The characters in question live in my twitter thread summarizing our study on the July COVID-19 outbreak in Provincetown, Massachusetts—then a preprint, now out in printon the cover of Cell. As I write this sentence, the first tweet of the thread has been viewed over 100,000 times, most of those views having happened within days of the tweet—which means that more than twice the population of my hometown saw at least a summary of our main findings at the moment they had the greatest potential for public health impact. I am quite delighted that the research we all poured our minds and hearts and summer and autumn into was seen by so many people so quickly. I am very impressed by how fast it spread and to whom.
Tweeting about science isn’t something I thought I was good at (and this was my first time doing it), but since it went so well I want to share with you what I’ve learned—for a long time as a consumer and now apparently as a creator. Here is my guide to writing a good twitter thread (tweetorial or tweetstorm, though I’m not a fan of either word) about your research.
Step 0: Before You Tweet
Before you start drafting your tweets, think about who your audience is and what you want your audience to take away from your work:
What are your key scientific findings?
How do you hope your key scientific findings will contribute to people’s everyday lives, immediately or someday?
What action do you want to inspire? Are you hoping that people will alter their behavior? Are you hoping that people will use your tool? Are you hoping that people will build on something you’ve started?
As you wrote the above, whom did you think of? Who are the people who are positioned to use your work immediately? Who are the other people who might also be interested in knowing about it? Who else might stumble on it?
Do you have strong emotions about your work? Do you feel delighted? surprised? grateful? horrified? Is there a particular emotion you want your audience to feel? Are you hoping to delight? to surprise? to horrify? How strong is your own emotion? Does it contribute to your message or does it detract from your message?
In what ways can your work be misinterpreted, misunderstood, or misused, unintentionally or maliciously? Can your work be used to fuel misinformation? Can your work be used to fuel hatred? What content did you personally find helpful in understanding how your work fits into a compassionate, good world? What content might help correct possible misinterpretions of your work?
Step 1: The First Tweet
The first tweet in your thread is the most important tweet of your thread. Most people will not click your link to read your paper and most people will not click your first tweet to read the full thread. For many people, this first tweet is all they will see of your work. It should communicate enough of your main findings and your call to action that not seeing the rest is more or less okay.
To maximize the chance that someone scrolling will read and understand it, your first tweet, more than any of the other tweets in the thread, needs to be short, be easy to understand, and not look like a block of text. Where possible, I recommend using bulleted lists and breaking up your text with plenty of vertical whitespace.
Your first tweet should include a link to the paper (though some people save it for late in the thread, as a sort of reward). If you don’t like the preview that appears when you paste in the URL, you can attach an image. I attached two images: one with the title and one with the abstract. Maybe you have a very pretty image, or a graphic that nicely summarizes your main findings—those would be nice to attach instead. We did not have a graphical abstract yet when I posted this thread, but if I were posting it today I would attach our graphical abstract instead of the images I did attach.
Your first tweet should have some indication that there is a thread attached to it. That indication can be the thread emoji (🧵) or the word thread, perhaps with an arrow (⬇), or it can be a a 1/, or it can be something else.
The first tweet also needs to do the important work of appearing in search results when people look up keywords. Try searching terms related to your work. Look at what results appear on twitter, how many results appear, what kinds of discussions are happening around those terms, and if those discussions involve the audience you are hoping will see your work. In my case, I knew that my twitter thread needed to contain the following keywords:
COVID-19
SARS-CoV-2
Provincetown
Ptown
outbreak
Delta
vaccinated
vaxxed
vaccine
public health
symptoms
(I don’t see any reason to use hashtags for these keywords—the terms appear in search results regardless of whether or not they have a hashtag in front of them, and having that many hashtags just seems a bit alarming. But I could be wrong.)
These 11 words account for almost a third of the 35 total words of the tweet. I made sacrifices to ensure that they all appeared. (Vaccinated, for example, is much longer than vaxxed, and Provincetown is much longer than Ptown—but they each produce their own search results and I wanted our paper to appear in all of them.)
If you would like and if it comes naturally, you can also (or alternatively) include in your first tweet some kind of a hook—a funny joke, a cliffhanger, an unanswered question, or content that elicits an emotional response. With a hook people will be more likely to click to read the details, but they are also less likely to walk away understanding your work if they don’t click. If the thing that is important to you is that as many people as possible walk away with some understanding of your work, you probably want to summarize your work in the first tweet. If you would like to connect more deeply with a smaller number of people, rather than shallowly with a large number of people, it might be better to use a hook. (I of course did not do that.)
Finally, I think it is important to include yourself in the work. The science is done by people and people like other people. I start the first tweet with Our and many of my other tweets in the thread start with We. I am a person who likes exclamation marks so I include exclamation marks—because exclamation marks best capture how I feel about this paper.
Things to Know
Here are seven general principles to keep in mind as you draft your twitter thread.
I recommend you draft your tweets in Google Docs or similar, and that you get feedback from your co-authors and revise at least once before posting. This thread took me three days with feedback from multiple co-authors: Katie, Bronwyn, Gage, and Pardis all helped me revise this thread and made it much better. (In its original form, it didn’t even have capital letters.)
Each tweet should be its own complete thought. If a person retweets one tweet from your thread and not any of the others, its message should be clear. It should not be possible to take any individual tweet out of context to mean something you did not intend.
Where possible, and especially when making important points, make your text easier to digest by breaking it into bullet points or breaking it up with vertical whitespace.
If you include a url in your tweet, your tweet will have a nice link preview. If you attach any images to your tweet, the link preview will not appear. The link preview in the final, posted tweet will look the same as it looks in the draft tweet before you post.
If you end your tweet in a url (if the url is the very, very last thing in your tweet) and you have not attached any images, the url itself will not appear in the tweet when it is posted (but the link preview will).
Most people do not click on images. You should size your images so that the preview that people see on twitter looks the same as the image itself. If you are attaching one image, it should be 1500 pixels wide and 850 pixels tall (or scaled with that same aspect ratio). If you are attaching more than one image, all of your images should be square. The final cropping of the images does not always match the preview of your tweet draft, nor is it consistent between devices. If it is important that people see the entire image, including the edges, add some white space all around your image so that the content of the image will still be visible even the edges are slightly cropped. (If you do not have image editing software, you can download and use GIMP for free.) I do not recommend attaching more than two images—the previews will be too small to see without clicking, and most people will not click.
Create a secret fake twitter account to test out your tweets before posting them for real. Delete your test tweets immediately. Do test post the actual images you intend to post to make sure they appear as you expect them to appear and are cropped as you expect them to be cropped. Do not link to your work or post any of the actual text you intend to post—not even for a moment. Other than images, replace your actual text with dummy text and your actual urls with dummy urls when you test post. You can also use this account to draft your actual tweets (without posting them) to make sure they fit within the character limit—don’t rely on other applications to count characters; they all seem to count in their own ways.
Step 2: Context, Background, Collaborations
This part is easy. I initially had this tweet closer to the end, but my co-authors encouraged me to move it to the front and I think it is much better here. We start off by acknowledging the organizations involved in this study, because the list was huge. If it were a much smaller study, I might start off by acknowledging the individual authors. It is also helpful to start off with some context—has this work been peer reviewed? Does this work build on previous work? Does this work build on anything familiar to the audience?
If someone has clicked your first tweet to read the thread, they are already in and willing to skim. Your second tweet does not have to be very exciting.
You might notice that while this tweet includes an attractive preview of the link, it does not include the actual url. That is because the url is pasted after the 2/. Because the url is the very last thing in the tweet and there is no image attached to the tweet, the actual url does not appear.
Step 3: Paper Summary
The paper summary will likely be the bulk of your thread. As much as possible, each tweet should include one complete and clear idea and be retweetable on its own. Where relevant, you should include figures from the paper. Try to add some emojis. You can also include links to previous work or work that you use or build on. I start many of these tweets with We.
The order in which ideas appear and the ways you present those ideas might not match their order or presentation in the paper. Your audience on twitter is almost definitely broader than the audience you wrote the paper for, and your language and narrative should adapt. Your focus should be on communicating the findings that are most relevant to this broader audience in a way that is understandable (and not condescending), with minimal jargon. In some cases you might want to delve into more detail, and that’s okay—tweets including jargon should be easy to skim and easy to grasp at least the purpose of without extensive background in your field and should not be necessary for understanding the overall story.
Step 4: Findings Summary
Your paper summary should end in a tweet summarizing the findings that are most relevant to your audience, or most actionable.
Step 5: Your Findings Out in the World
This is the hardest part.
This section is about the role you hope your work will play in the world, and it is a part of your efforts to shape that role. Here, you need to anticipate the ways in which your work could be used to misinform or hurt. You should address possible misinterpretations explicitly and head on. You should provide links to informative content people can engage with to address possible misinterpretations before they arise. Wherever possible, that content should be readable by people outside your field.
If you are less worried about misinterpretation or misuse of your work, you can instead or additionally use this space to explore the life you hope your work will live in the world—how you hope people will use or build on your work, or your own emotional response (if you have one you’d like to share) to your findings.
In either case, it is nice to end with a positive or hopeful feeling before your call to action, because hope is empowering.
Step 6: Key Takeaways/Calls to Action
Finally, at the very end, I have the final takeaways (the third time I am adding takeaways—but that is what this thread is). These takeaways do not relate to the content of the paper itself; instead, they are focused on how I hope the paper’s findings will be useful in the real world. I end by making explicit the calls to action I tried to imply in the first tweet and have been building toward throughout the thread.
Step 7: The End/Thank Yous
This part is fun (and easy). Thank your co-authors—the first and last authors first, if the full author list is very long, and the full author list listed out or in summary. If anyone is on twitter, tag them.
When you are ready to post, use twitter in a web browser on your computer (not the app on your phone) to prepare the thread in advance and then post the entire thread at the same time.
The time you post your thread is important. Don’t tweet when your target audience is having dinner or asleep. I think it’s probably best to time your thread for when your target audience is browsing twitter at work, but there are tons of more informed articles on timing of tweets that you can read instead of using my guesswork.
Finally, the number of people twitter shows your tweet to is determined not only by the number of likes and retweets your tweet gets, but also by the speed at which it gets them. Tell your colleagues and co-authors about your tweet immediately after you tweet it. Hopefully they will engage with it quickly and help it spread.
That’s all! I hope this guide helps your work reach its audience.
The man living alone in the $4 million mansion across the street has over the past month gradually accumulated not one, not two, but six Christmas trees, at least, with lights and decorations on all the trees and outdoor lights on all his trees and fences outside, which he doesn’t have on a timer, like I thought he would, but turns on by hand every day at sunset, and garlands and strings of lights on the stairs and walls, lit up like a Christmas Gatsby mansion projecting green and red and blue and yellow onto the road when it rains at night, a million tiny colorful moons reflecting off our little river of a street. Every day he sits alone in his home office on the other side of the house facing the main road until dark, when the sun sets and the dark sets in and he sits in the dark lit up by his computer screen and then walks through the house and around the house turning on all the lights and makes dinner in the big open kitchen behind the big bay window with one of the larger trees, which has a nearly identical tree of just slightly smaller size situated precisely above it like an axis of cheer crossing the ceiling through the next floor up. That tree is the one he had last year, too, and the year before it, and usually he leaves it up for months into the new year. (Usually it’s just the one—the profusion of lights inside and outside is a new development, just for this year, or at least hasn’t been around when I’ve been in town, and I’m always not by now.)
This is my first winter break away from my family and my first winter break with my Cambridge family. Our roommate goes to work and my partner Cory goes to work a few days a week and I work remotely from home and occasionally go to the grocery store. We watch movies and TV shows and we cook elaborate meals and we undersleep and oversleep and stress out about work. We go for walks at least once a day on most days. Sometimes we drive around.
Here is our Christmas tree, which we got from Ricky’s Flower Market in Union Square. It is small, because our apartment is small and also because we are hoping that if it lives through the winter and the weight of the decorations we’ve burdened it with we might plant it someplace where it can live a good life.
Another cheerful Christmas thing we did was to send out Christmas cards. They looked like this:
—All very strange. It bothers me that the couples-jacuzzi one has the marshmallows literally skewered. Most menacing is the marshmallow face melted into the hot chocolate surrounded by little marshmallow body parts floating next to it, and more marshmallow body parts on the ground by the cup. (I am also bothered by the happy messages inside reflecting for the reader how lovely it is to spend Christmas with family, in a year when most people safely can’t.)
These aren’t the Christmas cards we ordered. Shortly before Christmas we got a Christmas card from Cory’s uncle, which was very classy and nice and made us very happy and also regretful that we had nothing prepared to send to give those same good feelings in return. We ordered some Christmas cards with cute animals on them. (I like to optimize and look at every option before making a choice, but Cory saw them and knew he liked them and we bought them right away without evaluating other options, which is a new feeling for me.) We got these instead. Cory decided that we should salvage the whole situation by including hot chocolate and stickers (two stamps for two ounces almost exactly!). They turned out nice.
The actual process was a very fun assembly line, perfect as a background task during a movie. It reminded me a lot of our lab’s holiday card assembly lines, only while doing them just the two of us I got to do every stage myself, which was fun. Cory writes pithy and clever messages that make people laugh. I write really long and heartfelt and far less funny messages, which takes a lot more time, signing some or most of the cards: “Wishing you and yours health, safety, love, cheer—and maybe even happiness.” Here is one early stage of our assembly line:
Christmas card giving seems to have increased this year, or at least it feels like it has. We got five Christmas cards! I am going to be using two of them as proof of residency for a parking permit. I do not think we usually get five Christmas cards.
The week before Christmas we had a magical snowstorm (like a foot of snow) and our first time shoveling cars and even sidewalks, which was great exercise and a lot of fun. It was the kind of snow that makes the sky pink at night and makes our usual streets feel unfamiliar and quiet and perfect, and everyone says hi when we pass each other even though we don’t usually do that and don’t know each other at all. I bought shovels the night before, and then I got up before sunrise and I got to spend most of the whole day outside, with breaks to get warm and change my socks and gloves. In the morning it was just me and the plows and the snow falling and the light beams from the plows made gorgeous lighthouse light beams through the dense snow falling. A few people were skiing. There was an incident with a FedEx truck that got stuck in the snow and shredded a parked car. I got to see a family of rats playing in the snow, which was actually delightful. It was overall an eventful day.
On Christmas Eve we went for a long walk during the day and again at night to look at everyone’s lights in our neighborhood and the nearby neighborhoods. We called our families and opened presents, then Cory made a lasagna by a new recipe and I fell asleep on the couch, and then he fell asleep and we burned the lasagna and that whole experience reminded me a bit much of undergrad. (We did end up trying what was between the top layer of burn and the bottom layer of burn and it must have been a very good lasagna.) The next day was warm and raining, which melted most of the remaining snow, and we had a lovely warm walk under the rain looking at lights in other neighborhoods and then when it got too cold and windy we went home and opened our presents to each other and made duck by another new recipe, which we did not burn and which turned out wonderfully, and watched Christmas movies and built wintry Lego sets. The day after we drove to a friend’s empty apartment for a change in environment and did a virtual Secret Santa with Cory’s friends from high school and looked at Christmas lights in another neighborhood. My Secret Santa got me a candle called Exhilarating, which in this case means peppermint and rosemary, a sugar scrub called Exhilarating, which in this case means peppermint, rosemary, coconut oil, almond oil, and shea butter and is apparently not edible despite tasting delicious, and honey and almond and olive oil soap that is not called Exhilarating—all very lovely smells, the former two of which give me the same good feeling as one time when I accidentally got mint toothpaste in my eye.
I really like American Christmas. I don’t think any of us expected it when we moved here, because Christmas in Russia (at least in the Orthodox church) happens on the Julian calendar two weeks later and is a purely religious holiday, and the usual Christmas things—the presents and the party and the tree with the lights on it—are all New Year’sthings to us. My mom likes to tell me that our first year in America, in Chicago, I, probably not yet fully speaking English but apparently already properly indoctrinated into the tradition of the American Christmas, was the one to pull the rest of the family into the proper ritual. On Christmas, which was going to be a regular day for us, I said: “But where are the presents? Aren’t we inviting everyone? Mom, don’t you know it’s Christmas?” Mom took me to the store and we picked out presents for the other recent Russian immigrant children living in our neighborhood, and we invited our small immigrant fold and had a lovely last-minute American Christmas party in Russian and everyone had a lovely time.
My most special memories of Christmas music in particular are from Chicago on an outdoor ice rink that doesn’t exist anymore, where I used to skate twice a week from right after school until late in the evening. My mom used to pick me up from school and drive me to the rink with dinner in a tupperware I’d eat on the drive while doing my homework, and then I had karate lessons sometimes and then a few hours of downtime on the rink, then skating lessons, then more skating until Mom was done with work and ready to pick me up, and sometimes she’d skate with me too. I loved skating. The rink was downtown, hidden from the road between tall buildings, and was never crowded even when the other rinks were. A lot of the time the staff played Christmas songs over the big outdoor speakers and sometimes the snow fell while I skated. Whenever I hear certain older Christmas songs that is what I think of, the snow falling and the cold air and the taste of blood from the cold and the pink sky and the tall Chicago downtown just barely darker than the night sky all around me and above me with its beautiful lights.
I miss my family, especially after Skype calls and missed messages that should be days and meals and adventures lived together in person. I just couldn’t justify risking the rest of our winters for this one.
The lesson, if there is one, I guess is to prioritize and be grateful for your health and the health of your loved ones and to make the best of what you have.
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The Christmas cards we actually bought were these. The Christmas cards we received were these, and the roll of stickers I bought was this one. It isn’t too late to send cards. You can say they got lost, or that you’re feeling Russian and your cards are meant to arrive by New Year’s.
If you like them, my Christmas lights are these, which I also own in Halloween colors, and my icicles are these. (I also really like these curtain lights, which I bought for my parents in off-white and for a friend in off-white and pink.) The combination of the icicles and colorful lights, reflecting off the wall and off and through the icicles, especially at night, gives a very nice effect of a snowy-rainy street in the winter, and makes it feel like there might be cozy snow and adventure outside even if the snow is melted or it’s raining instead. Bonus points if you arrange the lights around and behind winter Lego sets. Extra bonus points if you build the winter Lego sets while watching some classic American Christmas movies.
My parents got us skis, for which I’m counting down the days until our next big snowstorm (there were a few people skiing on the road in the early morning when it was just the plows and few adventurers and me). I got them a portable-ish pull-up bar that seemed pretty similar to ours, two cozy candles, and a wintry 3d puzzle and a salt-tree activity. Cory got me a book of Taylor Swift songs adapted to the piano, which I think I will just write the notes in because I still can’t sightread and life is too short to not play songs I want to play, and a watercolors and paper set with paper small enough to be a low-pressure art commitment, which is very important to me (unless I’m drawing something very special and fancy I always fold the page I’m drawing on in half first to make it less scary). Our friend in Florida sent us a box of starfruit from her backyard, which is a hilarious contrast to the weather here.
My Secret Santa asked for baking things and for a candle and said they like beach things, which in New England means something that got washed up and raked over the rocks in the cold, so I got them this driftwood candle and a danish dough whisk and a lame and a really exciting cookbook of bread recipes. Last winter Cory and I took a no-kneed baking class at Harvard that changed our lives, and the recipes from the class were based on those in that book. A lame is a special tool for carving designs into the bread, and is actually what gave away that I was that person’s Secret Santa—they were opening parts of the present and started opening the razors and I had to warn them that those were razors and to please not open them any further in a manner that was appropriate only for things that aren’t razors. (I also got Cory that same book and a lame, with a similar worry about the razors, and I’m very excited to try carving fancy patterns into our breads.)
This year’s present that I am most proud of was to two children of a close lifelong friend, one of whom I met when they were very young and one of whom I’ve only seen on Facebook. I got them a fancy hardcover Fortunately, the Milk by Neil Gaiman, which has absolutely gorgeous black-and-white illustrations, and crayons to color them with. A really good, funny book with beautiful illustrations is a very nice present, I think, especially if it comes with permission to color.
Here are ten nice presents to give to someone you’re not sure how to give presents to, perhaps because they’re your Secret Santa and you don’t know them that well:
Tiny notebooks. Everyone needs tiny notebooks. They can write down their ideas, or their todo lists, or five nice things that happened to them that day, or their unwritten novel. If you’d like, you can suggest things you think they might like to write, and they may or may not follow your suggestions. Texture is important here, and the line type and spacing. Get them something that is pleasant and interesting to hold and has classy thin lines or even a grid.
Nice inky pens. I like these pens, which are my favorites, for todo lists and fancy or important writing and art, and I like these pens, which I used to borrow from lab, for flowy-mind, lower pressure writing. It’s most important that the ink flows nicely. If the person you are shopping for has a favorite color that you know about, you can get them pens in their favorite color and they’ll probably like that.
Little circle sleds. A lot of adults in cities don’t have sleds, or space for sleds. I couldn’t find a satisfactory modern American version of the little butt sled I had as a kid (as well as an actual, much larger sled). A little butt sled is not as fun as a real sled but it’s very easy to store and transport, and is much better than having no sled at all. If you buy them several they can bring a friend or you can keep one.
Nice candles and fancy soaps. A nice way to gift a smell. Texture is also valuable here, albeit secondary. It’s nice to get them something varied and interesting, like a soap with little oats in it or a candle with coffee beans on the sides. Take care not to get anything containing lavender or tea tree oil (which is sad because I love tea tree oil, and still use it even though I know I shouldn’t) if the product is meant to go on the skin.
A star finder, which can tell you what stars are in the sky at any given moment. (Stellarium is even better, but not as portable.)
Hot chocolate, which almost everyone likes and which is apparently available online mostly in absurd quantities. (If they don’t like hot chocolate, they definitely at least like someone who does.)
A book you really like, maybe with a custom bookmark you drew or post-it notes on your favorite pages with some notes on why you liked that part. Don’t write in the book itself, maybe, in case they don’t like it and want to sell it later.
A nice teacup, maybe with a little saucer for it. My grandmother on my mom’s side sometimes gives me nice teacups. They all make me very happy every time I want to feel fancy, and someday maybe I’ll have tea parties. I like to occasionally gift people flowering tea. Tea is a low-stress gift you can give a person lots of times, which is nice.
A nice potted plant that is not too likely to die soon. Plants are nice. Bonus points if you made or decorated the pot, or if you put some special rocks from a special beach or haunted warehouse or other special destination on the surface of the soil, or if the plant is a clipping from a larger plant of yours that you particularly like or particularly don’t like or if the soil contains the ashes of their enemies, delivered as a message of goodwill for the coming new year and a release of your debts. Hopefully they don’t think of the plant as a metaphor for your relationship.
Here are ten things you probably shouldn’t give people:
A copy of your dissertation, probably—especially if you don’t know that person that well, especially if that person is not your thesis advisor or otherwise on your committee (because if they are your thesis advisor or otherwise on your committee then a copy of your dissertation would actually be a very good present).
A book you don’t like, with a note saying you do like it, with the absolute worst and most boring parts highlighted—with real highlighter marks so they can’t resell it to buy something nicer.
Their dissertation, with lots of comments in red—especially if they’ve already graduated but still have nightmares about grad school.
Pencils with the lead pre-broken inside, probably.
Someone else’s dissertation.
A plane ticket, given the pandemic.
A surprise visit (or any kind of visit), given the pandemic.
A blank notebook with “Your Dissertation” written on the cover. In fact, I find this potential gift so distasteful and cruel that I made one really quick that you can buy online. Here are two blank notebooks (click the images), one with “Your Dissertation” written on the cover and one with “Your Thesis” written on the cover:
You can also get them as clocks or drink coasters if that would upset you more, or magnets or stickers or postcards or t-shirts or mugs or laptop cases or clothes for your child or blankets and pillows to hug at night or the smallest zipper bag.
Live bugs, like 1000 mealworms or 1500 ladybugs (pretty much the only thing worse than a blank notebook with “Your Dissertation” written on the cover).
Wishing you and yours health, safety, love, cheer—and maybe even happiness.
It is getting cold and there is a pandemic and sometimes it is lonely. If you would like to do something nice, here is a nice thing you could do that feels extra good because it is also putting a bit of your soul out into the world to share and for people to love.
A lot of people in our neighborhood and surrounding neighborhoods and towns have been putting up little libraries. They make me very happy. They are all decorated and in pretty shapes—often house shapes, which is delightful, but we have also seen some carved into stone walls and some are simple large plastic bins with a library label. I don’t keep track of where the libraries are, and the books are not organized or distributed in any particular way, which makes stumbling on them and looking into them a special and surprising experience. I’ve found some unexpected books I don’t think I would have otherwise read. Finally, I really enjoy the experience of browsing in a library, of knowing the layout of my favorite shelves and what books live there and physically holding the books and reading the summaries on the back and feeling the pages between my fingers while I read a bit before checking a book out. In elementary school at AJLA we used to have special days when we got to go to the library as a class, and we got an entire chunk of dedicated time to just browse. I think we had a limit to the number of books we were allowed to check out at one time, because I used to get special permission to visit the library extra times during the week if I finished all my books and finished my classwork, and it was always very special to me to get to go. I still remember my room and the layout of our house from when I was that age, and I also still remember the school library and where each section was located and what books were on each level of my favorite shelves (I was especially obsessed with Lois Duncan). We live right next to a library now but I haven’t had the experience of checking a book out in person since the library switched to virtual ordering for the pandemic, and I miss it, and the little libraries have given it back to me.
I took photos of some of them to share with you:
Cambridge in general often has lots of books out on the sidewalk for people to browse and take:
You might have noticed that a lot of the little libraries are associated with Little Free Library, but not all of them are, and all of them are good.
Because the pandemic has made getting my favorite books a little more challenging, I’ve faced the reality that the local library is not indeed a massive extension of my personal book collection (nor my home office). In other words, I finally got around to buying my favorite books. I bought most of them used, to replicate the library experience as closely as possible (some of them are actually from actual libraries), and since used books are so cheap I bought several of each. I kept one of each book, and the others we put in a particularly empty little library in a particularly well-used public park. Here is round 1:
And here are rounds 2 and 3, coming soon:
It is a small nice thing to do, but it is very special to me, and I think I will be doing this somewhat often (especially since shopping and bidding on things are their own fun). It is a very cozy thought that at any moment today, someone might be discovering one of my favorite books and maybe it will become their favorite book, too—and maybe they’ll keep the book and reread it, or maybe they’ll put it back and someone else will enjoy it, too.
Here are some nice photos from throughout the past few years, some pre-pandemic, mostly mid-pandemic, in no particular order:
Every PhD student I talk with seems to have a different qualifying exam and a different qualifying exam experience. My department, Organismic and Evolutionary Biology at Harvard, has a very flexible and customizable quals, in line with the overall very flexible and customizable PhD program. Our qualifying exams usually happen in the second (G2) year, and consist of the following parts:
Three committee members, in addition to your advisor, one of them (not your advisor) Chair of the committee—all available at the same time, all in the same room (or zoom room). This part was trickier than I expected. The committee does not all have to be from the department, which helps. Connecting with professors I had already had excellent and productive interactions with helped. Asking for broad availability before sending out possible exam times helped. Booking the room well in advance helped (but did not end up being necessary in my case).
A written dissertation research proposal describing the work you plan to do during the rest of your PhD. I have been told that a lot of people end up deviating from the proposal. My proposal consisted entirely of projects I had already started and am committed to finishing. Even so, I am already doing work I could not have even imagined when I wrote my proposal, even though I wrote it something like seven months ago.
Three syllabi of courses you think you are qualified to teach, on varying topics and of varying levels. This is open ended and different from what I usually do and (I think) a lot of fun.
An oral exam, up to three hours long, consisting of two parts. First, you present and answer questions about your work. This part is (I think) a lot of fun. Then, the committee asks you questions, guided but not constrained by your syllabi, to find the depth (or shallowness) of your knowledge. This part is (I think) a lot harder and less fun.
I passed my quals in the spring, during my G3 year, on Monday, April 13th (like Friday the 13th but worse, because it’s a Monday). We’re required to pass sometime during the G3 year, so I just slipped under the radar. (I had also scheduled a back-up time a few weeks later in case I failed, but I did not end up needing it (!!!!).) April 13th was at the very end of the very start of the pandemic in the United States—my quals were virtual, over zoom. I had originally timed the exam to be right before my mom’s birthday and just after my dad’s and brother’s birthdays, and planned to go home to Pennsylvania right after, hopefully accomplished and with a weight off my shoulders and with full focus on family. Of course that did not happen, and I haven’t seen my family since spring break in March. Instead, I got back from my own birthday with my family over spring break in Florida to a lockdown, thinking it was temporary, and focused fully on quals prep.
I wrote my dissertation research proposal first, with three chapters covering my three in-progress projects (and one tiny transition chapter-ish section covering a relevant smaller completed project). These wound up being 1,970+510+2,245+2,628 = 7,353 words not including references and took a lot longer than I expected, largely because the writing required a lot of reading. I then compiled my syllabi. I got carried away and added far too many papers; I ended up (by request of my committee) sending another version with key papers highlighted. This sequence of events was bad, because it allowed early tasks to steal preparation time from later tasks; it was also good, because it allowed me to work on just one thing at a time, which (I think) I am better at than I am at multitasking. I give a lot of presentations at work, so my slide deck covering my research was largely already ready—which meant that in the weeks leading up to my exam I was able to focus almost entirely on reading the papers on my syllabus.
The exam itself was fine. I took it sitting on the floor between the couch and the coffee table in our living room, with my computer on the coffee table and cups and cups of water and coffee just offscreen on the floor next to me. I was very nervous leading up to the exam and didn’t sleep, which was a mistake. My presentation of my research was excellent, I think, though (not surprisingly) I was not able to get to everything I wanted to talk about and we exceeded the allotted time. The oral exam was a weaker point. I did not know the papers on my syllabus well enough to answer pointed questions about the material anywhere near as well as I would like, even though I had read every paper. I was very nervous, and made some embarrassingly dumb mistakes. In retrospect, for both the presentation and the syllabi, it would have been better to give myself less material—to go deeper into the material on the syllabi and to go less deep into my own work, at least for the presentation (not the written proposal).
When I entered the time crunch of the last few weeks left I put together a spreadsheet tracking my progress and timing of remaining work. (You update the count of papers you’ve read in the “done” columns and everything else fills in automatically.) I make a spreadsheet like this one every time I have some work to do that is both time pressured and easily quantified, which is rarely the case in grad school (except for quals prep) but was usually the case in undergrad. I started making these kinds of spreadsheets a few weeks into freshman year; my friend Mika taught me pretty much immediately after we both arrived on campus. It is motivating and reassuring and probably also a method of procrastinating. I’ve attached a version of my spreadsheet below, with Halloween set as the deadline, in case you would like to go nuts in the way I particularly like to go nuts and use it as a template or inspiration:
All in all I spent about exactly a month on full-time/overtime quals prep (pretty much quals prep and sleeping (probably not enough sleeping) and very little else) from the middle of March to the middle of April. I think it was good for me to constrain this chapter of the unending project of self-improvement and mind expansion—but if I could go back in time, I would have started compiling my syllabi and reading the papers on my syllabi during the first year of my PhD. Some of the texts on my syllabi are material I read and learned at the start of my PhD, but because I chose to also include a lot of material I wanted to know well but didn’t, there was a lot for me to read leading up to the exam and I am not satisfied with how well I absorbed some of it. Reading just one or two papers a week spread out over a year would have probably resulted in far better retention and learning, and would have allowed me to dedicate more time to getting everything I could from each paper. At the time I was intimidated by the process of putting together my syllabi, but I didn’t need to be. Organizing my favorites of the papers I was already reading into vague themes would have been a good enough start to later retrofit to the desired format.
I have been told that some students dedicate an entire semester to preparing for quals. I don’t think I would like to do that (and if the pandemic hadn’t paused my primary project I probably would have continued to try to multitask and continue working on research—which probably would have ended badly for my qualifying exam, though who knows), but focusing entirely on reading and writing for a stretch of time was very productive for me.
I learned a lot, both about my current projects while preparing my dissertation research proposal and about what kinds of work and tools are available to me in the field more broadly while preparing my syllabi. As I expected, having to write out the current and future directions of my current projects and having to read deeply enough to write every sentence with full truth and confidence forced me to gain a much, much better understanding of my own work and of the adjacent literature. What surprised me was that when I returned to my research after my qualifying exam, I returned with a lot of clarity of a sort I hadn’t had before. I knew where I was and where I was going in my current projects. I also found myself coming up with exciting new project ideas at a rate and of a quality (if I may say so myself) I hadn’t expected from myself at this stage of my career; quals definitely caused a leap in my ability to think like a scientist.
The document itself is also helpful as a compilation—I rather frequently refer back to my project proposals, my syllabi, and especially the references at the end of each project proposal. My strategy in undergrad and at the start of grad school was to do the science first, then write only when the science was done. Now I am trying something new and writing the paper as I go, and I find that so far it has made the work far more focused, informed, and efficient, and has give me a way to identify (and hopefully fix) problems and gaps in my work well before I try to build anything on them.
To sum up, here is my advice to anyone getting ready to prepare for their qualifying exam:
Start identifying and reading papers for the exam well in advance, even before you actually start officially preparing for the exam—a little at a time. Amortize as much as you can of the paper reading part of the work.
For every paper you read, put together a few sentences summarizing the key takeaways from the paper. Review your list of papers and summaries in the days leading up to the exam.
I found quals to be a great opportunity to learn things I did not know but wanted to know. You can fill your syllabi with material you know well, material you want to learn, or a mix. Consider what you want to get out of the experience and plan from there.
When scheduling the test, first ask your committee for broad swaths of time (weeks or months) that are or aren’t good and for any recurring commitments when they are always busy. Then send out a poll with specific test time options. I initially sent out a poll with five timeslots, and then when none of those worked I sent out another poll with ten additional timeslots. I had access to two of my four committee members’ calendars, which helped. I also found it helpful to allow committee members to give each time slot a score from 1 to 5 (5—extremely convenient, 3—I can make it work, 1—doesn’t work for me) rather than just saying yes/no/maybe, which made it easier to work with potential scheduling conflicts. Here is what my first scheduling form looked like:
Send out and ask your committee to reserve time for not one, but two three-hour timeslots for your exam, several weeks apart. This way, it won’t be as hard to reschedule your test on short notice if someone has an emergency or a conference or an unexpected vacation or speaking opportunity. And if you fail your test you have another one already lined up with time to prepare for it.
Don’t worry about fitting everything into your presentation. If you’re anything like me, you should make the presentation itself shorter than you think it should be—if you have more slides, then you can have plenty of hidden slides ready in case they come up in questions and discussion.
There will be questions you don’t know the answer to. Hopefully you are able to answer the shallower, easier questions before reaching something you do not know.
Have a nice, efficient stress-relief activity that doesn’t hook you into spending a lot of time on it. I almost never played video games until studying for my quals and for some reason occasionally playing Animal Crossing elevated rather than decreased my productivity, which is not something I would ever have expected.
Get plenty of sleep the nights leading up to the exam itself.
What follows is my three syllabi:
Evolutionary Perspectives on Human Disease, which is meant to be an introduction to the immune system as it appears throughout life (in humans, in animals more broadly, in plants, and in bacteria), a not very deep look at disease (infectious and otherwise) across life, and interactions between and co-evolution of infectious agents and their hosts, especially when the hosts are human (but also, briefly, when the hosts are bacteria), culminating in the evolution of the placenta.
Microbial Inhabitants and Infectious Agents of the Human Body, which is a sweeping view of past outbreaks and epidemics, culminating in the current COVID-19 pandemic, as well as short visit to some of the microbes that we more happily coexist with.
Introduction to Data Analysis Methods for Biological Inference, which covers everything from experimental design and statistical tests to multivariate models to GWAS and PCA to how sequencing works and metagenomic sequencing and genome assembly and phylogenetic trees, culminating in an exploration of how genomic sequencing can be used to track and react to infectious disease outbreaks (which is one of the things that I work on).
I tried to design the syllabi as if I were actually teaching these courses—and I would actually be very excited to teach them. They encompass, I think, most of what I know that is most relevant to my research, including a lot of things that I did not know until I put these syllabi together, found gaps in my knowledge that I was not satisfied with, and filled them. (I would also like to teach creative writing, but alas.)
You might notice that the readings include both actual papers and science journalism, in some cases science journalism about papers that are also included. (This actually came up as a question during my exam!) Including both was a very intentional choice: science journalism—specifically, Popular Science and then MIT Technology Review—was the first context in which I read about and got excited about research. I still get most of my science news from popular science journalism, especially in fields that I am curious about but am not doing research in. My hope, if I were actually teaching these courses, is that offering both research articles and popular science would
allow students who are just starting to learn about infectious disease to engage in the class, hopefully leading to increasing comfort and a transition to the primary literature as the semester goes on,
give students who are confused about or lost in a paper a way to get untangled (and teach students to seek out ways to get untangled), and
show students some of the many different ways of writing about science, and show them good (and possibly bad) examples of how to communicate both with their peers and with a broader audience.
You might also notice that I put these syllabi together in March—some of the work on COVID-19 is already out of date.
As an Amazon Associate I earn from qualifying purchases. The next few paragraphs of this blog post includes links with my Amazon referral code. If you click one and buy something, I get up to 4% of the price as commission. You don’t have to buy these books from Amazon—you can support local bookshops by buying books from Bookshop.org, or you can buy them used and donate them to or start or build a little lending library in your neighborhood, or you can not buy anything at all. You can also support me by buying merch of my art, by buying me a campground store decaf coffee, or by simply reading and enjoying. Thank you!
There are two books I reference a lot, because I like them a lot, that I highly recommend—
Regression and Other Stories (Analytical Methods for Social Research) by Andrew Gelman, Jennifer Hill, and Aki Vehtari:
We used Regression and Other Stories in OEB 201 (Introduction to experimental design and model building for ecologists and evolutionary biologists) with Professor Lizzie Wolkovich my first semester of my PhD. The class and the textbook were both extremely useful and enjoyable—definitely one of my most efficient and relevant learning experiences. Our version of the textbook was an earlier draft, spiral bound, years before it came out—we got to read it early and we got to contribute feedback that went into the final version, which I thought was a fun and special experience and a neat way to feel connected to a work that I greatly enjoyed reading. My copy is very, very dog-eared and highlighted and covered in notes and thoughts in every margin. I refer to it often whenever I need to do any modeling or think about experimental design.
Zoobiquity: The Astonishing Connection Between Human and Animal Health by Barbara Natterson-Horowitz and Kathryn Bowers:
Zoobiquity completely changed the way I think about the human experience and broadened my view of human disease—which was extremely valuable because human disease is the focus of my work. I got to be a Teaching Fellow a few years ago for three sections of HEB 1328 (Evolutionary Medicine: Comparative Perspectives on Medical, Surgical and Psychiatric Illness) with Professor Barbara Natterson-Horowitz. The lectures largely followed the book, which is nice because it means you can get a good part of the learning by reading it.
Evolutionary Perspectives on Human Disease
Immune systems, infection, and inherited disease across life.
This is a lecture-based class introducing the human immune system from a comparative perspective, along with some of the diseases our immune systems help us fight or can cause. We will learn about immune systems across life, in bacteria, plants, humans, and non-human animals—and how comparing immune systems allows us to better understand zoonotic transmission of disease. We will then look at some examples of infectious disease and inherited disease in animals and plants, and how animal parallels of human disease have helped us solve our own, human mysteries and make strides in medicine. Finally, we will look at how pathogens and their hosts impact each other’s evolution, and how human evolution has been impacted by disease.
We will meet on Tuesdays and Thursdays. Every week, you are responsible for reading your choice of two of the other listed texts closely enough to be an expert, and emailing me one generous tweet-length response to each text that you choose (≤250 words each). For the last 15 minutes of each lecture, I will display two responses on the projector and we will discuss them as a class. Highlighted texts are strongly recommended.
In lieu of a final exam, you will choose your favorite of your peers’ “tweets” that we discussed in class (not your own) and use it as a jumping-off point to write a 1,000- to 2,000-word response drawing from the texts and from class discussion.
By the end of this course, you will have a broad understanding of immune systems and disease across life, and (hopefully) the value of knowing it all.
The Immune System
Week 1: The Human Immune System
“Understanding the Immune System: How It Works,” published by the NIH in 2003 [link]
“The immune system,” published in Essays in Biochemistry in 2016 [link]
“Overview of the human immune response,” published in The Journal of Allergy and Clinical Immunology in 2006 [link]
Week 2: Bacterial Immune Systems
“The Origin of the Bacterial Immune Response,” Chapter 1 of Self and Nonself, 2012 [link]
“Systematic discovery of antiphage defense systems in the microbial pangenome,” published in Science in 2018 [link]
“Temperate Bacterial Viruses as Double-Edged Swords in Bacterial Warfare,” published in PLOS ONE in 2013 [link]
“Viruses Have Their Own Version of CRISPR,” published in The Atlantic in 2016 [link]
Week 3: Plant Immune Systems
“The plant immune system,” published in Nature in 2016 [link]
“Origin and evolution of the plant immune system,” published in New Phytologist in 2019 [link]
Week 4: Animal Immune Systems and Evolution
“Comparative Immune Systems in Animals,” published in Annual Review of Animal Biosciences in 2014 [link]
“Origin and Evolution of Adaptive Immunity,” published in Annual Review of Animal Biosciences in 2014 [link]
“Evolution of Immune Systems From Viruses and Transposable Elements,” published in Frontiers in Microbiology in 2019 [link]
Week 5: Vector Immune Systems and Zoonotic Transmission
“The Immune Responses of the Animal Hosts of West Nile Virus: A Comparison of Insects, Birds, and Mammals,” published in Frontiers in Cellular and Infection Microbiology in 2018 [link]
“Mosquito Vectors and the Globalization of Plasmodium falciparum Malaria,” published in Annual Review of Genetics in 2016 [link]
“Host phylogenetic distance drives trends in virus virulence and transmissibility across the animal-human interface,” published in Philosophical Transactions of the Royal Society B: Biological Sciences in 2019 [link]
“Surprise! British Red Squirrels Carry Leprosy,” published in The Atlantic in 2016 [link]
“Is It Possible to Predict the Next Pandemic?” published in The Atlantic in 2017 [link]
Week 6: Bats as Disease Vector
“Why Are Bats’ Immune Systems Totally Different From Any Other Mammal’s?” published in Popular Science in 2015 [link]
“Bats’ immune defenses may be why their viruses can be so deadly to people,” published in Science News in February 2020 [link]
“Accelerated viral dynamics in bat cell lines, with implications for zoonotic emergence,” published in eLife in 2019 [link]
“Dampened NLRP3-mediated inflammation in bats and implications for a special viral reservoir host,” published in Nature Microbiology in 2019 [link]
Infectious Disease Across Life
Week 7: Infectious Disease Across Life
“The Koala and the Clap: The Hidden Power of Infection,” Chapter 10 of Zoobiquity
“Plant and pathogen warfare under changing climate conditions,” published in Current Biology in 2018 [link]
“How Viruses Cooperate to Defeat CRISPR,” published in The Atlantic in 2018 [link]
“The Viruses That Eavesdrop on Their Hosts,” published in The Atlantic in 2018 [link]
Week 8: Extinctions and Mass Mortality Events
“Recent shifts in the occurrence, cause, and magnitude of animal mass mortality events,” published in PNAS in 2015 [link]
“A Starfish-Killing Disease Is Remaking the Oceans,” published in The Atlantic in 2019 [link]
“Why Did Two-Thirds of These Weird Antelope Suddenly Drop Dead?,” published in The Atlantic in 2018 [link]
“What We Can Learn From the Near-Death of the Banana,” published in Time Magazine in 2019 [link]
The Chytrid Fungus:
“Amphibian fungal panzootic causes catastrophic and ongoing loss of biodiversity,” published in Science in 2019 [link]
“The Worst Disease Ever Recorded,” published in The Atlantic in 2019 [link]
“The Cascading Consequences of the Worst Disease Ever,” published in The Atlantic in February 2020 [link]
Inherited Disease Across Life
Week 9: Inherited Disease Across Life
Heart Disease:
“The Feint of Heart: Why We Pass Out,” Chapter 2 of Zoobiquity
“Scared to Death: Heart Attacks in the Wild,” Chapter 6 of Zoobiquity
Mental Health:
“Grooming Gone Wild: Pain, Pleasure, and the Origins of Self-Injury,” Chapter 8 of Zoobiquity
“Fear of Feeding: Eating Disorders in the Animal Kingdom,” Chapter 9 of Zoobiquity
“A Landmark Study on the Origins of Alcoholism,” published in The Atlantic in 2018 [link]
Cancer:
“Jews, Jaguars, and Jurassic Cancer: New Hope for an Ancient Diagnosis,” Chapter 3 of Zoobiquity
“Elephants Have a Secret Weapon Against Cancer,” published in The Atlantic in 2018 [link]
Diabetes:
“The Blind Fish That Should Have Diabetes, But Somehow Doesn’t,” published in The Atlantic in 2018 [link]
Week 10: Allergy and Autoimmune Diseases
Allergies:
“Comparative Immunology of Allergic Responses,” published in Annual Reviews in 2015 [link]
“Early life factors that affect allergy development,” published in Nature Reviews Immunology in 2017 [link]
“Pet-keeping in early life reduces the risk of allergy in a dose-dependent fashion,” published in PLOS ONE in 2018 [link]
“Comparisons of Allergenic and Metazoan Parasite Proteins: Allergy the Price of Immunity,” published in PLOS Computational Biology in 2015 [link]
“Interactions between helminth parasites and allergy,” published in Current Opinion in Allergy and Clinical Immunology in 2009 [link]
Autoimmunity:
“Human autoimmune diseases: a comprehensive update,” published in The Journal of Internal Medicine in 2015 [link]
“Thymic tolerance as a key brake on autoimmunity,” published in Nature Immunology in 2018 [link]
“Regulatory T cells in autoimmune disease,” published in Nature Immunology in 2018 [link]
“Narcolepsy confirmed as autoimmune disease,” published in Nature News in 2013 [link]
Co-Evolution of the Human Immune System and Infectious Agents
Week 11: Co-Evolution of Microbial Pathogens and Their Hosts
“Rapid evolution of microbe-mediated protection against pathogens in a worm host,” published in The International Society for Microbial Ecology Journal in 2016 [link]
“The evolution of the host microbiome as an ecosystem on a leash,” published in Nature in 2017 [link]
“Harnessing the Power of Defensive Microbes: Evolutionary Implications in Nature and Disease Control,” published in PLOS Pathogens in 2016 [link]
“Some Microbes Have Been With Us Since Before We Existed,” published in The Atlantic in 2017 [links]
Relationships Between Bacteriophages, Bacteria, and the Human Immune System:
“Virus tricks the immune system into ignoring bacterial infections,” Nature News in 2019 [link]
“Bacteriophage trigger antiviral immunity and prevent clearance of bacterial infection,” published in Science in 2019 [link]
“We Might Absorb Billions of Viruses Every Day,” published in The Atlantic in 2017 [link]
Week 12: Human Evolution and Disease
“Signatures of Environmental Genetic Adaptation Pinpoint Pathogens as the Main Selective Pressure through Human Evolution,” published in PLOS Genetics in 2011 [link]
“Natural selection contributed to immunological differences between hunter-gatherers and agriculturalists,” published in Nature Ecology and Evolution in 2019 [link]
“How Viruses Infiltrated Our DNA and Supercharged Our Immune System,” published in The Atlantic in 2016 [link]
“Migrating microbes: what pathogens can tell us about population movements and human evolution,” published in Annals of Human Biology in 2017 [link]
Plasmodium falciparum and Sickle Cell:
“How Malaria Has Affected the Human Genome and What Human Genetics Can Teach Us about Malaria,” published in The American Journal of Human Genetics in 2005 [link]
“Sickle-cell mystery solved,” Nature News in 2011 [link]
“Hemoglobins S and C Interfere with Actin Remodeling in Plasmodium falciparum–Infected Erythrocytes,” published in Science in 2011 [link]
The Evolution of the Placenta:
“The Viruses That Made Us Human,” published by PBS in 2016 [link]
“Retroviruses and the Placenta,” published in Current Biology in 2012 [link]
“The placenta goes viral: Retroviruses control gene expression in pregnancy,” published in PLOS Biology in 2018 [link]
Microbial Inhabitants and Infectious Agents of the Human Body
Overview of common viruses, bacteria, and eukaryotes, pathogenic and not, and a history of disease outbreaks.
This class is an introduction to our neighbors in the human body: common viruses, bacteria, and eukaryotes—helpful, neutral, pathogen, or some combination of the three—that we share our bodies and our lives with, and which have profound impacts on both.
At the end of this course, you should have a broad understanding of the kinds of microbes that live in the human body and how they affect our health. You should also have a perspective and opinion on disease outbreaks throughout history, and the lessons we have hopefully learned from them. Finally, you should be able to critically read primary literature and use it to contribute to the broad conversation about human health in both speech and writing.
We meet on Mondays and Wednesdays. On Mondays, this is a lecture class, covering the texts and the topics listed below. On Wednesdays, this is a fast-paced discussion-based class. Every Wednesday meeting starts with a prescribed question, then progresses to your questions, switching topics at any ≥30-second lull in conversation.
The first week, I would like you to read all five papers. Every week after, you are responsible for reading at least two of the provided texts closely enough to be an expert, and for skimming or lightly reading at least three of the others to whatever extent is necessary for you to be able to respond to arguments and carry on intelligent conversation. In both cases, you are expected to go beyond what we cover in the Monday lecture. Come to class on Wednesday with at least three unique and interesting questions about the text(s) you choose to focus on or their implications to discuss with your colleagues. Highlighted texts are strongly recommended.
This class is a safe space. Please feel welcome to share your questions, thoughts, and opinions, even ones that seem “dumb” or “wrong.” We will work through them with empathy together as a class. To enable this atmosphere, please approach debate and discussion with empathy and enthusiasm, and remember that we are growing together and through each other. One of my favorite professors in undergrad started the semester distinguishing uncomfortable and unsafe. Fruitful discussion and growth can, at times, feel uncomfortable. If at any point this class makes you feel unsafe, let me know.
In lieu of a final exam, you will choose your favorite question proposed by a classmate (not by me and not by you) and write a 500- to 1500-word response to it drawn from the text and from class discussion. I will compile all responses into one anonymized document, and you will choose at least three classmates’ thoughts to respond to in generous tweet-length (≤250 words).
We include both scientific papers and publications from other media. I hope that every week, we will have a balance of experts in all texts in all formats, and that we start every new week more knowledgable and thoughtful than we were the week before.
Introduction
Week 1: A Bird’s-Eye View
“Introduction to Pathogens,” from Molecular Biology of the Cell, published in 2002 [link]
“Cell Biology of Infection,” from Molecular Biology of the Cell, published in 2002 [link]
“Visualizing the History of Pandemics,” published in Visual Capitalist on March 14, 2020 [link]
“The Microbiome and Human Biology,” published in Annual Review of Genomics and Human Genetics in 2017 [link]
“Highlights from studies on the gut microbiome,” published in Nature Outlook in January 2020 [link]
Neutral or Helpful Inhabitants
Week 2: The Microbiome, and Occasionally Helpful Parasites
The Microbiome:
“Man and the Microbiome: A New Theory of Everything?” published in Annual Review of Clinical Psychology in 2019 [link]
“No Vacancy: How beneficial microbes cooperate with immunity to provide colonization resistance to pathogens,” published in The Journal of Immunology in 2015 [link]
“When Poop Becomes Medicine,” published in The Atlantic in 2018 [link]
“A Probiotic Skin Cream Made With a Person’s Own Microbes,” published in The Atlantic in 2017 [link]
“The Hottest New Cancer Drugs Depend on Gut Microbes,” published in The Atlantic in 2015 [link]
“How Bacteria Could Protect Tumors From Anticancer Drugs,” published in The Atlantic in 2017 [link]
“A Tiny Tweak to Gut Bacteria Can Extend an Animal’s Life,” published in The Atlantic in 2017 [link]
Parasites:
“Friendly foes: The evolution of host protection by a parasite,” published in Evolution Letters in 2017 [link]
“Parasites inside your body could be protecting you from disease,” published in The Conversation [link]
“Helminth infection, fecundity, and age of first pregnancy in women,” published in Science in 2015 [link]
Week 3: GB Virus C, a Helpful Virus
“GB virus C: the good boy virus?” published in Trends in Microbiology in 2012 [link]
“Effect of early and late GB virus C viraemia on survival of HIV-infected individuals: a meta-analysis,” published in HIV Medicine in 2006 [link]
“GBV-C/HIV-1 coinfection is associated with low HIV-1 viral load and high CD4+ T lymphocyte count,” published in Archives of Virology in 2017 [link]
“Pegivirus avoids immune recognition but does not attenuate acute-phase disease in a macaque model of HIV infection,” published in PLOS Pathogens in 2017 [link]
“Fighting the Public Health Burden of AIDS With the Human Pegivirus,” published in American Journal of Epidemiology in May 2019 [link]
“GB Virus C Coinfections in West African Ebola Patients,” published in Journal of Virology in 2015 [link]
Harmful Inhabitants
Week 4: The Common Cold and Influenza (and why they won’t go away)
The Common Cold:
“Rhinoviruses,” Chapter 238 of Principles and Practice of Pediatric Infectious Diseases, 2018 [link]
“Human Coronaviruses,” Chapter 222 of Principles and Practice of Pediatric Infectious Diseases, 2018 [link]
“Adenoviruses,” Chapter 210 of Principles and Practice of Pediatric Infectious Diseases, 2018 [link]
“The Economic Burden of Non–Influenza-Related Viral Respiratory Tract Infection in the United States,” published in Archives of Internal Medicine in 2013 [link]
“Why Haven’t We Cured the Common Cold Yet?” published in Scientific American in 2018 [link]
Curing the Common Cold:
“Scientists think the common cold may at last be beatable,” published in STAT in 2016 [link]
“A polyvalent inactivated rhinovirus vaccine is broadly immunogenic in rhesus macaques,” published in Nature Communications in 2016 [link]
“Scientists close in on a cure for the common cold,” published in Stanford Medicine Scope in 2019 [link]
“Enterovirus pathogenesis requires the host methyltransferase SETD3,” published in Nature Microbiology in 2019 [link]
Influenza:
“Influenza Viruses,” Chapter 229 of Principles and Practice of Pediatric Infectious Diseases, 2018 [link]
“Plague genome: The Black Death decoded,” Nature News 2011 [link]
“Yersinia pestis and the plague of Justinian 541-543 AD: a genomic analysis,” published in 2014 [link]
“A draft genome of Yersinia pestis from victims of the Black Death,” published in Nature in 2011 [link]
Smallpox:
“A time transect of exomes from a Native American population before and after European contact,” published in Nature in 2016 [link]
“How Europeans brought sickness to the New World,” Science News 2015 [link]
Typhoid Mary:
“Mary Mallon (1869-1938) and the history of typhoid fever,” published in the Annals of Gastroenterology in 2013 [link]
“Typhoid Mary’s tragic tale exposed the health impacts of ‘super-spreaders’,” published in National Geographic in March 2020 [link]
“A Life in Pursuit of Health,” about Josephine Baker, published in The New York Times in 2013 [link]
And a Few Other Superspreaders:
“Extensive Transmission of Mycobacterium tuberculosis from a Child,” published in The New England Journal of Medicine in 1999 [link]
“Party Zero: How a Soirée in Connecticut Became a ‘Super Spreader,’” published in The New York Times on March 23, 2020 [link]
Week 6: Plasmodium/Malaria
“Plasmodium Species (Malaria),” Chapter 271 of Principles and Practice of Pediatric Infectious Diseases, 2018 [link]
“About Malaria,” CDC, especially “FAQs” [link], “Disease” [link], “Biology” [link], “Where Malaria Occurs” [link], and “Malaria’s Impact Worldwide” [link]
“The History of Malaria, an Ancient Disease,” by the CDC [link]
“Greater political commitment needed to eliminate malaria,” published in Infectious Diseases of Poverty in 2019 [link]
“Malaria Genomics in the Era of Eradication,” published in Cold Spring Harbor Perspectives in Medicine in 2017 [link]
How Malaria Spread to Humans and Around the World:
“Resurrection of the ancestral RH5 invasion ligand provides a molecular explanation for the origin of P. falciparum malaria in humans,” published in PLOS Biology in 2019 [link]
“Human migration and the spread of malaria parasites to the New World,” published in Nature in 2018 [link]
Acquired Immunity:
“Quantification of anti-parasite and anti-disease immunity to malaria as a function of age and exposure,” published in eLife in 2018 [link]
“Malaria: Age, exposure and immunity,” in eLife as an Insight, 2018 [link]
“Host-mediated selection impacts the diversity of Plasmodium falciparum antigens within infections,” published in Nature Communications in 2018 [link]
Week 7: Hepatitis A
“Hepatitis A Virus,” Chapter 237 of Principles and Practice of Pediatric Infectious Diseases, 2018 [link]
“Widespread outbreaks of hepatitis A across the United States,” CDC, March 2020 [link]
“Increase in Hepatitis A Virus Infections – United States, 2013-2018,” CDC, 2019 [link]
“Summary of reported hepatitis A cases linked to person-to-person outbreak, Massachusetts, April 1, 2018-March 6, 2020,” MA DPH [link]
“Forgotten but Not Gone: Learning From the Hepatitis A Outbreak and Public Health Response in San Diego,” published in Topics in Antiviral Medicine in 2019 [link]
“Molecular Genotyping of Hepatitis A Virus, California, USA, 2017–2018,” published in Emerging Infectious Diseases in 2019 [link]
“Emergence of Hepatitis A Virus Genotype IIIA during an Unprecedented Outbreak in New Hampshire, 2018-2019,” unpublished
Bathroom Access:
“An outbreak waiting to happen: Hepatitis A marches through San Diego’s homeless community,” published in STAT in 2017 [link]
“After crackdown on tent city, homeless recount Hepatitis horror stories,” published in the San Diego Union-Tribune in 2017 [link]
“Hepatitis A outbreak sparks call for L.A. to give homeless people more street toilets,” published in The Los Angeles Times in 2017 [link]
“The Politics of Going to the Bathroom,” published in The Nation in 2019 [link]
Herd Immunity and Co-Infections:
“Notes from the Field: Acute Hepatitis A Virus Infection Among Previously Vaccinated Persons with HIV Infection – Tennessee, 2018,” CDC, 2019 [link]
“Herd Immunity Likely Protected the Men Who Have Sex With Men in the Recent Hepatitis A Outbreak in San Diego, California,” published in Clinical Infectious Diseases in 2019 [link]
Week 8: HIV/AIDS
The Virus:
“Introduction to Retroviridae” Chapter 231 [link] and “Human Immunodeficiency Virus” Chapter 233 [link] of Principles and Practice of Pediatric Infectious Diseases, 2018
History:
“HIV epidemiology. The early spread and epidemic ignition of HIV-1 in human populations,” published in Science in 2014 [link]
“Origins of HIV and the AIDS Pandemic,” published in Cold Spring Harbor Perspectives in Medicine in 2011 [link]
“Response to the AIDS Pandemic—A Global Health Model,” published in The New England Journal of Medicine in 2013 [link]
“The Reagan Administration’s Unearthed Response to the AIDS Crisis is Chilling,” published in Vanity Fair in 2015 [link]
“How the Media, the White House, and Everyone Else Failed AIDS Victims in the 80s,” published in VICE in 2016 [link]
“Long-term survivors of HIV/AIDS reflect on what they’ve witnessed and endured,” published on PBS in February 2020 [link]
HIV/AIDS today:
“Today’s HIV/AIDS Epidemic,” CDC Fact Sheet published in 2016 [link]
“Ending AIDS? These three places show the epidemic is far from over,” published in Science News in 2018 [link]
Curing HIV:
“Loss and Recovery of Genetic Diversity in Adapting Populations of HIV,” published in PLOS Genetics in 2014 [link]
“Second person cured of HIV is still free of active virus two years on,” in CNN on March 11, 2020 [link]
“Evidence for HIV-1 cure after CCR5Δ32/Δ32 allogeneic haemopoietic stem-cell transplantation 30 months post analytical treatment interruption: a case report,” published in The Lancet on March 10, 2020 [link]
“Sequential LASER ART and CRISPR Treatments Eliminate HIV-1 in a Subset of Infected Humanized Mice,” published in Nature Communications in 2019 [link]
Week 9: Viral Hemorrhagic Fevers: Ebola and Lassa
“Filoviruses and Arenaviruses,” Chapter 230 of Principles and Practice of Pediatric Infectious Diseases, 2018 [link]
Lessons from sequencing Ebola and Lassa:
“An Outbreak of Ebola Virus Disease in the Lassa Fever Zone,” published in The Journal of Infectious Diseases in 2016 [link]
“Clinical Sequencing Uncovers Origins and Evolution of Lassa Virus,” published in Cell in 2015 [link]
“Genomic surveillance elucidates Ebola virus origin and transmission during the 2014 outbreak,” published in Science in 2014 [link]
“Ebola Virus Epidemiology, Transmission, and Evolution during Seven Months in Sierra Leone,” published in Cell in 2015 [link]
“Ebola Virus Epidemiology and Evolution in Nigeria,” published in The Journal of Infectious Diseases in 2016 [link]
“Temporal and spatial analysis of the 2014–2015 Ebola virus outbreak in West Africa,” published in Nature in 2015 [link]
“Rapid outbreak sequencing of Ebola virus in Sierra Leone identifies transmission chains linked to sporadic cases,” published in Virus Evolution in 2016 [link]
“The evolution of Ebola virus: Insights from the 2013–2016 epidemic,” published in Nature in 2016 [link]
Ebola adaptations to host:
“Virus genomes reveal factors that spread and sustained the Ebola epidemic,” published in Nature in 2017 [link]
“Ebola Virus Glycoprotein with Increased Infectivity Dominated the 2013-2016 Epidemic,” published in Cell in 2016 [link]
Week 10: Genomic Epidemiology and Modern Outbreak Response
“Tracking virus outbreaks in the twenty-first century,” published in Nature Microbiology in January 2020 [link]
“Precision epidemiology for infectious disease control,” published in Nature Medicine in 2019 [link]
“Real-time digital pathogen surveillance — the time is now,” published in Genome Biology in 2015 [link]
Ebola:
“Knowledge of Ebola is the weapon to fight it,” published in The Boston Globe in 2014 [link]
“Roots, Not Parachutes: Research Collaborations Combat Outbreaks,” published in Cell in 2016 [link]
“Lessons from Ebola: Improving infectious disease surveillance to inform outbreak management,” published in Science Translational Medicine in 2015 [link]
Zika and mumps:
“Combining genomics and epidemiology to track mumps virus transmission in the United States,” published in PLoS Biology in February 2020 [link]
“Zika virus evolution and spread in the Americas,” published in Nature in 2017 [link]
“Genomic epidemiology reveals multiple introductions of Zika virus into the United States,” published in Nature in 2017 [link]
Week 11: Difficult Decisions and a Case Study in Progress: Coronavirus Outbreak Response
Genomic research:
“Data Sharing and Open Source Software Help Combat Covid-19,” published in WIRED on March 13, 2020 [link]
“Genome Composition and Divergence of the Novel Coronavirus (2019-nCoV) Originating in China,” published in Cell on March 11, 2020 [link]
“Probable pangolin origin of SARS-CoV-2 associated with the COVID-19 outbreak,” to be published in Cell in March 2020 [link]
“The proximal origin of SARS-CoV-2,” published in Nature Medicine on March 17, 2020 [link]
“Why the Coronavirus Has Been So Successful,” published in The Atlantic on March 20, 2020 [link]
Social measures against disease spread:
“Impact of non-pharmaceutical interventions (NPIs) to reduce COVID19 mortality and healthcare demand,” published by the Imperial College COVID-19 Response Team on March 16, 2020 [link]
“Review of Ferguson et al ‘Impact of non-pharmaceutical interventions…’” published by New England Complex Systems Institute on March 17, 2020 [link]
“The Korean Clusters,” published in Reuters on March 3, 2020 [link]
“The U.K.’s Coronavirus ‘Herd Immunity’ Debacle,” published in The Atlantic on March 16, 2020 [link]
Governmental and organizational outbreak response; economic impact and tradeoffs:
“The 4 Key Reasons the U.S. Is So Behind on Coronavirus Testing,” published in The Atlantic on March 13, 2020 [link]
“You’re Likely to Get the Coronavirus,” published in The Atlantic in February 2020 [link]
“A fiasco in the making? As the coronavirus pandemic takes hold, we are making decisions without reliable data,” published in STAT on March 17, 2020 [link]
The Daily podcast:
“Why the U.S. Wasn’t Ready for the Coronavirus” on March 11, 2020 [link]
“Learning to Live with the Coronavirus” on March 13, 2020 [link]
“Why This Recession Will Be Different” on March 16, 2020 [link]
Week 12: Disease Surveillance in the Age of Surveillance
Influenza:
“nextflu: real-time tracking of seasonal influenza virus evolution in humans,” published in Bioinformatics in 2015 [link]
“Flu Near You: Crowdsourced Symptom Reporting Spanning 2 Influenza Seasons,” published in American Journal of Public Health in 2015 [link]
“Comparison of crowd-sourced, electronic health records based, and traditional health-care based influenza-tracking systems at multiple spatial resolutions in the United States of America,” published in BMC Infectious Diseases in 2018 [link]
Coronavirus:
“This is how the CDC is trying to forecast coronavirus’s spread,” published in MIT Technology Review on March 13, 2020 [link]
“We’re not going back to normal,” published in MIT Technology Review on March 17, 2020 [link]
“Singapore is the model for how to handle the coronavirus,” published in MIT Technology Review on March 12, 2020 [link]
“To Track Coronavirus, Israel Moves to Tap Secret Trove of Cellphone Data,” published in The New York Times on March 16, 2020 [link]
Introduction to Data Analysis Methods for Biological Inference
Seminar on experimental design, modeling, working with multiple variables, wrangling messy data, genomic sequencing, and popular techniques and tools in computational biology.
This class is an introduction to some of the tools of computational biology. We will look at statistical tests and learn how to disentangle the effects of multiple variables. We will learn how to do genome-wide association studies and principal component analysis. We will learn about how genomic sequencing works, and look at how it can be used for diagnosis or discovery of novel organisms. Finally, we will learn how to use genomic sequencing to trace disease transmission. By the end of this course, you should have the tools you need to analyze your own or publicly available data.
We meet on Tuesdays and Fridays. Tuesdays are lectures on the topics and texts listed. Highlighted texts are strongly recommended. On Fridays, we meet for an extended workshop to apply the week’s tools to publicly available data or to data that you bring with you to class (except in Week 7, when we will generate new sequence data). Before every Friday, you are responsible for writing a short proposal for the week, including what dataset you plan to analyze, what tools you plan to use for what analyses, and any hypotheses you have (≤500 words). At the end of the semester, you will choose whichever workshop was most inserting or successful for you to extend into a short final project, which you can work on alone or in a group. On the last Friday of class we will go around the room and briefly summarize our analyses and findings in an informal setting over snacks.
Week 1: Experimental Design, Statistical Tests, Data Visualization
Experimental Design:
“Experimental Design,” Chapter 7 of MIT’s 6.S085 Statistics for Research Projects course notes [link]
Statistical Tests, from the Handbook of Biological Statistics, 2014:
“Visualization of multiple alignments, phylogenies and gene family evolution,” published in Nature Methods in 2010 [link]
Notes on P-Values:
“The fickle P value generates irreproducible results,” published in Nature Methods in 2015 [link]
“Aligning statistical and scientific reasoning,” published in Science in 2016 [link]
“Measurement error and the replication crisis,” published in Science in 2017 [link]
Week 2: Modeling the Effects of a Single or Multiple Variables: Part I
Regression and Other Stories (to be published in 2020):
Chapter 5: “Background on regression modeling”
Chapter 6: “Linear regression with a single predictor”
Chapter 8: “Linear regression with multiple predictors”
Chapter 9: “Transformations and model building”
Week 3: Modeling the Effects of a Single or Multiple Variables: Part II
Regression and Other Stories (to be published in 2020):
Chapter 10: “Logistic regression”
Chapter 11: “Generalized linear models”
Chapter 14: “Missing-data imputation”
Chapter 15: “Using, evaluating, and comparing models”
Appendix A: “Six quick tips to improve your regression modeling”
Week 4: Genome-Wide Association Studies, Part I
GWAS in Action:
“10 Years of GWAS Discovery: Biology, Function, and Translation,” published in The American Journal of Human Genetics in 2017 [link]
“Benefits and limitations of genomewide association studies,” published in Nature in 2019 [link]
Understanding and Using GWAS:
“Microarrays – DNA Chips,” 2017 [link] and “DNA Microarray,” 2012 [link]
“PLINK: A Tool Set for Whole-Genome Association and Population-Based Linkage Analyses,” published in The American Journal of Human Genetics in 2007 [link]
“Methods and Tools in Genome-wide Association Studies,” Chapter 5 of Computational Cell Biology, 2018 [link]
Week 5: Genome-Wide Association Studies, Part II
“Population genetics and GWAS: A primer,” published in PLOS Biology in 2018 [link]
From Principles of Population Genetics, 2007:
Chapter 9.1: “Evolution of Genome Size and Composition”
Chapter 9.2 “Genome-Wide Patterns of Polymorphism”
Chapter 9.3: “Differences Between Species”
Chapter 10.1: “Human Polymorphism”
Chapter 10.2: “Population Genetic Inferences from Human SNPs”
Chapter 2.5: “Linkage and Linkage Disequilibrium”
Chapter 2.6: “Causes of Linkage Disequilibrium”
Chapter 10.3: “Linkage Disequilibrium across the Human Genome”
Chapter 10.7: “Seeking Signatures of Human-Specific Genetic Adaptations”
Week 6: Principal Component Analysis (PCA)
PCA in Action:
“Genes mirror geography within Europe,” published in Nature in 2008 [link]
“Spatial population genomics of the brown rat (Rattus norvegicus) in New York City,” published in Molecular Ecology in 2018 [link]
“Urban rat races: spatial population genomics of brown rats (Rattus norvegicus) compared across multiple cities,” published in Proceedings of the Royal Society B: Biological Sciences in 2018 [link]
Understanding and Using PCA:
“PCA in R Using FactoMineR: Quick Scripts and Videos,” 2017 [link]
“A Step by Step Explanation of Principal Component Analysis,” 2019 [link]
“PCA: A Practical Guide to Principal Component Analysis in R & Python,” 2016 [link]
Last Sunday (June 28th) at around 10 am after Zoom yoga with my mom I noticed that I had a sore throat and that it kind of hurt to speak. Especially because both my partner Cory and our roommate Helen sometimes have to go to work in person we decided that it would be wise for me to get tested for COVID-19, preferably immediately.
Next, I called the test center using the phone number provided on the map, initially to verify their testing hours and because the map told me to. This phone call was at 11:05 am and lasted 5 minutes and 24 seconds. We scheduled a test for noon, because Cory wanted to drink his coffee in peace before leaving the apartment, and the person on the phone gave me clear instructions on how to drive or walk to the test site and a phone number to call when we got there.
Some test sites require an appointment, while others are walk-in. I have heard anecdotally about wait times between 5 minutes and 1-2 hours. Test sites also vary in whom they will test. At the time when I called, Mount Auburn was only testing people who have symptoms (including very mild symptoms); that might have changed since then. There are other test centers that are testing everyone, including people without symptoms.
I also asked about cost. I was told that if you do not have insurance, Mount Auburn will not charge you; if you do have insurance, then your insurance is required to pay for a “medically necessary” COVID-19 test, at least in Massachusetts. (There is more (and up-to-date) information about insurance and COVID-19 testing in Massachusetts here.) The person on the phone advised me to call my primary care provider and ask them to order the test to be absolutely certain that my insurance would pay for it. It was Sunday, so I did not do that. (I also couldn’t find the insurance nurse on call in my insurance’s phone menu.) I have not yet had any problems; hopefully I don’t get a bill.
2. Get the test
Mount Auburn is about a ten-minute drive from us or a half-hour walk. We decided to drive, because the testing site was set up as a drive-through, but we also could have gone on foot. We followed the instructions I was given over the phone, which took us through a garage to internal doors to the hospital. We parked at a labelled COVID-19 test parking spot with a sign on the wall instructing us to stay in the car and call an intake number. There were no other cars there for COVID-19 testing.
The intake phone call was at 11:47 am and lasted 2 minutes and 47 seconds. I was asked to select from a list of symptoms and verify my name, date of birth, address, and primary care provider. I had previously visited this hospital, as well as the Cambridge Health Alliance hospital, so Mount Auburn already had my insurance and other information.
Near our parking spot in the garage was a table set up with test materials, a folding chair for anyone who came for the test on foot, and a room with a computer past that. During the intake phone call a person in full PPE (mask, face shield, PPE bodysuite, gloves) appeared from this room and asked me to roll the window down. After the intake phone call was over (and, I am guessing, the conveyance of the information from the phone call to the person in full PPE), the person in PPE brought over a long q-tip, talked with me about what was about to happen, lowered my mask to uncover my nose, and administered the test. Then she wished me to feel better soon, told me when to expect the result (that same day, possibly in as few as 4-5 hours because I already had a MyChart account through CHA) and gave me an informational sheet, and we drove off.
I had heard some things about the test itself. I knew to expect the long q-tip, and I knew it was going to go way farther up my nose than I thought was possible. I expected that I would need to get out of the car (I didn’t), I expected that I would need to lean my head back (I didn’t), and for some reason I expected the test to be self-administered (it wasn’t). The whole thing took only a few seconds. It wasn’t actually scary, though I did make some hilariously undignified involuntary sounds as the person in full PPE inserted the long q-tip into (and into and into) my nose. One of Cory’s friends, who gets tested regularly for work, described the experience as the feeling you get when you’re eating pasta and it goes up your nose—I would say that this description is pretty accurate. That side of the back of my nose-throat cavity felt a bit weird for a few minutes afterward (like I’d gotten pasta up there), but the feeling went away or I forgot about it within ten minutes.
The person in PPE was very friendly. The whole thing was very friendly. It was not unpleasant at all, and it was extremely fast, both of which surprised me. We were home by 12:05 pm.
3. Wait for the result
The person who performed my test told me that Mount Auburn had just started doing their own testing, which made their turnaround time extremely fast (or at least I think it was extremely fast). The result came at 7:03 pm the same day. Negative, thankfully.
The wait was more uneasy than I expected. I kept my mask on from just after noticing my symptoms to getting the result, and I isolated myself in the bedroom with my mask on for the day until we could be certain I wasn’t going to infect Cory and Helen and their coworkers. This was lonelier than I expected. I spent an embarrassing amount of time nervously refreshing my MyChart account (I did need to activate a new account for Mount Auburn, through a link emailed to me at 11:50 am), but the nervous refreshing turned out to be unnecessary; I ended up getting an email immediately when the test result was posted to MyChart.
In summary, the whole thing was way faster and easier than I expected. Testing took one hour from phone call to being home again, including half an hour for relaxing at home with coffee and twenty minutes for driving, and results were ready in time for Cory and Helen to know they could safely go to work the next day.
about 10 am: noticed symptoms
11:05 am: initial phone call to schedule testing appointment, get directions to test site, and ask questions (5 minutes, 24 seconds)
morning coffee, chilling, and 10-minute drive to test site
11:47 am: intake phone call immediately upon pulling up to test site (2 minutes, 47 seconds—but would have been longer if they had not already had my insurance information)
L. A. K. 