Lex

Consult-Liaison Psychiatry Life: Perpetually confused by colleagues who seem to think I do not consider primary psychiatric disorders in my differential. I swear, y'all, I'd be down to agree with you if the problem wasn't delirium. But... It's delirium. #psychsky #medsky #psychiatry #rant

They told us millennials the future was going to be like this but instead we just got priced out of home ownership and global warming 😮‍💨😮‍💨😮‍💨

On behalf of daughters with abusive mothers of some form or flavor, I'd like to extend a hearty public "Fuck you" to Vivek Ramaswamy. 😊

Today is the last day to register to vote in Oregon. Check your status and register today: sos.oregon.gov/elections/Pa... 🗳️

Let's stop saying the AI "went rogue." AI does unanticipated things when given reckless tasks *by its corporations,* and companies should be held liable like any other biz doing ill-advised experiments. AI lacks agency. Their companies are trying to trick you. @edzitron.com knows what's up.

Goddamn I love good concert energy. If you have a chance to see Arrows in Action, don't sleep on it. These guys have that presence 🔥 #poppunk

I had a dream that the world as we know it was ending and falling apart, all the gasoline was about to go into shortage, and most people still just got up and went to work the next day. Hm.

Anybody remember the Hatch Act? Anybody? Oh, nevermind...

I find it oddly fitting that the president is calling AI "SI," which in my field is Suicidal Ideation. We are killing ourselves with the technocracy, alright. #medsky #psychsky

Seeing Fox News sign off on this joint media statement is a welcome shock. "The public has a vital interest in receiving accurate, independent information about its government. No administration should restrict a news organization because it objects to its reporting." Keep going. Don't stop.

Imagine the society we could have if we invested as many resources in Human Intelligence as we have in Artificial Intelligence. Here for the HI-boosters among us. #AI #resist

Hot take: We shouldn't be in a place where we must ponder the question, "What is the cause of the obvious neurological deficits in this sitting member of congress?" But what do I know? I'm just a brain doctor who thinks our leaders should be capable of a clock-draw. #medsky

What scene makes you emotional no matter how many times you’ve seen it?

Better Offline monologue: I run through the nonsensical, pro-AI lab scare campaign driven by a former researcher, how the media keeps falling for grifts, and how dangerous AI is already in the wrong hands - those of Anthropic and OpenAI. podcasts.apple.com/us/podcast/b... Linktr.ee/betteroffline

One of the priorities of forthcoming administrations should be clarifying which law enforcement branch arrests the president. If my local PD can detain me for graffiti, someone should be in charge of slapping cuffs on the president for blatant bribery and demolishing public buildings.

I taught a trans health primer to my residents for the first time since the 2024 election, and I was not prepared for how anxious I felt. It's not a reason to stop. If anything, it's a reason to continue. But man, I had no idea the public assault on queer identity had gotten to me like that.

Only a true genius would effectively start enacting sanctions on his own country. Really gonna savor my bottle of Empress Gin. Crown Royal folks, they're coming for you.

Art by @reforest-kelley.bsky.social. A reminder for Labor Day.

I wish everyone knew they could get their audiobooks through their indie bookstore!

I can thank Lex of the Past for registering my little self-pubbed novel with the copyright office, so I can now collect more from Anthropic than it ever made on KDP. Protect your work. LLM's are built on theft. #writingcommunity

If you have a Kindle Unlimited subscription--you can snag my novel, "Going to Hell" for no extra moola/dinero/钱/scratch/деньги/that-stuff-most-of-us-have-so-little-of! Speculative fiction of the gritty, profane, and darkly humorous sort. a.co/d/08G0W2oj

Dolly & Tim may "just" be celebrities, but there is something powerful in the way artists can profoundly impact millions of people - and they can choose to do so with class, dignity, and respect for others. What a gift to leave a legacy of lifting up those who felt outcast or misunderstood.

Tim Curry, too? Why are all the wrong 80-year-olds dying?

Man, Dolly Parton is such a stark contrast to the Great Orange Big Mac Disposal. Born the same year but clearly not cut from the same cloth.

Al Green fighting for us even though he won't be re-elected.

Excited to see the book I glimpsed as a critiquer take physical form! Looking for gritty speculative sci-fi with a sharp narrative voice? Check out 'Going to Hell' by @charliecousins.bsky.social #SFF #writingcommunity #writesky #amwriting #scifi #booksky

My rage against the Technocracy might be turning me into a Linux user. Zorin makes the computer go faster, y'all. So. Much. Faster.

Hospitals and units around the country keep closing, and the news seems to be slow to keep up with all of it. 2027 is looking dark for healthcare. Oregon lost one of its three geriatric psychiatry units in the state this month (Hillsboro MC), and journalists are nowhere to be found. @oregonian.com

Louder for the people in the back: "We did what [the moderates] demanded, and the fascists won." @humanistreport.bsky.social

We rightfully talk about Ruby Bridges being the first Black child to integrate an all-white school in the South at 6-years-old. But we don’t talk nearly enough about Lucille Bridges, her mom ✨

I miss the days when people agreed that felons and pedophiles were bad people.

Cashier: You have beautiful eyes! Me: Thank you! Cashier: Remember when $100 used to buy a cart of groceries? Seems like they're trying to price us out of existence and replace us with AI. Me: Yeah...seems to be the way. Cashier: You have a good day! Me: You too! Normal conversations in 2026.

I've had it with attending physician colleagues who do not show the fuck up for our trainees. Get on the floor. See patients alongside them. Offer advice and support. Go to the graduation celebration for your residents, for god's sake. Trainees deserve better. #MedSky

And tonight was the night I removed google from all my defaults in my Opera and Firefox browsers.

Going to say this again, because I feel the news articles about this are not driving it home: Trump keeps bragging about taking the Montreal Cognitive Assessment. He is doing so by often talking about incorrect answers and incorrect framing of the questions. Release the results and the MRI.

If you feel passing a 30-point dementia screen is indicative of mental acuity, your mental acuity is questionable. Also, there are no sharks on the MoCA, nor on any other 30-point cognitive assessment with which this psychiatrist is familiar. Thank you for your attention to this matter.

Already did a split off this colony (Brigid), and still, she generated a little swarm. I appreciate that she made it easy on me for collection purposes! Man, I'm going to have swarm control cut out for me when the blackberry flow hits. Bees, they always keep me thinking. #beekeeping #Layens

This is going to go over so well as an inpatient psychiatrist. #psychsky #medsky

I had a surgical attending who liked to curse Murphy (of Murphy's Law) when things would go unexpectedly awry. I internally laughed, because my father's nickname is Murphy. This is one of those days on the consult service where I'm reminded that I am well and truly Murphy's daughter. #medsky

I need to do some work today to ensure my bees don't swarm before there are enough drones in the sky to ensure adequate fertility. But there's also this thing going on where my "leader" is threatening a genocide, and for some reason, the world is proceeding as if this is normal. Dizzying.

This Easter Sunday, I hope every Christian who voted for Trump says a blessing and asks themselves: What warcrimes would Jesus do?

Can garlic oil cure peach leaf curl? Tune in at the end of April to find out more.

Quietly spending my days watching the bees and tending the plants while the world swirls into chaos. Soil blocking experiments are ongoing.

Country Mouse Adventures 2026 Edition: New York City is some other planet, and I do not understand this honk-based language.

Star Trek: Hope in fiction.

Every senator who voted to confirm RFK Jr owns this tragedy. Every single one.

Encountered an article about how millenials are dating themselves with their skinny jeans. Funny, I just wear styles I find comfortable and appealing; that is, was, and will always be flares and cargos. Cargos are "in" now, but I assure you, I'm only fashionable on accident. #fashion #millenial

In reading a bunch about AI futures, this is the (unlikely) future I would like to see: A surge in employee-owned cooperative businesses as AI takes the jobs of corporate decision makers for day-to-day operations, while people-facing jobs gain respect and wealth. Unlikely, but a leftist can dream.

This silly creature makes me smile every morning. #Catsky

With the first link, the chain is forged. The first speech censured, the first thought forbidden, the first freedom denied, chains us all irrevocably. - Capt Jean-Luc Picard