My wife and I are fortunate to be able to work from home. I started working from home Wednesday of last week, and initially found the transition to be manageable. Thanks to my wife’s discipline, we were keeping our normal sleep schedules, and we are able to maintain our normal working routine from the safety of home.
One thing that really threw me this weekend was when I allowed myself the permission to completely relax my schedule. Because of the pandemic, a lot of my pressing obligations and scheduled social time have been put on hold, meaning I have more free time than is typical. During the work week last week, I kept up with work and tending to things around the house, but by the weekend I decided to jump into playing video games, reading, and podcast listening. I also enjoyed a few beers Friday and Saturday nights while exploring the Borderlands, so going to bed before midnight was quickly forgotten.
This had two interesting consequences. First, by Sunday I physically felt bad. Not sick, but my body felt sluggish, I was tired, I had a headache, and my motivation was sapped. While I didn’t drink to excess, I did wonder aloud to my wife if what I was feeling was a low-grade hangover from my general poor choices over the weekend.
The (amusing) second consequence was that my wife remarked that she now sees why I impose schedules and routines on my daily life. She normally encourages me to relax and play games, but this is the first time in a long time that she has seen me proactively partake in games. It was a little like a crash-and-burn by Sunday night – I don’t do moderation very well and her mock-horror was a good reminder of that.
In reflecting on the last few days of the self-isolation, I have learned that it’s important for me to keep regular routines and impose discipline on my otherwise chaotic whims. I’ve known this about myself for some time, but this weekend helped to reinforce why I prefer keeping routines and habits active. Like a child, I crave structure.
From time to time, I catch myself thinking some pretty stupid stuff for entirely dumb reasons. A piece of information finds a way to bypass any critical thinking faculties I proudly think I possess and worms its way into my belief web. Almost like a virus, which is a great segue.
A perfect example of this happened last week in relation to the COVID-19 news, and I thought it important to share here, both as an exercise in humility to remind myself that I should not think myself above falling for false information, and as my contribution to correcting misinformation floating around the web.
Through a friend’s Stories on Instagram, I saw the following screencap from Twitter:
My immediate thought was to nod my head in approval and take some smug satisfaction that of course I’m smart enough to already know this is true.
Thankfully, some small part at the back of my brain immediately raised a red flag and called for a timeout to review the facts. I’m so glad that unconscious part was there.
It said to me “Hang on… is hand-sanitizer ‘anti-bacterial’?”
I mean, yes, technically it is. But is it “anti-bacterial” in the same way that it is getting implied in this tweet? The way the information is framed, it treats the hand-sanitizer’s anti-bacterial properties as being exclusively what it was designed for, like antibiotics. For example, you can’t take antibiotics for the cold or flu, because those are not bacterial infections but viral infections.
According to the author on the topic of alcohol-based hand sanitizers (ABHS),
There are some special cases where ABHS are not effective against some kinds of non-enveloped viruses (e.g. norovirus), but for the purposes of what is happening around the world, ABHS are effective. It is also the case that the main precaution to protect yourself is to thoroughly wash your hands with soap and water, and follow other safety precautions as prescribed.
The tweet, while right about the need for us to wash our hands and not overly rely on hand-sanitizers, is factually wrong generally. Thanks to a mix of accurate information (bacteria =/= virus) and inaccurate information(“hand sanitizer is not anti-bacterial”), and a packaging that appeals to my “I’m smarter than you” personality, I nearly fell for its memetic misinformation.
There are a number of lessons I’ve taken from this experience:
My network is not immune to false beliefs, so I must still guard against accepting information based on in-group status.
Misinformation that closely resembles true facts will tap into my confirmation bias.
I’m more likely to agree with statements that are coded with smarmy or condescending tonality because it carries greater transmission weight in online discourse.
Appeals to authority (science) resonate with me – because this was coming from a scientist who is tired of misinformation (I, too, am tired of misinformation), I’m more likely to agree with something that sounds like something I believe.
Just because someone says they are a scientist, doesn’t make the status true, nor does it mean what they are saying is automatically right.
Even if the person is factually a scientist, if they are speaking outside of their primary domain, being a scientist does not confer special epistemological status.
In the aftermath, the tweet was pulled and the person tried to correct the misinformation, but the incident highlights that the norms of Twitter (and social media more broadly) are entirely antithetical to nuance and contextual understanding.
It’s interesting how much information spread (memetics) resembles pathogen spreading. If the harmful thing attacking us is sufficiently designed to sidestep our defenses, whether that’s our body’s immune system or our critical thinking faculties, the invading thing can easily integrate within, establish itself within our web, and prepare to spread.
The one thing that really bums me out about this event is the inadvertent harm that comes to scientific authority. We as a society are caught in a period of intense distrust of the establishment that is coinciding with the largest explosion of information our species has ever seen. The result of this is not that good information is scarce, but rather the signal-to-noise ratio is so imbalanced that good information is getting swept away in the tide. If people grow distrustful of the sources of information that will help protect us, then forget worrying about gatekeepers that keep knowledge hidden; there will be no one left to listen.
In the ethics of conducting research with human participants, there is the concept of “informed consent.” At its foundation, informed consent is the process of communicating a sufficient amount of information about a research project to a prospective participant so that the prospect is able to decide whether they want to consent to being a participant in a study. There is a lot of nuance that can go into selecting what gets communicated because you have a lot of necessary information that needs be shared but you don’t want to share so much information that the participant is overwhelmed by the volume of information.
When I review research ethics applications, I am privy to a lot of information about the project. In the course of reviewing the project, I have to make judgement calls about what should be included in the informed consent letters that participants read. It would be counter-productive if the participant had to read all the documentation I am required to read when reviewing an application, so we use certain best practices and principles to decide what information gets communicated as a standard, and what is left in the application.
There is, of course, some challenges that we must confront in this process. As I said, when reviewing a research project, you have to balance the needs of the project with the needs of a participant. All research, by virtue of exploring the unknown, carries with it an element of risk. When you involve humans in a research project, you are asking them to shoulder some of the risk in the name of progress. Our job as researchers and reviewers is to anticpate risk and mitigate it where possible. We are stewards of the well-being of the participants, and we use our experience and expertise to protect the particpants.
This means that one challenge is communicating risk to participants and helping them understand the implications of the risks of the research. In many instances, the participants are well aware of risks posed to their normal, every-day lived experiences and how the research intersects with it. The patient living with a medical condition is aware of their pain or suffering, and can appreciate risks associated with medical interventions. A person living in poverty is acutely aware of what it means to live in poverty, and understands that discussing their experiences can be psychologically and emotionally difficult. Our jobs (as reviewers and researchers) is to ensure that the participant is made aware of the risk, mitigate it as much as we can without compromising the integrity of the research program, and to contextualize the risk so that the participant can make choices for themselves without coercion.
The concept of informed consent is hugely important, arguably the most important component of research projects involving humans as participants. It is an acknowledgement that people are ends in themselves, not a means to furthering knowledge or the researcher’s private or professional goals. Indeed, without a respect for the autonomy of the participant, research projects are likely to not be moved into action even when research funds are available.
All of this is a preamble to discuss the anger I felt when I read a recent CBC report on how anti-vaxxer advocates are using the concept of informed consent as a dog-whistle to their adherents, and are using informed consent as a way of both furthering their awareness and raising money with well-meaning politicians and the public.
In fairness, I can see the chain of reasoning at play that tries to connect informed consent with concerns about vaccines. For instance, in the article there is a photo of supporters of a vaccine choice group with a banner that reads “If there is a risk there must be a choice.” This sentiment is entirely consistent with the principles of informed consent. The problem with this application is that the risk is not being communicated and understood properly within context, and instead fear, misinformation, and conspiracies that lead to paternalistic paranoia are short-cutting the conversation. Further, the incentive structures that are borne out of the economics of our medical system are doing little to address these fears. Because so little money is flowing from the government to the medical system, doctors are forced to maximize the number of patients they see in a day just to ensure enough money is coming into the practice to pay for space, equipment, staff, insurance, and supplies. Rather than seeking quality face-to-face time with a patient, doctors have to make a choice to limit patient time to just focus on a chief complaint and address questions as efficiently as they can.
I don’t think it’s all the doctor’s fault either. I think we as patients, or more specifically we as a society, have a terrible grasp of medical and scientific literacy. I don’t have a strong opinion about what the root cause of this is, but some combination of underfunded schooling, rapid technological innovation, growing income disparities, entertainment pacification, a lack of mental health support, increasingly complex life systems, and precarious economic living in the average household are all influencing the poor grasp people have about what makes the world around us work. Rather than being the case that we are hyper-specialized in our worldviews, I think it’s the case that “life” is too complex for the average person to invest time into understanding. Let’s be clear, it is not the case that the average person isn’t smart enough to grasp it (even if sometimes my frustration with people leads me to this conclusion). Instead, I think that people are pulled in so many directions that they don’t have the time or economic freedom to deal with things that don’t immediately pay off for them. People are so fixated on just making it day-to-day and trying not to fall behind that it becomes a luxury to have the leisure time to devote to these kinds of activities.
What this results in, then, is the perfect storm of ignorance and fear that congeals into a tribal call to rebel against the paternalism of a system that is ironically also too cash-strapped to allow the flexibility to educate people on the nature of risk. People don’t have the time and ability to educate themselves, and doctors don’t have the time to share their experiences and knowledge with their patients.
Within this gap, opportunistic charlatans and sophists thrive to capitalize on people’s fears to push their own agendas. This is why bad actors like the disgraced former doctor Andrew Wakefield and movement leader Del Bigtree are able to charge fees to profit from speaking at anti-vaccination events. I’m not saying a person who spreads a message should do it for free. What I am saying is that they are able to turn a personal profit by preying on people’s fears while doing little to investigate the thing they claim to worry about.
We must find a way to communicate two simultaneous truths:
There is an inherent risk in everything; bad stuff happens to good people, and you can do everything right and still lose. Nevertheless, the risks involved when it comes to vaccines are worth shouldering because of the net good that comes from it and the risks themselves are vanishingly small.
In the 22 years since Wakefield published his study and the 16 years since its retraction, there has not been any peer-reviewed credible evidence that supports many of the claims given by the anti-vaxx movement. The movement is predicated on fears people have of the probability of something bad happening to them or their loved ones. The motivation behind the fear is legitimate, but the object of the fear is a bogeyman that hides behind whatever shadows it can find as more and more light is cast on this area.
The anti-vaxx ideology knows it cannot address head-on the mounting scientific evidence that discredits its premise, and so it instead focuses on a different avenue of attack.
This bears repeating: the anti-vaxx ideology cannot debate or refute the scientific evidence about vaccination. We know vaccines work. We know how they work; we know why they work. We understand the probabilities of the risk; we know the type and magnitudes of the risks. These things are known to us. Anti-vaxx belief is a deliberate falsehood when it denies any of what we know.
Because of this, the anti-vaxx ideology is shifting to speak to those deep fears we have of the unknown, and instead of dealing with the facts of medicine, it is sinking its claws into the deep desire we have for freedom and autonomy. It shortcuts our rational experience and appeals to the fears evolution has given us to grapples with the unknown – the knee-jerk rejection of things we don’t understand.
Informed consent as a concept is the latest victim of anti-vaxx’s contagion. It’s seeping in and corrupting it from the inside, turning the very principle of self-directed autonomy against a person’s self-interest. It doesn’t cast doubt by calling the science into question. Instead, it casts doubt precisely because the average person doesn’t understand the science, and so that unknown becomes scary to us and we reject or avoid what brings us fear.
Anti-vaxx ideology is a memetic virus. In our society’s wealth, luxury, and tech-enabled friction-free lives, we have allowed this dangerous idea to gain strength. By ignoring it and ridiculing it until now, we have come to a point where it threatens to disrupt social homeostasis. Unless we do something to change the conditions we find ourselves in – unless we are willing to do the hard work – I fear that this ideology is going to replicate at a rate that we can’t stop. It will reach a critical mass, infect enough people, and threaten to undo all the hard work achieved in the past. We have already seen the evidence of this as once-eradicated diseases are popping up in our communities. The immunity and innoculations have weakened. Let’s hope those walls don’t break.
Previously, at the start of the notebook I would collect a running series of to-do items. Most of the items at the top of the list would be things that had been carried-over for multiple months, with a few small items at the bottom that likely were first jotted-down in the previous month. I found that I was continuously copying out the same items month-over-month and the list was growing. On the one hand, if the thing isn’t important enough for me to complete in a reasonable amount of time, it could be the case that it’s not important enough for me to carry-forward and that I should just drop the task all together.
Yet, I felt that some of the tasks were things I’d want to complete “one day” in the undefined future, but that I had lots of other pressing things that needed my attention first. Or, some tasks would require a fair amount of planning or coordination, and so I would tackle it after an adequate amount of lead time.
Some time ago, I created an account on Trello, but it was sitting unused as I didn’t know what kind of boards I would find useful. This seemed like the perfect experiment to help me remain flexible.
I set up several columns (buckets) of items. In the far left, I labelled the list “Pool” and dump in all to do items. Within each of the cards I can make notes or sub-lists to help keep me on track of things. At the start of each month, if there is something I don’t want to carry forward into the new book, I put the item into the bucket.
Next, is the “Planning Phase” bucket. The beauty of Trello is I can drag cards from one column to the next, so when I’m ready to move stuff from the Pool to another phase of activity, I can easy drag-and-drop. Items in the Planning Phase might require me to do research or make purchases in preparation to work on the project.
If no further planning is required, I move it into the “Active” column. When a task is active, it’s something that I’m placing priority on and is meant to remind me to carve out space in my schedule to address.
Sometimes, a project needs to be put on hold. I created a bucket to put tasks that are underway but I’m not making active progress on. Items in this bucket might require someone to get back to me on some action of detail, or maybe I need to wait until a future date to complete the tasks. Whatever it is, if I don’t want to move a task back into the pool column, I place it here and make a note of why the tasks is in limbo.
“Completed” is my win column – it gives me a chance to see what I’ve crossed of my list and as the column grows, I can take satisfaction in my accomplishments.
I created an “Abandoned” column because sometimes I will choose not to complete a task but I don’t want to delete it outright. Maybe it’s something that’s still important, or maybe I missed a window but I want to be reminded of it.
Finally, for tasks that occur regularly but infrequently, I have a column so that I can see when the last time was that I finished a task, and remind myself that it will need to go back into the active column (e.g. changing my tires, changing the furnace filter, etc.).
I’ve been using this revised system for a few months and it seems to be satisfying my immediate needs. It both cuts down on the number of items I need to manually copy from book to book while allowing me to indefinitely store things in a user-friendly format – effectively marrying my love of analogue with the convenience of digital.
Last week I shouted from the rooftops about reaching zero unread messages in my inbox. This feels like a good opportunity to geek out a bit on some cool digital tools I use for my process flow. Below are a handful of applications and services I use to keep on top of things, which supplement any physical systems I use to stay organized (like my notebook, for example). None of the referenced products below are sponsors and I have no business ties with them.
I was introduced to Boomerang for Gmail a few years back and made use of their free tier for quite some time. However, last year I made the jump to unlock some additional functionality and allow me to boomerang more messages per month.
Seamlessly integrated into Gmail, Boomerang allows me to kick messages out of my inbox and set to return at a predetermined time. You may have noted in a caption that I mentioned “boomeranged messages;” this is what I was referencing. If I have messages that I want to come back to, but I don’t want them to clutter my inbox, I use Boomerang to remove them temporarily without me forgetting about it. Boomerang has other features, such as being able to append notes to myself or asking a message to return if no one responds within a certain time frame. All in all, a great little service that doesn’t cost much for the year.
I use both Evernote (free) and OneNote (Enterprise). I don’t really have a preference one way or the other at the moment, but I tend to use Evernote for personal items (saving notes, planning blog posts, etc.) where I use OneNote for Board work and my main job. I was urged to go paperless by my boss, so I slowly adopted the services and moved away from extra notebooks and loose papers on my desk. Especially within OneNote, I can use the attach document feature to put “print outs” of documents within a notebook page, then use my tablet’s stylus to annotate the document with handwritten notes.
Speaking of embedding print outs, I started using Scanbot for Android to capture paper documents and port them into my digital notes. I like Scanbot over the regular camera because the AI recognizes the page and will use algorithms to digitally morph distortions of the page. Instead of requiring perfect lighting and standing perfectly over the page, I can capture documents on camera and Scanbot flattens out and crops the image for me. I’ve also found it handy for taking pictures of overhead presentation slides, and whiteboard writing.
Pushbullet has a lot of features for pushing documents across devices, but I mostly use it as a way of preventing myself from always looking at my phone. Instead, I can avoid temptation and quickly reply to text messages from my wife before jumping back into my task. I know myself well enough that picking up my phone is inviting a trip down the rabbit hole of distraction, so Pushbullet really helps keep my monkey brain in check. (Note: if you’re wondering about how I avoid distractions on my computer, I use the StayFocusd extension to block website during certain hours of the day)
Month over month, I will have lots of To Do items that are left incomplete. I used to copy them over manually to the next notebook, but over time the list grew. Out of laziness, I started porting those tasks over to Trello for longer term storage. Yes, I should either discard those items I’m not doing or clearing my plate by completing the tasks. However, there are items that are not urgent and not important enough to do at the time. Instead, I’ve set up a kanban board that allows me to move tasks from a pool to an active list, then to a complete, abandon, or hold list, depending on the status of the task. It’s a handy way of keeping on top of tasks that are not immediately pressing and allows me to use my notebook for day-to-day pressing concerns.
There are a few other tools I’m trying out, such as Toggl, RescueTime, Microsoft Teams, and Notion, but I’ll save those for a future post.
The five-ish tools above are a few things that makes it easy for me to keep on top of several process flows for work, my personal projects, and my volunteer work. Without them, I would be drowning in trying to keep everything fresh in my mind. Let me know what kind of tools you use (digital or analogue) in the comments below. I’m always interested in learning what different people have set up for themselves.
For as much as I read about productivity and “tactics,” I’m not all that organized, in my opinion. I am forced to keep track of a lot of threads in my projects by necessity of having too much on my plate, so I make use of notebooks and applications to sort, categorize, and remind myself of things. This includes my email inboxes – if something is unread, it means I haven’t tended to it yet and need to circle back.
From time to time I hack away at my unread messages, but items will sit there for long stretches during peak deadline times.
Last week, however, I hit inbox zero for my main account for the first time in a loooooong time.
I honestly don’t remember the last time I hit zero messages in my inbox. It’s been a long slow process of setting up filters on messages to get rid of promotions cluttering my inbox (which I started setting up in January). I was tired of having to constantly decide whether I wanted to open promotional messages or auto-delete. I didn’t want to block or unsubscribe from them all since I still used the promotions on occasion, but the constant, daily deluge of 30+ messages was draining.
I don’t really subscribe to the inbox zero system per se, but when I finally cleared the last message kicking around, I stared at my empty inbox in confusion. It was weird to see. And I feel a slight motivation to keep on top of clearing emails. When a number pops up in the tab, an itching anxiety kicks in to get rid of it as soon as possible.
I feel odd celebrating something like this. I know rationally that clearing emails isn’t really a marker of productivity. Nevertheless, I think it’s important to celebrate those times when you feel a modicum of control over your life and work (even if it’s an illusion set up by my capitalist overlords… /s).