USA. A backyard. A man. A grill. Four hours.
He never left it once.
Everyone else drifted, drank, wandered, laughed.
He stood before the flames, turning meat with a long fork, immovable.
I knew him at once.
The keeper of the sacred fire.
I took my place beside him.
I said nothing.
This is the first rule.
You do not speak first to the man at the grill.
After a long while, he spoke.
"Low and slow," he said, eyes never leaving the coals. "You can't rush it. Rush it, you ruin it."
I bowed my head.
A blade. A tea. A life.
None can be rushed.
I had crossed four thousand miles of ocean to hear my grandfather's words spoken by a man in a "KISS THE COOK" apron.
"Everything worth doing is slow," I said.
I have never cooked meat in my life.
But I said it as if I had said it a thousand times before.
He glanced at me.
Something passed between us. A current older than language.
His voice dropped, low, almost ashamed.
"My wife says just use the oven."
He shook his head at the fire.
"She doesn't get it."
"They never do," I said.
And this is where the man transformed.
For the first time in years, he had been understood.
He rose to meet it.
His back straightened.
His shoulders set.
His voice fell half an octave.
A teenager reached for the grill.
He lifted one hand without even looking.
"Not yet."
The boy retreated. He did not argue. He could not have argued.
A woman asked when the food would be done.
He told the flames, not her.
"It's ready when it's ready."
Three people approached.
Three were turned away with a single word each.
By the fourth hour, no one questioned him.
The whole party had arranged itself around the man and his fire, the way a village arranges itself around a shrine.
Then he turned to me.
He held out the fork.
"Watch it a sec. I gotta pee."
I have stood at the gate of lords with a naked blade in my hand.
Nothing has ever weighed as much as that fork.
I did not move my eyes from the coals.
I did not touch the meat.
I did not know how.
I would not learn.
To learn would be to break the moment.
When he returned, I handed back the fork without a word, as one returns a sword to its rightful master.
He served everyone before himself.
He ate last, standing, still watching the fire.
We never traded names. We did not need to.
He believed he had finally met a man who took grilling seriously.
I believed I had finally met America's last samurai.
Neither of us will correct the other.
Not now. Not ever.
So I have made a vow.
Every summer of my life, I will return to this country.
I will find a backyard. I will find a man at a grill.
I will stand beside him and say nothing until he speaks.
And when he says "low and slow," I will bow my head as if my grandfather had spoken.
I will die before I tell him I do not know how to cook meat.
"KISS THE COOK," his apron commanded.
I have obeyed.
I will obey again.
This rebuttal is brilliant, detailed, compassionate, intelligent, science based, and thorough.
The precise opposite of the statement she's replying to.
Please read, share, share, and then share. And also share:
Golden State Warriors star Stephen Curry has signed a shoe endorsement contract with Chinese company Li-Ning -- a landmark 10-year deal, sources tell ESPN. Li-Ning extends his Curry Brand venture globally and encompasses basketball products, athleisure, the ability for Curry to sign athletes under his brand, and a full golf line.
I’m so incredibly frustrated. We have an outbreak report for the cruise ship, published in NEJM, and great clinical, epidemiological, and genomic reporting, and…
NOT A SINGLE MENTION OF VENTILATION/FILTRATION SETUP ON THE SHIP
Folks, we keep doing this. A lot of MD/PhD coauthors on the “Andes Virus Outbreak Working Group”, and no one with expertise on mechanical systems. And no one on the team even thought to check or investigate it.
It’s malpractice at this point, and I’m not exaggerating in my use of the term. I do investigations in buildings and if I failed to check the status of the mechanical systems I’d be sued. (It’s actually *the first* thing I check)
@NEJM: see our report from The Lancet COVID-19 Commission on this in the thread. Include this in your reviews. Mandate this info in every outbreak investigation report.
The reason I first called the doctor on the ship was because I wanted to see if he could get info on the ship’s systems before he left it, bc I knew the official investigations would miss it. Because they always do.
Btw COVID was proven to be airborne bc of THIS WOMAN’s research and the WHO had to completely revise decades of science, she is a HERO, EVERYONE SHOULD KNOW HER NAME!!! She will be remembered by history and in the future so much about our infrastructure will change bc of her.
Clean water. Clean food. Clean air.
I'm leading one of four Performer teams for the @ARPA_H BREATHE program. We're building a system that ensures clean air in buildings. We're demonstrating this in child care centers to improve health for kids and their families.
It's widely accepted that hantavirus transmits from rodent excreta to humans via inhalation of aerosolized virus, so I don't understand why we're so reluctant to acknowledge the inhalation route for human-to-human transmission.
https://t.co/aGFDKS94Qk
A groundbreaking study has pinpointed a microscopic culprit behind the debilitating fatigue, brain fog, and other persistent symptoms of long COVID: abnormal, sticky microclots embedded with neutrophil extracellular traps (NETs) in patients' blood.
These microclots—tiny aggregates of clotting proteins—are small enough to obstruct the body's tiniest blood vessels (capillaries), restricting oxygen delivery to tissues and organs without triggering obvious large-scale clotting events. In long COVID patients, researchers observed a dramatic ~20-fold increase (median 19.7 times higher) in the number of these microclots compared to healthy controls, with the clots also tending to be larger.
What sets this finding apart is the discovery that these microclots are structurally intertwined with NETs—web-like structures of DNA, enzymes (such as myeloperoxidase and neutrophil elastase), and proteins released by neutrophils (a type of white blood cell) to ensnare pathogens. Normally, NETs form temporarily and then dissolve, but in long COVID, they persist and become physically embedded within the microclots, creating highly resistant, "gummy" structures that evade the body's natural clot-breaking processes (fibrinolysis). This creates a chronic thromboinflammatory state, where blocked microcirculation and ongoing low-grade inflammation may sustain symptoms like exhaustion and cognitive impairment.
The differences were so pronounced that machine learning models analyzing anonymized blood samples (via fluorescence microscopy for markers like ThT for amyloid-like structures, DNA stains, and MPO for NETs) could distinguish long COVID patients from healthy individuals with 91% accuracy—offering a potential objective biomarker for a condition that has long evaded reliable diagnosis through standard tests (e.g., normal D-dimer, PT/INR, or aPTT levels despite significant microclot burden).
This work, led by teams including Prof. Etheresia Pretorius (Stellenbosch University) and Dr. Alain Thierry (Montpellier University), reframes long COVID as a tangible, blood-based disorder driven by dysregulated coagulation and innate immunity rather than vague "post-viral malaise." Targeting NETs or microclots—perhaps with therapies to degrade NETs or prevent their stabilization—could open doors to treating root causes instead of merely alleviating symptoms.
[Thierry, A. R., Usher, T., Sanchez, C., Turner, S., Venter, C., Pastor, B., Waters, M., Thompson, A., Mirandola, A., Pisareva, E., Prevostel, C., Laubscher, G. J., Kell, D. B., & Pretorius, E. (2025). Circulating Microclots Are Structurally Associated With Neutrophil Extracellular Traps and Their Amounts Are Elevated in Long COVID Patients. Journal of Medical Virology, 97(10), e70613. DOI: 10.1002/jmv.70613]
Serious answer:
Cognitive dysfunction. No doubt about it. Sometimes it's obvious, sometimes it's subtle, but I see it in people far, far more than I did in 2019.
I’ve said repeatedly, clean air/ ventilation remains the biggest missed opportunity / lesson from the pandemic. Because it’s about far more than just Covid. 👇🏽
For any kind of GUV, ceiling fan direction doesn't matter so much (but ceiling fans make GUV about 30% more effective, saving money on expensive Far-UVC emitters):
Influence of ceiling fan's speed and direction on efficacy of upperroom, ultraviolet germicidal irradiation: Experimental
https://t.co/ReDNpUJuxZ
*But* oddly enough *downward* is the most common recommendation for ceiling fans:
Effects of ceiling fans on airborne transmission in an air-conditioned space
https://t.co/CewiesIyNz
Should we use ceiling fans indoors to reduce the risk of transmission of infectious aerosols?
https://t.co/fzXtNtZZ4i
Effect of Different Mechanical Fans on Virus Particle Transport: A Review
https://t.co/jyjawkPASw
Keep in mind that ceiling fans don't seem to prevent infection on their own, but they increase the effectiveness of good ventilation, filtration and GUV.
@BethinLouavul I have free masks for my workers, but most won't use them unless they feel themselves getting sick. I installed Far-UVC last June, and that seems to have helped.
Well, I got some bad news for you😅 when we lost droplet theory, we largely lost coughing into our hands/elbows as “polite” infection control. It’s still polite, it’s just not doing all that much. Particularly not as it’s often used, “If you are sick, at least cover your mouth when you cough!” when really the only covering that will matter is a good mask.
Effectiveness of cough etiquette maneuvers in disrupting the chain of transmission of infectious respiratory diseases
https://t.co/eEVKhtLiIf
Simulating the Environmental Spread of SARS-CoV-2 via Cough and the Effect of Personal Mitigations
https://t.co/lIDnSSGpL5
Coughing into our elbow/hand “feels” right because we have an entire 60-year-old risk-management heuristic based on bad data that we’ve all been using our whole lives.
"Suzy at the office is sick- so I’ll be careful to wash my hands." or "I’m sick- but I’ll cover my mouth when I cough". In China, when we quarantined individual apartments, but all the apartments that shared the same sewer line or kitchen vent pipe got sick because it was aerosols, not droplets.
This is one of the problems with losing the droplet model- it’s a load-bearing belief. You lose it, you lose a lot of things built on it- literally. Nearly all modern buildings are built on droplet theory, not aerosol transmission.
Scientists and policymakers with a macro view of things reflexively oppose it because, if droplet theory is wrong, it's a cascade failure (https://t.co/JLaZdRB7td) on a vast scale. So many things have to be reexamined and are likely to be very bad if it was aerosols all along.
As outrageous as the ongoing institutional denial is, aerosol transmission as a dominant infection model breaks a lot of things- everywhere, and the people in charge, got there, and stay there by maintaining the status quo, not by being disruptive and advocating for costly adaptation to change.
Spent a couple of days in New York with Alysa Liu.
Meeting Harry Potter. Ducking paparazzi. Popping a collar or two.
The life of the Olympic gold medalist figure skater is quite whirlwind
https://t.co/31RoGtASnI
Lady, your sloppy resolution would have doxxed victim statements that had identifying info.
It redacted names & NOTHING else. House empl. records can match statements to reverse ID names.
Take your job seriously. Fix your messy loopholes & I’d vote YES. You know that. Not hard!