Sarah Axelrath MD
@drsarahaxelrath.bsky.social
Slowly making the transition from Tw*tter while trying to be a little less online overall. Wish me luck. Mostly posting about #harmreduction, #homelessness, and #healthcare. And sometimes pitbulls.
Pinned
Bluesky, meet Jayde: the 3-year old epileptic pitbull with no chill. I adore her.
I’ll be presenting with my @cocoalition.bsky.social colleagues at this year’s National Healthcare for the Homeless Conference in Baltimore!
If you’re attending the conference, come learn about no barrier buprenorphine dispensing on street medicine. 🔥
If you’re attending the conference, come learn about no barrier buprenorphine dispensing on street medicine. 🔥
May 11, 2025 at 1:07 AM
I’ll be presenting with my @cocoalition.bsky.social colleagues at this year’s National Healthcare for the Homeless Conference in Baltimore!
If you’re attending the conference, come learn about no barrier buprenorphine dispensing on street medicine. 🔥
If you’re attending the conference, come learn about no barrier buprenorphine dispensing on street medicine. 🔥
It was great to reunite with MGH Addiction Medicine at ASAM this week!
April 27, 2025 at 2:34 PM
It was great to reunite with MGH Addiction Medicine at ASAM this week!
Welcome ASAM attendees!!!
I’m sorry you were tricked into thinking the conference is in Denver. They told us not to tell you. They threatened our families. (Kidding)
See you all in Aurora soon!
I’m sorry you were tricked into thinking the conference is in Denver. They told us not to tell you. They threatened our families. (Kidding)
See you all in Aurora soon!
April 24, 2025 at 4:36 PM
Welcome ASAM attendees!!!
I’m sorry you were tricked into thinking the conference is in Denver. They told us not to tell you. They threatened our families. (Kidding)
See you all in Aurora soon!
I’m sorry you were tricked into thinking the conference is in Denver. They told us not to tell you. They threatened our families. (Kidding)
See you all in Aurora soon!
Here’s what 8 years as a doctor has taught me:
GO SEE THE PATIENT
In medical school: every patient, as much as you can
In residency: when the nurse is worried at 3am on your 28-hour call shift
As an attending: when the hospice social worker calls your cell phone
GO SEE THE PATIENT
In medical school: every patient, as much as you can
In residency: when the nurse is worried at 3am on your 28-hour call shift
As an attending: when the hospice social worker calls your cell phone
April 11, 2025 at 5:46 AM
Here’s what 8 years as a doctor has taught me:
GO SEE THE PATIENT
In medical school: every patient, as much as you can
In residency: when the nurse is worried at 3am on your 28-hour call shift
As an attending: when the hospice social worker calls your cell phone
GO SEE THE PATIENT
In medical school: every patient, as much as you can
In residency: when the nurse is worried at 3am on your 28-hour call shift
As an attending: when the hospice social worker calls your cell phone
Some days I love being a doctor and some days I hate being a doctor and sometimes those are the same day.
April 10, 2025 at 12:52 AM
Some days I love being a doctor and some days I hate being a doctor and sometimes those are the same day.
Also same! 😷
Same 🙌
I masked in clinic all winter and saw countless cases of flu and covid and never got sick 🤷♂️
April 3, 2025 at 5:05 PM
Also same! 😷
Anyone checked the price of eggs lately?
April 3, 2025 at 2:30 PM
Anyone checked the price of eggs lately?
With only 1 month left to go, can we get a roll call for April’s American Society of Addiction Medicine (ASAM) Conference in ✨Denver✨????
Who wants to hang out 😎 (and also learn I guess)
Who wants to hang out 😎 (and also learn I guess)
March 26, 2025 at 5:32 AM
With only 1 month left to go, can we get a roll call for April’s American Society of Addiction Medicine (ASAM) Conference in ✨Denver✨????
Who wants to hang out 😎 (and also learn I guess)
Who wants to hang out 😎 (and also learn I guess)
My gynecologist, very diligently talking me through each step of my one millionth pap
Me (on my phone): Yeah man, do what you gotta do
Me (on my phone): Yeah man, do what you gotta do
March 6, 2025 at 3:23 AM
My gynecologist, very diligently talking me through each step of my one millionth pap
Me (on my phone): Yeah man, do what you gotta do
Me (on my phone): Yeah man, do what you gotta do
If you can generate a new research question about SSRIs that has not already been investigated in peer-review form since the first major US study on SSRIs in 1974 then you’ll actually have my vote for new HHS Secretary.
February 16, 2025 at 8:31 AM
If you can generate a new research question about SSRIs that has not already been investigated in peer-review form since the first major US study on SSRIs in 1974 then you’ll actually have my vote for new HHS Secretary.
Reposted by Sarah Axelrath MD
One of our supporters shared this with us—people are getting creative tonight!
February 14, 2025 at 4:25 AM
One of our supporters shared this with us—people are getting creative tonight!
Is anyone able to explain to me how removing the word “transgender” from corporate training manuals is supposed to lower the price of eggs? Anyone??
February 15, 2025 at 1:43 AM
Is anyone able to explain to me how removing the word “transgender” from corporate training manuals is supposed to lower the price of eggs? Anyone??
I need a new stethoscope. Should I get one of those fancy electronic ones? I’ve never used one. Do they work? Will I finally be able to hear a pleural rub?
February 8, 2025 at 11:41 PM
I need a new stethoscope. Should I get one of those fancy electronic ones? I’ve never used one. Do they work? Will I finally be able to hear a pleural rub?
How am I supposed to write learning objectives when I have exactly no idea what I will be talking about??? 🙃
February 7, 2025 at 1:59 AM
How am I supposed to write learning objectives when I have exactly no idea what I will be talking about??? 🙃
Any addiction med folks have experience guiding patients through bupe quick starts either with 7-day Brixadi or IN naloxone followed by SL bupe rescue? I’ve read most of the case studies, just looking for some additional pearls of wisdom/lessons learned.
Post below or DM me!
Post below or DM me!
February 4, 2025 at 4:34 AM
Any addiction med folks have experience guiding patients through bupe quick starts either with 7-day Brixadi or IN naloxone followed by SL bupe rescue? I’ve read most of the case studies, just looking for some additional pearls of wisdom/lessons learned.
Post below or DM me!
Post below or DM me!
Hmm. One week in and this is already going very poorly. Appalling. Shocking. Who could have foreseen such an outcome.
January 28, 2025 at 5:57 AM
Hmm. One week in and this is already going very poorly. Appalling. Shocking. Who could have foreseen such an outcome.
This is a disaster for people experiencing homelessness, who may not know to expect this drastic temp drop.
At these temps, frostbite can occur in <30 minutes. In most cases this is less time than it would take someone to walk to the nearest emergency center.
At these temps, frostbite can occur in <30 minutes. In most cases this is less time than it would take someone to walk to the nearest emergency center.
January 17, 2025 at 4:43 PM
This is a disaster for people experiencing homelessness, who may not know to expect this drastic temp drop.
At these temps, frostbite can occur in <30 minutes. In most cases this is less time than it would take someone to walk to the nearest emergency center.
At these temps, frostbite can occur in <30 minutes. In most cases this is less time than it would take someone to walk to the nearest emergency center.
For the record, for my employer, I’ve done 0/3 of these things.
Senator: I’ll speak in his defense because to err is human. Who among us hasn’t shown up drunk to work? Who here hasn’t cheated on their wife?
Hegseth: Please stop helping me
Senator: Who hasn’t taken off their pants at the zoo?
Hegseth: Please stop helping me
Senator: Who hasn’t taken off their pants at the zoo?
January 15, 2025 at 5:49 AM
For the record, for my employer, I’ve done 0/3 of these things.
January 14, 2025 at 7:29 AM
I’m an addiction medicine specialist and I drink alcohol. I fully support adding the cancer warning label to all retail alcohol products. Reducing harm always starts with understanding and acknowledging risk.
Drinking alcohol raises the risk of developing seven types of cancer, according to a new advisory from U.S. Surgeon General Vivek Murthy.
The U.S. Surgeon General wants cancer warnings on alcohol. Here's why
Drinking alcohol raises the risk of developing seven types of cancer, according to a new advisory from U.S. Surgeon General Vivek Murthy.
www.npr.org
January 4, 2025 at 6:40 PM
I’m an addiction medicine specialist and I drink alcohol. I fully support adding the cancer warning label to all retail alcohol products. Reducing harm always starts with understanding and acknowledging risk.
Most pills taste like nothing so WHY does Augmentin taste SO awful?!?! I’m taking it after a dog bite and I can barely choke it down. It even smells bad????? Truly a foul medication 😭
January 1, 2025 at 12:59 AM
Most pills taste like nothing so WHY does Augmentin taste SO awful?!?! I’m taking it after a dog bite and I can barely choke it down. It even smells bad????? Truly a foul medication 😭
In partnership with our local emergency medicine residency, we’re piloting the use of ultrasound on street medicine and other satellite locations (this happens to be at a transitional tiny home village.) Excited to see how it changes our management! 🔥
Pic taken and posted with permission
Pic taken and posted with permission
December 24, 2024 at 11:58 PM
In partnership with our local emergency medicine residency, we’re piloting the use of ultrasound on street medicine and other satellite locations (this happens to be at a transitional tiny home village.) Excited to see how it changes our management! 🔥
Pic taken and posted with permission
Pic taken and posted with permission
If you think you’re having a bad Monday, at least Matt Gaetz’s day is worse.
December 23, 2024 at 8:01 PM
If you think you’re having a bad Monday, at least Matt Gaetz’s day is worse.
Medical training
December 17, 2024 at 2:15 AM
Medical training
No spoilers in case, like me, you’re watching it 20 years late, but season 4 of Dexter with John Lithgow is VERY STRESSFUL
December 14, 2024 at 4:50 AM
No spoilers in case, like me, you’re watching it 20 years late, but season 4 of Dexter with John Lithgow is VERY STRESSFUL