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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

4,745 Followers  |  1,878 Following  |  7,302 Posts  |  Joined: 01.07.2023  |  1.7928

Latest posts by mdwallach.bsky.social on Bluesky

Man needs work ok

06.08.2025 22:39 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

I mean that still means someone saw this conversation and made a very esoteric sock puppet all in all so odd.

06.08.2025 22:09 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Tbh if itโ€™s actually you man this is sadder than some weirdo making a fake account.

06.08.2025 21:55 โ€” ๐Ÿ‘ 22    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Whose weird hobby is this fake account

06.08.2025 21:55 โ€” ๐Ÿ‘ 12    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

I am pretty excited about this project Iโ€™m doing to make implementation papers for local hosted LLms for clinical and research support

06.08.2025 21:13 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Main problem is the fucking rich guys want to kill skilled labor whereas actual use cases are for augmenting skilled labor by removing unpleasant or simply unachievable semi-skilled tasks.

06.08.2025 21:03 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

I hate the altman and musk types even more because theyโ€™ve galvanized this stupid arms race to use LLMs in agentic roles they fucking suck at because all rich guys do is want to destroy people, and itโ€™s turned the whole culture against one of the cooler labor saving devices to emerge in tech.

06.08.2025 21:02 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

JD pretty worried the files cover underage couches

06.08.2025 20:27 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Like hiring the worldโ€™s most mediocre sub. B- performance at best. Should be double checked.

06.08.2025 20:26 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

The basic rule of thumb about use cases is if a person does it now an LLM will do it worse but if was something you simply wouldnโ€™t do or would hate to do (watch a lot of garbage videos for work) LLM will do it adequately

06.08.2025 20:25 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Oy. The weird Luddite tendency that abounds on this, an internet app, is so strange.

06.08.2025 20:25 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

Vote Cuomo if you want him to fight (women) and stand up (for trump)

06.08.2025 20:22 โ€” ๐Ÿ‘ 4    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Ladies ladies, you are both horrible trash.

06.08.2025 19:11 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Florida, unlike the federal government, can be sued for civil rights violations and punished with monetary damages.

06.08.2025 17:40 โ€” ๐Ÿ‘ 8084    ๐Ÿ” 2929    ๐Ÿ’ฌ 187    ๐Ÿ“Œ 75

Oh word msnbc the lady they bribed to say a thing said a thing

06.08.2025 17:42 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Gonna guess our drunk friend hegseth reconciles those things by simply not believe trans or black people can be American.

06.08.2025 15:48 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Hilariously the family that owns Home Depot is very much behind trump and itโ€™s going to cost them a lot.

06.08.2025 15:47 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

The emergence of using a real and valid point that is vaguely progressive or โ€œgoodโ€ sounding to justify wholly opposite policy has just been a trip.

Somehow they have managed to make a pitch in which they promise actions which will make a problem worse landโ€ฆ

06.08.2025 13:13 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

100% makes sense that this group of people feels itโ€™s important to establish statues for racist traitors

06.08.2025 12:10 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Generative AI by definition is conformity. It is an averaging of anything you ask of it - quite literally guessing what the most likely version of a thing might be. It is, by definition, mainstream, as is everything it creates old and deeply ideological, as every model trains on similar data.

06.08.2025 02:47 โ€” ๐Ÿ‘ 6163    ๐Ÿ” 1709    ๐Ÿ’ฌ 135    ๐Ÿ“Œ 48

i think it is hard for some people to really their heads around the reality that kennedy is staunchly anti-vaccine and thinks that people should suffer through disease and that those who die deserved it and that those who survive are a better order of human being

05.08.2025 22:54 โ€” ๐Ÿ‘ 7509    ๐Ÿ” 1832    ๐Ÿ’ฌ 151    ๐Ÿ“Œ 134

I also had some major classic rock love and the ones you mentioned rock i just fucking love that unplugged album.

05.08.2025 21:36 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Also this may just be a feature of my age but Iโ€™ll ride and die for nirvana unplugged.

05.08.2025 21:24 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

I only recognize Fillmore west.

05.08.2025 21:23 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

Like I thought the dude was the *coolest* when I was a 19 yo stoner and man would he have just thought I sucked ass (which tbf I did as most 19 year olds do)

05.08.2025 21:12 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Honestly though is there a person who views hunter s Thompson as a role model that hunter s Thompson would likeโ€ฆ

05.08.2025 21:08 โ€” ๐Ÿ‘ 7    ๐Ÿ” 1    ๐Ÿ’ฌ 2    ๐Ÿ“Œ 0

The real scandal here is how deeply embedded Mothership is with the Democratic establishment. It was founded by DCCC alumni and continues to work closely with party leaders. Itโ€™s way worse than I thought. And itโ€™s infuriating they continue to allow preying on people to enrich consultants.

03.08.2025 17:02 โ€” ๐Ÿ‘ 1040    ๐Ÿ” 162    ๐Ÿ’ฌ 20    ๐Ÿ“Œ 10

Grief and loss can be processed in some terrible ways.

05.08.2025 00:09 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

I accept the tears as an appropriate answer

04.08.2025 22:27 โ€” ๐Ÿ‘ 0    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Q Iโ€™m hearing word you were also included on the presidents new fitness counsel with saquon, can you comment on this tremendous shame for Philly.

04.08.2025 22:03 โ€” ๐Ÿ‘ 2    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

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