Cautionary Tales with Tim Harford - Sonic Poison? The Genesis of Havana Syndrome

Episode Date: June 9, 2023

CIA agents in Havana complaining of mental fog, dizziness and ear pain in 2016. Children in Miami in 1974, hyperventilating and wracked with abdominal pain. A medieval outbreak of the “dancing plagu...e”. A chorus of meowing nuns. These mysterious and seemingly disparate events may have a simple explanation — and one that’s often overlooked when it comes to understanding strange new syndromes. For a full list of sources used in this episode visit Tim Harford.com.See omnystudio.com/listener for privacy information.

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Starting point is 00:00:00 I'm Paul Moondin, a poet who over the past several years had the good fortune to spend time with one of the world's greatest songwriters, Sir Paul McCartney. We talked through more than 150 tracks from McCartney's songbook and while we did, we recorded our conversations. I mean the fact that I dreamed the song yesterday leads me to believe that it's not just quite as cut and dried as we think it is. And now you can listen to our conversations in our new podcast McCartney, a life. So sour. Uncle Albert. McCartney's been asked many times to write his autobiography,
Starting point is 00:00:53 and he's always declined. But as we ventured out on this journey, line by line, it became clear how much of McCartney's life is indeed embedded in his lyrics. It was like going back to an old snapshot album, looking back on work. I hadn't thought much about for quite a few years. Listen, wherever you get your podcasts, and if you want to binge the entire season, add free right now. Sign up for Pushkin Plus on the McCartney Aliphonderic Showpage in Apple Podcasts or at Pushkin.fm-plus.
Starting point is 00:01:38 Your membership also unlocks access to add free binges from Malcolm Gladwell, Dr. Laurie Santos and many other top hosts. Pushkin Havana, Cuba in the fall of 2016. The island's long-time ruler, Fidel Castro, an implacable foe of the United States has just died. What up heavals? What power struggles his passing might set in train are of considerable interest to America's intelligence agencies. In a pleasant neighborhood of the capital, one of the CIA's agents has returned home for the evening, fairly certain in the knowledge that Cuban operatives have him under surveillance. And then, the American feels as if he's been hit by a beam of sound. Young and fit at the time of the incident, the agent eventually seeks medical attention
Starting point is 00:02:49 of the clinic inside the US Embassy. He's been having headaches with acute pain in one ear, and his hearing in general isn't what it was. Two other officers soon say they, too, remember strange, sharp, and disorienting sounds in their homes around the same time. A few more reports come in. The wife of one Embassy official says she heard a strange sound, and looking out the window saw a van rush by. Was a Cuban operative of the wheel?
Starting point is 00:03:22 You need to call a meeting. One diplomat tells the head of the American mission, the rumor mill is going mad. So he does. He tells the embassy staff that they may be being targeted by some kind of unknown sonic weapon. And after the meeting, cases of Havana syndrome explode. Staffers and their families report hearing the strange sounds at home, even in some cases a hotel room. They complain of dizziness, mental fog, ear pain and headaches.
Starting point is 00:03:56 By summer 2017, news was getting out. At first, the US State Department guardedly said they were looking into incidents, which caused a variety of physical symptoms. But a journalist from the Associated Press got officials to speak off the record. He reported their belief that this was some kind of advanced device that operated outside the range of audible sound. Soon the official language became more assertive, not incidents, but attacks. Then President Donald Trump
Starting point is 00:04:36 said he believed Cuba was responsible. In October, the Associated Press published another scoop that obtained one of the recordings of the mysterious sounds that led to suspicions of a sonic weapon. The recordings themselves are not believed to be dangerous to those who listen, wrote the Associated Press. Sound experts and physicians say they know of no sound that can cause physical damage when played for short durations at normal levels through standard equipment like a cell phone or computer. So I should be safe in playing it to you.
Starting point is 00:05:24 How to describe the sound. The associated press had a go. It sounds sort of like a mass of crickets. What device produce the original sound remains unknown. One obvious possibility is that the device could have been a mass of crickets. But the sound of mere insects can't reduce the CIA's finest of physical wrecks. Can it? I'm Tim Harford, and you're listening to cautionary tales. males. In an elementary school in Miami in 1974, a couple of hundred children are rehearsing a musical. The fourth, fifth and sixth graders are singing in the school's cafeteria.
Starting point is 00:06:59 That's a room that doubles as a cafeteria and an auditorium. At half past nine in the morning, one 11-year-old girl begins to feel unwell. Let's call her Sandy. That's the name the New Yorker magazine gave her when they wrote an article about what happened next. Sandy doesn't want to disrupt the rehearsal, so she tries to slip out of the cafeteria without anyone noticing. The teacher doesn't see her, but some of the other children do. Sandy goes to see the school nurse. The nurse isn't there, but the head secretary is passing by and she sees Sandy slump unconscious on the nurses' couch. The secretary takes out her smelling salts
Starting point is 00:07:46 and wots them under Sandy's nose, that Sandy doesn't come round. The secretary calls the emergency services. They arrive just as the rehearsal ends. As the kids file out at the cafeteria, they see Sandy being carried off on a stretcher. And now another child says she's feeling ill, and another, and another. Some say they're dizzy, some have headaches, some complain of abdominal pain, some are hyperventilating.
Starting point is 00:08:20 Soon seven more children have been rushed to hospital. Another 25, a second off of the school calls their parents to come and collect them. What could be happening? A neighborhood doctor arrives to offer his help and immediately notices a funny smell. Some kind of poison gas, perhaps? Leaking from a broken pipe? Police cars join the ambulances, so does the rescue squad from the fire department. The local media routinely
Starting point is 00:08:52 looked for stories by listening into transmissions on the emergency services radio frequency, so word of the suspected poison gas leak soon gets around. Reporters from newspapers turn up, so do four film crews from the local TV news stations, worried parents flock to the school, they're joined by curious neighbors and passes by. By the time Joel Nitskin arrives to investigate, the scene is chaotic. Dr Nitskin heads the Countess Department of Public Health.
Starting point is 00:09:27 He and his colleague have to park half a block away as the street is jammed with assorted emergency vehicles, their lights all flashing. Nitskin is six feet nine inches tall, so he's able to pick a path through the crowds of people. As he enters the school grounds, Nitskin sees hundreds of children sitting quietly in the shade of some trees, looking bemused, but perfectly healthy. That's reassuring, Nitskin thinks. Whatever's going on,
Starting point is 00:09:59 hundreds of children are obviously unaffected. Nitskin and his colleague go into the school building. They notice the unusual smell, but they can't immediately place it. The school's head secretary greets them. There's been some kind of poison gas leak, she tells them. Oh, that's what she's heard. It all started with this girl, Sandy.
Starting point is 00:10:23 She started to feel ill when rehearsing a musical in the cafeteria. Then more children got sick, dozens of them. Some have gone to hospital, some have gone home. We're treating about 40 more now, as best we can. Where are you treating these sick children? Asks Nitskin. In the cafeteria, says the secretary. Nitskin exchanges a glance with his colleague.
Starting point is 00:10:48 In the cafeteria, if that's where Sandy got ill, wouldn't that be where the poison gas must have been leaking? Oh, says the secretary, I don't know about that. Nitskin and his colleague head into the cafeteria, where, sure enough, they find children stretched out on the floor, the nurses and police and fire rescue workers buzzing anxiously around them. That strange smell is nowhere near as strong in here, Nitskin notices. He locates an office with a telephone and calls the hospital where Sandy and the other children were taken. They're doing fine, says the doctor.
Starting point is 00:11:29 They all seem to be feeling better, the lab tests have an all come back, but everything's coming up normal so far. Nitskin hangs up the phone and sees another colleague from the county's environmental health department. He's arrived separately and he's been checking out the school building. About that funny smell when you come into the school, Nitz can ask, did you notice it? Any idea what it is?
Starting point is 00:11:54 Sure comes the reply, it's carpet adhesive. They laid a new carpet in the library a few days ago. Is it toxic? No, who laughs the colleague, not at all? Have you found any hints of toxic gas? Nope. I'll investigate further of course, but on a first check, everything seems normal. Dr. Nitskin ponders as he walks back to the cafeteria.
Starting point is 00:12:19 He trusts his colleague from environmental health. It doesn't seem to be poison gas. It can't be viral or bacterial. That wasn't time for Sandy to have infected everyone else. Anyway, the kids are complaining of all kinds of different symptoms. That wouldn't make sense if it's an infectious disease. In Nitskin's mind, the pieces are starting to fall into place. When he's accosted by a woman who works in the kitchen. You're a doctor, right? You're in charge here?
Starting point is 00:12:51 Yes, says Nitskin. I am. Then why don't you do something? Why don't you straighten out this mess? You know as well as I do that there's nothing the matter with these kids. Get them up on their feet. Get them out of here. I have to start setting up for lunch.
Starting point is 00:13:06 Nitskin stares at the woman, his mouth open. She's just bluntly put into words exactly where his own thoughts had been tentatively leading. Now he's pretty sure he knows what's wrong, and how to fix it. Listen up. Says Dr Nitskin. I've got an announcement to make. He soon commanding the attention of everyone in the cafeteria. We've conducted an initial investigation into claims of poison gas.
Starting point is 00:13:35 He says. We haven't found any. There's no evidence of any infectious disease either. By now, the journalists are crowding round. Nitskin has cameras on him microphones thrust in his face What's happened here? He continues
Starting point is 00:13:51 It's an outbreak of mass hysteria and it needs to stop right now. We have to get this school back to normal. Get these kids out of the cafeteria so the kitchen staff can set up for lunch, bringing all the other kids from under the trees outside, kitchen staff can set up for lunch bringing all the other kids from under the trees outside, send them back to their classrooms. Now, write this minute. Nitskin scans the faces around him. Nobody says a word. An nurse's looks stunned. The teachers look thoughtful. He sees his colleague nodding and smiling.
Starting point is 00:14:26 And the parents? The parents look appalled. Has Nitskin just said that their kids are crazy? But it's as if a spell has been broken. People start to talk to each other. The kids who've been feeling ill, per cup. The teachers take them back to their classrooms and bring in the kids from under the trees outside.
Starting point is 00:14:53 The first responders from the various emergency services begin to drift off. Dr. Nitskin drives back to his office, thinking, I hope I got that right. Corsory Tales will be back in a moment. Hi, I'm Michael Lewis. My first book, Lyre's Poker, told the story of my time in Solomon Brothers, which was then one of the world's most powerful banks.
Starting point is 00:15:24 In three years, I went from trainee to successful banker. It felt back then like a modern day gold rush. I thought at the time I was documenting like an unprecedented event that would never repeat itself. It turned out it was just the beginning of an era that never ended. I've recorded for the first time a full audiobook version of Liars Poker. You can get it now at pushkin.fm. When Joel Nitskin spoke in that Miami school cafeteria, he described what was happening as mass hysteria.
Starting point is 00:16:01 That was half a century ago. Language evolves, and hysteria is, for good reason, no longer a medical diagnosis. It's an ancient Greek word from HISTORY, meaning uterus. HISTORY was thought to affect people with a uterus, and over the, it's often been used to describe any kind of behaviour by women that men find annoying. Aristotle, for example, said women shouldn't have the vote because of their hysterical disposition. That's for mass hysteria. That seems to have first become common in the Middle Ages, especially with outbreaks of the Dancing Plague. Here's one historical account.
Starting point is 00:16:50 The streets were filled with men and women who joined hands, formed circles, and seemingly lost all control over their actions. They danced together ceaselessly for hours or days, and in wild delirium, the dance has collapsed and fell to the ground exhausted. Ronin and sighing as if in the agonies of death. People believed that they were seeing God, or being possessed by demons. Here's an especially striking case, recounted by a German physician. I have read in a good medical work that a nun in a very large convent in France began to meow like a cat.
Starting point is 00:17:35 Shortly afterwards, other nuns also meow. At last, all the nuns meow together every day at a certain time for several hours. The whole surrounding Christian neighborhood heard with equal Shagrin and astonishment this daily cat concert which did not cease until all the nuns were informed that a company of soldiers were placed by the police before the entrance of the convent, and that they were provided with rods, and would continue whipping them until they promised not to meow anymore. When you hear stories like this, mass hysteria sounds like something from a long-gone age of superstition, but it still happens. Only today we have a different name for it. Mass,
Starting point is 00:18:27 psychogenic illness. Psychogenic means beginning in the mind. In contrast, an illness that begins in the body is called physiogenic. For example, if you've breathed in poison gas, we will find it easy to understand physiogenic illnesses. If a doctor tells you you're ill because a bacteria or a toxin has got into your body, you believe them. Psychogenic illnesses are much more mysterious. How does our own mind make us ill. And yet, it does. It's lunchtime at a secondary school in the small Belgian town of Bournem. The year is 1999. As usual, the canteen has crates of Coca-Cola that the children can buy to drink with their lunch. But today, something seems different. Not quite right. A buzz of conversation goes around the canteen. Does this bottle of Coke smell funny to you?
Starting point is 00:19:38 Some of the children shrug and gulp down the Coca-Cola regardless. Others start to drink theirs, but find that the taste is a bit off, so they leave their bottles unfinished. Still, others are concerned enough by the smell to take their bottle back to the canteen staff and ask to swap it for a new one. After this happens a few times, the canteen staff decide they'd better stop selling the
Starting point is 00:20:05 coke. The children go back to their lessons. But within half an hour, several are starting to feel ill. They have headaches, nausea, dizziness, abdominal pain, some are having trouble with their breathing. The school phones their medical help line for advice, better take all the kids to hospital, they're told, to be on the safe side. The teachers don't yet know what they're dealing with. They decide to go round all the classrooms. Did any of you drink Coca-Cola at lunchtime and you're now feeling ill?
Starting point is 00:20:42 More children come forward. 22 in all. The teachers drive them all to the hospital. At home, that evening, still more children start to feel unwell. Another 11th turn up at the emergency room. Investigators later analysed the Coke the children had drunk. There was indeed a problem with it. The gas that
Starting point is 00:21:05 makes fizzy drinks fizzy is carbon dioxide. But in bottles from this batch of drinks, it had been contaminated by two other gases, carbonyl sulfide and hydrogen sulfide. These are gases that smell like rotten eggs. They can make you ill in large quantities, although the investigators didn't find large quantities. Enough to cause a strange smell, yes. Enough to harm someone? They didn't think so. Still, the story is all over the Belgian news. Kids drank funny tasting Coca-Cola, and now they're in hospital. And soon reports come in from different schools, in different towns. Some children are feeling ill. They drank cans of Coca-Cola light from a vending machine. We've seen the news,
Starting point is 00:21:59 and we're assuming that must have had something to do with it. Actually, some of the kids hadn't had Coca-Cola light. They'd had Fanta. That's made by the Coca-Cola Company too. It soon turned out that these cans of Coca-Cola light and Fanta had been produced at a different facility from the Coke bottles. The carbon dioxide in them is perfectly fine. So, have two different problems hit two different factories at the same time? Investigators looked into the cans too, and they did find another problem, although it didn't seem very serious. The wooden pallets used to transport the crates had apparently been treated with fungicide.
Starting point is 00:22:45 And that fungicide might have reacted chemically with the chlorinated cleaning products used in the vending machines. And that reaction might have caused a smell on the outside of the can. Could it have poisoned people? Didn't look plausible. Meanwhile, the storm in the media grows. More and more reports come in. And not just from schools or from children,
Starting point is 00:23:13 adults too become convinced that Coca-Cola products are making them ill. Hundreds of members of the public call the 24-hour hotline of Belgium's Poison Control Centre, reporting symptoms and wondering if they should attribute those symptoms to the busy drink they've recently consumed. Most of the symptoms aren't too serious, like the Wombs originally reported in the media, headaches, nausea, dizziness, abdominal pain, that kind of thing. But one doctor calls the Poison Control Centre hotline to ask about a condition that's
Starting point is 00:23:49 much more worrying. He molasses, a disorder of the red blood cells. The doctor explains that he's treating a child with hemolasses, and he's curious to know whether or not anyone has reported hem molasses as one of the conditions, potentially linked to Coca-Cola. Nobody has. But the doctor's inquiry goes into the database, and when Belgium's Minister of Health asks for a list of the possible effects of drinking Coca-Cola, that list contains he molasses.
Starting point is 00:24:21 The minister mentions the term at a press conference. Soon after, the media finds a hospital that's treating people with hemolosis, who've also recently drunk Coca-Cola. The minister decides that urgent action is needed. Six days after the first school children fell ill, the Ministry of Health bans the sale of all Coca-Cola products in Belgium. The Coca-Cola Company puts out a statement saying, we deeply regret any problems encountered by our European consumers in the last few days. And they issue a mass product recall.
Starting point is 00:25:02 For Coca-Cola, Coca-Cola light, phanta, nest heap, Aquarius, Bonacqua, Kinley Tonic and Lilt. They temporarily shut down three factories. They throw away stocks of soft drinks with over a hundred million dollars. Gradually the media reports die down and the calls to the poison hotline start to dry up. After a couple of weeks, the minister lifts the ban, and Coca-Cola's CEO issues an abject apology. We let down the people of Belgium. But had the Coca-Cola company let down the people of Belgium by making lots of the meal,
Starting point is 00:25:47 or had they in fact let people down by not being more like no Nonsense Dr. Nitskin? Corsion retails will return in a moment. I'm Paul Monde, a poet who over the past several years had the good fortune to spend time with one of the world's greatest songwriters, Sir Paul McCartney. We talked through more than 150 tracks from McCartney's songbook, and while we did, we recorded our conversations. I mean, the fact that I dreamed of the song yesterday leads me to believe that it's not just quite as cut and dried as we think it is. And now you can listen to our conversations in our new podcast, McCartney, a life in life. McCartney's been asked many times to write his autobiography and he's always declined.
Starting point is 00:27:03 But as we ventured on this journey, line by line, it became clear how much of McCartney's life is indeed embedded in his lyrics. It was like going back to an old snapshot album, looking back on work. I hadn't thought much about for quite a few years. Listen wherever you get your podcasts and if you want to binge the entire season, add free right now. Sign up for Pushkin Plus on the McCartney Aliphon Derrick's show page in Apple Podcasts or at pushkin.fm-clush. Your membership also unlocks access to ad-free binges from Malcolm Gladwell, Dr. Laurie Santos and many other top hosts. After Dr. Nitskin told the children in Miami that there was no poison gas and they should
Starting point is 00:28:09 get back to their classrooms in Karyana's normal, some parents were furious with him. One mother called his office demanding that he apologize for insulting her daughter. How dare he imply that she's insane?" Dr. Nitskin tried to explain that he'd done no such thing. He had implied that she was suggestible. We all are, he explained. To some degree, it's not a sign of insanity, especially at the age of 11. Here's how that suggestibility works. I see other people feeling ill.
Starting point is 00:28:46 Someone tells me it's because of a mystery gas. I smell it too. I expect to start feeling ill and I do. And it's not my imagination. I really do feel ill. Exactly how our beliefs and expectations translate into actual real symptoms is still not well understood to one of the many mysteries of the human mind. Expectations translate into actual real symptoms is still not well understood to one of the many mysteries of the human mind.
Starting point is 00:29:08 But there's no room for doubt that it happens. Many people though, seem to find that hard to get their heads around. When a doctor suggests that their illness might be psychogenic, the patient thinks they're being accused of something of imagining their symptoms or faking them. A few weeks into the Coca-Cola scare in Belgium, some scientists publicly raised the idea
Starting point is 00:29:32 that mass, psychogenic illness could have been the cause. The backlash from the general public was immediate. What do these scientists know? They haven't examined a single patient. Are they saying doctors were fooled or people simply imagined their symptoms? No, they weren't. They were saying people had real symptoms, caused not by drinking poisonous soda, but by mistakenly believing their drunk poisonous soda.
Starting point is 00:30:01 But if experts struggle to get that idea across to an irate public, imagine what would have happened to the Coca-Cola Company if they had come out at the height of the media storm and said, our drinks seem fine to us, maybe it's psychogenic. It would have been a public relations disaster. No wonder they preferred to pour a hundred million dollars of soda, needlessly down Belgian drains. From the backlash against Dr. Nitskin and the scientists in Belgium, it seems clear that mass, psychogenic illnesses are widely misunderstood. And that's a problem.
Starting point is 00:30:40 Because when a mysterious new syndrome comes along, it can be hard to have a dispassionate discussion of the possible causes. I was inspired to write this cautionary tale about mass psychogenic illnesses by a book recently published by two distinguished academics, Robert Bartholomew and Robert Bolo. The book is well-researched and it's convincingly argued, but it also has some terrible reviews from readers. Propagandistic garbage, unbridled ignorance and pseudoscience, wild speculations, disinformation, and its finest. The book is called Havana Syndrome. The book is called Havana Syndrome. Remember the story?
Starting point is 00:31:27 It started with an undercover officer at the US Embassy in Havana, Cuba, complaining that he felt ill after hearing a mysterious sound at his home. As news about the case got around, more and more people started reporting symptoms after hearing similar sounds. Officials became convinced they were dealing with some kind of sonic weapon, a weapon that sounded sort of like a mass of crickets. The FBI took recordings of the sounds to an expert in crickets. He listened to them. He listened to them. That's crickets. He said crickets, cicadas, or catedids, one of them, probably cicadas actually. Cuban cicadas can be pretty loud, he pointed out.
Starting point is 00:32:17 95 decibels, that's about as loud as a motorcycle engine. But could a cicada damage your hearing? No, he said. Not unless you shoved it into your ear canal, there might of course have been a Sonic weapon that sounded a lot like cicadas. But think of it this way, you're about to be posted to Havana. You're quietly taken aside and played a recording that sounds very much like Cuban cicadas. You're told, we think this may be a sonic weapon that's making people ill. You get to Havana, and one night you predictably hear cicadas. As the authors below and Bartholomew put it, this is a classic setup for an outbreak of
Starting point is 00:33:07 mass psychogenic illness. There's another reason to consider psychogenic explanations. Nobody seemed able to suggest how the mooted sonic attack device might actually work. Still, militaries don't tend to publicise their cutting edge technologies, and some experts say it can't all have been psychogenic because a few people's symptoms were too serious for that. Below and above all in you disagree, I don't feel qualified to judge. But I do think I can judge the quality of debate around the suggestion that Havana Syndrome might have been a mass psychogenic illness. That debate was depressing, and not just in the reader reviews of the
Starting point is 00:33:52 low and bartholomew's book, Senator Marco Rubio, for example, sarcastically dismissed the idea that a bunch of people are just being hyper-condriacs and making it up. Well, no. That's not how psychogenic illness works. Whether an illness begins in the body or the mind, the symptoms are real. But that leads to another question. How do we treat them? In London, in 1990, more than 50 school children were rushed to hospital when they started feeling sick after lunch.
Starting point is 00:34:31 They had abdominal pain, nausea and vomiting. They all recovered pretty quickly. You know the drill by now? This looks like a mass psychogenic illness, right? Actually, no. After careful investigation, it turned out that the cucumbers, served at school lunch, were probably contaminated with insecticide. Lots of things can make a seal, especially with the kind of symptoms I've been mentioning through this tale. Fatigue, nausea, dizziness, headaches, these are common ailments, with all kinds of causes. It shouldn't surprise us if we happen
Starting point is 00:35:12 to find a Belgian with some of these symptoms who just had a Coke, or a US diplomat in Havana, who recently heard cicadas. Diagnosis is hard, and we need to keep an open mind, especially because cases of physiogenic and psychogenic illnesses often crop up together. The London investigators blamed the cucumbers, but they also reckoned that some of the later cases might have been psychogenic, kids seeing their friends getting ill and thinking themselves into illness too. Some people think that might also have happened in Belgium. Those first few bottles of Coke might of course children feel sick and from that starting point the problem ballooned through psychogenic contagion. Maybe that'll turn out to be
Starting point is 00:36:02 the story with Havana syndrome too. A mix of physiogenic and psychogenic cases. We don't yet know all the answers. The trouble is that psychogenic and physiogenic illnesses need treating in completely different ways. If you're ill because something's got into your body, a toxin, or a virus, or a bacteria, you need to figure out what that thing is, and if it has an antidote. If the cause is psychogenic, then there isn't a cure as such, at least if we discount the medieval method of sending soldiers to whip the meowing nuns. But there is an approach that makes sense.
Starting point is 00:36:45 If the power of expectation made someone ill, the power of expectation could also help them recover. When Dr. Nitskin told the children in Miami that there was no toxic gas, they stopped worrying and their symptoms melted away. Of course, what's an inspired diagnosis if you're right looks like an arrogant rejection of your patient's experiences if you're wrong. For every Joel Nitskin who decisively cures a psychogenic outbreak, there's a doctor brusquely telling their patients to snap out of it, and in fact, the illness has a physical cause
Starting point is 00:37:26 that the doctor has overlooked. Joel Nitzkin knew he'd taken a risk he'd have to justify to his bosses. I'd made a bold move, he told the New Yorker, and bold moves are not encouraged in the bureaucratic world. The safe thing to do would have been to close the school for the day. When the report came back, no poison gas, Sandy had a viral illness, all the other kids thought themselves into feeling ill too. Nobody would have blamed Dr.
Starting point is 00:37:57 Nitskin for airing on the side of caution. I'm not sure that makes sense. If a doctor tells us he thinks we've probably got a viral illness and it turns out to be bacterial, we're not going to get more or less upset than if it made the opposite mistake, but we don't feel the same symmetry about psychogenic illnesses. Nobody is happy when a doctor makes a mistake, but the mistake of declaring an illness to be psychogenic is the one we can't seem to forgive. And if we wrongly see the suggestion of psychogenic illness as a personal insult, we'll make doctors scared to mention it. John Itzkin took a risk, because he understood how psychogenic illnesses work. He knew that if he allowed
Starting point is 00:38:48 the idea of poison gas to linger, more kids would have felt ill, and he understood that their symptoms would have been genuine. Those 40 kids in the cafeteria, complaining of nausea or breathing problems, weren't faking, or imagining, they were suffering. With one calm and authoritative statement, Dr. Nitskin cured them all. For a full list of our sources, please see the show notes at timhalford.com. Corsion Retails is written by me, Tim Halford, with Andrew Wright. It's produced by Alice Finds with support from Edith Husslo. The sound design and original music is the work of Pascal Weiss. Julia Barton edited the scripts. It features the voice talents of Ben Crow, Melanie Gutridge,
Starting point is 00:40:11 Gemma Saunders and Rufus Wright. The show wouldn't have been possible without the work of Jacob Weisberg, Ryan Dilly, Greta Cohn, Lytel Moulard, John Schnarrs, Carly McGleory and Eric Sandler. Corsary Tales is a production of Pushkin Industries. It was recorded in Wardle Studios in London by Tom Berry. If you like the show, please remember to share, rate and review. Go on, you know it helps us.
Starting point is 00:40:39 And if you want to hear the show add free, sign up for Pushkin Plus on the show page in Apple podcasts or at I'm Paul Monding, a poet over the the past several years had the good fortune to spend time with one of the world's greatest songwriters, Sir Paul McCartney. We talked through more than 150 tracks from McCartney's songbook, and while we did, we recorded our conversations. I mean, the fact that I dreamed the song yesterday leads me to believe that it's not just quite as cut and dried as we think it is. And now you can listen to our conversations in our new podcast, McCartney, A Life in the World. McCartney has been asked many times to write his autobiography and he's always declined. But as we ventured out on this journey, line by line,
Starting point is 00:42:20 it became clear how much of McCartney's life is indeed embedded in his lyrics. It was like going back to an old snapshot album looking back on work. I hadn't thought much about for quite a few years. Listen, wherever you get your podcasts and if you want to binge the entire season, add free right now. Sign up for Pushkin Plus on the McCartney Aliphonderic Showpage in Apple Podcasts or at Pushkin.fm-plus. Your membership also unlocks access to add free binges from Malcolm Gladwell, Dr. Laurie Santos and many other top hosts.

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