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 (00:00) to (02:00)

Hello, hello.

Welcome to the livestream. I'm sorry there wasn't a vlogbrothers video today.

There is ... the number of things kind of like coalesced to make a vlogbrothers video not happen, which is usually what happens. Like, I mean at this point I think I've taken, I think this is my second vacation week of my three vacation weeks that I get per year without a punishment. And, you know, like one of them was planned. This one was not planned.

But like we got back late last night, and I had to go to the doctor today, and it was sort of stressful, like I'm a person who does not experience like zero levels of stress while going to the doctor. And then also I didn't have a video script and I tried to write one and it wasn't very good because I was like trying to write in a hurry about what it means to be the citizen of a nation, which is like not really a topic that one can handle, um, I'm probably just stating the obvious here, um, in a dashed off script that hasn't been very carefully considered. So I was like I can make some jokes about ...

I'm drawing circles, by the way, if you can just, if you can see the top of my increasingly gray hair, that's because. Here, I'm wondering if you can see this. Maybe we'll just show you that for a minute.

This is one of my circle drawings. This is the one that I'm doing right now. It's for a donor to The Project for Awesome.

Um, we earned about maybe, um, I don't know, uh, three dollars an hour for Partners in Health for this drawing. Um, it's a laborious process, but one that I really enjoy. I enjoyed it a little more when the, um, tendon that goes to my pointer finger worked, but I still enjoy it quite a bit.

So anyway, I was going to write this video about nationalism and sports and the ways that like maybe, sometimes at least, sports can be a healthy expression of nationalism, or a healthy way to understand

 (02:00) to (04:00)

the relationships among nation-states.

But then I was just like, you know what, man. That's a big topic, John, that you've bitten off, and you think that you're going to write this at like 10:45 on a Monday night.

Really? And then I was, like, you know, I think I just want to draw circles, nostalgic for the times in my life when I could just draw circles for hours and hours. So I'm back at it.

Um, what you see here is about eleven thousand circles and I'm trying to do around fourteen to seventeen thousand circles per circle drawing. I'm starting to, so they're not finished when I fill the entire page with circles, because they're over-finished then. Let me show you a finished one.

Like, this one is finished. It doesn't have too many circles, but it also doesn't have too few, and that's the key. By the way if you like, there's a link in the dooblydoo to support Partners in Health, our project with Partners in Health Sierra Leone, that I'll give you some updates about a little later in the show.

And I do want to answer your questions and you can also Super Chat, I think. I'm not positive. I tried to make it work, though, and if you Super Chat, I'll give the money to Partners in Health, but honestly, donating directly at is the more efficient way because Google does take a percentage of the Super Chat money.

But I'm not going to turn it down, either. I know that some people just have a great love of Super Chats and I, I support this love. It's not the least efficient way to help creators.

The least efficient way to help creators is TikTok's monetization strategy. So, yeah. But, yeah, so there's no vlogbrothers video today, and I do feel really bad about it.

Um, I don't like to not make vlogbrothers videos but I also want to be realistic about what my body can handle, um, and what my brain can handle right now. It's been both a really good month and a really difficult one to be honest with you. It's been a really good month in the sense that, like,

 (04:00) to (06:00)

this book that I worked really hard on has been received better, probably better than any book I've ever written, um, and, uh, it seems to have done the work that I hoped it would do in the world, or at least is off to a good start on that front.

Like, I really think the success of a book is not judged in its first month but in its first, like, ten years. Like, is the book still in print, is a much better gauge for me after ten years than whatever can happen in the first month.

But that said, what's happened in the first month has been incredible and it certainly has been amazing to have the people respond to the book so generously, and it's meant the world to me, and I feel like, um, I don't know, I feel, uh, I was really scared to write something so different. I was scared that people were going to say that I was a sham, or that I should have stuck to what I know, or that I was an idiot, or that I was an idealist, which is perhaps the worst insult of all. And, um, a few people have said I was an idealist, but mostly it's been very, very nice, so, yeah, it's been really lovely.

And, um, that part's been really good, but at the same time the nature of writing and publishing a book is that it took over my whole life for the last six months, which also meant that when I returned back to life, there was a lot that I'd missed out on and a lot of work that needed me. And, so, that's been the challenging part of the last month. But it's a lot easier to do that work having had a positive reaction to The Anthropocene Reviewed book than it would be if I'd had a negative reaction.

So today I'm working with two different colors...

Or a mixed reaction or anything other than like what's happened instead, which is that it's by far my best reviewed book on Good Reads, the irony of which is not lost on me.

 (06:00) to (08:00)

Maybe in the last half of the show I will, uh, review some of the five-star reviews of my book of five-star reviews. Um, I've been thinking about doing that for a vlogbrothers video, but then I was like, is it both like too meta and too self-absorbed? Like, does anyone else actually care that The Anthropocene Reviewed is by far my best reviewed book, or is it only me who cares? Probably, it's only me who cares, you know. Like, that's like a me thing, and it's a nice thing for me, but it's not something that I need to, like, make an other people thing necessarily. But maybe I'll do it anyway, because it's a live show and the rules are different. We can do whatever we like.

I can see that nobody's Super Chatted, so maybe it's not possible.

Um. Yeah, somebody wants me to do it for the podcast which there's absolutely no way I'll do. Um, yeah, so, uh, all right. Um. Do you have - okay, I want to answer some questions, but there are so many things.

Um, do you have a vision of the finished drawings, or do you just draw circles and see what happens?

Um, what writing utensil do you use for writing books? For writing in books? Oh.

Um, I am very disorganized. I'll talk about that, though.

Super Chat isn't possible. Well, guys, you know what. I did my, I did my level best to make Super Chat possible, and I'm just, I don't have the, uh, I don't have the expertise but if you can donate to Partners in Health just directly, it's There's really cool stuff happening at PIH, um, right now, really encouraging stuff. So for those of you who don't know, Dr. Byler(?~7:57) Berry(?~7:57), who has been on several live streams and is a Sierra-Leonian doctor, he has an incredible personal life story, he really wanted to become a physician, he grew up extremely poor, um, in Sierra-Leone.

 (08:00) to (10:00)

He sold, uh, y'know, popcorn and other stuff, um, on the street to uh, to passing busses so like, the busses full of people, uh, when he was a little kid uh, and he was able to go to school, and as a result of being able to go to school he graduated from high school and he was about to start medical school or had started medical school when the, when the civil war broke out and he eventually, um, like a lot of people had to escape Sierra-Leone due to the extreme violence of the civil war. He lived for a time in a refugee camp, um, but he did eventually finish medical school, did eventually become a licensed physician, and, uh, has chosen to uh, while continuing his education he's getting a, uh, a Ph.D. at uh, Harvard University right now. He is also, um, I think it's at Harvard, he is also, uhh, take, he has also taken on the huge task of improving, uh, healthcare and *stammers* healthcare system in Sierra Leone starting with the Wellbody Clinic, which he founded, um, with help from uh, with help from some other folks uh, which has quickly become the best clinic to recieve primary care, uh, I think it's safe to say in the country and one of the best in the region, um, and using this Wellbody Clinic as a model, so like, for context, one in twenty women in Sierra Leone can expect to die in pregnancy and childbirth and until, uh, last year that number was one in seventeen. So, progress is being made, but not, not fast enough yet. (9:56)

 (10:00) to (12:00)

so, maternal mortality is infuriatingly and unacceptably common in Sierra Leone because of the weakness of the healthcare system because so many women who need emergency c-sections are unable to get them in a timely fashion so we lose a lot of moms and kids to lack of access to good maternal and prenatal care. And Well-Body clinic, which Dr. Berry founded, has not had a single maternal death in over four years. They have really good, really innovative strategies for helping moms, even living in extreme poverty, to find ways to deliver safely. And him being at the helm of PIH Sierra Leone - I'm a really huge fan of the person he replaced, who is John Lasher and who did an amazing job - but Dr. Berry being at the helm of PIH Sierra Leone is really good news for the people of Sierra Leone, is great news for us as supporters of PIH , great news for the Ministry of Health, which has a great relationship with him, and just all-around great news. We are working hard on raising the twenty-five million dollars that PIH needs to raise to support the Maternal Center of Excellence and the neonatal intensive care unit at Koyu(?~11:30) Government Medical Hospital over the next five years, the building and maintenance over the next five years. But I want to be more ambitious than that and I want to be helping PIH and the government also improve the primary care system. Because right now there is the Well-Body Clinic, which is amazing and you get great care, and there are lots of other primary health care clinics, that could be just like Well-Body but instead they have essentially no medicine, they have very little staff, and what staff they do have is volunteer.

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