1) This hospital should receive zero doses in the future, until competent healthcare providers have had need satisfied for a critically limited resource.

2) If you are told you that choices are throwing out a vaccine or losing your license, strongly consider losing paperwork.
Or even "Damn it I slipped and administered a covid vaccine. So clumsy of me. I filed an accident report per the usual procedure. Luckily, since the covid vaccine is safe, there was no medical impact aside from the vaccination to covid."
"Sorry boss it happened 372 times again yesterday. I take full responsibility for the errors; just been pulling a lot of overtime recently with the holidays and all. Here's the accident forms."
Case fatality rate times number of expiring doses.

If you were ordered to straight-up murder that many people, you wouldn't do it.

If you're ordered to let that many doses expire, ... I mean, options include "I misread the order", "I straight-up ignored the order", etc.
A: "Oh shoot we're still in 1a I thought we were in 1b. Whoopsie; misread the memo."

B: "Oh God, me too."

C: "Funny how the entire department misread the memo."

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More from @patio11

4 Jan
A good discipline to get into with regards to any form of sales or account management:

*Write down* "If we lose this deal, it will be because of X." in advance.

If you lose the deal/account/etc, ask why you lost it.

Check against your prediction, and get better at predicting.
This naturally applies to e.g. seeking investment, trying to hire someone, trying to get a job, etc etc.

You write things down in advance, ideally with a confident number attached to them, because it defangs the risk of 20/20 hindsight and helps you synthesize insights.
"Looks like we were correct over 80% of our time that in competitive situations with AppAmaGooBookSoft candidates would explicitly cite total comp as the reason they are declining to take our offer. OK, that's reality. What strategic decision do we make now that we know it?"
Read 5 tweets
1 Jan
I largely agree with Scott Aaronson here.

Also: I think (optimistic) we have many things we could do this January that would greatly improve our current trajectory and (pessimistic) it will not be considered scandalous when we don't do many.

scottaaronson.com/blog/?p=5224
A short list of things to try:

* Government leaders indemnify any credentialed healthcare provider or employer of same from liability resulting from good-faith attempt to administer a vaccine.
* Call Walgreens/CSVs, immediately. Tell them to prep to receive doses.
* Call Amazon/Google/Facebook, immediately. Tell them that they have seven days to cause a continuous line in front of the Walgreens/CVS with doses.
Read 19 tweets
1 Jan
This is one of those statements you mostly don’t have to say when it is, strictly speaking, true.
“This time we’re not lying! Honest! Not that we were *lying* the other times; we just retroactively changed the meanings of the word we said to make them true.”
“Accusations that we are a worldwide money laundering operation are false, since we lost access to worldwide money laundering when Reggie Fowler ran away with the money! Logic, people, logic!”
Read 7 tweets
1 Jan
A feeling I have had a number of times this year, which deserves a longer write-up but for now a short one will have to do:

I feel that I have witnessed a great dispersion in outcomes between organizations that can function at 5:01 PM on Friday and those which cannot.
I know I'm next to a seismic fault in the tech community with this observation. It isn't primarily about the tech community, though I have observed the tech community's response to the same challenges everyone is dealing with.
That response has often included:

"OF COURSE we will work through the weekend on this. It is a matter of literal life and death."

There are organizations which did not make this choice, and are not making this choice. Including as we speak.
Read 8 tweets
1 Jan
It feels like the English variant of covid being much more infectious than previous variants is a fact widely believed among people following it closely and not appreciated by the world at large yet.
If this turns out to be true, 2021 will be more challenging than 2020 was with regards to controlling spread.
I am not positive about this being a true statement about the world yet, but disconfirmatory evidence should be cheap and abundantly available in worlds where it is false, and it is not available in the places I would suggest expect to find it.

Total time invested: 2 hours.
Read 4 tweets
1 Jan
Pediatric speech therapy over Zoom is, depending on the child and one’s constraints, plausibly a better product at half the cost compared to office-based speech therapy.

One of a few things I’ll say thank you to 2020 for.
“How is it better?”

So back when I was the patient, it involved mom arranging childcare for the other kids, bundling me up against the Chicago winter, driving 30 minutes, arriving late, apologizing and feeling guilty, rushing through the session, pay with a check, scheduling.
Now it’s... “Hey honey, reminder, 10 minutes out it’s showtime for us and $CHILd.” “OK.”
Read 4 tweets

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