Separated by a Common Language

In the Weekend magazine in Saturday's Guardian, the following letter to the editor appeared:

Please reword your Q&A for Americans. Clearly, to them, "fancy dress" means "dressing for a fancy party". Why I need to know if Joyce Carol Oates would dress as a bee or a pirate I'm not sure, but I do.
Jane Jones Manchester

She's referring to a feature in each week's magazine, in which a standard set of questions is put to some famous person.  Here's the relevant question, and Joyce Carol Oates' response:

What would be your fancy dress costume of choice?
A beautiful Fortuny gown.

I would have thought that some Americans would understand this question, just because the word costume is in it, and we go to (BrE) fancy dress parties in costume.  In fact, we rarely use the word costume for anything except fanciful disguises, unlike in BrE, where (swimming/bathing) costume is is often used to mean (AmE) swimsuit or bathing suit.   Our disguise-themed parties are thus called (AmE) costume parties.  But perhaps Ms Jones is right...have other American Guardian Q&A victims misunderstood the question?  Here's a survey:

Jared Leto:  Authentic period Genghis Khan body armour or the original Ziggy Stardust outfit.

Hugh Hefner:  My pyjamas.  [note BrE spelling; AmE is pajamas]

John Waters:  I'd never go to a costume party - I have to dress as John Waters every day.

Cybill Shepherd: Belinda The Good Witch.

Camille Paglia:  David Hemmings' Hussars uniform in The Charge Of The Light Brigade.

Eli Roth:  A turn-of-the-19-century millionaire, in a top hat and tails.

David Schwimmer:  Tuxedo, but with a cream jacket.

Mickey Rooney:  Tuxedo with tails, but I really prefer to wear shorts all year long. I'm a California-casual kind of guy.

Juliette Lewis:  A peacock.

Jorja Fox: My birthday suit.

Nathalie Merchant:  Traditional Dutch girl.

Damon Dash:  James Bond, a real cool English dude.

Now, of course, this was just a lame excuse for me to read the celebrity pages instead of doing something useful with my Friday night.  We can see that a couple of them have misunderstood and a few others are ambiguous.  We can suspect that some have spend a lot of time in the UK, or have had the question explained to them.  But, excuse me, Interviewer Person; it seems a bit cruel (or thick) to allow 'tuxedo' as an answer.  More questions are asked than published, so, for instance, we'll never know what Viggo Mortensen would be for Halloween.   So, the only possible reasons to publish that David Schwimmer would wear a tuxedo to a fancy (dress) party are (a) he was unspeakably boring in all his answers--at least this one had some detail, or (b) to make him look boring.  Possibly both.

Besides being an excuse to read about celebrities, this post is an excuse to provide a link to an article that Strawman sent me, on why it is that the British have so many fancy dress parties.  (And when in Rome...)  It starts with this story:

There is a popular urban legend about a British couple in New York who attended a black tie gala dressed as a pair of pumpkins. Turns out they had misinterpreted the host’s instruction to ‘dress fancy,’ as an invitation for fancy dress — something Americans only do once a year on Halloween. Did they burst into tears and run home? Not a chance. Being Brits, they put on brave faces, pulled their orange foam bellies up to the bar, and proceeded to get shamelessly drunk as the Manhattan glitterati swirled around them.

The Canadian author goes on to recount her inverse experience--showing up in a cocktail dress for a costume party--and has some nice observations on the phenomenon.

It's been a while since I've been invited to a fancy dress party...perhaps my friends are getting too old.  (And perhaps that'll spark some party-organi{s/z}ing!)  So tell us:  What is your fancy dress costume of choice?

One of my newer internet addictions is Ross Horsley's My First Dictionary, which is wicked in every sense of the word. One must (if one is me) pause here to note that the 'excellent' sense of wicked is originally AmE. Several of my UK students have assumed that they'd have to explain this trendy BrE slang to me, but I was saying wicked pissa cool with my Bostonian university mates before my current students were even born. (I had a Master's degree by the time my youngest students were born. Who is going to cure me of this senescence?) MFD makes me feel incredibly uneasy and extremely amused at the same time. I don't know if that's a good thing, but I like it. This dose of MFD, from 26 June, raised a lot of discussion of BrE versus AmE in the comments: The comments at MFD were mostly about (mostly BrE) pussy versus (mostly AmE) kitty and the use of having as a light verb in the first sentence. But what struck me, because Better Half strikes me with it all the time, is the use of stroke for where AmE speakers would use the (originally Scottish English) verb pet. So, when I say to Grover Are you petting the kitty cat? Better Half is not far behind with Stroking! Stroking the cat! (He tolerates kitty, no doubt because of the nudge-nudge, wink-wink effect of pussy.) I'm starting to say stroke in this context, in the interest of marital harmony and getting my own back later, but to my AmE ears, it sounds a bit more, um, sexy. This, of course, makes not a lot of sense, since (orig. AmE) (heavy) petting is about (probably orig. AmE) feeling people up. But why should English and my feelings toward(s) it start making sense at this late date? At any rate, I thought an introduction to a very funny website would work as an introduction to our very funny limerick competition. As promised, the judging involved a panel of my friends, whom you may know through their SbaCL-character alter-egos: the Blinder, Maverick, the Poet--and of course Better Half. (With the exception of the ubiquitous last judge, the links take you to their first appearances on the blog.) I asked each to send me their three favo(u)rites, assuming that the cream would rise to the top and there would be a clear front-runner. But there was too much cream. A few got two votes, thus limiting the field a little for my final judging. It came down to Dunce's Rubber and Richard English's Hooters, re-published here:

An eager young Yank on the make Thought he'd finally had his big break. She asked for a rubber but she wasn't a scrubber. Just had to erase a mistake. My girl has a fine pair of hooters Attractive to gentleman suitors. But don't rush too far They're both on her car And she toots them to warn slow commuters.

My decision comes down to the fact that one of these poets had other efforts in the judges' top threes. So, congratulations, Richard English! Your copy of Britannia in Brief will be on its way to you soon, and the authors have asked to reprint the winner on their blog. (Let us know if that's not ok with you!) On a last humorous note, British-Canadian singer-songwriter Luke Jackson (shouldn't he have a hyphenated name?) has sent me a link to the video for his song 'Goodbye London'. This animated treat might strike a chord for the American exchange students out there who've headed back home.

Regular reader Robert WMG wrote in the autumn/fall with the following (and I'm rushing to respond to it before I have to shame myself by writing 'last autumn/fall'):

While talking to a Canadian friend, I said "It's gone five" (meaning "it's after five o'clock" but with definite connotations, depending on context, of "it's later than I thought" or "we're going to be late" or "we're late"). She said that without very strong contextual clues this would be incomprehensible in N. America. Any comments?

Robert describes the situation well. One issue that's not clear is what the 's stands for. You almost always hear it with the 's contracted: it's gone five rather than it has gone five or it is gone five. (See this post for further discussion of it's gone in BrE and AmE.) So, which is it, is or has? Either, it seems. Perhaps BrE speakers out there can enlighten us as to whether they can see any difference in meaning or dialect in the following examples (I searched for the past tense because it was easier):

It was gone four o'clock by the time we left the restaurant so whatever the hell we were talking about it must have been good. (from 'Star Blog')

With that cheeky grin she wished me a happy birthday (it had gone 12 o'clock by now) and that was it, and pardon the pun but for me it was a 'perfect day'. (from kirstymaccoll.com)

(For what it's worth, London-born Better Half thinks the was gone version sounds 'just wrong', but concedes that it might set up things a bit differently in a narrative.)

BrE speakers can also use gone for peoples' ages (with mostly the same connotations as Robert gave for the time-telling gone), i.e. He's gone 60 ('he's over sixty already'). Algeo's British or American English? counts both of these uses of gone as prepositions. If it's a preposition, then you'd use it with a form of the verb to be, but if it's a past-participle form of the verb to go, then you'd generally use it with a form of to have. Of course, the preposition is historically the same word as the participle, but it's drifted away from it to a different (more grammatical/functional) part-of-speech--that is to say, it has undergone grammaticali{s/z}ation.

Another BrE-particular temporal gone is the use of gone as a post-nominal (i.e. after the noun) modifier that means 'ago', as in this example from kultureflash (London):

With Batman a decade gone, Spiderman and Daredevil hits, and Ang Lee's Hulk promising to smash, it's a KA-POW comic book dreamworld just now.

You might hear this in AmE, but then the gone would almost certainly mean 'dead', and it would be found in newspaper memorials (advertisements placed by mourners to remember their dead) and the like (e.g. a decade gone, but not forgotten).

Another use that I believe is mostly BrE (having a hard time confirming its dialect, but I'm pretty sure I'm right about this) is post-nominal gone to mean 'pregnant', as in this travel(l)ing-while-pregnant story from The Times:

Four months gone, over the sickness and constantly hungry, I was delighted to find that they had one restaurant serving European and Egyptian specialities and another specialising in modern Indian which satisfied my cravings for spicy food and yoghurt.

I used this on occasion while pregnant, but it always seemed to me to have an unpleasant connotation that I couldn't quite put my finger on. It reminded me of (BrE) up the duff, in that it sounded to me like pregnancy was somehow foisted upon me and that it was not a socially acceptable state to be in. I would love to hear from folks who use X months gone more naturally than I do on whether it has those connotations for you. So...comment away!

Regular reader JHM sent me a link to this article from a Washington Monthly blog, in which an American complains about British (and European, more generally) road signs:

And as long as I'm venting a bit here, what is it with Europeans and compass points? Their road signs tend to be gloriously well designed and easy to decipher, but they never include the words north, south, east, or west. So when you get to a crossroad, all the sign tells you is that one direction takes you to, say, Chard, and the other direction takes you to Axminster. Unless you've memorized the map, or happen to be a local who doesn't really need the sign in the first place, you don't know which direction to go. (If you're lucky, one of the cities on the sign is the one you want to go to, which makes things easy. Usually it's not.) But although I might not know every town and village in the area, I always know from a quick look at a map which general direction I want to go. So why not add the words north and south here? Some sort of EU-wide directive to banish directional notation, or what?

JHM writes to ask:

Does the linked article ring true to you? If it is true that road signs tend not to indicate compass direction, I find this very odd indeed (even though (in New England at least) six or seven times out of ten the posted compass direction has a very low correlation to an actual compass point).

JHM often writes to ask if things that he's read about Britain ring true for me, and I think I always say "yes, it's ringing". I suppose that illustrates the extent to which we get so accustomed to things being one way that we never imagine them being another way. In this case, I have to say "yes, it rings true, but..."

When I lived in South Africa (and had a car), I don't remember ever seeing a sign on a (BrE) motorway/(AmE) highway* with a direction on it. This got me lost in the (AmE) boondocks when I needed to get from a rural hotel in the Northern Province to Swaziland. None of the signs said which way was north or east, and none indicated how to get to the major towns in the province (or to the border). Instead, at each (chiefly AmE) intersection there were signs pointing toward(s) the next town on the road. One thus needed to know every single town along one's route in order to make sense of the signs. I imagine GPS is very useful there these days.

While I don't drive in the UK, on occasions I'm a passenger for a longish car journey (Americans would usually say trip, but that tends to be reserved for shorter journeys in BrE). Initially, I was only travel(l)ing for southeastern Scrabble league matches, and thus only experienced the A-roads (trunk roads), which are so-called because they are designated by A + a number, e.g. the A27. (There are also B-roads, which are more local.) A-roads are roughly comparable to state routes, like New York State Route 31, which goes through my hometown.** But unlike the US roads, the British roads are not called by different names depending on the direction you're driving in. So, if I give you directions out of my town, I'll talk about 31 East or 31 West . A friend of our family lives on a different route, just outside the village, and her address is "[house number] Route 88 South, Newark, NY", meaning she lives on the stretch of Route 88 that lies south of Newark. (Before you think "hey, I've been to Lynneguist's hometown, note that it's not the Newark that has the big airport you've been to. That one, despite its pretensions, is not in the state of New York. My hometown doesn't have a travel agency, let alone an airport. It has apple orchards. And cows.)

In Britain, people don't talk about "the A27 West" (though Google the phrase, and you'll think me a liar; but really, no one says it! At least not with the same name-like intonation that one says "Route 31 West"). When you join the A27, the sign will tell you about upcoming towns, not whether you're going east or west. If you're on that road driving east from Portsmouth, you have to get past Chichester before you start seeing signs for Brighton, if I remember correctly. So, if you want to get from Portsmouth to Brighton, you'd better know that Chichester is on the way. You need to constantly make decisions about which town to head toward on roads like the A27, since for the most part, they are not limited-access roads with on-ramps and off-ramps. They have roundabouts (often called traffic circles in the US, but rarely seen there--though I believe New Hampshire has quite a few). Lots of them. The signs on the roundabout exits will indicate the number of the routes and some number of upcoming towns/landmarks, as in the picture below.

So far, so much like my South African experience. But then I graduated from southeastern Scrabble events to national ones, and got to be a passenger on the M-roads, the national motorways--which are more comparable to American Interstate highways. M-roads are dual-carriageways with limited access--ramps rather than roundabouts--and they tend to be used for longer journeys. When one approaches an M-road, one may see compass point names on it--except that they're not really describing the direction of the route, they're describing the destination. That is, instead of saying, for instance "M3 North", they say "The NORTH", along with whatever cities you might get to along the way. (So, in the sign here, it's not saying that Nottingham is in 'The North' so much as it's saying that this road goes to The North, and it goes to Nottingham too.) What's interesting in this picture are the (N) and (S) in parentheses/brackets after M42. You see this in places where you need to take different routes to different entrances to a motorway. Once you're on the M42 going south, there will be no signs along the way that say M42(S), whereas in the US, signs telling you what route you're on and what direction you're going in are planted regularly along the right side of the road. The reason why (M6) in this photo is in parentheses/brackets after M42(S) is to indicate that this roundabout is not taking you to the M6 but to the M42 which takes you to the M6 , which will get you to 'The S. WEST'.

Incidentally, in England people talk about the East (meaning the east of England, not 'the Orient') a lot less than the other directions. There are two reasons for this, I think. (1) There's a lot more West than East here--in that the island juts out, particularly in the Southwest. (2) London is treated (rightly or wrongly, depending on where you live) as the hub of the universe (sorry, Boston), and it's fairly eastward. So, striking out from London, there's very little to the East. Well, there's Essex (Americans: that's where Jamie Oliver is from. English folk: make it a new joke if you're going to make it). So, while you hear/see the North, the South and the West, and the Northeast/west and Southeast/west, you rarely hear about the East.

Back to the American side... as JHM notes, the directions on particular routes may bear little resemblance to the compass direction when you're on the road. Routes are not perfectly straight lines, and non-Interstate routes can involve a number of different roads that add up to a route in the right direction. For instance, if you look at the map for US Route 20, you'll see that, in spite of its status as an east-west coast-to-coast route, there's a bit in Idaho that runs north-south. Still, we'd instruct people in Idaho to take Route 20 West if they want to get to Oregon, because 20 West is, in essence, its name.

Rather than designating the different types of route by letter, American route types are distinguished by the shapes of the shields on their signs (images/links courtesy of Wikipedia):

	Interstate Highways
	U.S. Routes
	State Routes

And within states there may be other kinds of route. There are systems to the numbering of the routes in both the US and Great Britain, but I won't go into those here, since they're not very language-y. So, if you're interested, see here for the US Routes and Interstate system and here for Great Britain.


Side notes:
* Highway is probably the most dialect-neutral term in the US, and can apply to various types of routes--the key is that there's no stopping and starting on a highway. On the west coast, one tends to hear freeway. For limited-access roads in/around cities, I'd say expressway. Major toll roads, run by individual states, have their own names. In New York, it's the Thruway. Several other states have turnpikes, which is sometimes shortened to pike, as in the Mass Pike--that is, the Massachusetts Turnpike.

** Two things to know about AmE regionalisms when it comes to routes:

1. Some Americans say route like root, others say it like rout. I grew up with the former, but the latter sometimes creeps into my speech because of other places I've lived. These dialect survey maps indicate that the 'rout' pronunciation is more common in the South and Midwest. In a forum on Canadian English, someone named Kirk says:
   
   

   About "route," I use both pronunciations of the word depending on context. For instance, I've never heard anyone say "rowt 66"...it's always "root 66" for "route 66." So, if I see an official route as in a state route I definitely pronounce it "root." When I was younger I had a paper route and I almost always pronounced it "rowt" in that context. In other, general usages of the word, I use "root" and "rowt" pretty interchangeably.

   My pattern and Kirk's pattern are the same. I grew up saying 'paper root', but now tend to say 'paper rout'.
   
   
2. Southern Californians (and perhaps others) prefix route numbers with the, but Northeasterners like me don't. So, I'd say Take (Route) 5 but an Angeleno would say Take the 5.
   

When I was young, some of my favo(u)rite books were by British authors. The title of one, Five Dolls and a Monkey, I was interested to find, is (until I publish this post) cited only once on the web. Am I the only person who loved that book? After I grew out of Five Dolls, I made my way through Agatha Christie's oeuvre. And in one or the other of these books I first encountered er and erm, as in this transcription of a comedy sketch (please keep in mind that this is an example of the English poking fun at themselves—as they do so well—and not poking fun at African Americans):

CLIVE (playing an interviewer):

Erm, I think it can be truly said that the Americans have, er, their soul singers, and we English have ars-oul singers. And, er, Bo is one our leading, er, soul singers.

DEREK (playing 'Bo Duddley'):

Arsehole singers, yes.

CLIVE:

Bo, I-, I wanted to ask you first of all, erm, .....

DEREK:

Yes.

CLIVE:

This is obviously a sort of, er, boogie, er, .....

DEREK:

This is a boogie, erm, .....

CLIVE:

What? Jive stuff, is it?

DEREK:

Jive boogie woogie song, erm, and, erm, it is-, it is a, a story of ..... well, shall I, shall I sort of go through it?

CLIVE:

Yes, I-, I-, I was thinking that some of the lyrics for, er-rm, English speaking audiences might be a little obscure.

DEREK:

Absolutely. Well let me .....

CLIVE:

I wonder what the-, what-, what-, what it really is all about?

DEREK:

Well, let me-, let me just go through it, erm, for you. Ah: (sings and plays piano:) "#Mamma's got a brand new bag!" Er, "Mamma's got a brand new bag", er, this means, erm, that the-, the Harlem mother has gone out into the bustling markets of Harlem .....

CLIVE:

Yes.

DEREK:

..... er, to buy a gaily coloured plastic bag. Erm, and there's a certain amount of pride in this: Mamma's got a brand new bag.

CLIVE:

I-, I suppo-, I suppose a gaily coloured plastic bag is, er, a bit of status symbol in Harlem.

DEREK:

It certainly is. Certainly is. Obviously, er, you know, sign of a birthday or something like that.

Now, when I was a 12-year-old reading British novels, I liked to read them out loud, in my best "English" accent, probably gleaned from Dick Van Dyke's murder of Cockney. One of the unfortunate effects of this was that I pronounced Hercule Poirot as something like "Ercule Pirate" (never mind that he's Belgian—he was in England and so must speak as my 12-year-old self believed the English to speak). But another effect was that I believed that when British people paused in speech, they made sounds that rhymed with my American pronunciations of her and worm. And for much of my life, I continued to believe that there were millions of English-speaking people somewhere (or somewhen) pronouncing /r/s in their hesitations. 

 But then I had a baby, and the penny dropped. I regret to say that this is not because motherhood has made me smarter/cleverer. It's because you spend a lot of time watching tv with the subtitles on while trapped under a baby. Watching in this way, I've become addicted to Eggheads, but when it's not 6 p.m., I often end up watching Friends or Scrubs, since one or the other seems to be on at all times. And it was only when seeing er and erm in the subtitles for American characters in these American sitcoms that I reali{s/z}ed: it's not that the British put different sounds into their filled pauses, it's just that they typically spell those pauses er and erm instead of uh and um. Since many BrE dialects do not pronounce the /r/ after vowels in such contexts, the /r/ here is just to indicate that the vowel is not a proper 'e' but a long schwa-like vowel. And before any of you complain that I should not have been allowed to have a doctorate in Linguistics if it took me this long to figure out something this basic, let me tell you: I've thought the same thing myself. I think the technical term for this is: Duh! When I mentioned a few posts ago that I'd be covering er/erm/uh/um soon, reader David Up North (as I'll call him to differentiate him from the other Davids I've mentioned before) wrote to ask:

I was interested to see in the comments to your latest blog that you were planning an article on 'er' and 'erm'. I wondered if you'd be covering 'eh?' as well? It's often pronounced (or possibly replaced by) 'ay?' (or something like that – rhymes with 'hey', but I don't recall ever seeing anyone writing either as 'eye dialect' representations of the sound, they usually use 'eh?'). It came to mind because I've occasionally seen Americans transcribe the sound as 'aye?' – which is obviously wrong.

I can't imagine why an American would transcribe eh as aye (pronounced like I in every dialect I know) and haven't seen it happen, myself. I speak a northern AmE dialect that, like Canadian English, ends many sentences with eh? (Famously parodied by the Great White North sketches on SCTV: How's it going, eh?) And when we write that, we spell it eh and pronounce it to rhyme with day. (I was happy to discover upon moving to South Africa that SAfE has the same kind of interjection, but it's pronounced hey. It was very easy to adjust to. Much better than when I moved to Massachusetts and was mocked relentlessly for the ehs that I'd never noticed myself saying.) 

 The problem we're seeing here is that these interjections are usually spoken and generally only written when one is trying to represent natural speech. Since they're not part of the written language (since they're not needed in the same way when the language isn't immediately interactional), people aren't used to spelling them, and thus the spellings have been slower to become standardi{s/z}ed than the spellings for nouns and verbs. Even within AmE, I find that the informal version of yes is spelt in different ways (yeah, yeh, yea, ya) by different people. To me, yeah is informal 'yes', and yea is pronounced 'yay' and is a positive vote, yay is what you say when you're giddy and ya is what South Africans say instead of yeah. I believe that my spellings are the 'standard' spellings for AmE, but, as I say, I've seen a lot of variation and it's hard to 'correct' such spellings, since the 'standard' is not as well-established for these mostly-spoken sounds. It's worth noting that all of these discourse particles have meanings, though they can be hard to put into words. My favo(u)rite quotation from the OED's entry for er is:

1958 Aspects of Translation 37 The really astute Englishman..must feign a certain diffident hesitation, put in a few well-placed — ers.

The interjections' meanings are generally the same in AmE and BrE, but what may differ, as indicated by the above quotation, is how often and why people use them. One reason to use er/uh is to feign hesitation—to make it seem like you're reluctant to say something. Another reason is to hold your place in the conversation—to indicate that although you're not saying anything at this very second, you intend to finish your thought, so no one should interrupt you. It may be that people in different places from different backgrounds use these sounds for these purposes at different rates and in different situations. I believe that the stereotypes would have it that the British use er/erm to hesitate--not to rush into committing themselves to any proposition--and that Americans use um/uh because they're inarticulately rushing to commit themselves to all sorts of opinions. Nevertheless, both American uh/um and British er/erm have the potential to be used in either way by individuals.

So, last weekend the hospital released me to continue my treatment as an outpatient, then two days later on my first outpatient visit , they re(-)admitted me. Now I'm released again, but have been told to bring a packed bag to my outpatient visits...so you can expect my posts to continue to be erratic for a while. The good news is that I don't actually feel poorly, so I can blog when I have access to the Internet. The bad news is that I have plenty of time and desire for blogging when in (the) hospital, but no access to the blog. Catch-22.

So, the combination of dealing with a lot of different doctors and watching daytime reruns of ER left me thinking about the differences in doctors' titles/roles in American and British hospitals. I must admit that, despite having watched a lot of medical dramas and having read a lot of medical thrillers and memoirs in my youth (the better to feed my hypochondria), I've never been clear on what exactly an (AmE) attending physician is/does or how a (BrE) senior house officer relates to a (BrE) registrar. So, with a lot of help from Wikipedia, I've been trying to teach myself the ins and outs of these titles.

Let's start before we get to the hospital ward. In the UK, your regular doctor, the one you see in their (AmE) office/(BrE) surgery, is your GP or general practitioner. In AmE, the insurance-driven name for such people is primary care physician, but most people would just call that doctor my doctor or their family doctor (who works in or operates a family practice--a term that is found in both countries, but in my experience is more common in the US). The term general practice is also known in the US, but one doesn't hear people talking about their GPs.

When your GP/primary care physician decides that you require more speciali{s/z}ed attention, they refer you to a specialist--but in BrE they're likely to say that they're referring you to a (specialist) consultant. The experience of such referral can be somewhat different in the two countries. Let's say your usual doctor wants you to see a gastroenterologist. In the US, they say "I'm going to refer you to Dr. Guts." Then you get an appointment with Dr. Guts and meet Dr. Guts at that appointment. In the UK, you are referred to Mr Entrails' clinic (more on the 'Mr' shortly). Maybe you will see Mr Entrails--you're likely to on the first visit, at least--but you might see someone else in his clinic team, or firm (the term that Wikipedia reports--not one I've come across in the patient's seat). The consultant Mr Entrails has overall responsibility for your care, but a variety of more junior doctors might see you. Mr Entrails' clinic will most likely be located on hospital grounds, whereas American Dr. Guts will probably see you in an office complex--often one built specifically for medical offices.

In a hospital context, there are different titles (and responsibilities) for specialist doctors at different levels of training. In the UK, there's apparently been a move to 'moderni{s/z}e' medical career paths in the National Health Service, though I've seen little evidence of the changes reported on this NHS site. It says that a new title, Specialty Registrar [StR], replaces Senior House Officer [SHO] and Specialist Registrar from August 2007. But I was being seen by SHOs and Specialist Registrars at our hospital. So, I don't know if the new title applies only to people who have started since August 2007 or whether it's been abandoned, since when one hits the link for further info on the NHS site, one gets a 'page not found' message. For a comparison of new and old titles, see the table on this Wikipedia page. I'm going to stick with the old titles, since they're the ones I've experienced. [NB: Yes, it's specialty, not (BrE) speciality. This is one of many examples of BrE medical jargon being closer to AmE than to non-jargon BrE.]

So, in the UK, you're a medical student, then once you qualify as a doctor, you go on to be a house officer (Pre-Registration House Officer in the old system, Foundation House Officer in the new). After this, the doctor has a choice of going the GP route (which involves more training, but not all the titles I'm about to reel off) or undergoing specialist training for a minimum of two years as a Senior House Officer, followed by 4-6 years of further training and increased responsibility as a Specialist Registrar. One takes exams to go from one level to the next, with the highest level being Consultant. The amount of time one needs to train for these various positions varies by the specialty, culminating in the Certificate of Completion of Training after exams from the specialist college (e.g. the Royal College of Obstetricians and Gynaecologists). All of this is overseen by the General Medical Council, which determines the standards for entry onto the specialist registers that allow one to work in hospitals as a consultant.

In the US, you're a medical student, then for your first year in the hospital you are an intern, which may or may not be considered the first year of your residency, during which you are a resident (physician). This can also be called house officer, as in the UK. After residency, one may or may not get a fellowship for sub-specialty training, before going on to be an attending (physician) [or staff physician] the equivalent of a (BrE) consultant.

In the UK, medical training begins at the undergraduate level--which is to say, people can be 'medical students' from their first year (BrE) at university. In the US, medical school is for (AmE) graduate/(BrE) post-graduate students, and the undergraduate students do pre-med degrees, which cover a lot of science, but also, like other US undergraduate degrees, a liberal arts curriculum. (Law training differs in a similar way in the two countries.)

At least, that's how I understand all this. Anyone with better knowledge is welcome (as ever) to correct me in the comments.

Now, a few words on what you call these people. In the US, medical doctors, no matter their specialty or status, are usually called Dr. [Surname]. In the UK, there's a kind of reverse snobbery, in that GPs and more junior specialists are called Dr [Surname], whereas surgeons and other consultants go back to being Mr or Mrs or Miss--though I've only met men in the consultant role so far, so I can't vouch for the actual use of Mrs and Miss. (Note that BrE tends not to put a (BrE) full stop/(AmE) period at the end of title abbreviations like Dr, Mr or Mrs, while AmE almost always does.) Here, I'll rely on Wikipedia again:

In the United Kingdom, South Africa, Australia, New Zealand, Canada and other areas whose culture was recently linked to the United Kingdom, the title Doctor generally applies to both academic and clinical environment. "Registered medical practitioners" usually do not have a doctorate; rather, they have the degree of Bachelor of Medicine (usually conjoint with Surgery). Cultural conventions exist, clinicians who are Members or Fellows of the Royal College of Surgeons are an exception. As an homage to their predecessors, the barber surgeons, they prefer to be addressed as Mr, Mrs, Ms or Miss, even if they do hold a doctorate. This is first because they have normally achieved another degree - that of Master of Surgery (MCh from the Latin magister chirurgiae) from a university. When a medically-qualified person passes the notoriously difficult examinations which enable them to become a member of one or more of the Royal Surgical Colleges and become "MRCS", it is customary for them to drop the "doctor" prefix and take up "mister". This rule applies to any doctor of any grade who has passed the appropriate exams, and is not the exclusive province of consultant-level surgeons. In recent times, other surgically-orientated specialists, such as gynaecologists, have also adopted the "mister" prefix. A surgeon who is also a professor is usually known as "Professor", and similarly a surgeon who has been ennobled, knighted, created a baronet, or appointed a dame uses the corresonding title (Lord, Sir, Dame). Physicians, on the other hand, when they pass their "MRCP" examinations, which enable them to become members of the Royal College of Physicians, do not drop the "Doctor" prefix and remain doctor, even when they are consultants. In the United Kingdom the status and rank of consultant surgeons with the MRCS, titled "mister", and consultant physicians with the MRCP, titled "doctor", is identical. Surgeons in the USA and elsewhere may have the title "doctor".

So, there we go. Probably a topic that interests me much more than you, but what are blogs for, if not self-indulgence?

Oh, and by the way, one of the registrars has added to the Canadian count. So, that's 12. The nurses just asked where I was from. Score one for the nurses!

Better Half got back (on) Tuesday after eight days in New York. He had a great time promoting his work at an English teachers' conference and enjoyed working with his US distributors, except for one thing that niggled. He'd be chatting with the American folk, cracking jokes as he is apt to do, and someone would exclaim (no doubt indicating him with a nod or a pointing gesture) to the others in the group, "I love this guy!" or "Don't you just love this guy?" or some variation on this. (He should be used to this by now—some of my family members are guilty of the same behavio(u)r.)

Now, BH, it must be said, usually enjoys the attention that he gets for being English when in America. In fact, his main complaint about the country on one of our visits last year was that due to the favo(u)rable exchange rate, New York was crawling with Brits, and he was no longer special. So, one might think that he'd love people exclaiming their love for him, but he found it rather off-putting—and so would I. No doubt, the people who say it would think that they're being complimentary. So, what's behind this phrase/behavio(u)r (which I can't say I've ever experienced in the UK)?

Why some people would find it off-putting, or even rude, to be the topic of such an exclamation is easily explained. There you are, getting along with people, feeling like you're making headway in being accepted as part of the gang. Then you say something funny, and instead of laughter, compliments, or inclusive back-slapping, someone starts talking about you in the third person. You stop being you or Lester (or whatever your name is) and start being this guy. It's distancing. It makes you feel like a performing seal and not a person taking part in the conversation. And what do you say after someone says I love this guy? You haven't been addressed, so it has essentially ended your turn at talking. You're put in an awkward position.

So, why it makes people uncomfortable—easily explained. Why do people say it? It seems to say "Look at me! I'm sophisticated and/or clever enough to appreciate this person's humo(u)r!" In other words, it seems a rather self-cent(e)red thing to say. So, part of me is tempted to say that one hears expressions like this more in the US than the UK because the US is a more individualistic society, with more emphasis on the 'me' in conversation. And I'm sure that's part of it. Another part, I think, is the relative insularity of mainstream American life—if you don't interact with a lot of people from other cultures (as equals) on a regular basis, perhaps you don't know what to do when they make a slightly off-colo(u)r comment. (BH does have a tendency to like to shock middle Americans with his Anglo-Saxon vocabulary.) Folded into this is some Americans' insecurity around British folk, whom they consider particularly funny, well-spoken (recall AVIC) and therefore possibly more intelligent than themselves. So, perhaps in such a situation, it's more natural for people to express their appreciation in a distanced way (this guy!) rather than a personal way (you're hilarious!) or a joining-in way (carrying on the joke).

Those are my working hypotheses, at least. (Or since it's a bit of this, a bit of that, maybe it's only one complicated hypothesis.) I'm not sure how much they're worth (it's been a long and tiring week—not a good time for self-critique!), but at least I can offer the public service of pointing out to I-love-this-guy-sayers that there are more effective ways of making people feel loved.

BTW, one more notch in the Canadian count bedpost this weekend—courtesy of a very nice (well, not nice enough to let me beat him) Scrabble player from the Wirral. The Canadian count has slowed down of late (we're just up to 11 now)—maybe I'm not meeting enough new people, or maybe I'm volunteering information about my childhood home too early in conversations, or maybe I'm being accepted as British now that I'm a citizen (HA HA HA—tell us another one, Lynne!).

How am I avoiding marking/grading? Let me count the ways... Every time I finish a dissertation (which in AmE would be called a thesis, since it's an undergraduate piece; thesis and dissertation are used in reverse ways in BrE and AmE), I reward myself by going on-line. I probably read more on-line in my breaks than I read on paper in the work times (which means that the work times then extend through the night in order to stay on schedule). It's just so much more pleasant to read things that don't involve me having to make a formal judg(e)ment about them, which I'll later have to defend to someone else (second examiner, external examiner) and which I'll later have to live with--and live with the knowledge that someone else has to live with it. Don't get me wrong, I'm reading some really good work, but still I find the process emotionally draining.

But I've taken so many reading breaks that I've pretty much read the Internet now. Well, everything in my bookmarks, at least. So on this little dissertation break, I'll write instead of reading. Some time ago, I ripped the following bit from the Guardian, intending to write about it later. (Welcome to Later.) It's from a piece in the Work section on April Fool's pranks for the office:

Fill a desk with peanuts
According to the interweb, Americans love filling other people's desk drawers with peanuts. Handy for a snack--but read the small print. These are packing peanuts (whatever they are), and therefore not edible. Ridiculous! I'll be going straight for the dry-roasted KPs [a UK brand of peanut--L]. Open those drawers wide. [Vicky Frost, 'Pick a prank for the delayed April Fool', The Guardian, 31 Mar 2007]

Now, usually I will defend the Grauniad, but here I cannot. Vicky Frost, what kind of reporter are you if you have to write "whatever they are" in an article? (OK, an article that is meant to be taken as humorous, but an article nonetheless.) Research, darling, research! (This is starting to feel like marking/grading. Uh-oh.)

I was reminded to find and write about this item (in my staggering tower of things to write about) when BH and I walked by a packing supply shop/store the other day. Its sign advertised that it sells loosefill. Now, this is trade jargon (used in the US too), not BrE particularly, but it gave me cause to ask BH "Is that what you'd call packing peanuts?" and he guessed that it would be the name for them, though not a word that he'd necessarily use. He'd probably just call them annoying polystyrene (=AmE styrofoam) bits, or some such thing. (The photo of a particularly miscellaneous collection of packing peanuts comes from this blog.)

Packing peanuts are so-called in AmE because of their typical shape, like a whole peanut (i.e. with its shell on). Perhaps this name is not so transparent in BrE because the word peanut is generally restricted to the shelled nuts (technically not nuts, but legumes; but since this isn't a botany blog, we'll just call them nuts). The shell-on version are sold as monkey nuts. (Stop that tittering!) Packing monkey nuts just doesn't have the same ring. (Photo 'borrowed' from this blog.)

Incidentally, I haven't run into cornstarch "peanuts" in the UK, though they are a wonderful invention, as they melt in water, making them completely biodegradable. Of course, it's the corn (BrE maize) growers of America, trying to find more things for us to do with corn/maize, that are behind this--so not terribly surprising that you don't find them here. (Just as you're more likely to find cars running on ethanol in the US.) Still, I really like them, as they're relatively guilt-free packaging.

P.S. I had a Canadian count double-whammy yesterday (at a Scrabble tournament--these happen often in Scrabble contexts). A player (whom I've known for a few years now) expressed surprise when I mentioned going to the US to see my family. She said "Oh, you're not Canadian?" And then added "I told A [another player from her town] that you were American, but he was so insistent that you were Canadian..." So, those are numbers 8 and 9 on the Canadian count.