Sarah Axelrath MD
drsarahaxelrath.bsky.social
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.
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. 🔥
May 11, 2025 at 1:07 AM
It was great to reunite with MGH Addiction Medicine at ASAM this week!
April 27, 2025 at 2:34 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.
January 17, 2025 at 4:43 PM
Apropos of nothing, I still think about this clip like once a month.

#Sayitnicer
January 14, 2025 at 7:29 AM
Nothing severe! I accidentally got on the wrong side of my pitbull and a thing she shouldn’t have had in her mouth. She feels worse than I do.
January 1, 2025 at 1:25 AM
Oops! 🤦‍♀️
December 25, 2024 at 7:10 AM
LOOK what happened when I was 2-factor authenticating my millionth buprenorphine prescription of the day!!!
December 13, 2024 at 11:34 PM
There’s a house in my neighborhood with a cute custom mailbox full of dog treats that Jayde now wants to visit on every walk. So I made a collage of every time she posed next to the mailbox for treats and I’m going to give it to the neighbor along with a big box of Greenies to replenish the stock 🤣
December 11, 2024 at 2:48 AM
Real question is…what the fuck happened to me in October to account for this very odd genre progression? The world may never know.

(Nothing. My #wrapped is just a bubbling cauldron of chaos generating more questions than it answers)
December 5, 2024 at 6:22 AM
United Healthcare routinely, automatically denies lifesaving care while taking in billions upon billions in profits annually.
December 5, 2024 at 4:31 AM
Saturday mornings are for coffee and NEJM
November 30, 2024 at 5:30 PM
How many times will I open Bluesky when trying to open the butterfly mobile ultrasound app, or vice versa? Stay tuned.
November 27, 2024 at 5:29 AM
Bluesky, meet Jayde: the 3-year old epileptic pitbull with no chill. I adore her.
November 21, 2024 at 4:19 PM
Oh, that’s fun.

1. Hopefully, my thoughtful and informative tweets about addiction and homelessness

2. Realistically, the pet cam photo of my dog standing on my table, and the time I trolled Brett Kavanaugh’s face until one of his staffers DM’d me asking me to stop 🤣
November 20, 2024 at 3:45 AM