October 25, 2025

Weekend links, semi-long reads edition

  • Kaitlyn Tiffany for The Atlantic: A ‘Death Train’ Is Haunting South Florida. Dream of the next generation of railway turns into a bloodbath because Americans forgot that train tracks at grade level with other traffic is bad bad bad. So bad that Robert Moses tore down half of New York to fix it. But that was almost a century ago and we are a forgetfull species. (ᔥTyler Cowen)
  • Tim Urban: Tales from Toddlerhood. An accurate account, and a particularly salient one for me right now. If you think the second baby gets ignored relative to the firstborn, wait until number three comes along. The main character syndrome of the oldest siblings is real (at least to those of us who are not).
  • Lisa Woodley: The Year I Left Design. What happens when you let your career drift, and how to get it back on track. Applicable to more than design. (ᔥGina Trapani)
  • James L. Olds: “What Grant Reviewers Actually Look For (and What They Ignore)”. He recommends storyboarding your grant proposals. I would trust his advice, but I also — and please don’t interpret this politically — get the urge to burn that system to the ground because it is a narrative fallacy-producing machine.
  • Derek Lowe: mRNA Vaccines and Immuno-oncology: Good News. It seems that LNP-encased mRNA by itself, regardless of what it encodes, may imrove efficacy of immunotherapy for cancer as it “stirs up” the immune systen. Big (and indeed good!) if true. But Lowe ends the post, as he did many of the prior ones, with a tirade against the current HHS, NIH and FDA leadership for spreading doubts and fears about mRNA research, forgetting that (1) much of those doubts and fears were about “overstimulation” of the immune system and the related side effects, such as myositis, which the above (positive!) findings further stoke, and (2) the original mRNA research famously never received NIH funding and was indeed “fringe” science. There is raising of legitimate concerns and then there is performative posturing and Lowe’s writing has shifted firmly to the latter.
  • Nick Maggiulli: All the Money, None of the Satisfaction. On people continuing to be stingy even after being firmly in the top 1% of income and wealth. I have recently heard a billionaire-several-times-over unironically start a sentence with “If I had money…” so I can confirm that this is a real phenomenon and some may indeed say that the reason they are billionaires is such a mindset, while the hoi polloi drink their $12 frapuccinos. And if those who can afford such beverages are the hoi polloi, what are the people who can not?

October 24, 2025

Things to check out over the weekend, digital

Have a good weekend, all.

October 23, 2025

Thursday Twitter hits, put on your biohazard suits

October 22, 2025

Mid-week links, and a conspiracy theory

October 20, 2025

Monday links, edge case edition

October 19, 2025

📺 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.

Scenes from a gentler time

The British crime drama Broadchurch came out in 2013. John Favreau’s food porn vanity project Chef was released in 2014. Despite both now being more than a decade old, in my mind they are still filed under “new things that came out that we missed because we had an infant in the house while also being medical residents”. It was therefore jarring to see how dated they both were, and for similar reasons.

Broadchurch deals with the murder of an 11-year-old boy in a small coastal community. Twitter is mentioned a handful of times, only in the context of breaking news. There is no Instagram or messaging apps: pre-teens email each other. The boy’s family is at a loss for how to attract national attention to the killing and finds the answer in a tabloid journalist. It all feels quaint, though admittedly I don’t know if that was intentional even in 2013 (from the edgy music and the oh-so serious tone of the show, I suspect not). I won’t mention a recent British show by name for fear of spoiling other, but if you’ve seen both you will now what is the clear parallel and how much things have changed.

Chef, on the other hand, is completely Twitter-dependent, and is arguably one of the first movies to use Twitter #MainCharacter dynamics as a plot point (Justine Sacco had landed a few months before the movie was released, and probably wasn’t even on Favreau’s radar). Twitter is shown in a completely positive light, and I can’t think of any other movie that has done that. It is also a good time capsule of the food trucks on Twitter craze. The early 2010s were the peak time for both, before culture wars killed one and covid the other.

So now I am inclined to see what else came out in that 2010–2015 period. Is it too early to be nostalgic for those times?

October 18, 2025

Saturday links, mostly serious

October 17, 2025

Beware the “up to”

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.