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31 things I learned in March 2020

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. 

Empty shelves

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. 

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2D: Bankers & banking

Bankers have barely been out of the news for the last couple of years, yet – as with so many long-running stories – there are relatively few good articles that give any perspective to the day-to-day happenings. For this 2D, I’ve found two articles that do just that.

The first article I’ve chosen is from the London Review of Books, was written by John Lanchester, and was published in July. “Are we having fun yet?” uses all sorts of arresting comparisons to contextualise the behaviour of banks, and also explains aspects of it that I had previously not really understood. Here’s one example of a breathtaking statistic:

Lloyds’ total provision for PPI has now hit £6.7 billion, getting on for the full cost of the London Olympics, just from that one bank.

I often find it hard to conceptualise the value of a few billion pounds; maybe things should be costed in “London Olympics” from now on, in the same way we measure things in “Nelson’s Columns”.

Lanchester briefly touches on the computer meltdown at RBS a couple of years ago that caused a lot of disruption to me, personally, as well as to many thousands of other customers. His discussion with one banker poses on of the major questions I had at the time, and which still mystifies me to some extent:

‘It’s a mystery why people weren’t angrier,’ one banker told me. ‘I mean, how much worse can it get than people not being able to get hold of their own money? I don’t think people realised just how big a deal it was.

I also confess that I enjoyed this particular aside:

I know that lots of people refuse to subscribe to Sky because of its connection to Rupert Murdoch, but News Corp owns only 39 per cent of BSkyB and the Murdoch family owns only 12 per cent of News Corp. That means that more than 95 per cent of Sky is owned by not-Murdoch, which as far as I’m concerned puts it in the clear. Murdoch’s 4.68 per cent of Sky is only a fraction more than Libya’s 3.27 per cent share of Pearson: I’ve never heard of anyone refusing to buy a Penguin book because of Colonel Gaddafi.)

The second article I’ve chosen is somewhat different: a Reuters blog by Felix Salmon (which, pleasingly, mentions the LRB article above). “Adventures with ‘free’ checking, transatlantic edition” talks about the “myth” of free banking in the United States. This is something I’ve read about so often in the UK media that I’ve become somewhat immune to the shock the articles often try to induce in me. Reading about the problem in the context of a slightly different banking system helps points like this to stick:

If you think your bank is being transparent about how it’s making money from you, or if you think that your banking is free, then you’re almost certainly mistaken.

I also thought that the personal story with which Salmon opens his post offers a nice counterbalance to the rather grander scale on which Lanchester talks in his article. I think these two articles work very well together.

2D posts appear on alternate Wednesdays. For 2D, I pick two interesting articles that look at an issue from two different – though not necessarily opposing – perspectives. I hope you enjoy them!

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