A few weeks ago, I picked up Edward Hallowell’s Driven to Distraction after hearing someone say that it was “life changing” for them in dealing with an adult ADHD diagnosis. Combine that with the fact that one of our kiddos was recently diagnosed with ADHD and that I’ve long suspected I also have it, I figured it was time to do a bit of reading. I went in a bit skeptical. The book was published in 1994, after all.

What I wasn’t prepared for was how much I’d recognize myself in the pages. I encountered a number of passages that really resonated with me and provided some validation into how I’ve always felt, acted, approached things, and thought about problems. Some of the examples were so on the mark, I could have written them myself.

Take this passage that basically describes a frequent, near daily, experience:

“I can be working on a project at my desk, when, without really knowing it, I begin to think about some other idea my work suggests. Then I follow that thought, or I may even leave my desk to go get something, and by the time I’ve gone to get the thing, I’ve forgotten what it was I was going to get.”

That’s me, walking away from my workstation to pour a fresh cup of coffee, only to come back, forget what I was doing and then opening Jira to organize some tickets, because for some reason they need to be done right now.

Another section is about how ADHD brains handle creative thinking:

“When someone with ADD receives a stimulus of some sort—an image, a sentence, an idea, a person’s face, a question—he does not immediately put it in its ‘proper’ place. He doesn’t even know where that place is. So, for example, the water bill gets filed with concerns over a fishing trip, and the next thing you know an idea is being generated that has to do with entrepreneurial fishing expeditions.”

Again, this is another example that perfectly describes some past behaviors.

The book isn’t flawless, though. There are definitely some outdated and weird terms (using ADD instead of ADHD, also the number of times it describes someone with ADHD as a “spaceshot”), and some of the family dynamics and gender role assumptions feel very 1990s. A few examples made me cringe a bit with their stereotypical takes on household responsibilities and parenting roles.

All that said, it still managed to deliver really interesting insights. The sections on family dynamics were particularly eye-opening, especially around structure and negotiation. Hallowell talks about how people with ADHD sometimes pick fights just for the stimulation and it’s definitely a pattern we’ve patterns we’ve observed with our kiddo (related book review).

Hallowell’s insights about frustration tolerance helped give insight to some of the behaviors we’ve seen with our own little one:

“The process of negotiation is inherently difficult for someone with ADD because it entails bearing frustration. This is difficult for all people. But it is particularly difficult for the person with ADD who would rather deal with frustration by blowing it off, or by reaching closure too quickly—even if that means sabotaging his own interests—than by the excruciatingly painful ordeal of bearing with it.”

This explains so much about the meltdowns we see when our kiddo gets overwhelmed by too many options or when decisions need to be made collaboratively.

Another section of the book offered advice on how to deal with people who have ADHD. My favorite piece of advice was this:

“Make copious use of praise and positive feedback. More than most people, people with ADD blossom under the warmth of praise.”

Sidenote: A few months ago, we had a work retreat. One of the sessions involved exploring what motivates us. We all wrote down a bunch of things and then tried to examine why they might motivate us. From my notes:

So, yeah! That little passage hit me hard. I’ve always thrived on positive feedback and acknowledgment of good work. And it’s always made a huge difference in my motivation and confidence.

Driven to Distraction gets 4 out of 5 stars from me. It’s definitely showing its age in places, but the core insights remain incredibly valuable. If you’ve ever wondered why your brain seems to work differently from everyone else’s, or if you’re trying to understand someone in your life who might have ADHD, this book is worth the read.

Add this to my coffee confusion post from last year. A new study published in the European Heart Journal concludes that greater coffee intake (in the morning) was “significantly associated with a lower risk of all-cause mortality.”

Hey, that’s pretty cool!

From the journal article:

In their study published in this issue of the European Heart Journal, Wang et al.8 analysed the time of the day when coffee is consumed in 40 725 adults from the NHANES and of 1463 adults from the Women’s and Men’s Lifestyle Validation Study. They noticed two distinct patterns of coffee drinking, i.e. the morning-type pattern, present in around a third of participants, and a less common all-day-type pattern present in 14% of the participants. During a median follow-up of almost a decade, and after adjustment for caffeinated and decaffeinated coffee intake, the amounts of cups per day, sleep hours, and other confounders, the morning-type, rather than the all-day-type pattern, was significantly associated with lower risks of all-cause mortality with a hazard ratio of 0.84 and of cardiovascular mortality of even 0.69 as compared with non-coffee drinkers.

This is fantastic news — wait.

I am one of those “all-day” coffee drinkers.

February 27th, 2024, via the Washington Post:

One of the most striking findings is that coffee drinkers are less prone to developing Type 2 diabetes. Many large studies have found that people who drink three to four cups of coffee daily have about a 25 percent lower risk of the disease compared with people who drink little or no coffee. Your likelihood of developing diabetes decreases about 6 percent for each cup of coffee you consume daily — but only up to about six cups.

March 11th, 2024, via CNN:

Caffeine intoxication occurs when a person has dangerously high levels of caffeine in the system. It creates a spectrum of unpleasant and severe symptoms, such as trouble breathing and seizures. There are a few cases where people have died from caffeine intoxication.

[…]

Caffeine intoxication is more than the headache you get from drinking too much expresso. It happens when people ingest an excessive amount of caffeine. The US Food and Drug Administration defines this limit as anything more than 400 milligrams of caffeine daily for healthy adults. This is equivalent to four or five cups of coffee.

Given the current state of a global pandemic that can severely affect your health (and given the fact that we recently tested positive to the pathogen responsible), this book was an especially relevant read.

It’s an easy to read (and often hilarious) look into how our immune systems work. The incredible complexity of our bodies is amazing, but Dettmer uses all sorts of analogies to make things easy to digest.

For example:

“You can imagine the MHC class II receptor as a hot dog bun that can be filled with a tasty wiener. The wiener in this metaphor is the antigen. The MHC hot dog bun molecule is so important because it represents another security mechanism. Another layer of control.”

The book goes into various detail about how our bodies fight off bacterial and viral infections, the response to an allergic reaction, and how things like vaccines work.

In fact, the whole section on vaccines was especially interesting and particularly devastating to those of the crazy anti-vax persuasion. Prior to the COVID-19 epidemic, one of the biggest anti-vaccination campaigns was against the measles vaccine.

I’ll admit to not knowing much about measles and took it for granted that I was immunized from it. After reading this book, all I can think is, holy crap, what a horrible disease to have willingly chosen to get! Measles actively destroys your immune system and makes you lose immunity to other diseases.

“So in the end, being infected with measles erases the capacity of the immune system to protect you from the diseases that you overcame in the past. Even worse, a measles infection can wipe away the protection that you might have gained from other vaccines, since most vaccines create memory cells. Therefore, in the case of measles, what does not kill you makes you weaker, not stronger. Measles causes irreversible, long-term harm and it maims and kills children.”

Overall, this was a quick, easy and enjoyable book. Highly recommended!

Immune by Philipp Dettmer

Well, this was probably inevitable at this point.

There was an outbreak at our kid’s daycare center a week or so ago, and ended up bringing it home. Now, we’re all positive and hunkered down.

Definitely frustrating, as we’ve really tried to limit our interactions with others and keep the surface area of our bubble as small as possible. Outside of our youngest, we’re all max-vaxed, thankfully.

Here’s to hoping our symptoms are mild and that we’ll be better soon.

What a fantastic book about a horrible family.

The first half of the book is a true rags-to-riches story, following the life and rise of Arthur Sackler and his brothers. The son of an immigrant, he came of age during the Great Depression. This man could hustle and there was nothing that could stop him.

The second half is about the pharmaceutical company they purchased and ran. In the 90’s, they created a ridiculously powerful pain killer (OxyContin). In an effort to maximize profit, they pushed the drug onto unsuspecting patients and physicians despite knowing (and hiding) how addictive and dangerous it was.

The damage is jaw dropping. And like most crimes involving the ultra rich, the family members who ran the company (and used it as their personal piggy bank) got away with it.

At first glance, this book seems to be a biography of Jennifer Doudna, a biochemist and one of the pioneers of CRISPR research.

While there is some focus on her upbringing and the things that may have driven her to become a fantastic scientist, the book is really about the wide range of characters who helped discover CRISPR DNA sequences and their potential applications in modern medicine.

I’ve heard CRISPR and CRISPR-based technology mentioned in various things I’ve read and how it is something that could potentially revolutionize medicine. But that’s really all I know about it.

This book digs into how Jennifer and her team of researchers discovered the CRISPR process — essentially duplicating the way that bacteria has fought off viruses for eons — and how it could ultimately be used for various therapies, treatments and even diagnoses.

The book briefly mentions its use in the Moderna and Pfizer vaccines for COVID-19 as well as some of the more controversial and ethically questionable uses — editing the genes of a fetus, for example, to choose certain traits (which will then be passed down to its own children).

This was an enjoyable and informative read and it covered all sorts of things from the science of CRISPR, legal issues related to patents, and the use cases for CRISPR based technologies today.

Jab #2 is done. Let’s turn the page on this thing. 👊🏻

It’s crazy to think that as of this week, we (at least inside our house and at our respective companies) have been working from home for one year now. I don’t think that even in our wildest or scariest dreams, we thought that we would be doing this one year on.

In hindsight, it makes perfect sense, because of course. Of course no one would listen to social distancing guidelines. Of course wearing a mask would become a way to definitively predict your political preferences. Because, of course.

It’s interesting to go back and read through some of the emails our company had sent, giving us some guidance on our updating and ever changing work from home policy in the early days of the pandemic.

March 1st, 2020:

As you’ve most likely seen, Coronavirus, COVID-19, became more of a concern over the weekend as additional cases were reported. To date, there are more than 60 cases in the United States, including new cases in the Seattle area.

Our plan is to operate our business tomorrow (and for the foreseeable future) as close to normal as possible. It’s important to stress that your health is of utmost concern.

March 4th, 2020:

Based on local risk factors and active conversations with peer organizations, we are taking extra precautions around Seattle and the San Francisco Bay Area. We are encouraging employees to work from home (WFH) where possible in these offices through at least this Sunday, March 8, at which time we will re-evaluate. This guidance is voluntary. There are no plans to close any of our work locations at this time.

March 5th. 2020:

However, based on local risk factors and active conversations with peer companies, we are extending our guidance of encouraging employees to work from home (WFH), from Seattle and San Francisco to all other California offices. We are also extending the time-frame until next Friday, March 13. Going forward, we plan to update WFH guidance each Friday through the end of March.

We are also increasing limits on work travel to and from Seattle. Please do not travel to or from Seattle for work.

March 8th, 2020:

At this time, there continues to be no confirmed cases of Coronavirus among our workforce. However, out of an abundance of caution and ongoing monitoring of local situations, we are extending our guidance of encouraging employees to work from home (WFH) to our New York City and Phoenix offices. This is in addition to our continued WFH guidance for our California and Seattle offices. This WFH guidance is in effect until this Friday, March 13. We will update our guidance each Friday through the end of March.

March 10th, 2020:

However, based on the rate at which we’re seeing this unfold and recommendations of the CDC and other health organizations for ‘social distancing’, the Senior Leadership Team has decided to expand ‘encouraged work from home’ to all our offices starting tomorrow, March 11 through March 20, 2020. I want you to feel empowered to do what is best for you and your situation.

All of our offices will remain open and employees who feel comfortable coming in are able to do so. We will also continue with our increased, proactive cleaning protocols. During this time, we have advised teams to discontinue large group meetings and all employee lunches will be cancelled. Our offices are being cleaned regularly and are open for business when you need to be there.

March 16th, 2020 at 11:00 AM:

Based on recommendations from the CDC and other health organizations for ‘social distancing’, SLT has decided to expand our ‘encouraged work from home’ recommendation through at least April 10. Local conditions and school closures play an important part in our decisions about extending WFH guidance. With schools and businesses closing rapidly, we know this might impact you on a very personal level. Let’s work together. We all need to be flexible and understanding with each other right now.

Our offices remain open with elevated cleaning protocols, but we want to continue supporting guidance of ‘social distancing,’ so please only come into the office when necessary.

March 16th, 2020 at 1:49 PM:

As I’m sure many of you have already seen the article in the Chronicle asking folks in the Bay Area to shelter in place starting tomorrow Tuesday, 3/16 at 12:01AM. I want reiterate in light of COVID-19 concerns, we are encouraging our employees nationwide to work from home. The safety and well-being of our employees, customers and partners across the country is our highest priority, and we are closely monitoring the guidance of the Centers for Disease Control and Prevention (CDC) and local authorities.

April 1st, 2020:

We are going to extend our WFH direction until at least May 1 for all office locations. We made this decision based on recommendations from health authorities, school closures and to continue to do our part around social distancing. Some schools will be closed beyond May 1 and we know this will impact many of our employees with school-age children. We will continue to support you by extending WFH options until you have access to reliable and safe child care. We’ll continue to monitor the Coronavirus situation across the country and will update our direction as needed.

April 24th, 2020:

Our decision to re-open offices will depend on a number of factors, including the safety of our employees, the public health situation in each local community, and being flexible based on the type of work and productivity of teams and individuals. While we hope to officially reopen offices over the coming months, we don’t see a scenario in which large groups will be able to return at once – we expect any opening to be gradual.

Given these considerations, we have made the decision to give you the option to work from home through at least the end of 2020. We want you to have flexibility to navigate this situation and do what is best for you and your family. We know some would prefer to work from the office as soon as possible whereas others might prefer to alter living arrangements to be more comfortable and productive.

July 29th, 2020:

We won’t continue to announce temporary extensions of WFH. Until COVID-19 is no longer a threat, we will continue to encourage WFH as we are today. In addition, ‘post-COVID’, our new flexible working arrangement categories (outlined below) will enable ongoing WFH options for the majority of our workforce – indefinitely. This means that the majority of us will not be expected to return to work at an office full-time, save for a few hundred employees in heavily regulated or office-specific roles.

What a surreal period of our lives. Hopefully, hopefully we are turning a corner on this thing and we can visit with our coworkers, friends and family again.

The stop light near our place decided to go full 2020.