Lex
@lexwrites.bsky.social
Writer, reader, bee-witch, Oregonian, real-life physician. Honorary graduate of Starfleet Medical Academy. None of this is medical advice. 🖖🏼 🌈 she/they
Elitism in Medicine: Every time I have to interact with leaders in my field, I am reminded that I shall always be a trespasser in the professional world, no matter what credentials I may hold.
There was a time when I might have been sad about it. Now I'm primarily amused.
There was a time when I might have been sad about it. Now I'm primarily amused.
January 2, 2026 at 6:37 PM
Elitism in Medicine: Every time I have to interact with leaders in my field, I am reminded that I shall always be a trespasser in the professional world, no matter what credentials I may hold.
There was a time when I might have been sad about it. Now I'm primarily amused.
There was a time when I might have been sad about it. Now I'm primarily amused.
Easy answer: Illusions by Richard Bach. The contents and my relationship to them, however, are among several reasons why I will probably never run for or be elected to public office.
January 2, 2026 at 5:36 AM
Easy answer: Illusions by Richard Bach. The contents and my relationship to them, however, are among several reasons why I will probably never run for or be elected to public office.
Reposted by Lex
✨ SUBMISSIONS OPEN for the 2026 Sarabande Annual Prizes through Submittable starting today Jan 1 - Feb 15. This year’s judges are: Kaveh Akbar (Short Fiction), Adrian Matejka (Poetry), and Aimee Nezhukumatathil (Essay)!
Winners receive $2,000 and publication! Full details at link in bio ✨
Winners receive $2,000 and publication! Full details at link in bio ✨
January 1, 2026 at 1:02 PM
✨ SUBMISSIONS OPEN for the 2026 Sarabande Annual Prizes through Submittable starting today Jan 1 - Feb 15. This year’s judges are: Kaveh Akbar (Short Fiction), Adrian Matejka (Poetry), and Aimee Nezhukumatathil (Essay)!
Winners receive $2,000 and publication! Full details at link in bio ✨
Winners receive $2,000 and publication! Full details at link in bio ✨
The AI oligarchy is so laughably out of touch. Super excited for 22 yos graduating today, into this economy they've created? 2 day work week? Yall planning on paying people full time for 16 hrs/week? On what planet?
Well, probably Mars, based on this article. Cute.
Well, probably Mars, based on this article. Cute.
OpenAI's CEO Sam Altman says in 10 years time college graduates will be working 'some completely new, exciting, super well-paid' job in space | Fortune
While Bill Gates has said the 2-day workweek could come within the next decade, OpenAI CEO Sam Altman says Gen Alpha college graduates will be too busy planet-hopping.
fortune.com
December 24, 2025 at 12:41 PM
The AI oligarchy is so laughably out of touch. Super excited for 22 yos graduating today, into this economy they've created? 2 day work week? Yall planning on paying people full time for 16 hrs/week? On what planet?
Well, probably Mars, based on this article. Cute.
Well, probably Mars, based on this article. Cute.
Reposted by Lex
Shout out to Scrivener, a text editing and writing program that basically only gives writers useful features and thus is admirably AI free.
December 20, 2025 at 8:12 PM
Shout out to Scrivener, a text editing and writing program that basically only gives writers useful features and thus is admirably AI free.
Spent some time having a serious conversation with a 4th year resident about professionalism last week.
Glanced at the news about things the president has done, said, and immortalized in plaques at the White House.
Professionalism may be a losing battle, yo.
#sigh #medsky #resist #why
Glanced at the news about things the president has done, said, and immortalized in plaques at the White House.
Professionalism may be a losing battle, yo.
#sigh #medsky #resist #why
December 18, 2025 at 2:35 AM
So well-said. Better off waiting for the infinite monkeys to type up Shakespeare.
When I hear AI proponents say things like "I can't wait to put in one prompt and get a new season of my favorite show," I don't know how to begin explaining that can't happen with how these things work.
It's like going into IKEA and said "I can't wait to get the wardrobe that takes me to Narnia."
It's like going into IKEA and said "I can't wait to get the wardrobe that takes me to Narnia."
December 14, 2025 at 5:48 PM
So well-said. Better off waiting for the infinite monkeys to type up Shakespeare.
I never considered being a teacher of any kind prior to becoming an attending physician. Working with trainees continues to be one of the most beautiful and unexpected parts of being in medicine.
#medsky
#medsky
December 9, 2025 at 10:04 PM
I never considered being a teacher of any kind prior to becoming an attending physician. Working with trainees continues to be one of the most beautiful and unexpected parts of being in medicine.
#medsky
#medsky
Reposted by Lex
Hubs had a procedure at the hospital today and the nurse, who knows me, added logical discharge instructions: “If you’re not feeling well, consult your wife”. 🤣🤣🤣
December 9, 2025 at 3:03 AM
Hubs had a procedure at the hospital today and the nurse, who knows me, added logical discharge instructions: “If you’re not feeling well, consult your wife”. 🤣🤣🤣
Reposted by Lex
Public health in 1998: Wash your cutting board after handling raw chicken.
Public health today: Do not inject human urine.
Public health today: Do not inject human urine.
December 3, 2025 at 4:16 AM
Public health in 1998: Wash your cutting board after handling raw chicken.
Public health today: Do not inject human urine.
Public health today: Do not inject human urine.
December 2, 2025 at 10:28 PM
That moment when you get a page a half hour after falling asleep...oi. Shift 5/5 coming up. Tomorrow night will be so sweet.
#MedSky #InpatientLife
#MedSky #InpatientLife
November 30, 2025 at 6:20 AM
That moment when you get a page a half hour after falling asleep...oi. Shift 5/5 coming up. Tomorrow night will be so sweet.
#MedSky #InpatientLife
#MedSky #InpatientLife
Reposted by Lex
Dear @nba.com,
Peacock-exclusive NBA games is a mistake. Letting NBC prop up its streaming platform with your content is profoundly dumb. But what do you care so long as the checks clear, right? Still, allow me to explain, if you care to hear, the kind of fan you're alienating with this policy. 1/
Peacock-exclusive NBA games is a mistake. Letting NBC prop up its streaming platform with your content is profoundly dumb. But what do you care so long as the checks clear, right? Still, allow me to explain, if you care to hear, the kind of fan you're alienating with this policy. 1/
November 25, 2025 at 2:18 AM
Dear @nba.com,
Peacock-exclusive NBA games is a mistake. Letting NBC prop up its streaming platform with your content is profoundly dumb. But what do you care so long as the checks clear, right? Still, allow me to explain, if you care to hear, the kind of fan you're alienating with this policy. 1/
Peacock-exclusive NBA games is a mistake. Letting NBC prop up its streaming platform with your content is profoundly dumb. But what do you care so long as the checks clear, right? Still, allow me to explain, if you care to hear, the kind of fan you're alienating with this policy. 1/
Walk out to observe the hive entrance. Healthy buzz from within. Met by a guard who has strong opinions about my proximity.
That's right, ma'am. You tell me to shove off. We need that kind of sass in this apiary.
#BeeSky #beekeeping #winter #Layens #beekeepher
That's right, ma'am. You tell me to shove off. We need that kind of sass in this apiary.
#BeeSky #beekeeping #winter #Layens #beekeepher
November 24, 2025 at 9:23 PM
Walk out to observe the hive entrance. Healthy buzz from within. Met by a guard who has strong opinions about my proximity.
That's right, ma'am. You tell me to shove off. We need that kind of sass in this apiary.
#BeeSky #beekeeping #winter #Layens #beekeepher
That's right, ma'am. You tell me to shove off. We need that kind of sass in this apiary.
#BeeSky #beekeeping #winter #Layens #beekeepher
Post a movie where you are from.
(okay, mine is a TV series, but there aren't a lot of movies set in that part of NorCal)
(okay, mine is a TV series, but there aren't a lot of movies set in that part of NorCal)
November 24, 2025 at 1:17 AM
Post a movie where you are from.
(okay, mine is a TV series, but there aren't a lot of movies set in that part of NorCal)
(okay, mine is a TV series, but there aren't a lot of movies set in that part of NorCal)
This talk of Housing First "failure" perplexes me. As an inpatient psychiatrist, at least 1/3 patients I see are unhoused. Waitlists for supported housing are months or years long - useless.
Where is all this secret housing? In ~10 years of practice, I've yet to see it.
#MedSky #HousingFirst
Where is all this secret housing? In ~10 years of practice, I've yet to see it.
#MedSky #HousingFirst
November 22, 2025 at 7:13 PM
This talk of Housing First "failure" perplexes me. As an inpatient psychiatrist, at least 1/3 patients I see are unhoused. Waitlists for supported housing are months or years long - useless.
Where is all this secret housing? In ~10 years of practice, I've yet to see it.
#MedSky #HousingFirst
Where is all this secret housing? In ~10 years of practice, I've yet to see it.
#MedSky #HousingFirst
Here's to the quiet-but-mighty community hospitals out there informing their staff that any law enforcement officer, including ICE officers, require a valid warrant signed by a judge to enter patient care spaces.
May we all follow only *lawful* orders.
#MedSky #NoKings #Resist
May we all follow only *lawful* orders.
#MedSky #NoKings #Resist
November 21, 2025 at 3:48 AM
It's not even 50°F and the bees are still working their hardest. Wishing them well as we slide ever closer towards solstice.
#Beesky #hope #Layens #Beekeepher
#Beesky #hope #Layens #Beekeepher
November 18, 2025 at 11:06 PM
It's not even 50°F and the bees are still working their hardest. Wishing them well as we slide ever closer towards solstice.
#Beesky #hope #Layens #Beekeepher
#Beesky #hope #Layens #Beekeepher
November 13, 2025 at 5:05 PM
This should be broadcast on the news every single day. Having billionaires and (soon-to-be) trillionaires is a policy choice, y'all.
#NoKings
#NoKings
Let’s call the very average salary $66K a year. That’s what they say it is.
On that salary. It would take you 15 million years to earn $1 trillion dollars.
On that salary. It would take you 15 million years to earn $1 trillion dollars.
November 10, 2025 at 4:48 PM
This should be broadcast on the news every single day. Having billionaires and (soon-to-be) trillionaires is a policy choice, y'all.
#NoKings
#NoKings
The Onion becomes a more legitimate news source every day.
November 10, 2025 at 6:27 AM
The Onion becomes a more legitimate news source every day.