Quotulatiousness

January 16, 2024

QotD: Children and transgenderism

Filed under: Education, Health, Politics, Quotations, Science — Tags: , , , , , — Nicholas @ 01:00

And then there is the disturbing “social justice” response to gender-nonconforming boys and girls. Increasingly, girly boys and tomboys are being told that gender trumps sex, and if a boy is effeminate or bookish or freaked out by team sports, he may actually be a girl, and if a girl is rough and tumble, sporty, and plays with boys, she may actually be a boy.

In the last few years in Western societies, as these notions have spread, the number of children identifying as trans has skyrocketed. In Sweden, the number of kids diagnosed with gender dysphoria, a phenomenon stable and rare for decades, has, from 2013 to 2016, increased almost tenfold. In New Zealand, the rate of girls identifying as boys has quadrupled in the same period of time; in Britain, where one NHS clinic is dedicated to trans kids, there were around a hundred girls being treated in 2011; by 2017, there were 1,400.

Possibly this sudden surge is a sign of pent-up demand, as trans kids emerge from the shadows, which, of course, is a great and overdue thing. The suffering of trans kids can be intense and has been ignored for far too long. But maybe it’s also some gender non-conforming kids falling prey to adult suggestions, or caused by social contagion. Almost certainly it’s both. But one reason to worry about the new explosion in gender dysphoria is that it seems recently to be driven by girls identifying as boys rather than the other way round. Female sexuality is more fluid and complex than male sexuality, so perhaps girls are more susceptible to ideological suggestion, especially when they are also taught that being a woman means being oppressed.

In the case of merely confused or less informed kids, the consequences of treatment can be permanent. Many of these prepubescent trans-identifying children are put on puberty blockers, drugs that suppress a child’s normal hormonal development, and were originally designed for prostate cancer and premature puberty. The use of these drugs for gender dysphoria is off-label, unapproved by the FDA; there have been no long-term trials to gauge the safety or effectiveness of them for gender dysphoria, and the evidence we have of the side effects of these drugs in FDA-approved treatment is horrifying. Among adults, the FDA has received 24,000 reports of adverse reactions, over half of which it deemed serious. Parents are pressured into giving these drugs to their kids on the grounds that the alternative could be their child’s suicide. Imagine the toll of making a decision about your child like that?

Eighty-five percent of gender-dysphoric children grow out of the condition — and most turn out to be gay. Yes, some are genuinely trans and can and should benefit from treatment. And social transition is fine. But children cannot know for certain who they are sexually or emotionally until they have matured past puberty. Fixing their “gender identity” when they’re 7 or 8, or even earlier, administering puberty blockers to kids as young as 12, is a huge leap in the dark in a short period of time. It cannot be transphobic to believe that no child’s body should be irreparably altered until they are of an age and a certainty to make that decision themselves.

I don’t have children, but I sure worry about gay kids in this context. I remember being taunted by some other kids when I was young — they suggested that because I was mildly gender-nonconforming, I must be a girl. If my teachers and parents and doctors had adopted this new ideology, I might never have found the happiness of being gay and comfort in being male. How many gay kids, I wonder, are now being led into permanent physical damage or surgery that may be life-saving for many, but catastrophic for others, who come to realize they made a mistake. And what are gay adults doing to protect them? Nothing. Only a few ornery feminists, God bless them, are querying this.

In some ways, the extremism of the new transgender ideology also risks becoming homophobic. Instead of seeing effeminate men as one kind of masculinity, as legitimate as any other, transgenderism insists that girliness requires being a biological girl. Similarly, a tomboy is not allowed to expand the bandwidth of what being female can mean, but must be put into the category of male. In my view, this is not progressive; it’s deeply regressive. There’s a reason why Iran is a world leader in sex-reassignment surgery, and why the mullahs pay for it. Homosexuality in Iran is so anathema that gay boys must be turned into girls, and lesbian girls into boys, to conform to heterosexual norms. Sound a little too familiar?

Adults are increasingly forced to obey the new norms of “social justice” or be fired, demoted, ostracized, or canceled. Many resist; many stay quiet; a few succumb and convert. Children have no such options.

Indoctrinate yourselves as much as you want to, guys. It’s a free country. But hey, teacher — leave those kids alone.

Andrew Sullivan, “When the Ideologues Come for the Kids”, New York Magazine, 2019-09-20.

January 8, 2024

“[A]ll philosophers, insofar as they were dogmatic, have been very inexpert about women”

Filed under: Health, Media, Politics — Tags: , , — Nicholas @ 03:00

Theodore Dalrymple on the food police and the linguistic distortions forced on traditionally technical and scientific journalism:

The world, said James Boswell, is not to be made a great hospital; but to a hammer everything is a nail, and to doctors and medical journals everything is either a medical problem or a medical solution.

Looking at the website of the Journal of the American Medical Association today, I came across a paper with the title “Effect of an Intensive Food-as-Medicine Program on Health and Health Care Use”. It was published just above “A Young Pregnant Person With Old Myocardial Infarction”.

Could that pregnant person possibly be a woman? Heaven forfend that so prejudiced a thought should occur to us! If it occurred to you, dear reader, I suggest that your brain still needs washing. The word woman is here abjured by JAMA as completely as, say, it would abjure (rightly) the word bitch with reference to a woman. In other words, the word woman is now treated as if it were in itself an insult, a rather strange result of pro-feminist indoctrination.

The paper begins, “A patient in their 30s presented to the hospital …” No doubt I am deeply reactionary, almost a dinosaur in a world of mammals, but is not their the plural possessive adjective, and is not “a patient” singular? If the authors of the paper were really not sure whether the pregnant person was a man or a woman, surely they should have written “A pregnant person in his or her 30s …”? That would have been a step too absurd (so far) even for the editors of JAMA, assuming that the paper in question was published with some kind of editorial oversight. I anticipate further linguistic absurdity in JAMA with a mixture of amusement and irritation; that there will be one is a racing certainty (a Dutch friend of mine was going to write a book about Dutch social policy titled Creative Appeasement).

The paper, by the way, gives new meaning to the first two sentences of Nietzsche’s book Beyond Good and Evil: “Suppose truth to be a woman — what then? Are there not grounds for the suspicion that all philosophers, insofar as they were dogmatic, have been very inexpert about women?”

January 4, 2024

“It is difficult to understand why our politicians are not locked up for life after successful prosecution for crimes against humanity”

Filed under: Britain, Government, Health — Tags: , , , — Nicholas @ 03:00

Part nine of Paul Weston‘s “beginner’s guide to Covid”:

Lockdown was never referred to as “lockdown” in March 2020. We were “asked” to stay at home for a few weeks, thus allowing our health services to get up to speed without being swamped. As we now know, a few weeks became months became 2021.

I simply cannot believe this was not planned. The logistics involved in keeping a country afloat after closing down the economy are extremely complicated. Months – if not years – of planning must have gone into it.

One of the strangest things about the first lockdown in the UK was the enforcement date of March 26, one week after the government declared on March 19 that Covid-19 was being downgraded from a High Consequence Infectious Disease (HCID). The reason given for the downgrade was a low mortality rate …

Anyway, the world locked down. When it became apparent the lockdowns were going to stay in place until a miracle vaccine was discovered, the governments promised us that detailed cost/benefit analyses would be conducted. They never were. But they very much should have been.

The principal reason they should is all to do with deaths. Closing down the country also meant partially closing down health services to non-Covid patients. Inculcating fear meant many people were too scared to go anywhere near a hospital. Patients with cancer and heart problems stayed away, voluntarily or involuntarily. Many died as a result.

On July 19 2020, the Daily Telegraph published an article based on Office for National Statistics figures claiming that 200,000 people could die (mid to long term) in the UK due to lockdowns. Similar figures were published in countries all around the world.

Here is a brutal truth. Governments which locked down essentially stated the following: “We are going to murder XYZ thousand people. We undertake this crime because we think we might save other people from Covid-19 deaths.”

Even more remarkably, the death rates were completely normal before lockdowns were initiated. Lockdowns were not the forced result of having to deal with large numbers of deaths. Rather, large numbers of deaths were the forced result of government-ordained lockdowns. It is difficult to understand why our politicians are not locked up for life after successful prosecution for crimes against humanity.

January 3, 2024

“One of the oddities of trans healthcare is that it masquerades as progressive”

Filed under: Books, Health, History, Politics — Tags: , , , , — Nicholas @ 04:00

In The Critic, Victoria Smith outlines the history of medical misogyny from Aristotle to modern-day “trans healthcare”:

The neglect of female bodies in medicine has a long history. The male-default bias, writes Caroline Criado Perez in Invisible Women, “goes back at least to the ancient Greeks, who kicked off the trend of seeing the female body as a ‘mutilated male’ body (thanks, Aristotle)”:

    The female was the male ‘turned outside in’. Ovaries were female testicles (they were not given their own name until the seventeenth century) and the uterus was the female scrotum. […] The male body was an ideal women failed to live up to.

As Criado Perez notes, this bias lives on in male-centric medical research and undifferentiated treatment recommendations. “Women are dying,” she notes, “as a result of the gender data gap.” The belief that there is nothing specifically different about female people — cut a bit here, add a bit there, and we’re the same as men — has led to our symptoms being ignored and our pain dismissed.

Over the past few years, there have been a number of books — Elinor Cleghorn’s Unwell Women, Cat Bohannon’s Eve, Leah Hazzard’s Womb, to name a few — which have aimed to correct the imbalance. This is important both to save lives and ease suffering, and because, on a very basic level, it is insulting for half the human race to have our bodies treated as lesser, imperfect versions of a male ideal. We are more than that. We exist in our own right.

There are many in medicine, however, who still seem to think that Aristotle was right. Last week, for instance, the World Health Organisation announced it would be developing new guidelines into “the health of trans and gender diverse people”. While this might sound positive, as Eliza Mondegreen notes, many of those leading the development group hold highly regressive views about sex, gender and bodies. It is only possible to believe that a person could change sex if you have not given much consideration to the “second” sex at all.

One of the oddities of trans healthcare is that it masquerades as progressive despite having evolved from — and continuing to rely on — an understanding of sex difference which is regressive, male-centric and superficial. Because no one wants to admit it, this has led to a plethora of articles along the lines of “Here’s Why Human Sex Is Not Binary” and “Sex Redefined: The Idea of 2 Sexes Is Overly Simplistic“. While these claim to be adding extra detail and nuance to our understanding, what they do in practice is revert back to privileging the male default. Sex is all so varied, all so different, they tell us, we might as well not bother setting any standards for what counts as “femaleness”. We’re all just human, aren’t we? Only some bodies have tended to be considered more human than others. Rebranding “the male default” “the sex spectrum” is a sneaky way of insisting, once again, that female people are nothing more than males with a few minor tweaks.

This is the new medical misogyny, built on the back of the old version. Unfortunately, because it positions itself as anti-conservative and even pro-feminist, many writers of texts that address the old version feel obliged to go along with the new. It’s not difficult to see why. Who wants their work to be undermined by bad faith accusations of transphobia? Isn’t it easier just to say “it’s clear that trans women are women” — as Bohannon has done — on the basis that at least this will enable you to challenge the centring of male bodies elsewhere?

July 20, 2023

QotD: Advertising to a semi-captive audience

Filed under: Business, Health, Quotations — Tags: , , — Nicholas @ 01:00

You know how drug companies pay six or seven figures for thirty-second television ads just on the off chance that someone with the relevant condition might be watching? You know how they employ drug reps to flatter, cajole, and even seduce doctors who might prescribe their drug? Well, it turns out that having 15,000 psychiatrists in one building sparks a drug company feeding frenzy that makes piranhas look sedate by comparison. Every flat surface is covered in drug advertisements. And after the flat surfaces are gone, the curved sufaces, and after the curved surfaces, giant rings hanging from the ceiling.

The ads overflow from the convention itself to the city outside. For about two blocks in any direction, normal ads and billboards have been replaced with psychiatry-themed ones, until they finally peter off and segue into the usual startup advertisements around Market Street.

Scott Alexander, “The APA Meeting: A Photo-Essay”, Slate Star Codex, 2019-05-22.

July 6, 2023

“Too many complaints? That’s racism. Too few complaints? Well, that’s racism, too.”

Filed under: Bureaucracy, Cancon, Health — Tags: , , , , — Nicholas @ 04:00

Amy Eileen Hamm reports on how the British Columbia College of Nurses and Midwives (BCCNM) acted on its concern that not enough complaints against their members were being lodged by First Nations people:

As regular readers of Quillette will know, many Canadian institutions have fervently adopted the cause of “decolonization” — a vaguely defined term that one university describes as the dismantling of “assumed Euro-western disciplinary constructs and traditions”. This can mean anything from abolishing musical scales (which “perpetuate and solidify the hegemony of [the] Euro-American repertoire”); to reimagining our scientific understanding of sunlight, so as to correct “the reproduction of colonialism” that has infected “physics and higher physics education”; to assailing the gender binary through a “decolonizing act of resistance”.

That’s the theory, anyway. In practice, institutional efforts at “decolonization” generally translate into affirmative-action hiring programs and policies to mandate symbolic (generally empty) gestures such as land acknowledgements. They’ve also created a cash cow for “specialist” administrators and third-party consultants in what is now known as the “equity, diversity, inclusion, and decolonization” sector. The premise is that decolonization is so difficult and complex that it can only be overseen by said (highly paid) professionals.

My own professional sector, nursing, provides a useful case study. In British Columbia, where I live and work, nurses are licenced by the British Columbia College of Nurses & Midwives (BCCNM), whose offices are located “on unceded Coast Salish territory, represented today by the Musquea?m, Squamish and Tsleil-Waututh Nations.” In other words, Vancouver.

If a patient feels that he or she has experienced “incompetent, unethical, or impaired nursing or midwifery practice”, he or she can complain to the BCCNM through its complaints portal. It’s not a complicated process. You send an email describing what the nurse allegedly did, when the incident occurred, and whether there were any witnesses. If you’ve already complained to someone else, you’re supposed to note that as well, along with your suggestions for resolving the complaint. That’s it.

But apparently, this process is just too onerous — and even dangerous — for Indigenous people. And so the BCCNM has paid C$97,000 to a self-described “boutique business process management firm” called Novatone, which has duly produced a lengthy report on how to “make the BCCNM complaints process safer for Indigenous Peoples.” The same title — mantra might be a better word — appears at the top of all 50 pages: Looking Back to Look Forward: How Indigenous ways of being, knowing, and doing must inform the BCCNM feedback process and reflect the principles of cultural safety, cultural humility, and anti-racism.

(For the benefit of those outside Canada, the mystical-sounding phrase, “ways of knowing”, along with its “being” and “doing” variants, has now entered the official idiom as a means to signify the unfalsifiable shaman-like intuitions that supposedly guide the consciousness of Indigenous people throughout every facet of their existence — including, apparently, complaining about the care they receive from nurses.)

Juxtaposed images from the Novatone report, Looking Back to Look Forward, contrast the “colonial, western, linear” nature of existing BCCNM processes with a “wholistic, relational, culturally informed process” that would supposedly align with Indigenous values.

June 15, 2023

Thursday tab-clearing

Filed under: Cancon, Economics, Government, Health, USA — Tags: , , , , , — Nicholas @ 23:25

A few items that I didn’t feel required a full post of their own, but might be of interest:

April 12, 2023

Institutional Review Boards … trying to balance harm vs health, allegedly

Filed under: Books, Bureaucracy, Health, USA — Tags: , , , , , — Nicholas @ 06:00

At Astral Codex Ten Scott Alexander reviews From Oversight to Overkill by Simon N. Whitley, in light of his own experience with an Institutional Review Board’s demands:

Dr. Rob Knight studies how skin bacteria jump from person to person. In one 2009 study, meant to simulate human contact, he used a Q-tip to cotton swab first one subject’s mouth (or skin), then another’s, to see how many bacteria traveled over. On the consent forms, he said risks were near zero — it was the equivalent of kissing another person’s hand.

His IRB — ie Institutional Review Board, the committee charged with keeping experiments ethical — disagreed. They worried the study would give patients AIDS. Dr. Knight tried to explain that you can’t get AIDS from skin contact. The IRB refused to listen. Finally Dr. Knight found some kind of diversity coordinator person who offered to explain that claiming you can get AIDS from skin contact is offensive. The IRB backed down, and Dr. Knight completed his study successfully.

Just kidding! The IRB demanded that he give his patients consent forms warning that they could get smallpox. Dr. Knight tried to explain that smallpox had been extinct in the wild since the 1970s, the only remaining samples in US and Russian biosecurity labs. Here there was no diversity coordinator to swoop in and save him, although after months of delay and argument he did eventually get his study approved.

Most IRB experiences aren’t this bad, right? Mine was worse. When I worked in a psych ward, we used to use a short questionnaire to screen for bipolar disorder. I suspected the questionnaire didn’t work, and wanted to record how often the questionnaire’s opinion matched that of expert doctors. This didn’t require doing anything different — it just required keeping records of what we were already doing. “Of people who the questionnaire said had bipolar, 25%/50%/whatever later got full bipolar diagnoses” — that kind of thing. But because we were recording data, it qualified as a study; because it qualified as a study, we needed to go through the IRB. After about fifty hours of training, paperwork, and back and forth arguments — including one where the IRB demanded patients sign consent forms in pen (not pencil) but the psychiatric ward would only allow patients to have pencils (not pen) — what had originally been intended as a quick record-keeping had expanded into an additional part-time job for a team of ~4 doctors. We made a tiny bit of progress over a few months before the IRB decided to re-evaluate all projects including ours and told us to change twenty-seven things, including re-litigating the pen vs. pencil issue (they also told us that our project was unusually good; most got >27 demands). Our team of four doctors considered the hundreds of hours it would take to document compliance and agreed to give up. As far as I know that hospital is still using the same bipolar questionnaire. They still don’t know if it works.

Most IRB experiences can’t be that bad, right? Maybe not, but a lot of people have horror stories. A survey of how researchers feel about IRBs did include one person who said “I hope all those at OHRP [the bureaucracy in charge of IRBs] and the ethicists die of diseases that we could have made significant progress on if we had [the research materials IRBs are banning us from using]”.

Dr. Simon Whitney, author of From Oversight To Overkill, doesn’t wish death upon IRBs. He’s a former Stanford IRB member himself, with impeccable research-ethicist credentials — MD + JD, bioethics fellowship, served on the Stanford IRB for two years. He thought he was doing good work at Stanford; he did do good work. Still, his worldview gradually started to crack:

    In 1999, I moved to Houston and joined the faculty at Baylor College of Medicine, where my new colleagues were scientists. I began going to medical conferences, where people in the hallways told stories about IRBs they considered arrogant that were abusing scientists who were powerless. As I listened, I knew the defenses the IRBs themselves would offer: Scientists cannot judge their own research objectively, and there is no better second opinion than a thoughtful committee of their peers. But these rationales began to feel flimsy as I gradually discovered how often IRB review hobbles low-risk research. I saw how IRBs inflate the hazards of research in bizarre ways, and how they insist on consent processes that appear designed to help the institution dodge liability or litigation. The committees’ admirable goals, in short, have become disconnected from their actual operations. A system that began as a noble defense of the vulnerable is now an ignoble defense of the powerful.

So Oversight is a mix of attacking and defending IRBs. It attacks them insofar as it admits they do a bad job; the stricter IRB system in place since the ‘90s probably only prevents a single-digit number of deaths per decade, but causes tens of thousands more by preventing life-saving studies. It defends them insofar as it argues this isn’t the fault of the board members themselves. They’re caught up in a network of lawyers, regulators, cynical Congressmen, sensationalist reporters, and hospital administrators gone out of control. Oversight is Whitney’s attempt to demystify this network, explain how we got here, and plan our escape.

March 30, 2023

“Nothing is as permanent as a temporary government program” … except those few that make your life easier

Filed under: Bureaucracy, Government, Health, Technology, USA — Tags: , , , — Nicholas @ 03:00

At Astral Codex Ten, Scott Alexander reacts to the US government’s new moves to make telehealth less useful for as many people as possible:

“Live telehealth demonstration” by CiscoANZ is licensed under CC BY 2.0 .

Telemedicine is when you see a doctor (or nurse, PA, etc) over a video call. Medical regulators hate new things, so for its first decade they ensured telemedicine was hard and inconvenient.

Then came COVID-19. Suddenly important politicians were paying attention to questions about whether people could get medical care without leaving their homes. They yelled at the regulators, and the regulators grudgingly agreed to temporarily make telemedicine easy and convenient.

They say “nothing is as permanent as a temporary government program”, but this only applies to government programs that make your life worse. Government programs that make your life better are ephemeral and can disappear at any moment. So a few months ago, the medical regulators woke up, realized the pandemic was over, and started plotting ways to make telemedicine hard and inconvenient again.

The first fruit of their labor is DEA-407, which makes it hard for telemedicine doctors to prescribe controlled substances. Controlled substances are drugs like Adderall, Ritalin, Xanax, or Ambien that the government has declared to be potentially addictive. The new rules say that telemedicine doctors can no longer prescribe these (or, in some cases, can prescribe them one time in an emergency).

Why don’t I like this decision? I am a telepsychiatrist. I work with about a hundred psychiatric patients who, for one reason or another, prefer online to physical appointments:

  • Some live in small towns that don’t have psychiatrists of their own
  • Some have agoraphobia, chronic pain, or some other condition that makes it hard for them to go to an office.
  • Some move around a lot and like to be able to see their psychiatrist whether they’re in LA or SF.
  • Some live hundreds of miles away from me, but know and trust me for some reason, and would rather see me than someone closer to them.
  • Some appreciate the fact that I charge lower rates than psychiatrists who have offices, because I don’t have to pay for Bay Area commercial real estate and pass those costs on to my patients.
  • Some work during work hours, and like being able to see me from their office instead of taking half the day off to travel to my location.
  • Some like convenience and dislike inconvenience

As a psychiatrist, a big part of my job is prescribing controlled substances. For example, most guidelines agrees that the first-line treatment for severe ADHD is stimulant medications (eg Adderall or Ritalin). And although psychiatrists hate to admit it, the first-line treatment for temporary crisis anxiety, especially when it’s so bad that the patient isn’t able to listen to your clever plans to solve it with therapy, is benzodiazepines (eg Valium or Klonopin). You can’t be a good well-rounded psychiatrist without the option to sometimes prescribe these drugs.

“Well, your patients will have to find a different psychiatrist, or transition off of them”. Nobody ever finds different psychiatrists. Some of my patients are a bad match for my style or areas of expertise, and I’ve tried very hard to find them different psychiatrists, and it never works. Maybe there are no other psychiatrists in their area. Maybe the psychiatrists in their area don’t take the right insurance, or are too far away from mass transit. Maybe the psychiatrists have six month long wait lists. Sometimes it’s just that my ADHD patients get distracted and forget they were supposed to find new psychiatrists, and I can’t hold their hand literally all the time. As for transitioning off the medications, some patients absolutely cannot function at all without them. Did I mention that if you come off of some of them too quickly, you can literally die?

March 24, 2023

From “railway spine” to “shell shock” to PTSD

Filed under: Health, History, Military, Railways, WW1, WW2 — Tags: , , , , , — Nicholas @ 05:00

At Founding Questions, Severian discusses how our understanding of what we now label “Post-Traumatic Stress Disorder” evolved from how doctors visualized bodily ailments over a century ago:

A shell-shocked and physically wounded soldier in the First World War.

I mentioned “shell shock” yesterday, so let’s start there. Medicine in 1914 was still devoted to the “Paris School,” which assumed nothing but organic etiology for all syndromes. Sort of a reverse Descartes — as Descartes (implicitly) “solved” the mind-body problem by disregarding the body, so the “Paris School” of medicine solved it by disregarding the mind. So when soldiers started coming back from the front with these bizarre illnesses, naturally doctors began searching for an organic cause. (That’s hardly unique to the Paris School, of course; I’m giving you the context to be fair to the 1914 medical establishment, whose resistance to psychological explanations otherwise seems so mulish to us).
They’d noticed something similar in the late 19th century, with industrial accidents and especially train crashes. When a train crashed, the people in the first few cars were killed outright, those in the next few wounded, but the ones in the back were often physically fine. But within a few hours to weeks, they started exhibiting all kinds of odd symptoms. Hopefully you’ve never been in a train crash, but if you’ve ever been in a fender-bender you’ve no doubt experienced a minor league version of this.

I hit a deer on the highway once. Fortunately I was at highway speed, and hit it more or less dead on (it jumped out as if it were committing suicide), so it got thrown away from the car instead of coming through the windshield. The car’s front end was wrecked, naturally, but I was totally fine. I don’t think the seatbelt lock even engaged, much less the airbag, since I didn’t even have time to hit the brakes.

The next few hours to days were interesting, physiologically. It felt like my body was playing catch up. I had an “oh shit, I’m gonna crash!!!” reaction about 45 minutes after I’d pulled off to the side of the road, duct-taped the bumper back on as best I could, and continued to my destination. All the stuff I would have felt had I seen the deer coming came flooding in. Had I not already been where I was going, I would’ve needed to pull over, because that out of the blue adrenaline hit had my hands shaking, and my vision fuzzed out briefly.

The next morning I was sore. I had all kinds of weird aches, as if I’d just played a game of basketball or something. I assume part of it actually was the impact — it didn’t feel like much in the moment, but if it’s enough to crumple your car’s front end (and it was trashed), it’s enough to give you a pretty good jolt. That would explain soreness in the arms, elbows, and shoulders — a stiff-armed, white-knuckle grip on the steering wheel, followed by a big boom. But I was also just kinda sore all over, plus this generalized malaise. I felt not-quite-right for the next few days. Nothing big, no one symptom I can really put my finger on, but definitely off somehow — a little twitchy, a little jumpy, and really tired.

Having done my WWI reading, I knew what it was, and that’s when I really understood the doctors’ thought processes. I really did take some physical damage, because I really did receive a pretty good full-body whack. It just wasn’t obvious to the naked eye. And since everyone has experienced odd physical symptoms from being rattled around, or even sleeping on a couch or sprung mattress, it makes sense — the impact obviously jiggled my spine, which probably accounts for a great many of the physical symptoms. Hence, “railway spine”. And from there, “shell shock” — nothing rattles your back like standing in a trench or crouching in a dugout as thousands of pounds of high explosive go off around you. It must be like going through my car crash all day, every day.

Skip forward a few decades, and we now have a much better physiological understanding of what we now call (and I will henceforth call) Post-Traumatic Stress Disorder (PTSD). There’s a hypothesis that I personally believe, that “shell shock” is also a whole bunch of micro-concussions as well as “classic” PTSD, but let’s leave that aside for now. The modern understanding of PTSD is largely about chemistry. Cortisol and other stress chemicals really fuck you up. They have systemic physical and mental effects. If those chemicals don’t get a chance to flush out of your system — if you’re in a trench for weeks on end, let’s say — the effects are cumulative, indeed exponential.

Returning to my car crash: I was “off” for a few days because my body got a huge jolt of stress chemicals. That odd not-quite-right thing I felt was those chemicals flushing through. Had I gone to a shrink at that moment, he probably would’ve diagnosed me with PTSD. But I didn’t have PTSD. I had a perfectly normal physiological reaction to a big shot of stress chemicals. If I’d gotten into car crash after car crash, though, day in and day out, that would’ve been PTSD. I’d be having nightmares about that deer every night, instead of just the once. And all that would have cumulative, indeed exponential, effects.

He then goes on to cover similar physical reactions to stimuli in modern life, so I do recommend you RTWT.

February 16, 2023

A modern irregular verb: I mis-spoke. You spread misinformation. He has been banned from social media

I derive my headline from the original words of Bernard Woolley: “That’s one of those irregular verbs, isn’t it? I give confidential security briefings. You leak. He has been charged under section 2a of the Official Secrets Act.” It was a joke in Yes, Minister, but as Jon Miltimore shows, it’s a model for how the powers-that-be want to treat how information is shared on social media:

As Reuters reported in a recent fact-check, Mr. Gore was guilty of misrepresenting scientific data — or “spreading ‘misinformation'”.

In 2009, many responded playfully to Gore’s faux pas.

“Like most politicians, practicing and reformed, Al Gore has been known to stretch the truth on occasion”, NPR noted, adding that Gore had also claimed he’d helped create the internet.

Today, misinformation is treated in a much different way — at least in some instances. Throughout the COVID-19 pandemic, many writers and scientists who questioned the government’s use of lockdowns, mask mandates, enforced social distancing, and vaccine mandates were banned from social media platforms while others lost their jobs.

San Francisco attorney Michael Senger was permanently banned from Twitter after calling the government’s pandemic response “a giant fraud”. Prior to him, it was former New York Times reporter Alex Berenson who got the boot after questioning the efficacy of vaccines in preventing COVID-19 transmission. Months earlier it was author Naomi Wolf, a political advisor to the presidential campaigns of Bill Clinton and Al Gore.

All of these accounts were reinstated after Elon Musk purchased the company. Twitter is hardly alone, however. Facebook and YouTube also announced policies banning the spread of COVID misinformation, particularly information related to vaccines, which is what got Drs. Peter McCullough and Robert Malone ostracized and banned.

Some may argue these policies are vital, since they protect readers from false information. However, there is nothing that says Big Tech can only ban information that is false. On the contrary, in court proceedings Twitter has claimed it has “the right to ban any user any time for any reason” and can discriminate “on the basis of religion, or gender, or sexual preference, or physical disability, or mental disability”.

Facebook, meanwhile, has argued in court that the army of fact-checkers they employ to protect readers from false information are merely sharing “opinions”, and are therefore exempt from defamation claims.

[…]

What Big Tech is doing is concerning, but the fact that this censorship is taking place in coordination with the federal government makes it doubly so.

In July, in arguably the most anti-free speech pronouncement made at the White House in modern history, White House press secretary Jen Psaki noted the White House is “flagging problematic posts for Facebook”.

“We are in regular touch with these social media platforms, and those engagements typically happen through members of our senior staff, but also members of our COVID-19 team”, Psaki explained. (Today we know that these companies are staffed with dozens of former CIA and FBI officials.)

All of this is being done in the name of science, but let’s be clear: there’s nothing scientific about censorship.

February 12, 2023

QotD: The heyday of Victorian newspapers

A few years ago, I did some research on three early Victorian murders that caused me to read several provincial newspapers of the time. I discovered incidentally to my research that the owners or editors of about half of the British provincial newspapers also sold patent medicines; and this made perfect sense, for by far the greatest advertisers in provincial newspapers were the manufacturers of patent medicines. The owners or editors of the newspapers sold advertisements to the producers of patent medicines, then they sold the newspapers in which the advertisements appeared, and finally they sold the products themselves to the readers. It was an excellent example of rational commercial synergy. (About half of the medicines, by the way, were either to cure or to prevent syphilis — a disease, then, that was a great support to the press of the time.)

Now, the principal quality or characteristic of the sellers of patent medicine has always been effrontery, that is to say the blatant insinuation of the false. Thomas Holloway’s innovation was to insinuate such falsehood on a mass or industrial scale. There was hardly a newspaper in which he did not place a weekly advertisement; moreover, he pioneered the advertisement that masquerades as news story. He would ensure that reports of miracle cures in faraway places, supposedly wrought by his pills and ointment, and written as matter-of-factly as possible, were placed in every newspaper, reports whose veracity no one could possibly check for himself, of course.

As Napoleon once said, repetition is the only rhetorical technique that really works — besides which hope and fear render people susceptible to effrontery. In Thomas Holloway’s time, the fear of illness was often, and the hope of cure rarely, justified; at least Holloway’s preparations were unlikely to do much harm (they contained aloe, myrrh, and saffron), unlike the prescriptions of the orthodox doctors of the time. They allowed for the possibility of natural recovery, whereas orthodox medicine often hurried its consumers into their graves. Nevertheless, the claims Holloway made for his ointment and pills were preposterous, and something is not curative just because it fails to kill.

Holloway made an immense fortune by his effrontery and founded a women’s college in the University of London on the proceeds.

Theodore Dalrymple, “The Way of Che”, Taki’s Magazine, 2017-10-28.

January 16, 2023

QotD: The avant-garde

Filed under: Books, History, Quotations — Tags: , , , , , — Nicholas @ 01:00

There is no more evanescent quality than modernity, a rather obvious or even banal observation whose import those who take pride in their own modernity nevertheless contrive to ignore. Having reached the pinnacle of human achievement by living in the present rather than in the past, they assume that nothing will change after them; and they also assume that the latest is the best. It is difficult to think of a shallower outlook.

Of course, in certain fields the latest is inclined to be best. For example, no one would wish to be treated surgically using the methods of Sir Astley Cooper: but if we want modern treatment, it is not because it is modern but because it better as gauged by pretty obvious criteria. If it were worse (as very occasionally it is), we should not want it, however modern it were.

Alas, the idea of progress has infected important spheres in which it has no proper application, particularly the arts. It is difficult to overestimate the damage that the gimcrack notion of teleology inhering in artistic endeavour has inflicted on all the arts, exemplified by the use of the term avant-garde: as if artists were, or ought to be, soldiers marching in unison to a predetermined destination. If I had the power to expunge a single expression from the vocabulary art criticism, it would be avant-garde.

Theodore Dalrymple, “Architectural Dystopia: A Book Review”, New English Review, 2018-10-04.

January 15, 2023

One last dance for Davos?

Elizabeth Nickson on the “walls closing in” but this time it isn’t “on Trump”, but it might be “on the World Economic Forum” and their enablers:

Klaus and his gang were in full egomaniacal flight last week in Davos. I wonder how secretly scared they were, swanning around in their $30,000 Loro Piana topcoats dreaming of what … a nice quiet prison? Their liability for this latest attempt to escape the whirlwind through forced pharmaceuticals and the construction of the Biomedical Security State, must be dawning on them. It was always a possibility, but they figured the populace — thanks to their equally witless behaviourists — were so dumb they’d consent to being permanently damaged and think it was the fault of the extreme right. And climate change.

[…]

In Australia, the more Covid shots you’ve had, the more Covid you get and the more you die. The unvaccinated sail by relatively unperturbed.

Did you know that Big Pharma takes between $8 to $10 Trillion out of the US economy every year? GDP is only $23 Trillion. That’s a lot of money to claw back by every injured person, every family who lost a wage earner, a mother, a treasured child. This is a profit center for the great unwashed unmatched in human history. A massive transfer of wealth from the .01% to us.

They are all liable: every executive, every celebrity, every film producer, every hospital chief, every newspaper publisher, every television station owner, every multinational media company, every medical center, every university, every employer, every politician who forced and bullied people. Their wealth is about to become ours.

November 9, 2022

Liberal political fortunes ride “especially women in the suburbs of the Greater Toronto Area” … and those women are angry right now

Filed under: Cancon, Economics, Health, Media, Politics — Tags: , , , , , , — Nicholas @ 03:00

In The Line, Ashley Csanady has some advice for Justin Trudeau in the lead-up to the next federal election that he really needs to pay attention to:

Poll after poll has told us the Liberals lost white male voters a long time ago, and their electoral fortunes, especially in Quebec and suburban Ontario, rely on women, especially women in the suburbs of the Greater Toronto Area. This isn’t to say dads and other caregivers aren’t angry. Families take many shapes and anyone with small people at home has faced the same indignities over the past nearly three years. However, politically and demographically, it’s the Ontario moms who are going to make or break the next election. And when folks are angry, it doesn’t matter who the incumbent is, they are wont to vote them out.

Nor is it not just about the children’s pain meds.

It’s about the fact we can’t find antibiotic eye drops over-the-counter either (a shortage one pharmacist told me is even worse than the one for pain and fever meds for the wee ones). Another shortage that means we must then turn to an already over-burdened health-care system to get a prescription for a medicine that may or may not be in stock.

Oh, and if that respiratory virus going around turns nasty, we aren’t even certain there will be a hospital bed for our babies when they need it most.

Then there is the infuriatingly slow roll-out of affordable childcare in this province. Parents once again caught between the feds and the province in a battle that may drag out the process so long that many expecting relief will see their kids off to junior kindergarten before it arrives.

Grocery bills are skyrocketing, and while I admit I’m privileged enough to absorb the eye-popping increases, so many families simply cannot. Imagine telling a picky toddler they can’t have their favourite snack because you can’t afford the crackers.

Now, Ontario moms had to deal with yet another disruption to their kids’ schooling, which threw their work lives into chaos once again. More disruptions are possible should bargaining fail again. This just after many women who left the workforce or took a step back from their careers during the pandemic were just getting back into the swing of things.

I made this point — that Ontario moms are angry and much of that anger is directed at political leaders, but I don’t expect it to fall on Ontario Doug Ford — on Twitter a couple weeks back. For this, I was “reminded” — more like chided — that many of these challenges are Mr. Ford’s fault. Or global challenges no logical person could blame the prime minister for. The partisans in my mentions were right on both counts. But here’s what they got wrong:

It doesn’t matter if I’m being “unfair” to Mr. Trudeau, because politics is unfair.

And as for Mr. Ford’s share of the blame, voters punish who’s up next at the ballot box, especially in a crisis. They had a chance to take out their rage on the PCs in June. They didn’t. So who does that leave up next?

Older Posts »

Powered by WordPress