A swampy blog of uncertainty, mud and mirth. Weaved together with lyrical reeds of true stories and imagined happenings. What is, may not. What's not, may be. Don't fall in.
Saturday, November 13, 2021
States of mind
Friday, November 05, 2021
Numbers fun
Saturday, October 30, 2021
New magic, old magic
I was listening to a podcast on "consciousness", as in the way that we all believe ourselves conscious, and how in different levels of complex animals that we would also assume that there is a degree of consciousness. But at some point of lower level organism you'd think that there would be a point where there is no light of consciousness, like a worm, perhaps which has senses but is automatic in its responses. We lack the ability to put ourselves in the mind of another organism so never really know, say, cat consciousness but for what we observe and intuit from the contemptuous or smug cat faces and expressions we see. To me it begs the question a little because while we may be able to put ourselves in another human's shoes, we can't really know their mind.
In the brainspace of impossible hypotheticals, we have the thought experiment of contemplating what it's like to be in someone else's head. Why they react or cannot tame their feelings, while they are like the like the anthropomorphic scorpion on the anthropomorphic frog stinging away to their own demise or detriment.
But I digress, what I wanted to talk about was magical thinking. It is probably possible to think that you roughly know how another person thinks, or why another person think it without the fully experiencing their minds. Flicking our minds into the medieval minds we assume that the they were immersed in the magic potential latent in the world, of gods, spirits, miracles, blessings and curses. In magic there is a certainty, a black-and-whiteness: the wicked are cursed; sins stain; there is a divine order; and the pious will win in the end. Such thinking is a salve to the uncertainty and grey that plague the objective world.
If I were to speculate, I would say as the Enlightenment drained this old magic from the world a new magic took its place, and for the exact same reason: without the old magic giving us certainty and confidence, we would have been left without that special something to make the uncertainties of life bearable.
The magical mantra of the moment is, of course, "vaccine". Where in the Grimms tales there were witches and wizards with their spells, nowadays we have things like vaccines, which regardless of how they are explained to people, are always trapped by the common conception of a magic protective charm that makes you able to walk through a viral storm unharmed. Because of the pervasiveness of the disease and also the fractiousness of the community vaccination effort, their weaknesses and side effects, waning immunity and "breakthrough infections" have become headline news. But the vaccines do not give you a force field aura: they're just a drug that stimulates the body in particular ways, how your body reacts is not guaranteed.
The last phase of the trials for Pfizer's vaccine had the headlines showing over 90% effectiveness against symptomatic infection, an astonishing headline which remains largely true. But that huge news still has the inverse fact latent: For every 10 people unvaccinated who would develop symptomatic infection, there would still be one vaccinated for every similar ten vaccinated people who would get symptomatic infection, and probably one or more with asymptomatic infection. This is to say, a vaccine in a league of its own was still expected to have recipients who could become symptomatic and infectious. Even after waning, and for new variants, it is probably though as effective as many of the other vaccines that are given to us, if it were taken by the most of the community.
Which is where we come to the thorny topic of mandates, which I would presume most administrators and officials probably wouldn't want to use. The magical view of vaccines sometimes gets in the way of mandates, but only because of magical thinking. This video by JP Sears, for which he argues against restrictions on the unvaccinated is latent with the magic. The strawman is that vaccines are 100% effective so what do the vaccinated have to worry about the unvaccinated, if the vulnerable are all vaxxed, and why compel or exclude those who choose not to?
Many of the vulnerable people who have done the right thing and got vaccinated also are the ones who the vaccine may have less protective power. In a relatively unvaccinated community, they might still die at a high rate (though lower than without the vaccine). All it might take is for them to have poorer sleep and a period of lower immunity. Vaccines are both for individual protection as well as community protection, yet most of the antivaxx calculations emphasise the individual risks and benefits, which is understandable, and dismiss or ignore that it is a public good to have wide protection for all of society, and depending on the needs of the society it might encourage it in different ways.
There is a similar magic in natural immunity, which does bestow immunity to future infection and thus could be seen similarly to a vaccination, with the proviso that one is ultimately not permanently harmed by their infection (and hopefully nor others by their onward transmission of the virus). Again the magical thinking comes into it, the aura of protection and the need for nothing more.
But the magical thinking about the vaccine and natural immunity, and similar thinking about "young", "healthy" and "vulnerable" are nice to simplify the world. It doesn't take much for the world to shatter that with young people hospitalised by the virus, reinfection and breakthrough infections. None of these phenomena should be remarkable except if one misapprehends how things happen with magical thinking. The fact of breakthrough infections were literally printed on the box when the phase three trials were run. Reinfection is no surprise - some viruses you only get once but others, especially respiratory viruses, like to visit again and again. Some people are "unluckier" with it, sometimes due to innate factors, sometimes circumstantial factors, sometimes with behavioral factors. Sometimes any one kind of factor (for example, an innate risk towards ACE2 receptor targeting viruses) might overcome all circumstantial factors (low inoculum of virus, generally healthy) and behavioral factors (wearing a mask, generally socially distancing). There is plenty of grey to cause a decent number of exceptional cases when something is happening across vast swaths of the population.
Friday, October 15, 2021
The failure of reason
t has been often said that the very intelligent are not immune to bad ideas, often because they underestimate the powers of their own biases and often cannot step back. The US Senate and Congress are full, both sides, with bad faith actors. They are tribal and toe party lines without without much reason, or if so, it's with forced reason. There are a few who forcefully show reason, often forcefully in opposite directions, and Rand Paul, the Republican Senator for Kentucky, is one of those.
For those that don't know, he is the son of another senator, Ron Paul, who as a maverick independent ran for President on several occasions, but as an outsider to the Republican establishment failed, a bit like a libertarian Bernie Sanders but not getting quite so close. The son thinks closer to Republican orthodoxy and ran, like his dad, for the Republican nomination in 2016, which was when Trump smudged out the opposition to be the contender and eventual president.
Anyway, he is one that can put a thought or more together and here I give you a smart man with wrong ideas. (1) Rand Paul Attacks Dr. Fauci (Again) Over Vaccines, Covid Mandates - YouTube
I like smart people who disagree with me because it is an interesting mental challenge which forces you to ask yourself how entrenched are your own biases are, or whether it is reason or truth that makes their words have power. He is a convincing speaker.
But I would still argue, despite his conviction, that his reason is more a product of his biases. Let's look:
The opening has him saying that the US vaccination situation is not perilously placed because "over 90% of people over 65% are vaccinated". To be clear, the United States has pretty much hit its ceiling for willing recipients and resorting to mandates and they're not that far along. For perspective as of today, 65% of the whole US population has at least partially vaccinated (compared with 72% for NZ) with 56% fully vaccinated (compared with 52% in NZ), but New Zealand is still steaming along! We'll probably pass them for double within the next week.
But does he not have a point: Covid-19 is particularly harsh on those 65 and older, and it has long been a suggested strategy that we somehow shield the old and let the young go about their lives, and vaccination should be that shield. And this fits a very libertarian view of the world that has a lot of merit, that people should make the choices that suit them: Young people want to play. Old people should hunker down. And with a much vaunted highly effective vaccine the libertarians, even the circumspect ones, would want to return to their principles.
Except you can't and the representative for Kentucky should know that almost 25% of their death toll for the duration of the pandemic has been in the last two and half months, when the majority of the vaccinations in his low vaccination state have already had plenty of opportunities to vaccinate.
The difference of course is in the herd immunity concept, and that is where the libertarian bias is exposed. Vaccination, even before Covid, was not just for individual protection but to have a community protection, because even if the elderly are vaccinated, they will still be vulnerable, albeit much less so. The probability of them meeting this virus when their immune system is low is a function of their environmental level of protection, the people around them. And while kids have the lowest risk, they are the grandchildren who spend time with their elders. And this is the aside because age is only one aspect of risk.
Paul thus overstates the personal responsibility that in economic terms would be reasonably rational and applies it to pandemic public health. But community responsibility has little part in his consideration - it has a whiff of socialism and collectivism and the greater good. These would not be part of this speech.
The part about multiclonal antibodies has more than a trace of bad faith. The treatment costs about $2000 compared to over $20 for a Covid jab, and was in limited supply, bankrolled by the Federal Government which pre-ordered it, and best used in the early stages of the condition when the virus, rather than the body's response to it, can be curbed. Public health is caught in this dilemma that any treatment detracts from the push for vaccination, but Paul is also one for autonomy and choice of healthcare and resents people not having the choice. The central government control is something that chaffs a libertarian; in New Zealand we have a similar situation with regard to Pharmac which allows medicines to be purchased by the state and subsidised for use in public health services.
His discussion about masks could be more relevant. There is no doubt that there are masks of differing effectiveness, and in the situation he specifies you would hope that the elderly positive case was in hospital for care, in the usual isolation practiced; and if not, that all the precautions and guidance for care made. But any mask, especially for the infected is better than no mask. And almost any mask in a poorly ventilated room over a long enough time will fail. In the end, it's a matter of probabilities. When we go walking, we generally wear cloth masks, but more as a consideration for others. But if I go to the supermarket, I'll wear a surgical mask. Now that the pandemic in Auckland is getting a bit worse, I think we'll upgrade to N95 if they are available. Really the argument is really just picking a fight with his nemesis "Dr Fauci".
His final argument seems a strawman. Or a couple of strawmen. The idea of targeting the vaccine in the US is not an issue unless he is suggesting what he would never suggest: the mandatory vaccination of the elderly. But that never would be more reasonable to him than the mandatory vaccination of children as part of a childhood vaccination. He is not suggesting forcing the unvaccinated elderly to get the jab. His argument about doing antibody tests prior to getting vaccination seems reasonable except for the fact that it again puts up more drag and resistance to the vaccination campaign, and thus the community protection. And how many pre-existing antibodies are enough? As was found early in the pandemic, asymptomatic infection is reasonably common, which might cause a very mild immune response but perhaps detectable antibodies.
To be clear, I think if someone can prove their previous infection and antibodies to it, which is probably something becoming more commonly done and more feasible to do, I'd say let them have an immunity passport but it should also be understood as having an expiry.
The final conclusion is where the bias, which is his pre-existing lens for which all of public health is understood comes out: individual responsibility; personal choice is king; dissension should be encouraged. In most contexts I agree, except for a time when we should be pulling together like now.
A final note: I'm not sure how I feel yet about the YouTube, Twitter and Facebook censorship of "misinformation". I think like all things it is something that is easier said than done, and almost any rule for it is likely to have unintended consequences, or require a byzantine system that will certainly seem unfair to some. Right now the by-catch of reasonable discussion is getting hit to the extent of exacerbating the sense of an authoritarian plot.
Anyway, I enjoy listening to Rand Paul even if he cannot get down from his a priori views.
Sunday, October 10, 2021
Certitude, part 2
In my previous posts I have thought aloud about two phenomena: the over-emphasis of single or few data points; and then in the latter post talking about how certain data points (to me) have a certain invalidating power over the explanations often given by the data points gave birth to conspiracy theories.
At the heart of it is, and this is the amateur non-well-read thinker understanding, are two engines to the variance in our understandings of how things are, and the departure from a common truth. These engines are attribution and the desire for narrative.
Attribution is the explanation or cause you assign to something, for example, I might attribute my car crash to others cars parked too close together blocking my view of oncoming traffic on a difficult corner, rather than my approach to difficult corners that might inevitably lead to a crash. The problem with attribution is that it is prone to our cognitive biases. When we already have a generalisation about a category of things, we notice when things prove it and ignore those that don't fit the generalisation, even if the contrary examples are more plentiful (i.e. confirmation bias).
The desire for a narrative is that a stories that these explanations weave together to make the world understandable. The crash might be part of my narrative of being unlucky in everything; or a world-against-me, "people should learn to park" narrative.
Conspiracy theories are the latent super-narratives linking all sorts of smaller narratives together. For example, in our current pandemic there is:
- Bill Gates wants to depopulate the world and inject microchips in people.
- The virus was man-made and funded by the US government in the lab in China. Dr Fauci knows everything but can't reveal his complicity. The Chinese deliberately released the virus.
- The virus is not as bad as people mention and only kills those "on death's door", or have co-morbidities and would die anyway. Normal people have sufficient natural immunity to resist it.
- Big Pharma are suppressing simple cures to this virus and has bought out government and public health officials. The medical professionals are all in on in and profiting from it, claiming money for each "covid" death.
- The vaccine is ineffective and more dangerous than they want you to know but they are committed to it and using it to create a system to restrict freedom of speech and movement from their enemies.
- ...
There is so much dissonance in this yet so much certitude in the narrative that force-fits the data point pieces as data points with questionable attribution. We are generally blind to our own cognitive biases, but narratives are easier to elicit. Ask anyone: "Why are successful/unsuccessful?" "Why are you healthy/unhealthy?" for one's own narratives. Generally, people will resolve this to their own attributes and habits and not the circumstances and environmental variables. Also ask them: "Why is the country going well/going to hell?" "Why is there so much conflict in the world/the world becoming more peaceful?" and you'll maybe get a narrative about the corruption of the elite; capitalism; the stimulation of technology; globalism; etc. but the world and the country are infinitely complicated systems. In many narratives there is some explanatory power over the cases and the data points, but nothing can really wrap things up in an explanation.
Monday, October 04, 2021
Power to the people
The current limbo phase of the Delta lockdown has had a lot of twists and turns, which for an Auckland population that is still largely housebound, the frustration is showing. One constellation of concerns is around "gangs": Pre-lockdown there was the controversy of a gang receiving government funding for drug rehabilitation services; more recently there have been cases within gangs, a gang funeral; rumours of large parties under lockdown; a stowaway gangster in the back of a freight lorry going over the Auckland boundary; Brian Tāmaki leading a lockdown protest in the Domain with bikers; and then the news that Destiny Church received lockdown support funding. It isn't a surprise that the repressed conservative parts of the population have a new fire in the belly, and the outrage machines are swinging back into action. The most recent pressure has been that Labour has not been forceful with the gangs.
Now perhaps I should give two caveats to what I'll say next: (1) I don't know anything about gangs; (2) I can assume that most of those who comment on gangs don't know anything about gangs. My thoughts are musings and you can feel free to ignore, but if you do, please also ignore the musings of most that go around musing.
Firstly, I'd like to make a plaintive call against the abuse of language that goes into the commentary on the topic. Gangs are usually said and even mentally apprehended as a monolith. This kind of sloppy language use I think leads to very black and white thinking which is unhelpful. There are many different gangs, many their own histories, organisational structures, degrees of criminal involvement and so forth. This is not to say that one needs to know these things to talk about gangs - just that it is important to view them as a diverse group.
Gangs in New Zealand, and probably, all around the world are products of exclusion and opposition, but also safety and being part of a group. Gang formation, I would hazard a guess, is a fairly natural social response that has been seen in a wide variety of cultural and demographic groups, from Japan, to South America, to Europe to Polynesia. I would further guess that there will always be gangs when there have been exclusionary forces, whether it be the historic or structural racism, policies that put more of them in jail, immigration policies against people from the Pacific islands, constant reinforcement of negative stereotyping in the media, or profiling by the police, as well as general deprivation, excluding some from a fair economic part of the pie.
The choice that the authorities have is to either to continue to increase the exclusion, call for toughness to smash the gangs; or to find ways to increase the rapprochement between the two sides, reduce the exclusionary factors and stance of authorities, while still ensuring law and order.
The former approach is basically either an "eternal war" approach. The exclusionary force can only lead to a greater resistance. Only a technological authoritarian society (think Mainland China) could stomp out these organisations, but it would still lead to a mass of disenfranchised, antisocial individuals. It would be a losing game for a society unless it is accompanied by a huge effort to re-incorporate them in with dignity (jobs and resources).
The latter approach is often the politically unpalatable one: rapprochement involves understanding and cooperation with those who are often public enemies. Even for the "enemy"-side of the equation this is a difficult political move internally. They have to collaborate with the authorities. That is not to say that the current government is far along this path, but it would seem to be the approach.
The latter is also a tightrope and you can see similar kinds of attempting to pull together in history: Sinn Fein and the British Government (which can be considered successful), and the PLA and the Israeli government (which was not). In any case, there is an importance in recognising and respecting the other. Often political forces preclude it.
The humorous expectation that gangs, whatever patch they be, would follow lock-step with the democratically elected elite to deal with Covid-19 was not ever going to be a thing, despite the hope that we could be a team of five million. Firstly, without Covid support for the gangs directly (which I assume has not happened and would have been political suicide), the gangs would have no money to support themselves so forget about drugs not being sold, if not because they are hugely profitable, then because they would not be able to fund their organisation. Though not gang-related, the criticism of Brian Tāmaki's Destiny Church of taking government support in the weeks before having an anti-lockdown protest are also a bit facile for the same reason.
One of the interesting underlying assumptions underneath a lot of the conservative reasoning is also the belief in a Leviathan state force and power to oversee the implementation of policy. Even though I do not like the man, Brian Tāmaki, and the presumably the gang-leaders, they are all people with unofficial constituencies. Judith Collins thoughts that she would have prevented Brian from having his day in the sun is interesting. I am interested what that would have looked like when he insisted on going, or if the Bishop were arrested in front of his mass. Destiny is pretty disciplined with its flock, but they were not the only ones at the protest.
Even in non-democratic societies, past and present, ruling groups have worked directly and indirectly with formal and informal power holders in society. For a society to thrive and be (more or less) unified is its ability to balance its different factions' views and needs.
Saturday, October 02, 2021
But what about those other data points...
Monday, September 27, 2021
Certitude
It is in extreme moments that subtle strengths and weaknesses become more apparent. I used to say this about the Trailwalker 100km challenge: walking that kind of a distance, your weaker joints or muscular imbalances will come out, and eventually by the 80th kilometre the weaknesses will metastasize into full-blown motion ceasing discomforts that can only be overcome with your inner strengths of determination or the resourcefulness you bring to the walk. Now I would probably use the marathon example because a single 42.2km event is far more revealing than any number of half marathons. Whether it's your mental game, your flexibility, your proprioception, your ability to run "tangents" (the shortest route) or race strategy are not quite there, it makes a huge difference.
Covid times seem much like this, too. Countries have revealed their values and fault-lines and people's critical thinking, communication, biases, probabilistic literacy also become more obvious. The former you can see in the varied pandemic responses. The latter is though less about bulk mortality is also rather disturbing: I know many smart people who interpret simple statements poorly. Let's take a few example statements with the common inference:
- "Masks do not prevent infection." (So why wear them?)
- "Full vaccination does not prevent transmission." (So if I'm only protecting myself and my risk is low because I'm young and healthy, why would I get vaccinated?)
Both of the statements can be correct if one understands them as black-and-white statements where "prevent" is an absolute thing; but neither fact should be presented or understood in a black-and-white way. It is the same with the risks of side-effects from the vaccination and the chance of getting seriously ill from Covid. Even the best masks over time will allow the possibility of infection and some masks are better than others. Masks also have a psychological function - they do show that you care about others and others will often give you a wide berth. Widespread mask wearing can make the non-wearers more apparent and cause you to take an even wider berth, especially if they are inside. The second fact was true about all vaccines at the stage 2 trials, i.e., before they were even approved for use outside a study. But that they reduce the chances of infection (a prelude to transmission) as well as shorten the time shedding virus if one is infected and possibly, though not yet verified, with virus particles that are of a poorer quality than from an unvaccinated person (i.e., that the antibodies in a vaccinated person may incapacitate the shed viral particles). All is to say that those two statements deserve better verbs:
- Masks reduce the probability of infection to the healthy and reduce the probability of the infected transmitting the virus.
- Full vaccination reduces the probability of one becoming infected, and further reduces their chances of transmission, and possibly even the severity of a subsequent infection.
Certitude for things unknowable or not completely knowable is a vice in my book but no-one is comforted by probabilistic explanations, and we seek our authorities to be definitive and clear. When experts speak and are pinned or lulled into voicing the much desired certitude at one time, they're mocked later for flip-flopping when new evidence becomes available, typical retrospective bias. There were all sorts of statements made in 2020 and early 2021 about the end of Covid and then Delta came. The approach of NZ, Australia, Vietnam, China and Taiwan worked rather well before Delta came along and it cracked set-up without fail. And even if we see off our current outbreak, the odds are on that it'd find another crack before too long, with or without some cautious reopening to a hopefully highly, and freshly, vaccinated populace. But even that might be a disaster: there is a plausible future where our virus naivety might count more when the successor to Delta rolls in and states with survivor immunity during the tamer earlier waves are spared while the protection from the vaccine, based on the original strain, is ineffectual. Or Delta could be the end of it; or an even more contagious but completely innocuous strain outcompetes all others and gives every essentially free immunity.
What could be retrospectively analysed as some pre-existing determining factor in any state or group of people for success or disaster might just be the result of chance. Drunk drivers don't always crash their cars after all, while great drivers may err fatally on a rare occasion, and people are bound to find reasons for these outcomes. It might, once the heat of this prolonged Melbourne moment has passed, to judge whether the lack of success in suppressing Covid completely and then the unrest that has recently followed were from pre-existing weaknesses, or just circumstance. Just like the arguable success in New Zealand might be some intrinsic factors (centralised response, island nation, trust-oriented) or that we just had a better hand given to us by Lady Luck.
Saturday, September 11, 2021
20 years
It was half a life-time ago but it is one of those days that a lot of the memories and reactions were clear. Back in the late-90s and early 2000s in New Zealand there weren't many global events that could simply reduce our public television to live recasting but 9/11 was the pinnacle event for such coverage.
Me, I was a year back from my scholarship in Taiwan, had almost completed my university studies and had begun my ESOL teaching career. I was still living at home and with the talkback radio on and in an almost unbroken broadcast, I switched on the television to watch those loop replays, over and over again. Over and over again. I went to work where others, staff and students, who back in the non-smartphone era and potentially no early morning exposure to radio or morning TV, were only just learning about it just before class or even in class. Having a chance to prepare, I wheeled in the only mounted television into my class to show and discuss live. I recall how one teacher was aghast when a Chinese student was happy at the news. (He was in the Chinese military man, extraordinarily; he might have been genuinely elated, or like many in these moments perhaps not understanding the gravity of the moment. For context though, this was only five months after the Hainan Island incident where a US spy-plane crash landed on Hainan island, China.)
In the moment it is always hard to really know the gravity, significance or extent. It still boggles the mind the conception of the idea, the planning and preparation and then the execution of it, not to think of the actual atrocity itself, let alone the consequences from the mundane hypervigilance at airport security, or the fact that that a costly war and occupation of Afghanistan only ended last month. Or the cultural influence that you could measure in discrimination and similar movements and acts, including the one perpetuated at Countdown New Lynn.
On the day of the attack, I remember going to Club Space at Auckland Uni and talking about it with some AIESEC friends and used what I thought an apt word that I heard in the coverage. I said the attack was an audacious. One person asked me why I would use that word, suggesting that it was not the right word for something so repugnant as a terrorist attack that claimed the lives of almost 3,000 innocent people. It is with distance that I would still use that word, referring to simply one element of it, the masterminding and execution. Every other component is pretty horrific and karmic.
With further time it becomes just a fascinating historical pivot, like when Gavrilo Princip shot into Archduke Franz Ferdinand's car; or the invasion of Poland; or the fall of Constantinople; the European discovery of the Americas; or the death of Mao.
Sunday, September 05, 2021
Data points and where it doesn't point
My understanding is that "triggered" was an extension from the use of "trigger warnings", a term which only started to appear in the 2010s with a big increase in usage in 2014 and 2016 and 2019. Though there is almost certainly a cultural, zeitgeist feeling to these terms, that could consign them to the lexical dustbin, I do think they have a certain utility and express something quite tangible and unique to other terms.
Clearly, on average we have had it lax with brief patches of strictness and clearly our peaks were higher than anything Swedes had to endure. Of course, New Zealand itself is a data point raised by those in favour of short, sharp responses which again is not appropriate because New Zealand has some very nature advantages such as being an island, one government over the whole to ensure consistency of messaging and approach. This isn't possible to too many other countries, but nor is it a surefire success.
"What about India?" and "What about Israel?" is thus the catch-cry of the Team Anti-Vaxx, Anti-Big Pharma, Pro-Ivermectin. India hasn't had any further Delta burn (relatively speaking). Often the graph above is only showing the segment of time from May 2021 to the present time. This is a bit cynical because the previous trends are quite revealing of the nature of India as a whole: either numbers are under-reported, or Indian nationals are less susceptible to Covid. Smaller populations are more likely to have the huge spikes like Israel above, while big countries like India, Russian and the United States should have lower spikes, anyway, because regions without outbreaks mitigate the impact of those with outbreaks, but all things remaining equal the number should be balanced. Above, even before the vaccinations and Ivermectin, Israel had a massively higher case rate. The data points are thus moot data points.
Sunday, August 22, 2021
Falling short
It's been a full-on three weeks since my last blog. I had laid it out so that I would have a final push to prepare for the Onehunga Half, then a week "off" to do our education audit, and then to swing back into training the week after. What did I get? Well, that familiar story.
The week before the race I ran mostly at night for once. I tend to be a morning runner but with so much going on in preparation for the audit, an early morning blessing at a new campus one one morning I decided to switch to flip it. Evening is not my preference, for one, I would have to do it before dinner as it takes too long to digest dinner, run, then have the body settle down. On the Tuesday I did a "double tempo" which is a longish run with two patches of fastish pace. The first stretch I ran through the familiar Balmoral and Three Kings streets at the target paces before I dropped pace for the "rest" period. I was making my route as I went along and thought I would have enough distance to do the second stretch and be back in good time for dinner if I traversed into the St Andrews Road and Manukau Road.
St Andrews Road isn't a good running road in several places. There is one section where there is minimal footpaths on both sides, and in the section I was going to traverse across it had a part where the thin footpaths were well-separated from the road with a grassy verge. This meant that to cross it I would have to be mindful of cars and then run across possibly uneven grassy ground, cross the road and overcome something similar on the other side. I did 99% of that smoothly and it was only when I hit the footpath that I rolled my ankle on a slopping concrete edge. The previously sprained left ankle.
I ran a few more paces with full sensory focus on that ankle and though it had the usual "light twist" feeling, there was no pain, no issues with movement or flexibility, and after a few more hundred metres I thought it was nothing and proceeded into my second tempo.
The next evening, since it was a rare week of running in the evening, I went to a social running club that I would attend from time to time in the past. There were some really fast youngsters doing the 10kn route and I was pretty happy to try my best to keep up with them. But at the 8km mark I noticed a distinct change in my left ankle it became sore in places it hadn't been for months and my whole confidence it its stability disappeared. I kept going at a slower pace and eventually crawled back to shop where it starts and finishes. I did my stretches, chatted a bit and then went home. On the way home I tried running but strangely didn't feel any issue. That gave me the confidence to test it the following evening but again, the ankle was just useless after about 5km and I aborted the run. This was three days before the event and I decided to not run at all for the two days before and then see how I would be.
Sprint forward to race day, I did my warm-ups and felt nothing amiss. It started and I was right on my planned pace and really enjoying it... until about 8km when that familiar feeling came in. I had to drop pace and though it was a manageable level of discomfort it was then the focus of everything. The route itself was beautiful - I wish I could have just enjoyed the running and the scenes without thinking about my ankle with every stride. Surprisingly, the pace was sustainable and I crossed the bridge and went to Māngere Bridge and back. People were passing me but I was fine.
It was about the 15km mark that something strange happened. I realised I could go faster, close to my pace at the start of the race. I crossed back across the bridge and was looking forward to registering a time similar to my last race. However, maybe because I was unconsciously changing my gait to go fast on a hopeless ankle the stresses on my body had changed and at 18km my left hamstring pinged.
It was pain and I had to stop. I gave it a rub and tried again, and stopped. I stretched it thinking it was cramp, and tried running and couldn't. I could walk but I couldn't extend strides without pain, and so it was walking that I did back to the race base. DNF.
At least that meant that I could focus on the education audit with plenty of sleep. That week went by in a flash and all signs are that it went well. For all my fears about them making something out of nothing, or the students (or staff) saying something that is misinterpreted, the final summary meeting alluded to nothing out of place. The executive team as a whole was relieved to have a smooth audit done and dusted.
As for my hamstring, I occasionally jogged over the road that week and I could feel the tightness and planned to give it at least a week. My regular physio was booked up for the week so I got a time in the future but I gave it my own treatment. It was only on the Monday morning that I gave it a kilometre run and found both the ankle and my hamstring fine. I extended on the Tuesday to 5km and again, no issues. Then came lockdown but Wednesday evening I gave it a 10km tempo run and while I felt the hamstring it didn't impede my pace at all. Even so, having felt it on the run, and noticing some tightness the following morning, I had two days of running rest.
Finally, bring on the weekend, I ran 26km and 21 km this morning and though my body feels a little tired for all the work I hadn't expected from them for two weeks, both the hamstring and the ankle did nothing out of the ordinary; the ankle feels a bit more flexible than in the days before I rolled it. I'm going to rest tomorrow and hopefully start back to my normal training again.
So, I feel back on "track" though in lockdown. In three more weeks I have the third in the series of three half marathons, the Tāmaki River Half. It is probably after that that I'll know if I should aim for the Auckland Marathon, which is 10 weeks away.
Sunday, August 01, 2021
Whaowhia te kete mātauranga - Fill your baskets of knowledge
Sunday, July 25, 2021
A tale of two running years
I write this with much hesitation as I am a superstitious person, and rightly so. In March I blogged about my running renaissance and promptly sprained an ankle. But I would like to risk it all and write about where things stand. Since I'm a data and tracking guy, I'll furnish this with graphics!
So in was the start of Dec 2019 when, after my best running year, I went to my bogey-event, the Omaha Half, where it perpetuated the reason for it being a bogey event: I slipped on a boardwalk, bruised myself, still ran and completed the event, but it left me with issues that took months to recover from. After some physio and then some run/walks during the 2020 lockdown, eventually I got back to some running, but was always hampered by niggles and issues.
In the end, I only ran a single half marathon that year and a handful of 10k events. In November I strained my hamstring and again had physio and light exercise. But over the summer holidays and on our South Island trip, I started running again and even though at first the hamstring was still noticeable, its irritation got less as I ran more. And as you'll see below, there was a beautiful rise in mileage from Jan 2021 until the ankle sprain "cliff" happened. But I pushed to keep moving and running to recover from it, and again there is a gentle rise until the present day.
100km is the sweet spot for training where improvements are apparent and in the last five weeks I've plateaued my mileage there. There have been two races recently, one two weeks ago and one today. Today's Ōrewa Half Marathon was a big test whether things were moving forward.
The weather forecast for Sunday had been a roulette wheel of possibilities, every day I would check and get a different colour, a different chance of rain. Last night it rained. In the morning in rained, but in the end the needle fell on "extraordinarily windy". It is possibly the strongest wind I've run in, let alone raced in. The course was two laps around the Millwater Estuary, going out you were running with the wind; on the homeward leg, and especially the final stretch was near the beach without protection going straight into the buffeting wind. It was funny to start off with the wind so powerfully behind you and not knowing if you really are running too fast or being carried in the gusts. After my first kilometre, I actively slowed myself down.
Half marathons are tricky to pace. I had an idea of keeping pace between 4:40min/km and 4:50min/km, aiming for a 1 hour 40 minute result, with the chance of pushing it at the end if I was feeling strong, with a stretch goal of 1:38. The paces per kilometre for the first half were: 4:36, 4:40, 4:45, 4:30, 4:41, 4:58 (uphill), 4:12 (downhill), 4:34, 4:48 and 4:52. The slowest kilometre was all uphill and the last kilometre was all downhill but the rest were on target or below. And the last two were into that wind. I was a little perturbed that I had the 4:3X splits because they might feel them in the second half. The second half kilometre times, starting back with the wind, were 4:35, 4:35, 4:39, 4:30, 4:39, 5:00 (uphill), 4:24 (downhill), 4:35, 4:45 and 4:52.
Happily the second half was marginally faster than the first. Disappointingly, almost everyone's smartwatch including mine showed that the course was not 21.1 km, probably somewhere between 20.3-20.6 km. If I could keep running until 21.1km with my pace, I would have landed on about 1:38, so I'm pretty pleased. To be clear, and to put it into stark relief, my 2019 personal bests for a half marathon are 1:29 and 1:30 respectively, so there is still a lot of ground for progress.
The Ōrewa event was part of the the Run21 series, three events each with a half marathon. The other halves are in Onehunga in two weeks and Tāmaki River in September. Onehunga's is ridiculously close - not sure if I can really improve much but will go "all out" and try and break 1 hour 35 minutes. My big aim would be to get Tāmaki River's time down to 1 hour 30 minutes. That would put me right back to my personal best and mean that I would be well set for a tilt at the Auckland Marathon.
I'm leaving my entry to the marathon to when I can be sure I'll be healthy. It might surprise you, Dear Reader, that my sprained ankle is still not 100% back to normal. I have discomfort in two places because of it and also some issues as a result of the lack of flexibility that has remained despite the treatment and the regular activity. This might just take time - the nature of the partial tears, scar tissue and blood flow might mean there is still months to go. The key thing is that activity will help, and it has not stopped me running what I would want to be running.
Wednesday, July 21, 2021
The practicality of the situation
Even though Covid still shrouds a lot of places with death, sickness or in some cases just inconvenience, it has not really appeared much in my blog. After 2020 being wall-to-wall aerosol spread, 2021 has settled on things closer to home. But in real life, many of my habits have remained the same. I still check Worldometer daily just to see whether the case numbers and deaths are getting better or worse in various places; I listen daily to podcasts and vlogs for any insights or food for thought about the progressing pandemic; and even of late I have tuned into the 6pm news, a rarity even in 2021, to see any on the ground reporting especially, of late, Fiji, or the NZ ramifications for the Sydney outbreak. Regrettably a year and a half in, there is still this silly polarisation of attitudes about how to deal with the virus. Perhaps, it's just that we as societies have not had recent historical experience of an analogous situation so to reflect on to consider it thoroughly.
Two of the vloggers I paid most attention to since 2020 have been Chris Martenson (Peak Prosperity) and Dr John Campbell, and their trajectories in the last year have diverged a lot. The former was my favourite for most of the first half of 2020. He was quick, excitable, incisive and clear about the keys to early action with travel bans, quarantine and non-pharmaceutical interventions (NPIs) such as masks. He was good for deep dives into information and subtle comparisons. The latter comes across as a humble investigator commenting on the trends, news and relevant research. One commonality is that both noticed and reported on re-purposed off-patent medicines as prophylaxis or treatment of Covid-19. But it is in their respective approaches where their similarities ends.
Chris was obsessed by hydroxychloroquine (the drug that President Trump famously tried to hawk from his presidential podium) and ivermectin, both of which he called DWSNBN, the "drugs that shall not be named", ironically because his mention and advocacy of them literally had videos taken down. There today, gone tomorrow. The two drugs were not approved as treatments and since YouTube had implemented rules against disinformation, someone would report his videos. I'm prepared to consider this not in a corrupt, conspiratorial way but as an unintended consequence where tech-giants made rules that did not quite have the right settings and incidentally shut down debate. It became his obsession though, not against the virus, but against how things could be deemed disinformation to stifle free discussion. His partnership with his financial expert partner in Peak Prosperity seemed to have had issues, since the branding was getting complicated by the size of the feud, so after a pause came back with more videos from a different set-up now with an even stronger counter-authoritarian flavour even heading into the anti-vaccine territory.
Dr John reported on hydroxychloroquine weighing up the research and considered it not effective, but ivermectin he looked at and considered a useful, life-saving drug that was being overlooked. I don't believe any of his videos were taken down (can be corrected if I'm wrong), but after some statements to the effect of demanding authorities to consider it for use as a treatment, he has gone back to emphasising the use of vaccines, with only occasional lateral comments about ivermectin. He nailed my feeling on the topic in a recent video (11:25, but the whole video is pretty interesting).
I would like to explain my own feelings on this phenomenon, first by looking at the background of the situation, how it's played out but also looking at some counter-factuals which regrettably I haven't heard voiced yet. (Standard disclaimer: I am not a epidemiologist, virologist, pharmacologist, and have not personally read or reviewed the research. Do not take this as a statement of support for anything except the medicinal power of dark chocolate and strong Chinese liquor.)
Early in the Covid pandemic, there were no clear ways to pharmaceutically prevent or treat the Covid condition; all that there was were NPIs to prevent infection and luck that either you were less disposed to it, or had less inoculum (fewer viral particle king-hits on your ACE2 receptors). Pharmaceutical companies invested money in development of their vaccines and countries made orders to have certainty for their own ways through this crisis. Needless to say there was a lot of money tied up in the development and the promise of their roll-out all over the world. Then came DWSNBN 1 and 2. The fly-in-the-ointment issue with these is that they were both off-patent - there was thus very few interested parties to fund the requisite large scale double-blind trials. What trials that were run were mostly done in third world countries such as Costa Rica and India. The evidence shows that someone taking ivermectin would have a greatly reduced chance of infection, reduced chance of hospitalisation and death. There was a lot of drama in the middle including an obvious hatchet job against one of the two drugs that caused a retraction in The Lancet. In terms of treatments for Covid-19, it seems clear that especially ivermectin has a better success rate than patented drugs such as remdesivir. But it is not even mentioned as possible drug for treatment and is actively discouraged in many countries. It may be because experts have really looked at it and thought it not to be better than placebo - or perhaps there are more commercial factors at play.
One possible reason for this phenomenon is the expected impact of the discovery and widespread use of a off-patent medicine to treat such a novel disease that has already such a valuable market for the pharmaceutical industry. In the first counter-factual, imagine if any time prior to December 2020, when vaccines were started to be offered to the public in some countries, news about a cheap, effective treatment emerged, was approved by the relevant health authorities and was widely used. It might have caused a massive rejection of the "experimental" vaccines that had already had massive investment from the government and industry. People would instead use a cheap, easily manufactured generic medicine, usually applied to farm animals. Provided it was actually useful, it would have changed the trajectory all together. It would be interesting to know whether such a shock might have bankrupted any business - I'm guessing not, none of the businesses would have "put the house" on the vaccine development.
Back in the reality where such a discovery has not been approved or promoted, it has meant people's lives may have been terminated by the virus at a greater rate than if this wonder-drug had superior efficacy and could be moved more efficiently to the places that needed it. But by suppressing this knowledge and medical approval, it kept the stability within the economic system. This seems akin in some way to the financial bail-outs of the banking sector where industry losses are mitigated through a socialised sacrifice.
If so, this yet again the bug of the capitalist system. Unethical results from rational big picture financial rational decision-making. In the same realm of pharmaceuticals, there is the well-known dilemma of the development of two drugs - one that cured a condition completely and another that treated it but did not completely cure them, and would be required to be taken over the life time of the patient: only the latter would go to market because the former does not really have a business plan. There is a lot of gnashing of teeth in liberal sections of society when there such an outcome occurs but it is the compromise that was made in accepting this otherwise very efficient economic system.
Another aspect of the counter-factual is that had ivermectin derailed vaccine roll-outs, the world would now be dependent on the supply of one drug which doesn't in itself trigger immune protection. The positive would be that, being off-patent, any country or business could start manufacture it in vast amounts but also that we would be consuming ivermectin in prophylaxis and treatment through the whole pandemic period. It might be able to get individuals through the infection but would still mean that is a reduced or minimal immune response. And alternatively, it might have been found that it does not work as well scaled up, and by then the vaccine developers have moved onto other things and perhaps not keen to have the commercial exposure to further development.
It could be from some of these fears that a health expert may in good conscience downplay or not mention this other drug. A big picture risk analysis to the works of a off-patent spanner might have caused hesitation, or alternatively been provided to decision makers as ethical "cover" for not indulging the easy-out of promoting cheap alternatives. There might also be a tacit understanding that once the pharmaceutical industry had covered its losses that ivermectin might be approved to blunt the third world from future surges.
The key though as Dr John has said is that no-one is likely to say it as there is a "realpolitik" at play. Although such things are irksome, and enraging for some like Chris, I only shrug. I think it's unusual to see people acknowledge in public: "yes, it's not the outcome we want but this is probably the price of the any greater good."
Or there could be a prudent "kicking for touch" element where the vaccines work and should be able to end the pandemic, and the desire not to muddy the already muddy waters.
When it gets down to it, in almost every aspect of my life I've now found myself identifying as a pragmatist, not an idealist. I am quite comfortable with the compromise because I cannot be always confident of the correctness of my own views to run over the top of others. That being said, in my own conduct I'll follow my own way in an experiment of one.
This last week has been my "run down" week. My immune system stopped really caring and my sleep was rather disrupted. Despite this, my running performance on training runs was as good as I would expect at this stage. God might have dealt me a good hand - Saturday was a wash-out and I didn't run on what would have been a long run. I slept well on Friday and Saturday night. Sunday, I ran my longest run since October 2019 and felt fine. This week has begun and my energy is back. Yesterday I ran a half marathon distance in the morning, not as a time trial but as a fartlek (where you choose different speeds, including slow, for different sections) and still had an energetic day afterwards. Sunday I have my first half marathon in the last nine months and am feeling confident that I can break 1:40, a good standard of training. (For the record, my personal best is 1:30 but will need a couple more months to get to that fitness.)





