Alan J. Card
@alanjcard.bsky.social
PhD / MPH. Assistant Professor. Systems design and improvement for health and care. #PatientSafety, #QISky #riskmgt, #designthinking, occupational safety/wellbeing, #academicsky. Also puns.
Pinned
Alan J. Card
@alanjcard.bsky.social
· Nov 18
Where there’s smoke, there’s fire…
And fuel,
And oxygen,
And an ignition source,
And a system that brought them together.
And fuel,
And oxygen,
And an ignition source,
And a system that brought them together.
I saw (and heard!) a short video in grad school of a baby with whooping cough and I’m still kind of traumatized 20 years later—no hyperbole.This is seriously, honestly, I promise you, NOT the future we want.
November 25, 2025 at 12:08 AM
I saw (and heard!) a short video in grad school of a baby with whooping cough and I’m still kind of traumatized 20 years later—no hyperbole.This is seriously, honestly, I promise you, NOT the future we want.
Reposted by Alan J. Card
November 24, 2025 at 11:46 PM
Reposted by Alan J. Card
Reposted by Alan J. Card
One of the bragging rights that the US ed system had in the 20th century is that we didn't have education tracks. Essentially, any kid could go to a CC or state school & major in whatever they wanted to (obviously an oversimplification). I fear this aspect of the American dream is dying.
November 23, 2025 at 4:47 PM
One of the bragging rights that the US ed system had in the 20th century is that we didn't have education tracks. Essentially, any kid could go to a CC or state school & major in whatever they wanted to (obviously an oversimplification). I fear this aspect of the American dream is dying.
Reposted by Alan J. Card
Found my doctors appointments got less frustrating once I started going in like “I really want to play badminton again 😢 but I can’t even push a cart around the grocery store 😢 and I’ve hit a wall where no matter what I do I can’t seem to increase my exercise capacity 😢 and it makes it hard to work”
The rationale behind these studies, Seltzer contests, is [that] “it presumes that the patient had never heard of exercise until a doctor told them [it] exists.”
Thanks to Simon Spichak for putting this idea into print. I've said multiple times in interviews that it's the strangest part... 🧵
Thanks to Simon Spichak for putting this idea into print. I've said multiple times in interviews that it's the strangest part... 🧵
“People who are performing these studies are extraordinarily ignorant, and their ignorance is dangerous,” said @exceedhergrasp1.bsky.social. She and other experts agree these trials are a waste of $$ and will not advance our biological understanding of Long COVID. thesicktimes.org/2025/11/21/l...
November 21, 2025 at 6:27 PM
Found my doctors appointments got less frustrating once I started going in like “I really want to play badminton again 😢 but I can’t even push a cart around the grocery store 😢 and I’ve hit a wall where no matter what I do I can’t seem to increase my exercise capacity 😢 and it makes it hard to work”
Reposted by Alan J. Card
A great thread of advice for doctor’s appointments 👇
I’ll add some other tips but know this:
It is completely absurd and ridiculous that we have to game the system like this.
Doctors should listen and take us seriously from the get go.
But that’s not the world we live in.
#MECFS
I’ll add some other tips but know this:
It is completely absurd and ridiculous that we have to game the system like this.
Doctors should listen and take us seriously from the get go.
But that’s not the world we live in.
#MECFS
Found my doctors appointments got less frustrating once I started going in like “I really want to play badminton again 😢 but I can’t even push a cart around the grocery store 😢 and I’ve hit a wall where no matter what I do I can’t seem to increase my exercise capacity 😢 and it makes it hard to work”
The rationale behind these studies, Seltzer contests, is [that] “it presumes that the patient had never heard of exercise until a doctor told them [it] exists.”
Thanks to Simon Spichak for putting this idea into print. I've said multiple times in interviews that it's the strangest part... 🧵
Thanks to Simon Spichak for putting this idea into print. I've said multiple times in interviews that it's the strangest part... 🧵
November 23, 2025 at 7:39 AM
A great thread of advice for doctor’s appointments 👇
I’ll add some other tips but know this:
It is completely absurd and ridiculous that we have to game the system like this.
Doctors should listen and take us seriously from the get go.
But that’s not the world we live in.
#MECFS
I’ll add some other tips but know this:
It is completely absurd and ridiculous that we have to game the system like this.
Doctors should listen and take us seriously from the get go.
But that’s not the world we live in.
#MECFS
Reposted by Alan J. Card
If you are wondering about my extensive backlist, and which book/series might best fit your current reading needs/tastes, I wrote this post for you (boy-band style):
imakeupworlds.com/index.php/20...
imakeupworlds.com/index.php/20...
Where Should I Start With Your Novels? | I Make Up Worlds
imakeupworlds.com
November 20, 2025 at 11:00 PM
If you are wondering about my extensive backlist, and which book/series might best fit your current reading needs/tastes, I wrote this post for you (boy-band style):
imakeupworlds.com/index.php/20...
imakeupworlds.com/index.php/20...
Reposted by Alan J. Card
There’s something, um, poetic about this.
Looks like LLMs are *very* vulnerable to attack via poetic allusion: "curated poetic prompts yielded high attack-success rates (ASR), with some providers exceeding 90% ..."
https://arxiv.org/html/2511.15304v1
https://arxiv.org/html/2511.15304v1
November 20, 2025 at 7:09 PM
There’s something, um, poetic about this.
Reposted by Alan J. Card
Then Toad began to bang his head against the wall
November 20, 2025 at 5:37 PM
Then Toad began to bang his head against the wall
Reposted by Alan J. Card
Amazing
November 20, 2025 at 2:38 PM
Amazing
Reposted by Alan J. Card
I think I probably have ADHD, I've been encouraged by professionals to do all the research I can, and now I've learned all sorts of things that are really interesting and none of them are about ADHD
November 19, 2025 at 10:02 PM
I think I probably have ADHD, I've been encouraged by professionals to do all the research I can, and now I've learned all sorts of things that are really interesting and none of them are about ADHD
Reposted by Alan J. Card
Isn’t… isn’t the whole *point* of forcing this upgrade on everyone to *fix* security problems???
"Microsoft warns that Windows 11's agentic AI could install malware on your PC: 'Only enable this feature if you understand the security implications.'"
bro what--
what are we doing here, exactly, how can you--anyone be okay with this?
bro what--
what are we doing here, exactly, how can you--anyone be okay with this?
November 18, 2025 at 11:43 PM
Isn’t… isn’t the whole *point* of forcing this upgrade on everyone to *fix* security problems???
Reposted by Alan J. Card
"The plan would reorganize the departments and their faculty members into an array of “schools,” “centers” and “institutes.” Among those that administrators have floated are the School of Human Narratives and Creative Expressions & the Institute for Complex Systems and Algorithmic Infused Societies"
"[admin]...who regard the...students of their own universities with such contempt as to be undeserving of the education that in many cases those administrators themselves, or their parents, or their children received...are an enemy of the educational enterprise"
🎁 link
www.wsj.com/opinion/mont...
🎁 link
www.wsj.com/opinion/mont...
Opinion | Montclair State’s Inhumanity to the Humanities
Goodbye, English department. Hello, Institute for Complex Systems and Algorithmic Infused Societies.
www.wsj.com
November 17, 2025 at 9:35 PM
"The plan would reorganize the departments and their faculty members into an array of “schools,” “centers” and “institutes.” Among those that administrators have floated are the School of Human Narratives and Creative Expressions & the Institute for Complex Systems and Algorithmic Infused Societies"
Reposted by Alan J. Card
Yeah right. An accident?
So they just took the dog's word for it?
So they just took the dog's word for it?
November 17, 2025 at 8:03 AM
Yeah right. An accident?
So they just took the dog's word for it?
So they just took the dog's word for it?
Reposted by Alan J. Card
New feature article from TNJ (nation's best student magazine): Inside Yale’s Quiet Reckoning with AI thenewjournalatyale.com/2025/10/insi...
November 16, 2025 at 4:43 PM
New feature article from TNJ (nation's best student magazine): Inside Yale’s Quiet Reckoning with AI thenewjournalatyale.com/2025/10/insi...
Reposted by Alan J. Card
I wonder how many employers might actually refuse to hire the post-ChatGPT generation or they might end up fired because they cant do the things their degrees say they can do
Id be very angry with universities for hyping gAI the way they have, if I was a student or parent, tbh.
Id be very angry with universities for hyping gAI the way they have, if I was a student or parent, tbh.
New feature article from TNJ (nation's best student magazine): Inside Yale’s Quiet Reckoning with AI thenewjournalatyale.com/2025/10/insi...
November 16, 2025 at 6:07 PM
I wonder how many employers might actually refuse to hire the post-ChatGPT generation or they might end up fired because they cant do the things their degrees say they can do
Id be very angry with universities for hyping gAI the way they have, if I was a student or parent, tbh.
Id be very angry with universities for hyping gAI the way they have, if I was a student or parent, tbh.
I really wish I were as good at editing my own writing as I am at editing other people’s work.
November 14, 2025 at 10:15 PM
I really wish I were as good at editing my own writing as I am at editing other people’s work.
Reposted by Alan J. Card
As I read this, I'm thinking about the man I interviewed who had to be hospitalized from the Covid he caught at the poultry processing plant and he got fired for it and he still has long Covid
During the height of the pandemic, Tyson used Palantir to predict Covid-19 infections among meatpacking workers down to a nearly exactly figure. But rather than using this data to increase worker protections, Tyson used it plan for labor shortages + plant closures
My latest for @sentientmedia.org
My latest for @sentientmedia.org
November 14, 2025 at 5:39 AM
As I read this, I'm thinking about the man I interviewed who had to be hospitalized from the Covid he caught at the poultry processing plant and he got fired for it and he still has long Covid
Reposted by Alan J. Card
During the height of the pandemic, Tyson used Palantir to predict Covid-19 infections among meatpacking workers down to a nearly exactly figure. But rather than using this data to increase worker protections, Tyson used it plan for labor shortages + plant closures
My latest for @sentientmedia.org
My latest for @sentientmedia.org
November 13, 2025 at 7:49 PM
During the height of the pandemic, Tyson used Palantir to predict Covid-19 infections among meatpacking workers down to a nearly exactly figure. But rather than using this data to increase worker protections, Tyson used it plan for labor shortages + plant closures
My latest for @sentientmedia.org
My latest for @sentientmedia.org
Reposted by Alan J. Card
"fomites don't matter if they're hanging from the ceiling" - a new corollary to the 5 second rule
November 13, 2025 at 7:27 PM
"fomites don't matter if they're hanging from the ceiling" - a new corollary to the 5 second rule
On top of everything else @matthewcort.land mentions here, those “privacy” curtains are absolute cesspools of germs and we just… pretend they’re not?
"Sitting here as a patient, I'm not bound by the HIPAA Privacy Rule. And in what may be news only to whoever branded these as "privacy curtains," this fabric blocks no sound.
I can hear everything...."
www.patreon.com/posts/who-ar...
I can hear everything...."
www.patreon.com/posts/who-ar...
Who Are Hospitals For? | Matthew Cortland
Get more from Matthew Cortland on Patreon
www.patreon.com
November 13, 2025 at 7:24 PM
On top of everything else @matthewcort.land mentions here, those “privacy” curtains are absolute cesspools of germs and we just… pretend they’re not?
Friends overseas: If your government is flirting with American-style healthcare, here’s what that looks like.
Anthem BC/BS came back, 10 months later, and decided that it was going to deny me and my son's rabies treatments, after already approving the claim last December.
Denying a claim where if treatment were not given, results in death 100% of the time!
Denying a claim where if treatment were not given, results in death 100% of the time!
November 13, 2025 at 7:03 PM
Friends overseas: If your government is flirting with American-style healthcare, here’s what that looks like.
Reposted by Alan J. Card
What if I just paid it? What if I wasn't a pissed off person who didn't know any better? How much money do insurers make off of people not knowing they're being billed inccorectly!? 😭
November 13, 2025 at 7:00 PM
What if I just paid it? What if I wasn't a pissed off person who didn't know any better? How much money do insurers make off of people not knowing they're being billed inccorectly!? 😭
Well, that’s an annoyingly good example of poor human factors design.
I was trying to make delicious bread, not a cinnamon raisin whole wheat candle!
#HFE
I was trying to make delicious bread, not a cinnamon raisin whole wheat candle!
#HFE
November 13, 2025 at 9:28 AM
Well, that’s an annoyingly good example of poor human factors design.
I was trying to make delicious bread, not a cinnamon raisin whole wheat candle!
#HFE
I was trying to make delicious bread, not a cinnamon raisin whole wheat candle!
#HFE
Reposted by Alan J. Card
There were once dreams of eradicating measles - I remember discussion on it in my MSc epi class.
The loss of progress on measles is not only a health loss for kids (measles can be disabling & deadly), it’s also a massive economic loss.
We save billions/yr not having to vaccinate & treat smallpox.
The loss of progress on measles is not only a health loss for kids (measles can be disabling & deadly), it’s also a massive economic loss.
We save billions/yr not having to vaccinate & treat smallpox.
November 13, 2025 at 12:45 AM
There were once dreams of eradicating measles - I remember discussion on it in my MSc epi class.
The loss of progress on measles is not only a health loss for kids (measles can be disabling & deadly), it’s also a massive economic loss.
We save billions/yr not having to vaccinate & treat smallpox.
The loss of progress on measles is not only a health loss for kids (measles can be disabling & deadly), it’s also a massive economic loss.
We save billions/yr not having to vaccinate & treat smallpox.