’t online.)

12: Aspiring comedians often go on ‘introduction to stand up’ courses. I’d never thought about these sorts of courses existing, but of course they do.

13: More than half of Luxembourgers speak four languages. The best-selling newspapers in Luxembourg have articles in two languages. This makes me feel inadequate.

14: In the 1990s, John Major mooted renaming Heathrow airport after Churchill, while Lindsay Hoyle and William Hague fancied naming it after Diana.

15: I have long known the North East is an outlier for antibiotic prescribing in primary care, but hadn’t fully realised until a meeting today that the North East isn’t an outlier for antibiotic prescribing in secondary care.

16: I was surprised to read that a survey suggested that only one in three people on the UK knows the standard VAT rate is 20%, and one in ten knows the basic rate of national insurance is 12%. But then, on reflection, my own surprise surprised me, because I don’t really know how or why I know those figures myself. I’m sure there are plenty of similar figures on which I’d have no idea myself!

17: Since last September, Monday to Friday, the City of London Magistrates’ Court has been filled by Extinction Rebellion defendants from around the country.

18: The developers of Morecambe’s Central Retail Park have “put an extraordinary amount of effort into stylising the car park” including quirky themed artworks, sculpted steel waves and effigies of seabirds diving for fish.

19: In the US, a broadly similar amount is spent on treatment for back pain ($88bn) and treatment for cancer ($115bn).

20: Office for National Statistics Travel to Work Areas are an interesting way of dividing up the country.

21: Civil servants in China cannot ordinarily be dismissed. One wonders what Dominic Cummings makes of that.

22: Over 70% of 12- to 14-year-olds in China are short-sighted. The Communist Party has set targets for reducing that, leading to some slightly strange practices in schools, including compulsory twice-daily eye massages and dressings-down for those whose sight worsens over time.

23: It’s not a public health emergency of international concern.

24: Blinded trials are not always best. I remember having to write an essay or answer an exam question on this topic at some point in the past, but haven’t really thought critically about it in years.

25: The attendance fee for the 2020 World Economic Forum in Davos is 27,000CHF (£21,400). I will never complain about medical conference registration fees again!

26: Luxury branded homes—as in, “I live in a Bulgari residence” or “I’m in the Porsche apartments”—are now a thing. Is it possible that this is a global conspiracy to see how far the definition of “gauche” can be pushed?

27: “We fill our days with doing laundry, replacing our brake pads at the auto shop, or making a teeth-cleaning appointment with the dentist, in the expectation that everything will be fine. But it won’t. There will be a day that kills you or someone you love.”

28: “To err is manatee. A manatee might mistake a swimmer’s long hair for shoal grass and start munching away, oblivious to the attached figure. To err is baby elephant, tripping over her trunk. To err is egg-eater and moonrat and turnstone and spaghetti eel, and whales, who eat sweatpants.“

29: Pulmonary tuberculosis can be detected in babies by doing PCR tests on faecal specimens. Sensitivity of the test varies according to the exact methods used, and this is an active area of research.

30: It’s a public health emergency of international concern.

31: The TV series Love Island has an unexpectedly innovative business model which involves selling items seen on the show via the app which viewers download to vote for contestants.

1: Cotton creases because it contains cellulose fibres which are held in position with nothing more than hydrogen bonds. Non-iron shirts are coated in formaldehyde to effectively fix the hydrogen bonds. And hence, A-Level chemistry is relevant to office wear.

2: The Times of India publishes an astonishing fifty-six localised daily editions, and is the most widely circulated English-language newspaper in the world. It’s a slightly deflating sign of my unconscious cultural bias that when I saw the cover promotion for this article, I automatically assumed that the most widely circulated English-language newspaper would be a US title, despite that being completely illogical.

3: When fire service colleagues are at a multi-agency meeting, there’s no option to sit back for a minute to see if the fire alarm interrupting the meeting is real: all are out in the freezing in the car park within seconds.

4: Colleagues from Teesside University told me that the campus now hosts more than 18,000 residential students: that’s more than 10% of Middlesbrough’s population.

5: I had forgotten how much I enjoy Erland Cooper’s Solan Goose album until it popped up in my Spotify review of the year. It’s extraordinary.

6: It takes less time to walk from Middlesbrough Town Hall to James Cook Hospital than I imagined.

7: UNESCO has a list of Intangible Cultural Heritage—a philosophical minefield if ever I heard one.

8: Buying Christmas cards a year in advance is only a great idea if you can remember where you put them.

9: CDC’s definition of emerging infectious diseases is “those whose incidence in humans has increased in the past 2 decades or threaten to increase in the near future”. I’m sure I must have learned this in specialty training at some point, but honestly… I don’t remember.

10: I would feel a little less stressed if I’d started my Christmas shopping before now: I usually have it done and wrapped way in advance, but not this year.

11: If people voted for Brexit because they felt that “the establishment” ignored people like them, then the failure to “deliver” Brexit in a timely manner following the vote reinforces the preconception that their views are ignored. That might seem like an obvious point, but it hadn’t really occurred to me in such concrete terms.

12: The General Election result shows that being sacked for lying twice is no barrier to gaining the public’s trust.

13: One of our registrars explained to me that recommendations on management of clusters of pertussis differ to a surprising degree between countries.

14: 90% of interactions between members of the public and healthcare workers are with nurses. 2020 is the ‘Year of the Nurse’: if you’d asked me, I would have said that was 2019, but I guess that must be because I’ve heard so many conversations about planning for it rather than celebrations actually happening.

15: Mycobacterium tuberculosis kills more people each year than any other single pathogen. I think I would probably have guessed that, but still arresting to see it there in black and white.

16: Italy has closed all of its forensic psychiatric units.

17: At work, our team has dealt with nearly 1,000 more queries this year (so far!) than last year: a 40% increase. I knew it had been busy, but that’s mad.

18: Jameela Jamil, who I previously knew only as a star of The Good Place, is quite the controversial ‘social media activist’.

19: If you’d asked me to name the biggest film of 2019 by box office revenue, I couldn’t have told you it was Avengers Endgame, even if you’d given me the first word of the title. I didn’t know that Avengers films were made by Disney. I’ve no idea even now how many Avengers films there have been. I haven’t seen any of the other movies in the top ten. In other words, I’m culturally illiterate.

20: Trigger warnings don’t help people cope with distressing material. “The results are surprisingly consistent in undermining the specific claim that trigger warnings allow people to marshal some kind of mental defence mechanism. There is also a solid evidence base that avoidance is a harmful coping strategy for people recovering from trauma or dealing with anxiety.”

21: The Telegraph‘s reviewer really didn’t like the movie version of Cats. Zero stars.

22: I really don’t understand what separates good contemporary poetry from bad. In other words, I’m culturally illiterate.

23: When asked what he planned to give his girlfriend for Christmas, Boris Johnson replied “Get Brexit done”, which is—give or take a waffling peoration—the same answer he gave to a question about banning firework sales to the general public, a question about 500 public libraries closing, and a question about abuse of female MPs. It seems it might be a sort of reverse ‘supercalifragilisticexplialidoucious’: something one can always say when one doesn’t know what to say, but which makes one sound anything but precocious.

24: I rather naively believed the much-reported story that Netflix developed House of Cards on the basis of insights gleaned from the data on what aspects of other shows attracted an audience. It turns out, in fact, that the show was developed before Netflix became involved, and was just part of a traditional bidding war between broadcasters.

25: The path of 2019 has, at times, felt quite bumpy.

26: In the post-war years, there were ‘British Restaurants’ set up by the government “to serve cheap hot food for everyone so that people had enough to eat”.

27: The Premier Inn in Bangor is a surprisingly nice place for a Friday night drink.

28: The Starfish at Cairn Bay Lodge is a lovely place for lunch.

29: London has two branches of Ballie Ballerson, a cocktail bar set in a ball pit with more than a million balls. Learning of this reminded me that someone once asked me, in a professional context, how to clean a ball pit with many thousands of balls. It turns out that there are machines which claim to do that. In trying to find that answer, though, I found out that some international clinical settings have ball pits which is mind-boggling from an infection control perspective.

30: Only about 20% of bodies in England are buried in the UK as a whole; most people are cremated. The opposite is true in Northern Ireland. In most of the UK, ‘a funeral is typically held around one or two weeks after the death’. In Northern Ireland, ‘bereaved families hit out at not being offered a [Cremation] until four days after their loved one dies’. These statistics would be news to me if I hadn’t had the sad duty of attending two funerals in Northern Ireland this year: I’d far rather these had been lessons I wouldn’t have to learn for many to years to come.

31: Smokers have an increased risk of developing influenza compared to non-smokers: as much as 55% more likely to catch flu.

1: It feels great, if a little anticlimactic, to finally be able to delete “Locum” from my email signature.

2: The North Shields Fish Quay has really smartened up since Wendy and I last visited. It would be nice to live somewhere with a river view, if only it didn’t have to be near a river.

3: Going to Ikea for the 10.30 Sunday browsing opening time isn’t a successful crowd avoidance strategy.

4: Barriers between healthcare organisations can make simple things—like arranging urgent vaccinations—more difficult than they ought to be. Perhaps someone should invent some sort of national health service which provides care based on need rather than budgets, contract provisions and organisational mission statements.

5: Telling patients that they look far too young to have donated blood 61 times makes them want to go back and donate again as soon as possible to receive more flattery.

6: Sometimes, people who use irritating business chatter do actually understand what they’re on about.

7: Business planning isn’t my bag.

8: Th Guardian Daily app doesn’t work properly on Kindle tablets.

9: Loud Christmas music in coffee shops makes settling down with a coffee and a good book difficult. Headphones and white noise on Spotify are an imperfect and antisocial solution.

10: It’s not easy being green: should I buy second-hand books and support the planet or new books and support the author?

11: Durham County Council has meeting rooms with quite spectacular coastal views in Seaham:

12: Dementia friendly parking spaces are now a thing… at least in Hemlington:

13: “At this time of year, it is not uncommon for viruses including influenza and norovirus to circulate in schools. The risk of infection can be reduced by practising good hand hygiene, particularly after using the toilet, after using a tissue to catch a cough or a sneeze, and before eating.”

14: Our TV needs re-tuning. Broadcasts are moving away from the 700MHz band of frequencies to free up spectrum for mobile data instead. Given the profitability of mobile data services and the proliferation of home broadband (especially in the context of PSTN switch-off), I wonder how long over-the-air television broadcast have left?

15: Arguments opposing the Public Libraries Act 1850 included a Conservative view that people “have too much knowledge already” and that “the more education people get the more difficult they are to manage.” In fairness, I suppose people now carry the sum of human knowledge in their pockets and do have a tendency to be rebel against authoritarian control, so perhaps he had a point.

16: The TLS has relaunched with a rather stylish new look. Dr Brian Klass’s comparison of politics in Trump’s America and that in Brexit Britain through the medium of cheese was a particular highlight of this issue for me.

17: Coffee shop Christmas music irritates Wendy even more than me. It’s depressing, or so I’m told.

18: A replacement wing mirror for a 2009 Aygo costs less than £50. I was expecting a much bigger bill after someone completely snapped mine off (and didn’t leave a note!)

19: The brand new Sunderland medical school has some impressive facilities.

20: Colleagues at Middlesbrough Council taught me that routine air quality monitoring still uses diffusion tubes fixed to lampposts; people have to go up in cherry pickers to change the tubes every month.

21: Research into treatments for interstitial lung disease includes a lot of discussion about disease taxonomy and the problem of lumping and splitting: considering diagnoses with the same underlying pathology together (lumping) or as distinct entities (splitting).

22: Cleveland Fire Brigade taught me about their Stay Safe and Warm free one-hour response service for boiler breakdowns where they lend people emergency electric heaters.

23: A wet and dreary Saturday can be a good prompt to light the fire and relax at home.

24: I didn’t know that Sheffield had a hybrid tram-train system until I read this Wired article.

25: Purdah rules can be really annoying sometimes, especially when I’ve done a lot of work to prepare for a meeting I’m no longer able to attend.

26: I thought I learned the etymology of the word “syndrome” after it was featured in a lecture. Yet after thinking about it for a while, the suggestion that it was derived from words for “before” and “diagnosis” didn’t ring true, so I looked it up in the OED online. The lecture version was thus proven to be completely wrong, so I suppose I learned not to take the content of lectures on trust.

27: Only a decade late to the party, I learned that Ecosia—the search engine that plants trees—is a thing.

28: People really don’t know what I do all day. This month, in my health protection role, a meeting of vascular surgeons has invited me to talk about knife crime, a univeristy course has asked me to teach about rural medicine, and a meeting of intensivists has invited me to present on recreational drug toxicology. They may be disappointed at me turning down their kind invitations, but they’d be far more disappointed if I accepted given that I know naff all about any of those topics.

29: Via Lana Greene’s column in 1843, I leaned of the German word “Multioptionsgesellschaft”. It was apparently coined by Peter Gross, a Swiss sociologist, in the early 1990s. It refers to a world swamped by choice, which feels very current: I frequently open Netflix for something to watch and close it a few minutes later with the resignation of not being able to decide.

30: I heard a snippet of a radio programme in which an older person was being interviewed and the subject of loneliness among the elderly came up. The interviewee suggested that while lots of attention has been paid to loneliness recently, too little has been paid to the loss of solitude for many other older people, such as those in care homes. I’d never heard that point made before, and I suspect it will stick with me: solitude is something very important to me.