Mind the Gap, How Common Medical Symptoms Appear on Dark Skin

Me and Claire who I haven’t heard from in a very long time got talking about last year. From the covid19 pandemic, to the vaccine, systematic racism and to trypanophobia. It was during that conversation mind the gap was mentioned.

I had never really imagined or thought the images and books medical students might be learning from, may not have people with dark skin. Meaning an unbalance in the treatment of dark skinned people simply because of education.

Simple things like finding veins which are relatively easy to see under white skin can be challenging under black skin (generally). There were other aspects which I hadn’t ever thought about…

This where mind the gap came up… from the root

A Zimbabwe-born medical student living in London is filling in an important blind spot in the medical community: informing healthcare providers and patients how symptoms for a broad range of conditions appear on darker skin.

It’s the kind of problem that feels shockingly outdated for the 21st century, but as 20-year-old St. George student Malone Mukwende recently told the Washington Post, the lack of teaching about darker skin tones, and how certain symptoms would present differently on nonwhite skin, was obvious by his first class at the University of London school.

“It was clear to me that certain symptoms would not present the same on my own skin,” Mukwende told The Post, referring to conditions like rashes, bruises, and blue lips. He quickly extrapolated that the same would be true of other people sharing similarly dark skin.

Malone Mukwende
Malone Mukwende

If this was dated in the 80’s I would understand but Mukwende started the book which is free to download in 2020!

Shocking but so glad of the solution, although its worth noting there is things missing from the book where you could help.

My new years resolutions for 2021

Ian Forrester selfie with a mask

Its been quite a year and everybody is looking for a better year in 2021.

Following my review of last year… here’s my New Years Resolutions for 2021; which follows on from 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011, 2010, 2009, 2008 ones.

  1. Live in another country for a short while
    Regardless of the pandemic, I’m still keen to spend a serious amount of time in Europe. I know we just left Europe (don’t get me started) and its now even harder to do what I had planned last year. Regardless I got to try and apply for the Estonian digital nomad visa.
  2. Head further a field with the scooter
    A follow on from the last lot of resolutions, even with Covid19 and Brexit, I’m holding out hope that I can find a way to either the Netherlands or Ireland. I almost went to the Netherlands over the summer but the rules changed meaning I would need to self isolate for 14 days after coming back.
  3. Take better care of my skin.
    face creams

    This is a follow on from last year, my sleep, alertness, etc are great but I for decades have neglected my skin. Since I was young, I would use petroleum jelly on my face and hands. I only really noticed the issue with this while shaving. But I was convinced by my barber to stop doing this and use proper face moisturisers. My family were amazed my skin turned out as well as it did we 30+ years of petroleum jelly. So its time for something new and less harsh?

  4. Step up my gratitudes
    My lovely ex-colleague Nicky told me about a book shes been using, called the 6 minute diary. Last time we talked about my gratitudes. So from new years I’ll give it a go. It will likely the most I have handwritten in a long time. Thanks Nicky again and look forward to seeing what hits the paper.
  5. Host more film nights and dinner parties
    This is a repeat of the last year but even with Covid19, I’m going to put this on the list, as I could do much better. Heck I got enough Chocolate to do a tasting night every month right now.
  6. Spend even more time with the Diabolo
    Diabolo whip
    The pandemic has given me so much time with the Diabolo. Its amazing to see how fast I have improved in the community garden. A while back I wanted to learn the Vertex and now I’m getting confidently doing it but got a long way to go before I start throwing genocide vertex’s. Although I feel I can watch a video on youtube and pick it up within a week or two now. However I still don’t get the infinite suicide, it should be easy but it never works for me.
  7. Send a email out to friends and family once or twice a year
    I’m slightly preparing to spend even less time in Facebook and looking at the alternatives to substack and medium. Most likely I will selfhost it now I’m running yuno host on a raspberry pi4. Either Writefreely or something with Activitypub.
  8. Self host and move to more decentralised/fediverse services.
    Its something I’ve been doing for a while but its time for the big push. As I’m spending more time at home, I got more time to learn and now my main services are running on the NAS. The RaspberryPi is a great platform for self-hosting. While thinking about the previous one, I posted something on Mastodon.
    Someone suggested this Github project and someone suggested Friendica might have what I need.
  9. Find an alternative to the pebble watch
    My Pebble with Sugru

    My friends have been really good to me, giving up their old pebble smartwatches to me. But as I’m now on my last pebble, its time to move over to something else. I enjoyed not having to pull out my phone to read a message and to even reply directly from the watch. But I can’t buy another one now. I had pinned my hope on the hybrid smartwatches but they don’t seem to have the ability to send a reply. Anyway, no more pebble after this one dies.
  10. Listen to a Audiobook every month.
    Another advantage of being at home is the amount of audiobooks I’m listening to. Right now I’m listening to one every week but 12 is a basic target and should be do able with the sheer amount of podcasts I’ve been listening too. This also fits with Audiable’s monthly subscription.
  11. Take a more political & strategic view on the status quo
    George Floyd 7 months later

    There’s been a number of books and podcasts, which have led me to the fact people around me think things are generally ok. Yes with the pandemic, they changed their minds for this year but I hear again and again – “Next year things will go back to how they were and all will be ok.”
    No I’m 99% sure it won’t and frankly how it was, was not good enough. We need to fight harder for a better future for all. Its also clear to me the right has found a formula which is working but its easily broken by taking a active role in our democracy. May this year made this ever so clear to me.
  12. Finish my dating book
    Yes that book is being worked on between myself and Hannah. The latest draft is looking great. Honestly it reads like a real book! I’m now considering writing a epilogue but unfortunately my relationship ended during this year. Meaning a rewrite and rethink how to end it as such.
    There are other considerations like photography/artwork, formats, checking for consistency, where to publish, how to publish, etc, etc. Any thoughts do get in touch (like to avoid Amazon if I can and it makes sense)Here is a tiny sneaky paragraph from a draft chapter (Hannah is such a great writer and editor, you should hire her!)

    …I studied her face to see what her intention was. Maybe it was a spontaneous comment that didn’t really mean anything. Perhaps she was playing to the cameras that surrounded us?

    The longer I looked, the more smug her expression became. She might have been pretty before but that dirty grin said it all. If she was trying to push my buttons she had found them alright. What happened next was not my finest hour.

    Maybe the combination of divorce, Mr Tango and the button pushing had something to do with what happened next. It felt like I was thinking it but it came out.

    Regardless, I do take responsibility for what happened next…

    Bet you are dying to know what happens next right? Hopefully this year you will know.

So that’s the 12 for 2021 (still no real reason why its 12, it just is). Its a tough one because I wanted to include things like visit a new country but I decided its unlikely this coming year. I was also going to add one about getting the Covid19 vaccine/jabs but I just learned one of the ingredients includes pea protein? So it might be a even longer wait for me to get the vaccine.

Have a good new year all!

A review of my 2020 resolutions

Ian Forrester selfie with a mask
The new normal, mask, umbrella and coat

2020 has been one heck of a year for me and pretty much every single person on earth. The Covid19 pandemic effected so many peoples lives from people dying to people having to operate around nationwide lock downs. People I know have had covid19 and a couple people are still suffering with the long covid19. From memory no one I know has died but I’m not certain.

The thing about the pandemic is its like background radiation. Its always there and it affects everything. Even if its small things.

Then in the middle of everything the police in American murdered a bunch of black people and the whole thing was captured.  May 2020, was a turning point for many, finally we could talk about systematic racism and people were listening. Not to say they did a lot about it but in some places the light was shone and people finally understood what it means to be an anti-racist.

George Floyd 7 months later
Remembering George floyd on xmas night

So with all that how was my year from the  Quantified Self data  point of view?

  • My average sleep duration has increased from 7 hrs 20mins to 7hours 50mins.  Average deep sleep was 4.03 hrs now its 4.35hrs.
  • This year I started moving away from Gmail, so the numbers make sense. I had 32,601 conversations, have 20718 emails in my inbox and sent 7841 emails this year.
  • Have 114,564 photos and 4,269 photos albums in Google photos.
  • Tasks wise I have 304 open tasks and completed 3,315 over the year
  • Been on all of 6 trips including Manchester, Warrington, Lancaster, London, Alton towers, Blackpool this year.
  • According to Trakt, my most played show is Dave and film was Tenet, Most listened to podcast is the Daily Tech News Show.
  • I spent 742 hours watching films (61.8hrs a month) and 1221 hours watching TV series (101.8hrs a month) – that is a lot, but understandable with being locked down.

Diabolo whip

Here’s my review of  my new years resolutions from 2019.

  1. Head further a field with the scooter
    Even with Covid19, there was a brief chance to go on holiday to the Netherlands in August. I had planned to take the scooter across from either Hull or Felixstowe. I checked out the pricing got the emergency kit, arranged my stay with a friend in the Netherlands. But then Greater Manchester went into a tier where leaving become problematic. I push on but then suddenly the Netherlands become a country when I could need to isolate for 14 days after returning. At that point I decided its all too much.
    Its a shame as I also considered Ireland too but the season had changed and didn’t fancy driving in Ireland in the rain.
  2. Visit another new country
    This never happened for obvious Covid19 reasons. Maybe next year will be better?
  3. Make some changes to the flat
    Lots of changes to the flat, from a new desk, a network attached storage, reconfiguration of some basic things. I still have a number of tasks related to this to go through for 2021.
  4. Host film nights at mine
    This didn’t happen for obvious Covid19 reasons. Although my bubble might break this somewhat.
  5. Spend less time in the UK / Live in a new country
    Yeah Covid19 killed this but who knows what might happen next year
  6. Find the others and connect them
    This has started to happen, but theres more work needed on this front.
  7. Play a new sport somewhat regularly
    Another Covid19 killer, but I did spend a lot of time with the Diabolo.
  8. Drink more fizzy water
    This happened, maybe too much and I had to stop drinking copious amounts of fizzy water late at night. I’m not drinking so much that I needed a subscription but I’m getting through a bottle of gas every 3 weeks?
  9.  Look after myself better
    I believe this one happen starting with my focus on my sleep patterns. Being able to make that decision about working later has made a massive difference to the quality of my sleep, even with the background humm of the pandemic.
  10. Be even more aware of the environment and what I can do to help
    This believe it or not had happened, from spending much more time sorting out what I can recycle. Tesco also have been delivering my shopping with bags so been using them for many things for recycling.
  11. Put my money/resources where my values are, with platforms like Patreon
    This happened, I signed up to Pateon as there is a number of podcasts I regularly enjoy and gave them small amounts of hard cash to help support them. I also donated time and some money to other places like anti-racist, feminist, neurodiverse organisations.
  12. Change my email signature with important information
    Done, my signature now includes my pronoun, my user manual and status. I keep thinking about adding my free/busy time but don’t really like the fact google calendar reveals your email address when doing so.

A open conversation about race with Tara & Stef from Truly Inc

During a very busy time over the last few months, I recorded a number of podcasts including the ones for the tech for good live (which I highly recommend listening to).

One of my friends from the past the incredible Tara Hunt aka Miss Rouge interviewed me for the Anatomy of White Supremacy in Marketing podcast (Anatomy of a strategy podcast). We sat back and just chatted, so theres a lot in the podcast which was cut but the core parts were contextualised and added to the 30min podcast.

I really enjoyed the conversation with Tara Hunt and Stef Forester (not related as she lost a R somewhere in the name). It was late night (almost midnight) when we recorded and although I was standing at my standing desk, we could have kept on going for another hour easily.

If I can offer a tip for new listeners of the Anatomy of White Supremacy in Marketing podcast. I would start with Tara and Stef talking about the bigger reasons for the podcast.

For the past few months, between COVID-19 and the Black Lives Matter protests, we’ve opted to put a pause on AoaS to create space for other conversations (with the exception of the episodes with Laura Fitton and Joe Jackman, which we thought were relevant to the COVID-19 discussion).

Now, we see that our silence on the topic of Black Lives Matter was akin to saying, “This is not our problem.” This was wrong and it took a Diversity, Equity & Inclusion facilitator, Karlyn Percil of KDPM Consulting Group, calling me (Tara) out on this silence to knock me out of my comfort zone (and white fragility).

So, Stef and I sat down and decided that we need to do the work and speak up about it and that this podcast was a fantastic place to start. This episode is the introduction to a series (which will be as long as it needs to be) of conversations with Black professionals in various parts of the marketing industry on their experiences, perspectives and insights into how marketing – as an industry, an institution and as a practice contributes to the perpetuation of white supremacy and anti-Black racism.

Then naturally the interview with moi before listening to the other great interviews which currently there is Anatomy of Code-Switching with Cher Jones.

Another aspect of systematic racism

I have talked about the system of racism over the last few weeks, but I didn’t even think about this aspect. (although its an American view, I wouldn’t be surprised if similar policies existed in the UK)

In US news and current events today, Richard Rothstein, The Color of Law author, continues his lifelong mission to debunk the myth of de facto segregation and explain how modern day segregation is enforced by US law and policy. Insidious tactics like redlining have contributed to modern day segregation, and it leads to modern school segregation, modern housing segregation and housing discrimination, and so much more. De jure discrimination didn’t end with the passage of the Civil Rights Act, it simply became more insidious and baked into the housing, lending and education systems that have prevented Black Americans from earning and keeping wealth. Modern segregation is no less immoral and unjust than explicit segregation, and the entire system needs an overhaul if we are ever to reach true equality and assert that Black lives matter.

Public Service Internet monthly newsletter (July 2020)

Hackers hoodwink facial recognition software with masks

We live in incredible times with such possibilities that is clear. Although its easily dismissed considering the new normal for cybersecurity or uber’s underhanded approach to get its Jump bikes back.

To quote Buckminster Fuller “You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete.

You are seeing aspects of this happening with projects to finally make clear IOT devices more legible and the EU putting weight behind Free and Open software.


The world we want post Covid19

Ian thinks: I have read a lot of post covid19 predictions, even started writing my own. But this one really felt more like a manifesto for where to go next.

Technology which perpetuates racism

Ian thinks: Good look at tech policy decisions which directly affect people of colour.

Beyond the tweets of support, where’s your tech being used?

Ian thinks: There is a real murky history of tech companies helping to arm law enforcement with stronger and ways to enforce without real regulation or legal oversight.

How do you defend against an opaque system of surveillance?

Ian thinks: Terrifying story of a man wrongly accused by an algorithm. He’s not the first and won’t be the last, the call for transparency, legibility and legal oversight is ever so strong.

How Taiwan used digital tools, to solve the Covid19 pandemic

Ian thinks: Taiwan mainly avoided the Covid19 lockdown. Audrey Tang, Taiwan’s Digital Minister, shares how tools/techniques like crowdsourcing, a transparent supplies system and the use of humor on social media have resulted in less than 500 confirmed cases.

Is anonymous or actually hacktivism which is back?

Ian thinks: Theres been an uptake in techniques similar to anonymous & occupy in the wake of . Its a mistake they are back when this simply the future of protests?

Why is the police body camera a false hope?

Ian thinks: Its all American body cameras in the studies, however there are similar aspects in the UK which are starting to stir.

Different ways to defeating facial recognition

Ian thinks: Great summary of techniques to defeat facial recognition complete with demos. Take your pick which most suits your style.

A comprehensive guide book to manifesting reality

Ian thinks: I know a lot people prefer paper to digital, and the node zine is a great e/book covering a lot of the digital technologies I cover in the public service internet newsletters. You can download if for free or order a nice print copy.

The future of work post covid19?

Ian thinks: There’s a lot debate over the advantages and disadvantages of working from home. Each case is different but I found this economist video had all the points nicely wrapped up in short video. Lots to think about as the world starts to open again.


Find the archive here

Officer there is a black man…!

I mentioned a while ago how upset I was when watching the Amy Cooper video in central park. It became plain and clear if you call the cops and say the words “black person is doing X

Heck who could forget the guys sitting in Starbucks?

Heck when I was working in Starbucks (yes it happened believe it or not) there was a older white woman who came every day to read the free paper and rearrange her baggage, using the toilet and all while pouring free milk for herself. Did we ever call the police? Nope, never!

Trevor Noah covers a lot of cases, but he’s got zero on on the hashtag #Airbnbwhileblack. Although Airbnb has made changes, its not enough in a system of racism.

#blacklivesmatter, why I know this time we may see lasting change

John Carlos and Tommie Smith made headlines across the world when they raised the black power salute on the podium after winning in the 1968 Olympics

A couple of things confirmed to me this time we may see some changes. The question is will there be enough change?

White middle class people protesting in white middle class spaces

I was surprised last Wednesday afternoon, riding through Cholton in Manchester the amount of white people actively protesting on the side of road sides with signs. It was deeply humbling to see people even giving the black power salute and taking a knee.

Its never been a black only problem, and I have a lot of time for protests in places which don’t make the press.

The true horror of the Atlantic slave trade

There has been so many calls to educate people about the horrors of the Atlantic slave trade and people of colour’s history.

Its being taken more seriously and the white fragility which held it back is being pushed a side for the better of society and the future.

 

The deconstruction of systematic racism block by block

Trevor looks at how depictions of police in film and TV can skew public perception of cops and glorify officers who break laws and use violence unnecessarily on the job

Its incredible the long history of the rouge police people who get the job done with violence, pressure and intimidation. We have gotten so numb to it that we just can’t/don’t connect whats happening in cases like the central park 5 and the excessive force in the cop dramas.

The deconstruction of these cultural programming is so important in the take down of systematic racism.

A understanding its not just about the police

Systematic racism will happily throw the police under the tracks, when a good number are actively anti-racist.

The amount of positive searches

Google hasn’t released the exact figures and of course this is well produced in their favor, but its telling and interesting to see if it grows beyond summer?

Systematic racism

I think this says so much…

Black communities have been telling the nation, for more than a century, that they have been targeted, beaten, falsely accused and killed by the police and other institutions meant to protect them.

They have not been believed until recently, when the rise in camera phones and social media finally enabled them show and disseminate proof.

Even after the video of George Floyd’s death on May 25, 2020, there remains defensiveness and denial among white Americans and institutions—a defensiveness that prevents change to the root of the problem: systemic racism. In this video, eight powerful voices share perspectives on blackness in America, and why white inaction and white politeness must end.

To learn more about what you can do to end the racist status quo, educate yourself and take action. Here is Robin DiAngelo’s list of resources: https://robindiangelo.com/resources/

I used to be racist

https://i1.wp.com/www.evangelicalsforsocialaction.org/wp-content/uploads/2016/07/v6rxbn.jpg?w=840

I can’t tell you how amazing it was to read a facebook post from a friend. It started with those words…

I used to be a racist…

Obviously I won’t say who, as something like this is something them may be ok with sharing with close friends but not the general public. People will judge although they should likely look in the mirror first.

This person outlined how they were not what you typically think of as a racist but rather someone who would have said 10 years ago all lives matter. They had spent most of their earlier years blind to the reality of inequality of women, different races,, people with disabilities, etc.

With a small number of people, I was named as having a significant impact on their world view. So much so, they were very happy to post black lives matter on their facebook timeline and call for the eradication of racism now. Personally this was incredible to see and read completely out of the blue.

I was blown away by this, and it gives me real hope this time we can together make enough of a dent in systematic racism.  That is what we are fighting not police, not the judges, we are fighting a system of privilege which spans centuries.

What happened in Tulsa “Black Wall Street”?

I heard about what happened in Tulsa a long while ago but didn’t really understand fully what it meant. Then during the Watchmen TV series I saw the Tulsa 1921 massacre play out and looked it up for the first time.

Shocking stuff even for 1921.

So why am I thinking about this? Well for many reasons plus it was 99 years ago yesterday the massacre happened

If you can’t get access to HBO, here is a video which explains the first episode and why Tulsa.

Intersectional Feminism…

Don't forget white women voted for Trump

I can’t really believe I missed this term and thoughts around this photo.

Washington Post

New York Tines

I first heard about the term when listening to the podcast what mom never told you.

There is a great interview with the woman in the picture

TR: Why did you decide to create the sign “White Women Voted for Trump”?

AP: We need to be really honest about why we’re here. There was a sense for me of being at the march and in community with folks that were wanting to resist this horrifying reality, but also not wanting folks to get complacent.

TR: How did people respond to you and your sign?

AP: Most were saying, “Not this white woman,” or “No one I know!” I’d say, “[Fifty-three percent] of white women voted for Trump. That means someone you know, someone who is in close community with you, voted for Trump. You need to organize your people.” And some people said, “Oh, I’m so ashamed.” Don’t be ashamed; organize your people.

That’s why the photo was such a great moment to capture, because it tells the story of white women in this moment wanting to just show up in a very superficial way and not wanting to do the hard work of making change, of challenging their own privilege. You’re here protesting, but don’t forget: The folks that you live with every single day—and probably some of the women that decided to come to the march—voted for Trump, made the decision to vote against self-interests to maintain their white supremacist way of life.

Its something I’ve thought a lot about, especially when thinking about diversity and inclusion. Its one of the things which has bugged me when thinking about the numerous women in tech events. Not taking anything away from them but if all the women are white, middle class and went to the same university – then we got a long way to go.

Maybe it also starts to explain why a lot of the women (of colour if thats what you prefer) I talk to are unsure about the term feminist?

Rather than weight in to this topic with limited insight, I thought I’d share some things I saw and heard.

Want to Learn More about Intersectional Feminism? Watch Shows created by Black Women

Why feminism can’t ignore race

100 Women 2016: Is feminism just for white women?

A split in sisterhood

Hollywood whitewashing, how is this still a thing?

Blackstorem trooper

Came home from our first emerging tech and future narratives event, a partnership with VR Manchester. Saw there was a new last week tonight with John Oliver, watched it and half way had to replay the segment,

How is this still a thing?

Sometimes you sit in front of your TV and realize you’re watching something important. It happens quite often on HBO’s Last Week Tonight with John Oliver and Sunday’s episode was no exception. In addition to an incendiary piece about abortion laws, Oliver attacked Hollywood whitewashing.

It is 4 half minutes of pure joy, and ever so sadness all wrapped up in  a excellent package; delivered with such skillful mastery.  Even the Dailyshow with Jon Stewart would have been proud.

I have nothing to really say about the whitewashing of Hollywood which hasn’t been said by many others before, except… how is this still a thing in 2016!

Apple store security in racial profiling hot water

Even Steve Jobs himself would be shaking his head…

Honestly when I first saw this video via the guardian, I wasn’t really surprised.

When I was younger, I was regularly followed by security guards in stores. I knew what it was about but I guess at the time we just boycotted the shop and just went elsewhere. Its the same way I was stopped by the police for many dubious reasons.

Like most countries, Australia has its race problems and this isn’t an excuse and I’m glad the young people captured this all on video. The more of this stuff which comes out into the public domain, the more people have to face up the problems in our modern society.

Dare I mention the way the police are killing black people in the states

… I won’t lie, I did shout inside

…2015 right! How can this still be a thing!!!

Of course this caused a wave of postings and comments across the web, even when Apple somewhat apologised. Although I got to say the companies diversity isn’t exactly great either.