Sandy Hilton's Avatar

Sandy Hilton

@sandyhiltonpt

Physical Therapist for the resolution of pain and restoring pelvic health Wanderer Mom Pain Geek Author Instructor In person in Portland OR (https://www.swphysicaltherapy.com)

1,991
Followers
1,869
Following
1,187
Posts
18.08.2023
Joined
Posts Following

Latest posts by Sandy Hilton @sandyhiltonpt

Ha!
Yes. That fits him well!

05.03.2026 05:08 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
A black fuzzy cat is lounging at the top of a cat tower.
One arm hooked over the edge and the elbow bent at 90* looks like he’s ready to give a lecture.

A black fuzzy cat is lounging at the top of a cat tower. One arm hooked over the edge and the elbow bent at 90* looks like he’s ready to give a lecture.

I wish I could understand what he is thinking.

05.03.2026 03:31 πŸ‘ 64 πŸ” 5 πŸ’¬ 10 πŸ“Œ 2
Preview
DeLauro to pressing clergy: 'I will not vote to abolish ICE' The Connecticut U.S. representative found herself at odds with faith leaders.

β€œRenee Goodman [sic], Alex Pretti – there are no words,” DeLauro said.

β€œYou said there were no words after the murder of those two individuals,” said Rev. Jack Perkins Davidson. β€œI think the words are β€˜Abolish ICE.’”

www.ctpublic.org/news/2026-02...

06.02.2026 23:28 πŸ‘ 3582 πŸ” 624 πŸ’¬ 131 πŸ“Œ 186
Preview
The Emotional Dimensions of PainΒ Assessment Take your mind back to your last pain assessment. I can bet good money pain intensity was measured (that 0 - 10 'how much does it hurt' question). Where it hurts on a body map. Perhaps even duration and constancy (intermittent, ongoing, fluctuating). Quality or 'what does it feel like?' could be included: burning, aching, gripping, cramping, stabbing.... All excellent things to know as clinicians, and as people seeking help - we need to know 'what it is like' because none of us can feel another's pain, and yet clinical decision-making relies on it.

The Emotional Dimensions of PainΒ Assessment

Take your mind back to your last pain assessment. I can bet good money pain intensity was measured (that 0 - 10 'how much does it hurt' question). Where it hurts on a body map. Perhaps even duration and constancy (intermittent, ongoing, fluctuating).…

08.02.2026 21:50 πŸ‘ 2 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

The best book club πŸ€“

From casually checking email to signing up online in less than a minute!

07.02.2026 03:52 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Post image
06.02.2026 04:45 πŸ‘ 24 πŸ” 4 πŸ’¬ 1 πŸ“Œ 0
Twitter post from @BenjaminDEKR

β€œOpenClaw is interesting, but will also drain your wallet if you aren't careful.
Last night around midnight I loaded my Anthropic
API account with $20, then went to bed.
When I woke up, my Anthropic balance was $O.
Opus was checking "is it daytime yet?" every 30 minutes, paying $0.75 each time to conclude "no, it's still night."
Doing literally nothing, OpenClaw spent the entire balance. How?
The "Heartbeat" cron job, even though literally the only thing I had going was one silly reminder, ("remind me tomorrow to get milk")”

Twitter post from @BenjaminDEKR β€œOpenClaw is interesting, but will also drain your wallet if you aren't careful. Last night around midnight I loaded my Anthropic API account with $20, then went to bed. When I woke up, my Anthropic balance was $O. Opus was checking "is it daytime yet?" every 30 minutes, paying $0.75 each time to conclude "no, it's still night." Doing literally nothing, OpenClaw spent the entire balance. How? The "Heartbeat" cron job, even though literally the only thing I had going was one silly reminder, ("remind me tomorrow to get milk")”

Continuation of twitter post

β€œ1. Sent ~120,000 tokens of context to Opus 4.5
2. Opus read HEARTBEAT md, thought about reminders
3. Replied "HEARTBEAT_OK"
4. Cost: ~$0.75 per heartbeat (cache writes)
The damage:
- Overnight = ~25+ heartbeats
- 25 Γ— $0.75 = ~$18.75 just from heartbeats alone
- Plus regular conversation = ~$20 total
The absurdity: Opus was essentially checking "is it daytime yet?" every 30 minutes, paying $0.75 each time to conclude "no, it's still night."
The problem is:
1. Heartbeat uses Opus (most expensive model) for a trivial check
2. Sends the entire conversation context (~120k tokens) each time
3. Runs every 30 minutes regardless of whether anything needs checking
That's $750 a month if this runs, to occasionally remind me stuff? Yeah, no. Not great.”

Continuation of twitter post β€œ1. Sent ~120,000 tokens of context to Opus 4.5 2. Opus read HEARTBEAT md, thought about reminders 3. Replied "HEARTBEAT_OK" 4. Cost: ~$0.75 per heartbeat (cache writes) The damage: - Overnight = ~25+ heartbeats - 25 Γ— $0.75 = ~$18.75 just from heartbeats alone - Plus regular conversation = ~$20 total The absurdity: Opus was essentially checking "is it daytime yet?" every 30 minutes, paying $0.75 each time to conclude "no, it's still night." The problem is: 1. Heartbeat uses Opus (most expensive model) for a trivial check 2. Sends the entire conversation context (~120k tokens) each time 3. Runs every 30 minutes regardless of whether anything needs checking That's $750 a month if this runs, to occasionally remind me stuff? Yeah, no. Not great.”

BAHAHAHAHAHAHAHAHAHAHAHAJAHAHAHAHAHAHAHAHAHAHAHAHAHAHA

*breathes*

AHAHAHAHAHAHAHAHAHAHAHAHAHAHAAHAHAHA

02.02.2026 06:29 πŸ‘ 2667 πŸ” 504 πŸ’¬ 100 πŸ“Œ 178

IL Prof here. Community members & faculty have been talking about this all weekend. Many have already made formal reports, but what's infuriating is that our mechanisms have been weaponized and therefore we don't trust that anything will even come of our reports.

02.02.2026 15:02 πŸ‘ 66 πŸ” 20 πŸ’¬ 2 πŸ“Œ 1
Video thumbnail

I recorded this today, in Portland, Oregon, at a huge march to the ICE facility in SW. The crowd was full of cyclists who had ridden there in memory of Alex Pretti; members of several labor unions; and ordinary citizens of every age, including this little girl. So of course ICE deployed tear gas.

01.02.2026 02:05 πŸ‘ 1914 πŸ” 878 πŸ’¬ 67 πŸ“Œ 132

That was the talk yesterday at the clinic β€œno snow pack, August is going to be horrid”

01.02.2026 00:00 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

It appears that this legend owns a little bookstore β€” and you can order books from him instead of Bezos. Link in next post.

25.01.2026 17:45 πŸ‘ 12955 πŸ” 3863 πŸ’¬ 107 πŸ“Œ 97
An assortment of tea: 
Quiet the mind
Shield maiden
Sweetest Dreams
Harvest Spice
Friday’s Evening 
Lucky 13
Everyday Genius

An assortment of tea: Quiet the mind Shield maiden Sweetest Dreams Harvest Spice Friday’s Evening Lucky 13 Everyday Genius

Friday night.

I’m home enjoying the silence after a rough week. (Understatement, the week was horrid & hard)

This weekend is for recovery and setting myself up for a better week next week.

So grateful for a stash of @fridaytea.com options!

A basket of options & all of them excellent choices.

24.01.2026 01:25 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Thanks to communitea contributions, our pay-it-forward card currently holds $1,150.85 in value, just waiting for folks to come make use of it.

This is an ongoing program! Down on your luck? Need a pick-me-up? Come let us treat you to tea & pastry. Just ask to put it on the CommuniTea Card!

23.01.2026 01:41 πŸ‘ 87 πŸ” 29 πŸ’¬ 0 πŸ“Œ 2

Calling all the PhDs I know to make monumental annoyances of themselves (and honestly, who better)

21.01.2026 21:16 πŸ‘ 2700 πŸ” 807 πŸ’¬ 177 πŸ“Œ 371

People can say they didn’t vote for this but people are liars

22.01.2026 02:10 πŸ‘ 5009 πŸ” 1744 πŸ’¬ 98 πŸ“Œ 74

Is the rule of law dead now?

22.01.2026 02:58 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Preview
a panda bear from kung fu panda is smiling and saying ouch ... Alt: a panda bear from kung fu panda is cringing and saying ouch ...
17.01.2026 20:41 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Fondly.
I miss the days of research papers and #ICanHazPDF

And the #PelvicMafia

We have scattered and building new networks locally is good but not the same as that glorious period of global cooperation and knowledge.

17.01.2026 20:40 πŸ‘ 5 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The images and stories coming out of Minneapolis are extraordinary. We can't say we did not know what was happening. Lots of people are putting their bodies on the line to make sure we do.

17.01.2026 14:20 πŸ‘ 8056 πŸ” 2618 πŸ’¬ 88 πŸ“Œ 33

The Corporate American way!

10.01.2026 21:59 πŸ‘ 5 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
Preview
The NIH has lost its scientific integrity. So we left β€œWe can no longer lend our credibility to an organization that has lost its integrity,” write four scientists and administrators who recently resigned from the NIH.

β€œBut we can fight back. The biggest lesson the four of us have learned over this past year is that what feels impossible and overwhelming when you’re sitting by yourself can begin to feel achievable and urgent when you are working with others that share your values.β€œ
πŸ§ͺ

10.01.2026 21:54 πŸ‘ 116 πŸ” 44 πŸ’¬ 0 πŸ“Œ 1
06.01.2026 14:32 πŸ‘ 75 πŸ” 22 πŸ’¬ 10 πŸ“Œ 1
Post image Post image

It is illegal under United States law for foreign leaders to have machine guns.

🀑🀑🀑

03.01.2026 15:32 πŸ‘ 503 πŸ” 80 πŸ’¬ 16 πŸ“Œ 9

The only headline from a news account that I’ve seen which points out the US president just ordered and executed the kidnapping of the President of another country.

03.01.2026 15:32 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
03.01.2026 15:26 πŸ‘ 1118 πŸ” 230 πŸ’¬ 23 πŸ“Œ 7

i don’t see how any of the benefits of chatgpt and other consumer-facing LLMs can possibly outweigh their incredible ability to induce suicides

28.12.2025 02:06 πŸ‘ 3774 πŸ” 964 πŸ’¬ 40 πŸ“Œ 87

This is what Bari Weiss et al think "censorship" actually is; when subordinates criticize their superiors. That has been the bedrock of the entire "cancel culture" discourse in elite media; rage at the idea that students, women, journalists, interns, etc might be able to speak against the boss.

22.12.2025 03:24 πŸ‘ 2730 πŸ” 664 πŸ’¬ 24 πŸ“Œ 6

Please read this.

22.12.2025 14:37 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

RFK Jr.'s legacy is a sea of tiny coffins in the US and internationally. Every day he remains in office, the harm he causes grows.

Call your representative β€” it's time Congress impeaches and removes RFK Jr. standupforscience.net/impeach-rfkjr

22.12.2025 14:31 πŸ‘ 147 πŸ” 51 πŸ’¬ 5 πŸ“Œ 6
Video thumbnail

I love my two blackout drunk Minnesota sons

18.12.2025 14:17 πŸ‘ 21051 πŸ” 5486 πŸ’¬ 222 πŸ“Œ 552