Fintan O’Toole is always worth reading, and his latest for The TLS is no exception. I particularly enjoyed this paragraph, which does a great job of summarising the failure of the current Government while setting out the challenge for the next:

Comparatives make Starmer look good, but they also make his task, if he wins, look overwhelming. Income inequality is higher in the UK than in any other large European country, with the exception of Italy. Typical households are 9 per cent poorer than their French counterparts and the poorest households are a staggering 60 per cent poorer than their equivalents in Ireland. Almost a third of young people in the UK are not engaged in any formal education by the age of 18 – compared to just one in five in France and Germany. UK hospitals now have fewer beds than all but one OECD advanced economy. Since 2005 UK companies have invested 20 per cent less than those in the US, France and Germany, placing the UK in the bottom 10 per cent of OECD countries in this category. Since 2008 the UK’s productivity gap with France, Germany and the US respectively has doubled to almost 20 per cent. It is quite possible for an incoming Labour government to do much better than all of this without doing nearly well enough to get the UK back on a par with the countries it used to be able to regard as its peers.

I’ve written many times before about how I could never be a politician, so this is never likely to be a problem for me: but where on earth do you start on sorting out this mess?

The image at the top of this post was generated by DALL·E 3.

For Boxing Day, I enjoyed this brief article in The TLS about the surprisingly modern history of carols. It turns out that singing them in church is a relatively modern innovation: they moved there from the village green as part of

the Oxford Movement in the nineteenth century and its introduction of what might be called a performative inclusivity – try saying that after two glasses of the Archdeacon’s sherry – in Anglican worship. Get them in and singing, and they’ll feel more a part of things.

My latent assumption had always been that there was a long British tradition of carols, but in fact, most of them are from other places:

“Good King Wenceslas”, comes from a songbook of 1582, Piae Cantiones Ecclesiasticae et Scholastichae, by Jaakko Suomalainen, head of the Turku cathedral school in Finland? Or that both “We Three Kings” and “Away in a Manger” are American? The latter was published in a bulletin of the universalist movement, which falsely attributed the words to Martin Luther.

I had no idea.

The image at the top of this post was generated by DALL·E 3.

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: 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: 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: 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.