untitled • unimportant

Several decades later my sister had an MRI, as a long shot, to try to figure out why she was sick and deteriorating with a number of symptoms that were close to being written off as anxiety. She was sent straight to the hospital for adult onset hydrocephaly. Two days later she had brain surgery to put a shunt down her neck into her stomach and drain the fluid out. (No, you cannot usually get brain surgery that fast. Yes, it was that urgent.) Recovery was long and squiggly but it happened.

I think of that boy every once in a while. The one who died. I have no doubt that treatments developed for people like him, and tested on people like him, saved my sister's life.

I've been type 1 diabetic since I was about one and a half, and was incredibly sick. If my mother hadn't also been type 1 and recognized the signs I likely would have died.

I was born in 1982. Insulin was first given to a patient in 1922, and he survived. Before that, type 1 meant death, often very slow and agonizing. Before insulin, doctors advised a super strict "keto" diet to prolong life, and it could work for awhile - up to a year, I believe. But it was a miserable existence as the body was literally eating itself as the blood turned acidic until the patient eventually died.

60 years. Only 60 years before my birth did that procedure work for the first time. That's absolutely nothing given the span of human history and I think a lot about the people who died from it throughout time.

But yes, people tried. Healers and doctors of all sorts tried all manner of things to allow these (mostly!) kids to live. The fact that it was accomplished at all is nothing short of a miracle. The fact that I've been alive 42 years is fucking insane considering my body doesn't produce a hormone necessary for survival. If you think that doesn't blow me away on a regular basis you have another think coming. It's nothing short of a miracle.

Every medical advancement is. The amount of work that goes into it and the vast amount of luck necessary to get it right even when all the research and information is sound is just astonishing.

In 1930, having diabetes type I would basically mean being hospital bound, being woken every few hours for regular injections.

In 1965, you'd be able to live at home and get by with a very strict diet and a few timed injections. You'd struggle with chronical side effects. Having children wasn't done - passing on your genes would be immoral, and it might not even be legal for you to marry.

In the year 2000, you'd have a device clipped to your belt that would measure your blood sugar and distribute insulin, you only need to change the needle a few times a day. You might even be allowed to join in P.E. class

In 2025, you stick on two patches that do the same thing. They're synchronized through your phone.

And now, humans are working with fungi that can safely break down petroleum plastics, and with techniques that allow us to actually recycle these materials.

The world is full of difficulties... Medical, mechanical, environmental, so much more. But the world is also full of change, and humans are capable of working with that change purposefully, intelligently, cumulatively across time and populations. There is always a value in trying, in learning, in making an effort or building a community. Even if we don't succeed, every effort helps build the support for the thing that will, even if we can't always see how.

“But then how will anyone see it?” peer review.

“How do you get engagement?” by talking and engaging with other people. Or making a devastating typo. Either way.

There’s something called culture. People (especially USAmericans) think of culture as cultural dress, cultural food, cultural music. These are culture, but they are only the very superficial aspects of it. Like the icing on your cake. Far more deep rooted is the more meaty bits of culture: the attitudes, the ideas, the taboos.

There’s a guy on tiktok who has done a series that shows this very well, of Germans Vs Irish. In one video the German offers the Irish person two kinds of tea, green or black. The Irish person keeps putting off the choice with things like “Oh sure whatever is easiest”, “Which have you more of?” and, “Ah sure I don’t want to cause a fuss” whereas the German just wants a straight answer. This is a cultural difference of politeness.

Here in the UK, accents mark your class very openly. They let everyone know where you’re from (though this has become less pronounced in the last 50 years,) and what your background is. A lot of people (especially northerners, but also a fair contingent of working class southerners) face discrimination on the basis of their accents.

Some of us (myself included) even change register (though I believe USAmericans call it code switching) in and out of our regional accent and a close approximation of RP. We learn to do it because it makes us seem more intelligent (even though it shouldn’t) and helps us be taken more seriously.

Thus, our country carries a lot of baggage when it comes to accents. Especially those of the working class who have had their accents made fun of, or have faced discrimination based on it.

So when someone outside the country (usually USAmericans) makes fun of our accents they’re stepping on a lot of cultural taboos and boundaries. Especially because the “It’s Chewsday, gonnae wot-ch sum yewchube innit” is a working class accent.

Now, that’s not to say we can’t take a joke, but this is the kind of joke you share with someone who you have been friends with for a while. My boyfriend often will pick up on the way I say certain words, in much the same fashion I pick up on his idiosyncrasies of speech (English isn’t his first language so he says stuff like close the lights, which is adorable.) If we aren’t predisposed to liking you, then the joke you’re trying to make is more like an insult.

The way I like to think of it is if you were in a pub, and made those sorts of jokes to someone. If they knew you, and they liked you, they’d probably laugh along. If they didn’t like you or know you, they would punch you in the jaw.

Even now, after decades in Scotland, I still don’t sound Scottish. The English hear a slight lilt but that disappears as soon as I spend any time with them.

When Christopher Eccleston was cast as the Doctor in Doctor Who, people were surprised that he used his own northern accent, instead of performing with an accent like every Doctor before him. That was only 15-ish years ago.

Even now, this still happens - James McAvoy made a very vocal protest a couple of years back about a critic who complained about the use of Scots accents and only applauded the “plummy English” accent of one character in a play.

When digital image compression algorithms were first invented, so many groups tested them out on one specific photo of model Lena Forsen out of the November 1972 issue of Playboy that there is now a blanket ban on submitting that image to any comp-sci journal ever again.