Earlier this year, I recommended one of the books by Dr Gavin Francis, a Scottish GP.

Today, I’m recommending his recent article in 1843 Magazine which describes the ongoing collapse of the NHS. It’s heartbreaking.

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: 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.

I usually try to avoid ‘grumpy’ columns in magazines. As a general rule, they are not very interesting and are not nearly as funny as the author intends. Turning a ‘moan’ into interesting writing is a tricky skill to pull off.

All of that aside: In 1843 magazine, Adrian Wooldridge recently wrote about irritating announcements on public transport:

Some companies seem to revel in redundancy. In the railway world Amtrak is the champion of verbosity. Recorded announce­ments on its trains proclaim the arrival of each station with a peroration ending in a request to “please take this time to look about you and collect your bags”, as though the majority of passengers were otherwise likely to canter off the train in a spiritual ecstasy, leaving their material possessions in their wake.

This complaint touched a nerve. When I was commuting to London on a weekly basis a few years ago, there was one particular train guard whose name became lodged in my memory, so annoying were his announcements. His tone tended to convey a weary sense of superiority: it was with some mild irritation that he reminded passengers to check that their tickets were valid for this particular service, as though only a moron could be confused. He spoke extremely slowly, as though he had been told in training not to speak too fast and had overcorrected. And, most irritatingly of all, he seeemed intent on lengthening every announcement to the greatest possible extent by including superfluous words.

Peterborough would never be the ‘next stop’; it would inevitably be ‘the next station stop at which our service will be calling this morning’. Passengers should not merely content themselves with ‘reading the displayed safety instructions’; rather they should ‘be sure to fully familiarise themselves with the safety information cards displayed on the walls of the vestibules at the end of every carriage on board this service’. Customers should not simply ‘have tickets ready for inspection’; they should ‘be aware that a full ticket check will now take place in all coaches, starting from Coach B at the front of the train, and ensure that they have all tickets, travel documents and railcards to hand both at their seat and when moving around the train.’

The verbosity was almost too much to bear. So while I disagree with Adrian’s preference for not knowing the names of service workers and wearing headphones through safety demonstrations on aircraft, I find it hard not to have a little sympathy with his complaints about excessively loquacious train guards.

As an aside, on a recent train journey, the guard issued the typical reminder that passengers should “take all of their personal belongings with them”. Somebody loudly responded that this wasn’t practical, as most of their personal belongings were at home rather than on a train. I’ll laughed quite loudly, despite myself.

The image at the top is of a Virgin train at Brighton station. The full version was posted on Flickr by Matt Davis, and I’ve reproduced a cropped version here under its Creative Commons Licence.