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31 things I learned in January 2020

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.

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31 things I learned in December 2019

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.

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