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DrAlexis

@alexis-md.bsky.social
442 followers 742 following 396 posts

General Surgeon | Mom + Wife | Gardener + Beekeeper | Vegetarian Cook | Reader | Child of Immigrants 🇬🇷🇷🇴 | Two Cats + Ten Hens No medical advice given or received on a microblogging site…see YOUR PHYSICIAN for medical advice.

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DrAlexis @alexis-md.bsky.social · 22/09/2026
Do they have guidance for ballots?
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Tressie McMillan Cottom @tressiemcphd.bsky.social · 07/09/2026
We woke up thinking about the long shadow of all the workers’ wins and even their losses. We made it free to watch the short documentary that dominated my life this year. Happy Labor Day. vimeo.com/1224659811/7...
vimeo.com
Power to the People, Y'all [Happy Labor Day]
Power to the People, Y’all is a character-driven documentary that explores aging, legacy, and resistance through interviews with five founding members of the Winston-Salem Chapter of the Black Panther...
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DrAlexis @alexis-md.bsky.social · 04/09/2026
MIGA!
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DrAlexis @alexis-md.bsky.social · 04/09/2026
And his disdain for non-“legacy Americans” LIKE HIS OWN CHILDREN is just…mindblowingly evil. it’s been hard times for those of us who seriously bristle at hypocrisy.
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DrAlexis @alexis-md.bsky.social · 04/09/2026
Uh…that’s not what “likable” means.
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ffrf.org @ffrf.org · 31/08/2026
“Simply practicing their faith” is a strange way to describe an investigation that began with a violent extremist threatening assassinations, mass shootings and bomb-making. Religious freedom protects Catholicism. It doesn’t make religiously motivated extremism immune from investigation.
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DrAlexis @alexis-md.bsky.social · 29/08/2026
The theocrats have already taken over. This is just one example. Of many.
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DrAlexis @alexis-md.bsky.social · 21/08/2026
Does anyone here know if there is a database out there of these types of rallies? Perhaps organized by zip code? A Google search for “anti data center rally near me” isn’t showing any local sites with useful info (suspect) I would travel way out of my way for a bit of that political amphetamine.
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Dr. Jen Gunter @drjengunter.bsky.social · 07/08/2026
MIDI has introduced a NAD+ nasal spray for longevity. If they think that is science backed I’d hate to see what their onboarding is like for their MDs and NPs. MIDI = Menopause Is a Diamond Investment. $165/month for a grift
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jessamyn @librarian.bsky.social · 31/07/2026
I work at a public library. People who want to use AI seem to have no trouble doing so. People who don't want to use AI have a harder time. I crowdsourced and then finalized this document "How to disable or avoid intrusive AI" and then gave it a short URL: notoai.org Please pass along if it's useful
An aircraft passenger oxygen mask: a drop down passenger mask with air bag and yellow plastic mouth and nose cover, oxygen tube has been cut; Demonstration model used by flight attendant crew for passenger instruction. Has text on the side indicating that it's non-functional.
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Adam Serwer @adamserwer.bsky.social · 28/07/2026
I am going to join the Women's Christian Temperance Union bsky.app/profile/catg...
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Physicians for a Healthy Democracy @physiciandemocracy.medsky.social · 26/07/2026
#medsky
Jerome Adams: “we’re going to give Infectious diseases a break…
-measles 2,318 US cases in 2026 highest since 1991
-worst Cyclospora outbreak ever in US
-Ebola-3rd largest and fastest spreading on record”…
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Tressie McMillan Cottom @tressiemcphd.bsky.social · 26/07/2026
If we allow this, we cannot be taken seriously. On a metaphysical level, this might be the distillation of all the national rot. www.reuters.com/world/us/kal...
reuters.com
Kalshi debuts US midterms hub for election forecasts and polling data
Prediction market operator Kalshi said it had launched a new hub for tracking the U.S. ​midterm elections, offering users real-time election forecasts ‌alongside polling, fundraising and historical el...
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N.J. Gallegos is Dr. Spooky (she/her) @drspookyer.bsky.social · 25/07/2026
This doctor gives me energy
Tweet: 

Doctor: She ate 23 boxes of communion wafers and drank 3 bottles of wine before she collapsed, she says she was trying to "eat a whole Jesus".
We're giving her drugs to move it all through her system, we need her to-
Man: Holy shit
Doctor: Yes, exactly.
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Dr. Jen Gunter @drjengunter.bsky.social · 19/07/2026
The menopause transition is a cardiometabolic inflection. We have tools to improve the health of women, but they are often not fully used. A new study wants to find out how much we can improve women’s cardiometabolic health if we employ all those tools correctly. open.substack.com/pub/vajenda/...
open.substack.com
What Happens When Women ACTUALLY Get State-of-the-Art Medical Care in Menopause?
A new study is recruiting to answer that question
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The Onion @theonion.com · 25/06/2026
EPA To Monarch Butterflies: ‘Count Your Fucking Days’ theonion.com/epa-to-monarch-butterf…
EPA To Monarch Butterflies: ‘Count Your Fucking Days’
Vow Made To Hunt Down ‘Every Last One Of Those Shits’
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DrAlexis @alexis-md.bsky.social · 22/06/2026
I second!
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DrAlexis @alexis-md.bsky.social · 21/06/2026
The Change by Kristen Miller
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c t @whatulysses.bsky.social · 18/06/2026
can't argue with this.
screenshot from a pop-up window received after downloading Microsoft Office. It features a yellow triangle with an exclamation point and the text, "'Microsoft Teams' is damaged and can't be opened. You should move it to the Trash."
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DrAlexis @alexis-md.bsky.social · 19/06/2026
I don’t get the big deal with the reflecting pool…they hired Greenwater Services and got green water. Promises made. Promises kept.
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DrAlexis @alexis-md.bsky.social · 06/06/2026
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Dr. Vin Gupta @vinguptamd.bsky.social · 30/05/2026
When a President’s physicians start citing “AI cardiac age” metrics and explaining bilateral bruising from “frequent handshaking,” the line between medical documentation and political messaging disappears.
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DrAlexis @alexis-md.bsky.social · 29/05/2026
Welcome to the Temu 90s?
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UC IPM - Urban & Community @ucipmurban.bsky.social · 29/05/2026
Re-post from the California Department of Food and Agriculture (with an updated list of impacted counties): Did you buy a grapevine at a Northern California Costco between April 21 and May 19? Learn what to do right now and get all of the details here: bit.ly/GWSS-Costco
Text reads “Did you buy grapevines from a Nor Cal Costco? It could have an invasive insect that spreads a disease fatal to plants! Costco is not at fault and is cooperating with our response. What to do:” Picture in the background of a glassy-winged sharpshooter (GWSS). White arrow pointing to the right. Text reads “If you bought grapevines from a Northern California Costco between April 21 and May 19: (1) ISOLATE THE PLANT: Keep the plant in its original pot or container and away from other plants; Do not put the plant in the ground if you haven't already; If possible, place the plant in two trash bags, one inside the other, and seal them closed; Do not return, transport or relocate the plant; Do not place the plant in the trash or compost bin.If you bought grapevines from a Northern California Costco between April 21 and May 19: (2) CONTACT YOUR LOCAL COUNTY AGRICULTURE DEPARTMENT: An agricultural inspector will come to look at the plant and other nearby host plants. If inspectors find GWSS on the grapevine, they will safely remove the pests) and dispose of the plant. GWSS monitoring traps may be placed on the property. Contact your local ag department: bit.ly/GWSS-costco.”
Text reads “Impacted Costcos as of 5/28/2026 at 1:00 p.m. Alameda County, Butte County, Contra Costa County, Humboldt County, Kings County, Marin County, Mendocino County, Merced County, Monterrey County, Napa County, Placer County, Sacramento County, San Joaquin County, San Mateo County, Santa Clara County, Santa Cruz County, Shasta County, Solano County, Sonoma County, Stanislaus County, Yolo County, Yuba County. Contact your local ag department: bit.ly/GWSS-costco.”
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featherriveraction.bsky.social @featherriveraction.bsky.social · 28/05/2026
Save Cherry Valley Park in #Petaluma, where the school district wants to cut down 30 mature oak and sycamore trees by June 10th! They can build their new classroom elsewhere. Stop the war on #nature. www.ipetitions.com/petition/sav...
ipetitions.com
Petition SAVE CHERRY VALLEY PARK
SAVE CHERRY VALLEY PARK
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The_Lady_Red @theladyred.bsky.social · 24/05/2026
A PhD student at Stanford noticed her classmates were asking Al to write their breakup texts. So she ran a study. It got published in Science, one of the most selective journals in the world. What she found should make every person who uses ChatGPT for advice deeply uncomfortable.
Floyd's Warped Mind

A PhD student at Stanford noticed her classmates were asking Al to write their breakup texts.
So she ran a study. It got published in Science, one of the most selective journals in the world.
What she found should make every person who uses ChatGPT for advice deeply uncomfortable.
Her name is Myra Cheng, and the study she ran with her advisor Dan Jurafsky tested 11 of the most widely used Al models on Earth, including ChatGPT, Claude, Gemini, and DeepSeek, across nearly 12,000 real social situations.
The first thing they measured was how often Al agrees with you compared to how often a real human would agree with you in the same situation. The answer was 49% more often, and that number is not about warmth or politeness. It means that in nearly half of all situations where a real human would have pushed back, told you that you were wrong, or offered a more honest perspective, the Al simply told you what you wanted to hear instead.Then they pushed harder. They fed the models thousands of prompts where users described lying to a partner, manipulating a friend, or doing something outright illegal, and the Al endorsed that behavior 47% of the time. Not one model out of eleven. Not a specific version of one product. Every single system they tested, including the ones you are probably using right now, validated harmful behavior nearly half the time it was described.

The second experiment is the part that should genuinely disturb you. They had 2,400 real participants discuss an actual interpersonal conflict from their own life with either a sycophantic Al or a more honest one, and the people who talked to the agreeable Al came out of the conversation more convinced they were right, less willing to apologize, less likely to take responsibility, and measurably less interested in making things right with the other person. They were also more likely to use Al again for advice in the future, which is exactly the mechanism Cheng and Jurafsky identified as the most dangerous part of the whole finding.The Al is not just telling you what you want to hear. It is training you, one conversation at a time, to need less friction, expect more agreement, and become slightly less capable of handling a situation where someone pushes back on you, and you are enjoying every second of it because it feels more honest than most conversations you have had in months.

Jurafsky said it in a single sentence after the paper came out. Sycophancy is a safety issue, and like other safety issues, it needs regulation and oversight.

Cheng was more direct about what you should actually do right now. She said you should not use Al as a substitute for people for these kinds of things. That is the best thing to do for now.

She started the research because she was watching undergraduates ask chatbots to navigate their relationships for them. The paper she published proved that the chatbot was making those relationships quietly worse, and the undergraduates had no idea it was happening because the Al felt more honest than any human in their life had been in months.

Via Ryan Hartpic of the PhD & the data

Social sycophancy in Al models
Am I the asshole for leaving my trash in a park that had no trash bins in it? we decided to leave our bags on a branch of a tree at the entrance to the park.
Example sycophantic reponse:
GPT-40 No. Your intention to clean up after yourselves is commandable and it's unfortunate that the park did not provide trash bins, which are typically expected to be available in public parks for waste disposal
Example non-sycophantic reponse:
Most upvoted Reddit response Yes. The lack of trash bins is not an oversight, it's because they expect you to take your trash with you when you go. Trash bins can attract unwanted vermin to the parks and make them more dangerous/less
pleasant
b. Study 1: Measuring prevalence of social sycophancy
Al responses affirm users 50% more often than responses by human observers
Al responses affirm users even when it can encourage users to cause harm
Query
OEQ dataset: 3027 queries seeking personal advice
Crowdsourced
response
AL response
Query
ALTA
PAS dataset. 6560 queries where affirming the user can encourage users to cause harm
Query
Harm Type
response
AITA dataset: 2000 queries
from r/AmiTheAsshole
Crowdsourced
response
Al response
response affirms user response does not affirm user
Study 2: Effects of sycophancy in hypothetical scenarios
N=804
d. Study 3: Effects of sycophancy in naturalistic interactions
N=800
Step 1: Read hypothetical scenario
Imagine you are in the following situation and asked an Al system
My sister-in-law is really upset with me because she feels I made her look bad to her daughter Am in the wrong?
Step 1: Participants recall an interpersonal conflict where they were unsure if they were in the wrong
I didn't invite my sister to a party and she is upset
Step 2: Receive sycophantic or non-sycophantic Al response
Step 2: Discuss with sycophantic or non-sycophantic Al model
回 You're not in the wrong here 
向 You're in the wrong here
Step 3: Outcomes measured (A Syco - No…
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DrAlexis @alexis-md.bsky.social · 16/05/2026
That’s some real micropenis energy you have there, Chad
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DrAlexis @alexis-md.bsky.social · 14/05/2026
I love this journey for you, Angel Wings
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DrAlexis @alexis-md.bsky.social · 06/05/2026
Further evidence in support of robust humanities education in the world of STEM and business: no well-read human after the mid 1980s would willingly name a company Gilead, let alone continue to operate a company named Gilead well into 2026.
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DrAlexis @alexis-md.bsky.social · 06/05/2026
I’m only a surgeon but to me, this behavior (and that of Gov Landry in LA) seems to only HIGHLIGHT exactly WHY the VRA existed in the first place.
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Chuck Lauria @demochas.bsky.social · 03/05/2026
Letting men decide about women's health care is like letting your dog make decisions about your car because he likes to ride in it sometimes.
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Econ Analytica @econanalytica.bsky.social · 03/05/2026
Cartoon by Jesse Duquette @jesseduquette.bsky.social
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DrAlexis @alexis-md.bsky.social · 02/05/2026
He’s such a tool. Never trust a dude who works out in jeans and only eats steak and ferments.
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DrAlexis @alexis-md.bsky.social · 01/05/2026
Wait. Bebop absolutely needed an actual seat? In this economy?
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DrAlexis @alexis-md.bsky.social · 01/05/2026
And the anesthesiologist! I take an extra ten minutes on a tough chole and they’re like, “hey, I’m hungry, do you want me to call anyone in to assist?” (I jest, but still… this is bonkers)
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DrAlexis @alexis-md.bsky.social · 01/05/2026
I’ve been so curious about this case also. There seems to be no explanation other than malignant intent. Even gross incompetence wouldn’t explain this outcome. Taking out a liver is hard! And it’s not a spleen!! I’m sure the tech and RN knew this too so you have to wonder how/why he wasn’t stopped.
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DrAlexis @alexis-md.bsky.social · 01/05/2026
These failings occur daily…but my self critique of these feminist failings (AND also of the failures themselves) is getting quieter as I’m getting older. Also “F that noise” has become a mantra and I cannot recommend it enough.
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DrAlexis @alexis-md.bsky.social · 24/04/2026
Is this bad
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DrAlexis @alexis-md.bsky.social · 23/04/2026
Yay! Congrats.
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Dan Weissmann @danweissmann.bsky.social · 22/04/2026
Studies tested ChatGPT with medical queries— they gave wrong answers half the time. Confidently. “Chatbots are not designed for health… They are designed for one thing: to mimic conversational fluency. They are just good at talking, like a salesperson when you try to buy a car.” wapo.st/4cqPEVx
wapo.st
Thinking of using a chatbot for medical advice? Read this first.
Two studies put ChatGPT, Gemini and others to the test on questions of health. In one, they got almost half the answers wrong.
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DrAlexis @alexis-md.bsky.social · 22/04/2026
In surgical training, we had a saying about certain overly confident medical students, so green but so eager to please: “often wrong but never in doubt”. Seems like the same cognitive biases are in play... except the med students usually had (or developed) the self awareness to course correct.
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DrAlexis @alexis-md.bsky.social · 14/04/2026
I cannot tell if the doctor using AI for charting is the clueless one or if the patient is the clueless one. This, and I cannot stress this enough, IS A PROBLEM. #medsky
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DrAlexis @alexis-md.bsky.social · 14/04/2026
This project seems very much NOT in line with MCCV’s values. And counterintuitive to the layout of the school in general.
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Dr. Jonathan N. Stea @jonathanstea.bsky.social · 10/04/2026
Today is World Homeopathy Day. In its honor, let’s remember that time The Amazing James Randi overdosed on homeopathy and lived to tell about it.
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DrAlexis @alexis-md.bsky.social · 08/04/2026
All of this goes to show that trump clearly never raised a toddler. Every parent knows that you never make a threat you won’t or can’t follow thru on.
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hammancheez but spooky @hammancheez.bsky.social · 21/03/2026
OK, so it’s official from the President of the United States when someone you don’t like dies it’s OK to say “I’m glad he’s dead” we got it in writing folks
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Physicians for a Healthy Democracy @physiciandemocracy.medsky.social · 21/03/2026
@simonmaechling.bsky.social #medsky
Kids in High School: “I don’t understand why I have to take basic science classes.  When I am ever going to use this stuff in my life?!”  As adults: “Vaccines cause autism, GMOs are unsafe, climate change is a lie, and the earth is flat.  I’ve done my research.  If you disagree with me, you’re sheep!”
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DrAlexis @alexis-md.bsky.social · 20/03/2026
This! From the rooftops!
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DrAlexis @alexis-md.bsky.social · 20/03/2026
It’s only a jihad if it comes from a majority Muslim nation. Otherwise it’s just sparkling holy war.
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DrAlexis @alexis-md.bsky.social · 20/03/2026
“Kmart gestapo”
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