Most delightful aspect of my pandemic is how my mother--with whom I often quarreled early on, trying to get her to take more precautions--now delivers me patriotic little lectures on how We All Do Our Bit to protect the hospitals, which would not be out of place in any WWII movie
This is actually extremely on-brand for my mother, who during 9/11 heard a rumor that firemen needed sweatpants and socks, and immediately stripped the whole house of them to bring to the fire station, forcing us all to launder the pair we'd been wearing nightly for over a month.
Still, the perfect delivery of these speeches, which really could have been written by a 1940s screenwriter, is both heartening and amusing in an otherwise grim time.
And of course, as is dramatically appropriate, it is delivered by a 75-year-old with COPD who (whispers) needs just as much protection from covid as the hospitals, yet never mentions herself.

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More from @asymmetricinfo

14 Dec
The best part: it was published in by the (ultimately doomed) publishing house Mark Twain started, and commissioned mostly as a charity towards Grant, who was broke and dying. Twain was expecting something lifeless and dull that could be rewritten; he got a flawless memoir.
Both men made a bundle off the memoir. Grant used it to pay off his creditors and settle his family safely. Twain, alas, poured the money into a doomed typesetting machine, got beaten to market by linotype, and spent the 1890s on lecture tour trying to pay off his own creditors.
Out of respect for Grant, Twain appears to have paid Grant royalties that were unprecedented--Wikipedia says 30%, with his widow ultimately netting around $12 mm, inflation adjusted. Grant reciprocated by writing furiously while the cancer ate through his body, 25-50 pages a day.
Read 5 tweets
9 Dec
We had a dear family friend who always slightly messed up his recipes so that they wouldn't come out quite as good when you made them. Jim died of AIDS just months after the first protease inhibitors became available. I miss him, and his cooking, still.
Another Jim story--my mother once found out that his "secret" for making these great pork pies was to order them from Myers of Keswick. My mother had begged like four terrible recipes from him over the years. Watching the triumph and rage war on her face was absolutely delicious.
(These days, you'd think "Of course, Myers of Keswick", but it wasn't particularly well known back then, and I have the idea that it had just opened.)
Read 5 tweets
7 Dec
I sort of think that people still have a fundamentally cinematic view of pandemics--it is either the Walking Dead, or everything is basically fine. And on the health care side, they imagine labor shortages can be solved with a fundamentally 19th c surge of unskilled "nurses".
Giving a severely ill covid patient anything other than palliative care is a skilled endeavor--there's a lot of technology, including stuff you really, really need to get right like medication dosage and ventilator settings. This isn't Scarlett O'Hara mopping brows.
You don't acquire that kind of knowledge in a four-hour orientation, even if overworked and exhausted staff had time to give it. So to a first approximation, we're going into the second wave with the same amount of staff we had in the first.
Read 7 tweets
7 Dec
Seeing a lot of this circulating on the right, so let me explain why folks are worried even though it is not literally true that every ICU bed in the country is occupied at the moment.
#1, the big worry is ICU space, not hospital beds, and as you can see from this very thread, ICU utilization is running well above hospital utilization generally.
#2 The constraint on ICUs isn't beds, it's staff. ICU beds are (relatively) easy to build. They're not much good if the only people you have to staff them are the cafeteria workers.
Read 18 tweets
2 Dec
I'm back to writing almost exclusively about the pandemic, often with no very obvious political valence--how to think about testing, what sorts of things might change as a result.

One thing I've noticed is that many readers get really angry when I *don't* make it political.
It's like they cannot conceive of ever wanting to write about the pandemic through any other lens except Donald Trump's failures (Which are many! I have written about them!) They interpret any attempt to speak about anything else as some sort of crude attempt to evade The Truth.
It's really weird.
Read 4 tweets
25 Nov
The last nine months should have demonstrated that there's a lot of ruin left in our nation. If China cut off our supply, electronics would be scarce and expensive for a while, and then we'd build chip fabs here. We would not turn into Argentina.
There are plenty of ways America could enter permanent decline. "Can't figure out how to domestically manufacture semiconductors" seems very unlikely to be among them.
To expand on this thought: this is kind of a variant on what that Japanese managed in WWII, getting their hands on pretty much the entire global rubber supply. (Fun fact: we rationed gasoline less because it was scarce than because TIRES were scarce & rationing gas reduced wear)
Read 4 tweets

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