Tom Wallach
banner
mdwallach.bsky.social
Tom Wallach
@mdwallach.bsky.social
World’s largest pediatrician. 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
Honestly I think LLMs get a bad rap but if you are calling it AI I got my doubts about your clear vision on the topic
Is this platform still massively against AI or has it moved more towards acceptance?
November 26, 2025 at 12:44 PM
Reposted by Tom Wallach
Today, after months of requests, I toured the Broadview ICE Processing Facility. I want to share what I saw.

The facility has no food vendor, no medical care, and detainees have to use toilets in the middle of shared cells. These are in no way suitable conditions to be holding anyone — period.
November 25, 2025 at 12:57 AM
Goddamn it nick cave why
just two cool guys looking normal and alive, like humans
November 25, 2025 at 1:46 PM
What’s particularly funny about this is Kelly has been one of the biggest GOP quislings and this is what he bought himself. No surrender, no retreat. No fascists.
That sound you heard was every GOP elected official with a lick of sense absolutely SHITTING themselves thinking about the visual of Mark Kelly back in uniform before a military court as Whiskey Pete's handpicked chucklefucks try to railroad him on bogus charges.
November 25, 2025 at 1:44 PM
Reposted by Tom Wallach
one thing that's really interesting about this is that the stated motivation for a lot of this stuff is fighting antisemitism, and then they mention Dana Loesch, a vocal antisemite.
"elevate charismatic figures such as Alan Dershowitz"

-____________-
November 25, 2025 at 4:57 AM
See the thing is Venezuelan oil is highly crude and while valuable-ish is not actually something the oil companies are chomping at the bit for, so this is literally just that they haven’t updated their understanding of the world since the early 90s
Rep. Salazar on Venezuela: "We're about to go in ... we need to go in ... Venezuela for the American oil companies will be a field day"
November 24, 2025 at 10:40 PM
Fairly confident pony on banjo is someone’s kink on this website and she’s right you sick monsters.
what i love about banjo is how it can make any song immediately unsexy. righteous brothers’ unchained melody, panty dropping stuff. unchained melody on banjo, never touch me again. ginuwine’s pony, is it getting hot in here?! ginuwine’s pony on banjo, you’re going away for a long time you sick fuck
November 24, 2025 at 10:12 PM
Reposted by Tom Wallach
NEWS: I spent the past 24 hours going through major MAGA accounts on Twitter, and a bombshell development has become clear: most of the right-wing ecosphere is being fed propaganda from foreign actors.

This impacts elections. This impacts discourse. This is major. Subscribe to support my work:
NEWS: Major MAGA Accounts on Twitter Exposed as Foreign Actors
A stunning development over the past 24 hours.
open.substack.com
November 23, 2025 at 7:38 PM
It’s really funny to me how all the absolute clowns put into the DOJ to cover up and do crimes pretend they know how anything works the whole reason they are there is they don’t
Reminder: It’s really not normal for a senior DOJ official to publicly confirm that DOJ is getting ready to indict someone!

(Not to mention that Mizelle no longer works at DOJ — how exactly does he know “of what he speaks”?)
November 23, 2025 at 10:38 PM
Reposted by Tom Wallach
Fuckin rocking out
November 20, 2025 at 9:30 PM
Robyn is hosting an NYE party in Brooklyn and for the first time in a decade I want to go out on NYE
November 22, 2025 at 5:31 PM
Saw @stayinsidebk.bsky.social last night at the Broadway and highly recommend if you get the shot. Trying to describe the genre but it shifts, my best answer is a combo of pavement, big bad voodoo daddy, and Tool.

open.spotify.com/track/323DT0...
Counting Electric Sheep
open.spotify.com
November 22, 2025 at 4:38 PM
There is nothing that buoys me more regularly than the great Jeremy Berg’s regular skewering of the dipshit murdering the institutes.

Academic decorum doesn’t apply to people killing academia folks let’s call these people out as the trash they are.
In fairness, the NIH Director was describing his own research...
The NIH director told attendees the NIH doesn't do enough innovative research.

“What puts lives at risk is doing research that’s incremental,” Bhattacharya said. “All it does is advance the careers of the researchers that do it. It results in publications that don’t get used and aren’t replicable.”
November 22, 2025 at 3:55 PM
Reposted by Tom Wallach
I don't mean this in an "I told you so" way, but it was very obvious to me that the Mamdani/Trump meeting would go the way it did, because Mamdani is ascendant, popular, powerful and charismatic, all things that Trump wants to glom on to. Trump has no principles; it's not like he has converted.
November 21, 2025 at 11:44 PM
Reposted by Tom Wallach
Critique: NIH budget constraints (or lack of inflation growth) have squeezed paylines and created a false lottery of high impact grants where too much good science is lost. We need reform.

<monkey paw curls>
How about some asshole just decides?
November 21, 2025 at 8:30 PM
Reposted by Tom Wallach
wait so did Zohran actually dog-walk the fucking president with nothing but his own insane charisma am I understanding correctly
November 21, 2025 at 8:50 PM
You might want to laugh at these idiots but this is basically how we teach the story of Columbus we just pretend the genocide was chill.
Gavin and Tanner, planned and trained for nearly a year, legal documents say, in an elaborate attempt to invade a Haitian island, kill its Black men, enslave its Black women and Black children and fulfill their "rape fantasies."

www.fox4news.com/news/haitian...
NTX men planned to murder men, enslave women on foreign island: Indictment
Two North Texas men have been indicted for an alleged scheme to sail to a foreign island, murder all the men, and enslave the women and children.
www.fox4news.com
November 21, 2025 at 11:56 PM
It’s wild to me how much better Donald trump, a man who has about 3 functioning neurons, is at politics than jefferies and Schumer
November 21, 2025 at 11:20 PM
I don’t know if I’ve ever seen someone look as comically evil as the Ellison kid (40 yo) (who is in fact a bag of ass in real life) or as comically pathetic as Ellison senior. Great photo.
November 21, 2025 at 12:22 AM
6 years ago today we lost my daughter before I had a chance to meet her. Her name was Bea Eleanor Wallach, and I am grateful every day that she existed. She made me a father, changed my life in every way, and further embedded in me the need to be a positive force.
November 20, 2025 at 7:04 PM
The only reason Matt would not be in the Epstein files is because he couldn’t get Epstein to answer his emails.
Ok Matt Taibbi has posted.
November 20, 2025 at 1:22 PM
One thing I find utterly bizarre is how many of the billionaire twits have wonderful, talented, caring first wives who seem to have strong moral codes.

I’m curious if they were, at one point, better, more interesting men who earned partners like this, or like.. straight lady Stockholm syndrome?
November 20, 2025 at 1:05 PM
The thing I find just most galling about this, still, is the bald faced lying.

He’s just slapping us in the face over and over again and assuming we will thank him.
I will not support the Republican bill that’s on the Senate floor because it fails to do anything of substance to fix America’s healthcare crisis.
November 20, 2025 at 10:58 AM
Who allowed the mullet to be the look of the artsy modern queer I have concerns
November 19, 2025 at 8:25 PM
@chiosse.bsky.social as a constituent my wife and I think it would be great if you challenged Jeffries. You’ve got our vote and time.
November 19, 2025 at 7:02 PM