Conor Browne Profile picture
Nov 20 11 tweets 3 min read
10 things I have learned about society in the UK and Ireland since the pandemic began: 🧵
1. Ableism is baked into society. My father, who developed a seizure disorder late in life, understood this all too well. I only really understand it now.
2. Most people have shockingly low levels of both resilience and adaptability. This I always knew.
3. Progressive academics are, in general, hypocrites. I have less of a problem with right-wing people not masking because at least they're being honest. If you're making a career out of pretending to care, but you're not wearing a mask at conferences, you're a hypocrite.
4. Also, people who profess to loathe the government and express extreme distrust in anything politicians say are very quick to set that sentiment aside when it suits them. Which tells you a lot about people's core values.
5. Society is extraordinarily resistant to change. I absolutely understand people wanting to eat and drink in restaurants and bars - that's totally natural - but when people are resistant to something as banal as HEPA filtration, that tells you something.
6. People lie all the time. I've lost count of the number of times people have told me they mask indoors but then the pictures pop up on social media...
7. People are very vulnerable to peer pressure. Men I know who try really hard to project an image of being a tough, hard guy have let slip to me that, 'they don't like people looking at them' - because they're wearing a mask.
8. Scientific experts are far from neutral. Science itself is not a neutral, objective pursuit. An aside: the single most important part of my education in terms of understanding this idea was taking a Philosophy of Science module in 1992. Kuhn and Feyerabend. Thanks @UlsterUni
9. Similar to (3), most peoples' declared compassion for others in society is fundamentally performative. It wasn't that long ago when people stood outside and clapped for carers. Thomas Hobbes was absolutely spot on.
10. Magical thinking is everywhere, from governments to individuals. Even the most rational of people are vulnerable to it. Hope is not a strategy.

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More from @brownecfm

Nov 23
1/n Before making historical comparisons between the duration of previous pandemics - especially the Spanish Flu - it's important to remember that the levels of both immunosuppression and immunodeficiency in the global population are significantly higher than in the past.
2/n Immunosuppressant medication was only developed in the mid-twentieth century, and antibiotics (obviously used to treat infections in the immunodeficient population, who are significantly more susceptible), were only used from the 1930s. Likewise, antifungals in the 1950s...
3/n and antivirals in the 1960s. In the absence of medications to treat infections, immunodeficient individuals were very unlikely to survive into adulthood. And, of course, the emergence of HIV in the late 1970s led to a growing population of immunosuppressed people globally.
Read 5 tweets
Nov 10
A 🧵 on resilience, especially for all of you who are still masking in public spaces and generally being as careful as you possibly can to avoid getting infected, or re-infected, with SARS-CoV-2.

Resilience is fundamentally based on the premise of leaning into the uncomfortable
2/ By masking, by avoiding indoor dining etc, you are leaning into the uncomfortable. You are able to continue to do this because you are resilient; also, the act of continuing to do so makes you even more resilient.

You are the embodiment of 'embracing the suck'.
3/ This feedback loop of ever-growing resilience is built on you suffering for a greater good. That good may be a simple utilitarian calculation: *my* health is not worth a meal indoors with strangers, for example. Or, it may be for the good of those other than yourself:
Read 9 tweets
Oct 17
My elderly frail mother, with a Clinical Frailty Score of 7, was admitted to hospital late this evening for suspected sepsis. The staff @beaumont_care who looked after her until the ambulance arrived were fantastic, as always. Mum's NEWS score - very high, 17 - was...
...established by the staff nurse and communicated to 999 and the paramedic crew who arrived. The ambulance took significantly longer than it should, but that was absolutely not @NIAS999 's fault, who are dealing with extraordinarily high pressure right now.
My mother was taken to @NHSCTrust Antrim Area Hospital ED, where unfortunately she had to wait in the ambulance for nearly an hour before being handed over to ED staff. This delay, of course, meant the paramedic crew were unable to respond to other calls during that period.
Read 15 tweets
Oct 5
2023: 🧵

I genuinely think 2023 is going to be a very bad year for global population health. Many people in the Northern Hemisphere will become sick over winter - Covid-19, flu, sequelae of Covid-19 infection, and all the other reasons people got sick that existed pre-pandemic.
Healthcare systems will be very badly stretched - in some places overwhelmed - by the end of winter. Many more healthcare workers will be burned out, sick, or both, and will leave the profession or go part-time. This will, of course, lead to even more pressure on health services.
In 2023 it will become *impossible* to ignore the sequelae of Covid-19 - not just Long Covid, but also the risks of new-onset cardiovascular problems, neurological problems, new-onset diabetes etc. These will have very significant and obvious effects on population health.
Read 7 tweets
Sep 25
Some personal observations on the characteristics of people I know who are continuing to take as much care as possible to not get Covid (in no particular order): a short 🧵

1. High impulse control
2. Personal experience of serious illness
3. Strong internal locus of control
4. Non-conformists. Often a personal history of non-conformity going right back to adolescence. Yet...
5. Paradoxically, strong moral code; belief in ethical duty to the greater good of society.
6. Well-informed.
7. Rational; aware of their own cognitive biases.
8. Methodical
9. Adaptable
10. Emotionally stable
11. Comfortable with uncertainty
12. Pragmatic
13. Intuitively understand risk/benefit analysis
14. Disciplined

Unsurprisingly, many of these traits are well-known as forming part of a 'survivor mindset'.

These people are not anxious.
Read 12 tweets
Jun 4
A poem (1/n)

Does my mask threaten you?
My insistence on coffee outside?
Do you think me nervous?
A shaking sheeple?
Or perhaps you know me.
Perhaps you know me well.
Perhaps you have seen my office
Shelves lined with books with horrors on every page.
2/n

If you know me (and you do know me)
You will realise that my mask is
As logical
As rational
As practical
As a soldier's Kevlar.
And you will know
That even if my mother was hale and hearty, not frail and dying
That even if my best friend was not chronically ill
3/n

That even if I hated you all
I would still wear my mask
As a soldier wears Kevlar not for the bullet with their name on it,
but for the one marked, 'to whom it may concern'.
And should you, six months from now
A year from now
A lifetime from now
Read 4 tweets

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