Alexander Tsai, MD
@drdrtsai.bsky.social
Husband, father, psychiatrist & pop. health scientist at @GlobalHealthMGH, @MonganInstitute, & @HarvardChanSPH. Editor @SocSciMed-Mental Health. TweetDelete on. Fk cowards.
Website: https://connects.catalyst.harvard.edu/Profiles/display/Person/90553
Website: https://connects.catalyst.harvard.edu/Profiles/display/Person/90553
I'm pretty uncultured so until today I had never heard the name Joyce Carol Oates, but I am always down for a good suplex
November 11, 2025 at 3:46 AM
I'm pretty uncultured so until today I had never heard the name Joyce Carol Oates, but I am always down for a good suplex
Lots of insider baseball to be sure, but not really Trumpy-shady in my opinion
Is it just me, or is the grant awards process super shady?
eg., I once spoke with an academic who was really good at getting grants.
Their advice?
"Build a personal relationship with grant officers."
This was not the only time I've heard some version of this.
It seems super shady.
eg., I once spoke with an academic who was really good at getting grants.
Their advice?
"Build a personal relationship with grant officers."
This was not the only time I've heard some version of this.
It seems super shady.
November 11, 2025 at 3:40 AM
Lots of insider baseball to be sure, but not really Trumpy-shady in my opinion
CONCEPTS OF A PLAN
TRUMP: US TO LAUNCH NEW AIR TRAFFIC CONTROL SYSTEM WITHIN 2–3 WEEKS
November 11, 2025 at 3:00 AM
CONCEPTS OF A PLAN
Pro tip: if you are going head to head with a sociopath, their willingness to hurt people is _always_ going to exceed your willingness to see people get hurt
www.nytimes.com/2025/11/10/o...
www.nytimes.com/2025/11/10/o...
November 10, 2025 at 8:22 PM
Pro tip: if you are going head to head with a sociopath, their willingness to hurt people is _always_ going to exceed your willingness to see people get hurt
www.nytimes.com/2025/11/10/o...
www.nytimes.com/2025/11/10/o...
Nothing is so demoralizing as a low response rate on the teaching evaluation survey--what did I do wrong this year?
(used to be >85% in years past)
(used to be >85% in years past)
November 10, 2025 at 12:21 PM
Nothing is so demoralizing as a low response rate on the teaching evaluation survey--what did I do wrong this year?
(used to be >85% in years past)
(used to be >85% in years past)
I see what you did there 😂
www.bmj.com/content/391/...
www.bmj.com/content/391/...
November 10, 2025 at 11:20 AM
I see what you did there 😂
www.bmj.com/content/391/...
www.bmj.com/content/391/...
"But on which issues will Democrats accept disagreement—and on which will they stand firm? No speaker at Friday’s convention offered any real specifics." www.theatlantic.com/politics/202...
The Limits of the Democrats’ Big Tent
A convention showed that it’s more medium-size.
www.theatlantic.com
November 10, 2025 at 3:30 AM
"But on which issues will Democrats accept disagreement—and on which will they stand firm? No speaker at Friday’s convention offered any real specifics." www.theatlantic.com/politics/202...
Dang it I guess I’m gonna need to do those grant reviews after all
November 10, 2025 at 1:47 AM
Dang it I guess I’m gonna need to do those grant reviews after all
Gutless
I mean I just couldn’t have predicted they’d cave in this particular fashion because it’s so fucking stupid. FSAs!?!
November 10, 2025 at 12:05 AM
Gutless
November 9, 2025 at 11:56 PM
What’s with the air quotes around “SUCKS”
November 9, 2025 at 2:59 PM
What’s with the air quotes around “SUCKS”
Elvin Geng @elvingeng.bsky.social, EIC of Implementation Science Communications, is trying to understand what makes a peer review invitation from an academic journal better or worse. Please consider taking a few minutes to fill out his survey!
journalreviewerbws.sawtoothsoftware.com/cgi-bin/ciww...
journalreviewerbws.sawtoothsoftware.com/cgi-bin/ciww...
November 9, 2025 at 2:26 AM
Elvin Geng @elvingeng.bsky.social, EIC of Implementation Science Communications, is trying to understand what makes a peer review invitation from an academic journal better or worse. Please consider taking a few minutes to fill out his survey!
journalreviewerbws.sawtoothsoftware.com/cgi-bin/ciww...
journalreviewerbws.sawtoothsoftware.com/cgi-bin/ciww...
"While serving on my university’s tenure and promotions committee, I’ve lost count of the times I have read 'Professor X is so much better than Professors Y and Z' and thought to myself, 'I don’t know what I am supposed to do with this information.'" physicstoday.aip.org/opinion/comm...
Commentary: On the (ab)use of comparisons in recommendation letters
Comparing candidates for tenure and promotion with other researchers is lazy and fraught with bias.
physicstoday.aip.org
November 8, 2025 at 10:53 PM
"While serving on my university’s tenure and promotions committee, I’ve lost count of the times I have read 'Professor X is so much better than Professors Y and Z' and thought to myself, 'I don’t know what I am supposed to do with this information.'" physicstoday.aip.org/opinion/comm...
Big pet peeve about Twitter-adjacent apps
I saw someone on my timeline shaming someone else for posting about college football in a time like this.
Folks, if we're going to survive a time like this, we're going to need to avoid burning out from an attitude of 24/7 vigilance and constant outrage.
Let people find joy where they can, please.
Folks, if we're going to survive a time like this, we're going to need to avoid burning out from an attitude of 24/7 vigilance and constant outrage.
Let people find joy where they can, please.
November 8, 2025 at 8:59 PM
Big pet peeve about Twitter-adjacent apps
“The target may not have clear boundaries, but the intent is clear: to defund, stigmatize, and weaken an array of strategies that have been proven to save lives.”
The Erosion of Harm Reduction | New England Journal of Medicine www.nejm.org/doi/full/10....
The Erosion of Harm Reduction | NEJM
The U.S. administration has continuously chipped away at public health interventions
addressing substance use disorders and the opioid crisis, including vital harm-reduction
activities.
www.nejm.org
November 8, 2025 at 4:51 PM
“The target may not have clear boundaries, but the intent is clear: to defund, stigmatize, and weaken an array of strategies that have been proven to save lives.”
Reposted by Alexander Tsai, MD
Ah yes, just what everyone has been clamoring for: HSAs with infinite deductible non-plans
Trump: "I am recommending to Senate Republicans that the Hundreds of Billions of Dollars currently being sent to money sucking Insurance Companies in order to save the bad Healthcare provided by ObamaCare, BE SENT DIRECTLY TO THE PEOPLE SO THAT THEY CAN PURCHASE THEIR OWN, MUCH BETTER, HEALTHCARE."
November 8, 2025 at 4:41 PM
Ah yes, just what everyone has been clamoring for: HSAs with infinite deductible non-plans
💪💪💪💪🖕
November 8, 2025 at 4:17 PM
💪💪💪💪🖕
Reposted by Alexander Tsai, MD
Hello, DOJ? There's a Twitter assassin on the loose, do something!
I think this bag is fake.
Hermes's flagship products are handsewn using a saddle stitch. A worker marks the leather using an awl and then threads two needles through from both sides.
This results in a tight stitch with no holes between the stitches. The holes here suggest the bag was machine sewn.
Hermes's flagship products are handsewn using a saddle stitch. A worker marks the leather using an awl and then threads two needles through from both sides.
This results in a tight stitch with no holes between the stitches. The holes here suggest the bag was machine sewn.
November 8, 2025 at 12:35 PM
Hello, DOJ? There's a Twitter assassin on the loose, do something!
“You know, don't shoot first, ask questions later. You know, answer the door, see who they are, see if they have the wrong house. Don't just take it upon yourself to shoot some innocent person.”
www.wrtv.com/news/local-n...
www.wrtv.com/news/local-n...
Wrong address turned deadly in Whitestown shooting
Police say a member of a cleaning crew arrived at the wrong address just before 7 a.m. Wednesday, and was shot by the homeowner, who fired from inside the house.
www.wrtv.com
November 7, 2025 at 12:40 PM
“You know, don't shoot first, ask questions later. You know, answer the door, see who they are, see if they have the wrong house. Don't just take it upon yourself to shoot some innocent person.”
www.wrtv.com/news/local-n...
www.wrtv.com/news/local-n...
Friends don’t let friends publish in Frontiers
www.thetransmitter.org/retraction/j...
www.thetransmitter.org/retraction/j...
Journal retracts two papers evaluating ADHD interventions
Frontiers in Public Health retracted one paper for its “unacceptable level of similarity” to another paper, and the other over concerns about its “scientific validity.”
www.thetransmitter.org
November 7, 2025 at 12:31 PM
Friends don’t let friends publish in Frontiers
www.thetransmitter.org/retraction/j...
www.thetransmitter.org/retraction/j...
DOJ dropping the case in 3, 2, 1…
Two Massachusetts men have been charged with allegedly breaking into a Harvard Medical School building on Halloween night and detonating a large firework inside a research lab, according to federal prosecutors.
www.justice.gov/usao-ma/pr/t...
www.justice.gov/usao-ma/pr/t...
Two Arrested in Connection with Explosion on Harvard Medical School Campus
BOSTON – Two Massachusetts men have been arrested and charged in connection with an alleged conspiracy to damage a building on Harvard Medical School’s (HMS) campus using a large commercial firework.
www.justice.gov
November 7, 2025 at 11:54 AM
DOJ dropping the case in 3, 2, 1…
“Each fired judge can leave behind thousands of cases… Immigrants whose cases were already in progress, or set to be reviewed soon, now have new dates as far out as 2029.”
www.npr.org/2025/11/06/g...
www.npr.org/2025/11/06/g...
The DOJ has been firing judges with immigrant defense backgrounds
NPR's data analysis shows that the DOJ has tended to fire judges with immigrant defense backgrounds in its recent rounds of dismissals.
www.npr.org
November 7, 2025 at 11:53 AM
“Each fired judge can leave behind thousands of cases… Immigrants whose cases were already in progress, or set to be reviewed soon, now have new dates as far out as 2029.”
www.npr.org/2025/11/06/g...
www.npr.org/2025/11/06/g...
Wait so is that a verbal order or a written order or what
McConnell is now defining "irreparable harm" for the gov't.
McConnell orders the administration to make FULL SNAP payments to states by tomorrow.
Court grants plaintiffs' order for second TRO. The administration decided not to use full Sec 32 funds to fund SNAP....
McConnell orders the administration to make FULL SNAP payments to states by tomorrow.
Court grants plaintiffs' order for second TRO. The administration decided not to use full Sec 32 funds to fund SNAP....
November 6, 2025 at 10:06 PM
Wait so is that a verbal order or a written order or what
