📺 Broadchurch, Season 1 got my full attention the moment David Tenant screamed Bloody Twitter. The show deserves an A+ for drama, a B- for the mystery, and an F for its medical chops. Fortunately, medicine didn’t come into play until very late, when drama and mystery were already at full steam.
🍿 Chef (2014) brought me back to my residency days in a Baltimore ICU, when the attending mentioned during rounds that he saw the movie with his grandson and enjoyed the scenes of food being cooked, if not the humor. A movie made for Netflix before Netflix made movies.
A prediction, based on nothing but this short post from John Gruber and a hunch: within 5 years, Apple will have a deal to stream all college football. NFL may be out of reach, but for many people — Tim Cook included — NCAA is what matters.
As a not-so-recent graduate of a medical fellowship program, I often get spammy job offers via email, text, LinkedIn messages, etc, some of them with promises of eye-popping income. A memorable add mentioned over $800,000 annual compensation for a position in Caribou, Maine. It was telling that I was getting it for at least a year before it stopped, and if you were the brave soul who took up the job then please get in touch, I would like to hear how it’s been!
Often, the number is not mentioned at all. Those jobs have a clear advantage in terms of the institution, geographic location and time commitment. All others fall into two categories: “up to” and “guaranteed”. A decade-plus of reading Nassim Taleb’s writing has taught me to avoid the up-to and value the guaranteed.
Many people focus on “benefiting from disorder”, but this is in fact the basic asymmetry behind Antifragile, which Taleb touched on even earlier in his books. Cap the losses and yes, stay open for high — ideally unlimited — upside, but avoiding ruin takes precedence.
The up-to/at-least dichotomy is broader than job postings. “Up-to” precedes many numbers and sometimes, fair enough, it is important to mention and valid in the conversation. But sometimes — often? — it is uttered under the breath and while clearing throat to yell out a large number that is meant to impress, change minds, open up hearts… and wallets.
“You could earn up to $900,000 per year”, if you see 40 patients per day five days a week with 10 days off for the entire year. Extrapolate to other areas of life as need.
Drywalls weren’t a thing when I was growing up in Serbia and I don’t think they are used even now. I avoided putting up shelves as the whole stud-finding procedure was a bit of a dark art that could go very wrong in my inattentive hands, never mind that the placement was just too constraining — I didn’t want the placement of a towel rod to be decided by a home builder from 30 years ago. Then I discovered toggle bolts (also known as butterfly anchors), and I have been putting up shelves, hooks, screen mounts and other bits of hardware with wild abandon.
Now, using toggle bolts will leave behind a comically large holes if you ever change your mind about wall placement. This hasn’t happened to me yet, but when it does I will know to go to YouTube, which has become a living encyclopedia of crafts. Just in the last two months it has helped me with replacing a microwave circuit board and fixing a pair of broken shades, and I am no handyman. This is why I would never lump in YouTube together with TikTok, Instagram and other soul-sucking services, though it is always good to turn off the recommendations.
My third bit of advice is also wall-related: for anything you wanted to hang that’s too light to warrant a toggle bolt, use 3M’s Command strips. Yes they are just a tiny bit wasteful since you can’t reuse the one that’s stuck on a wall, but unlike nails or pieces of colored sticky rubber, they will not leave any trace once removed. They are a renter’s best friend.
And if you are renting, do not be afraid to change things around if you are in a managed property and don’t have the owner acting as landlord. Each time I moved out they person doing the walk-through was surprised by how unchanged everything was, and each time I thought to myself that I should have hung up that towel rod, or anchored that Kallax shelf to the wall.
When moving, the ideal is to hire someone to do everything for you, from packing to load to driving and the unloading. If you don’t have the means for it (and I haven’t), at least hire someone for the loading/unloading part, preferably someone with experience. Either way, if you pack yourself, packing everything save for large pieces of furniture into boxes — there should be nothing irregularly shaped that’s not in a box. And yes, I truly mean everything, even (especially!) the groceries.
So whenever you come by a trinket and wonder to yourself whether you should get it, for yourself or as a present for your children or significant other, picture yourself coming across it while packing for another move and try to imagine how would you feel: glad that you got to keep the memento, or resentful that it became just another piece of detritus that you have to stuff in a box.
Always on the lookout for new blogs, I was happy to see a former leader at the National Science Foundation, Jim Olson, start one (↬Tyler Cowen). Based on the formal and didactic style I would say I was not the target audience for it, but it is better then nothing. It may also provide a convenient catalyst for my own thoughts.
For example: Olson’s most recent post is about the replication crisis. He points the finger on verification not being sexy enough for grant funders and academic journals, which is true. But if anything, having more people verify more and more claims in the ever-growing steaming pile of academese would make things seemingly worse, at least in the short term. This is the same kind of thinking that wanted to end medical reversals. You don’t want to end them, you want to make them unnecessary in the first place!
Now, fear of your claim being verified may frighten some researches from shooting from their hip, but unless paired with some sort of immediate punishment it would hardly make for a good stick. And what is preventing the person who made the original claim from demanding verification of the verifiers, and so on, and so forth, ad infinitum?
Olson also recommends more detailed methods, so that replication would be possible in the first place. This has already been implemented as anyone who had to fill out Cell’s never-ending STAR Methods can attest. Nature and Science have similar requirements, and some of them don’t even have a word count limit for the Methods section. Granted, many other journals aren’t as rigorous, but that should help you figure out which journals to follow.
So, instead of asking why we don’t have more people verifying claims, I would ask why we needed verification in the first place. Olson touches upon the core issue, mentioning “the time horizon problem”:
NSF grants run 3-5 years. Tenure clocks run 6-7 years. But scientific truth emerges over decades. We’re optimizing for the wrong timescale.
During my time at NSF, I saw brilliant researchers make pragmatic choices: publish something surprising now (even if it might not hold up) rather than spend two years carefully verifying it. That’s not a moral failing—it’s responding rationally to the incentives we created.
Of course it is about incentives. No amount of verifying will change that. People are chasing after tenure and accolades, not truth, and many a tenured professors shrugged their shoulders at the mansions of straw they had built over the decades. At best, they provided an easy target for a successor in the field to refute, unless of course there is a whole cabal of like-minded researchers protecting the dubious claims. But the default position is that these mansions of straw stay there, moulding and festering, side-tracking post-docs and spamming PubMed searches.
I have no clue what the solution may be. Maybe there is none and this is the equilibrium — let reality provide the final vote. But the status quo feels far from optimal.
🏀 Here is for another abysmal season!