Tom Wallach's Avatar

Tom Wallach

@mdwallach.bsky.social

Division Chief of Pediatric GI at SUNY downstate. Pain, EED, health equity, and intestinal barrier science. formerly of UCSF/Columbia. Ed board @jpgnreports . hater of ALS. only represent me. he/him

5,170 Followers  |  1,892 Following  |  8,398 Posts  |  Joined: 01.07.2023  |  2.1452

Latest posts by mdwallach.bsky.social on Bluesky

I mean drugs probably?

08.10.2025 04:36 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Whereโ€™s the triumphant โ€œBURN THE TRANSโ€ or are you only proud of some of your work

07.10.2025 21:47 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

The nazis themselves were not some clever masterminds where everything they did went perfect. They were also comical idiots who did ridiculous things, like invading Russia in the winter.

They gained power because the opposition couldnโ€™t understand that the fascists were not rational agents.

07.10.2025 20:40 โ€” ๐Ÿ‘ 958    ๐Ÿ” 274    ๐Ÿ’ฌ 16    ๐Ÿ“Œ 7

as a girl with a PhD in natural language processing and machine learning it's actually offensive to me when you say "we don't know how LLMs work so they might be conscious"

I didn't spend 10 years in mines of academia to be told ignorance is morally equal knowledge.

We know exactly how LLMs work.

04.10.2025 22:23 โ€” ๐Ÿ‘ 5706    ๐Ÿ” 1574    ๐Ÿ’ฌ 65    ๐Ÿ“Œ 65

Bari Weiss i believe is an LLM built off of Aaron Sorkin scripts.

07.10.2025 17:31 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Goddamn those left wing agitators look what they did to our capitol

07.10.2025 17:08 โ€” ๐Ÿ‘ 4    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Can we say yes so more straight people leave cities?

07.10.2025 15:38 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

I guess I shouldn't be *surprised* but it is making my head spin that the feds have shot two people, with live rounds, killing one of them, in Chicagoland in recent weeks, and in both cases they were very clearly found to be lying about what happened, and essentially nothing is happening about it.

07.10.2025 13:07 โ€” ๐Ÿ‘ 968    ๐Ÿ” 361    ๐Ÿ’ฌ 26    ๐Ÿ“Œ 16

6 months tops.

07.10.2025 15:11 โ€” ๐Ÿ‘ 8    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Can foreigners be eligible if we have a chill vibe

07.10.2025 11:28 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Canโ€™t say this bodes well.

07.10.2025 01:45 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Also, heโ€™s an incompetent fraud.

06.10.2025 20:11 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Like in his clinical heyday it was just write a number and they will pay it and then he quit care and assuredly never saw a prior auth in his life.

06.10.2025 20:11 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Love to go on big tirades about how hard moderation is to get right hence thatโ€™s why we do very little of it and ban everyone who disagrees

06.10.2025 19:39 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

The all-knowing bsky mods gave Erin Biba a 24 hour suspension for a months-old skeet about Christian Zionism, and Iโ€™m sure itโ€™s just a coincidence that this happened when sheโ€™s been vocally criticizing Jay

06.10.2025 19:19 โ€” ๐Ÿ‘ 3547    ๐Ÿ” 712    ๐Ÿ’ฌ 63    ๐Ÿ“Œ 153

It is not at all surprising to me that oz seems to have no comprehension of how insurance or Medicare and Medicaid work.

06.10.2025 19:37 โ€” ๐Ÿ‘ 9    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Fairly sure the primary thing ms. Cummings has sacrificed is feeling in her face.

06.10.2025 19:35 โ€” ๐Ÿ‘ 6    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Love the full court press on โ€œitโ€™s their faultโ€ while Johnson delays reopening the house and they , uh, control all three branches of govt

06.10.2025 19:34 โ€” ๐Ÿ‘ 22    ๐Ÿ” 7    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Wild how fucking gormless even local electeds are. Get a new mayor.

06.10.2025 19:26 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

This is not even an ambitious statement by definition 50% are worse than average

06.10.2025 16:01 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Like Larry Ellison may just want to white wash Nazis at a loss but canโ€™t imagine everyone does

06.10.2025 14:22 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

These are choices we can make economically undesirable, she has no real constituency.

06.10.2025 14:21 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

cops/firefighters/teachers should have very aligned interests (appropriate staffing and support) and not being organized crime syndicates.

06.10.2025 14:05 โ€” ๐Ÿ‘ 6    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

The sooner we as a society realize our entire LE apparatus outside of some municipalities is the keystone Klan the better off we will be. Basically no current cops should remain cops, and the union needs to be dismantled and rolled into one large public sector union

06.10.2025 14:04 โ€” ๐Ÿ‘ 6    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

No we def agree. I think they just thought it I was being kinder than I was to LE.

06.10.2025 13:42 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Oh yes, but also they are embarrassingly bad at it still.

06.10.2025 13:42 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

You want Democrats to do something. They militarized the police and built up the security forces that are invading US cities. They've done enough

06.10.2025 12:32 โ€” ๐Ÿ‘ 47    ๐Ÿ” 4    ๐Ÿ’ฌ 3    ๐Ÿ“Œ 0

If we arenโ€™t sending these murderers and thieves to jail we will be sending corrupt elected dems to jail. So @schumer.senate.gov and @hakeemjefferson.bsky.social we gonna be investigating someone who you want it to be.

06.10.2025 12:28 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

I hope Democrats understand that if and when they get back to power, defaulting to โ€œunityโ€ politics and empty reconciliation without any real accountability would not only be morally abhorrent, but also politically suicidal: The desire for at least some semblance of justice will be overwhelming.

06.10.2025 12:11 โ€” ๐Ÿ‘ 664    ๐Ÿ” 112    ๐Ÿ’ฌ 19    ๐Ÿ“Œ 10

No offense to your former field but law enforcement been a project of whacky racists for decades now. My point is that also the general low level of competence.

06.10.2025 12:25 โ€” ๐Ÿ‘ 4    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 1

@mdwallach is following 19 prominent accounts