iiinova — where your digital self keeps evolving

Rachel Alter, MD MPH @rachelalter007.bsky.social · 02/10/2026

Finally at a hospital with an ER again and *Whispers* I miss the ER 😳

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 02/10/2026

I might send a patient home on a a doxy/moxi combination. Bow to your queen.

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 02/10/2026

STOP TREATING NON-SEPTIC OSTEOMYELITIS AND DIABETIC FOOT WOUNDS WITH BROAD (OR ANY) ANTIBIOTICS BEFORE BIOPSIES AND CULTURES ARE COLLECTED YOU ARE CREATING A MONSTER BUG

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 30/09/2026

Mandatory emergency preparedness online modules next next next but okay I guess I'll actually pay attention to the active shooter module #Murica

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 30/09/2026

I love using the verb "antibiose." More if you should use it.

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 18/09/2026

Current situation as an alumna of @colgate.edu. I miss this man.

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 17/09/2026

Sometimes you just have to admire how insanely ridiculously good looking your man is

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 16/09/2026

Wait I kinda love that my EMR does this

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 16/09/2026

Apropos of nothing, it's never too late to get the MMR series if you never have before, and no harm comes from getting a second round if you're not sure if you've had it before.

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 15/09/2026

Oh Karius You're my last hope C'mon buddy

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 14/09/2026

I've been a NYC tri-state pizza snob my whole life but it wasn't until I left the tri-state area that I realized I'm also a bagel snob 😭😭

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 12/09/2026

This infectious disease doc in training encourages you to get your flu and COVID shots this season! Preferably somewhere you get paid to do so. Thrilled with my $20 credit toward groceries for protecting myself from severe flu and covid infections!

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Reposted by Rachel Alter, MD MPH

Melody Schreiber @melodyschreiber.com · 12/09/2026

You can call them the chicken in the coal mine. Sentinel chickens can alert us to circulating mosquito-borne illnesses like West Nile and Eastern equine encephalitis. Here's how: www.theguardian.com/us-news/2026...

theguardian.com

US scientists turn to chickens to sound the alarm as West Nile cases rise

Chickens – which can test positive for viruses but cannot spread them – an ideal early warning system for mosquito-borne disease

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Reposted by Rachel Alter, MD MPH

Ryan Marino, MD @ryanmarino.bsky.social · 11/09/2026

Millions of people have died, and people are still dying, because the US explicitly did not come together and figure stuff out after 9/11

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 11/09/2026

Trying not to look away from 9/11 footage but goddamn

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 09/09/2026

Post-holdiay-weekend-call Rachel is just unhinged enough to send her first ever karius test 🤪

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 08/09/2026

Shouldn't be legal to eat the number of grapes I ate today

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 07/09/2026

Labor Day is for doing labor, right? Right? RIGHT? *she says as she walks into work*

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 05/09/2026

Thinking abt how I got a call last nite to approve omadacycline for a pt with maybe TB, and I'm sitting there like "um haha wtf what even" and ask which attending is requesting it, and the fellow on the line says it's the guy who edits Harrison's AND Mandell's so yeah he can have whatever he wants

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 05/09/2026

Yes good job Rachel leave your federal ID card in your laptop in a locked office on Saturday of a federal holiday and try to find security to open the door 🤙🏻

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 02/09/2026

It's always so funny to listen to a podcast from the end of 2018 wishing everyone a "peaceful, beautiful, and satisfying, and happy" (for example) 2019. If only they knew what awaited them 😂😂

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 30/08/2026

Marshmallow updates! She was spayed 2 weeks ago and is very mischievous, always trying to steal meat. Sounds like the dog I know 😂 eyes are still just as gorgeous as I remember too

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 30/08/2026

Had a dream last night that I had an MRI and it showed my brain mass and IQ had declined by 20% 😭😭😭😭😭

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Reposted by Rachel Alter, MD MPH

Ryan Marino, MD @ryanmarino.bsky.social · 28/08/2026

Could just recall the one guy instead

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 28/08/2026

What's with this random ecard spammy thing? Anyone else getting a ton of these?

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Reposted by Rachel Alter, MD MPH

Tara C. Smith @aetiology.bsky.social · 25/08/2026

Dolly is gone, but I'll always appreciate her funding and publicly receiving the Moderna vaccine, in addition to her advocacy to wipe out childhood illiteracy.

Picture of Dolly Parton with a mask on with the headline from The New York Times "Dolly parton, who helped fund the moderna vaccine, gets a dose of her own medicine." The country music star broke into song before she was inoculated, and urged her fans to "get out there and get your shot"

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 25/08/2026

If only there were a safe and (nearly 100%) effective way to prevent measles :/ Two people in Pennsylvania have died from measles, marking the first reported US deaths from the disease in 2026 www.cnn.com/2026/08/25/h...

cnn.com

Two people in Pennsylvania have died from measles | CNN

Two people have died due to measles in Pennsylvania, the state Department of Health said Tuesday. Both individuals were unvaccinated.

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Reposted by Rachel Alter, MD MPH

Ryan Marino, MD @ryanmarino.bsky.social · 25/08/2026

It’s always the ones you expect the most

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Reposted by Rachel Alter, MD MPH

Ryan Marino, MD @ryanmarino.bsky.social · 20/08/2026

A paper that was recently referenced in a **US Senate hearing** to try to link COVID vaccines to deaths has been retracted by the journal, after the paper’s author’s (and their entire institution) requested the retraction “due to concerns about misinterpretation … and subsequent public health risks”

retractionwatch.com

BMJ Group retracts paper on COVID-19 vaccines and mortality featured in Senate hearing

BMJ Public Health has retracted a paper some — including a witness at a recent U.S. Senate subcommittee hearing — have used to link COVID-19 vaccines to deaths. The action comes more than two years…

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 19/08/2026

Lololol testing center right across the street from depression treatment center

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 19/08/2026

Alright guys. I'm taking ABIM in 13 hours. Hit me with your highest yield pearls to remember.

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 17/08/2026

What does one do when one's new primary care doctor misrepresents the purpose of an appointment and bills as anything other than preventative care?

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 16/08/2026

Think I may bring my dumpster fire to work tomorrow as I introduce the ICU to my black cloud

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 16/08/2026

Okay if I opened a bar I'd call it The Gym so then people would be like, let's go to The Gym again and they wouldn't feel bad

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 15/08/2026

So my brand new primary care doctor billed my annual physical exam as an intro screening visit and now I'm stuck paying >$200 out of pocket for 10 minutes with him. And I did my own med rec and GAD7. You'd better believe I'm gonna call them and make a fuss about this. Wtf

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 14/08/2026

Whew there goes a 14 day in a row stint of consult ID where I was sometimes called in the middle of the night and often understood 30% of words being spoken. I have this weekend off, which is good because I have my ABIM boards on Wednesday. On Monday I start 2 weeks in the ICU. For now I sleep.

static.klipy.com

Jon Snow: My Watch Has Ended

ALT: Jon Snow: My Watch Has Ended

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 13/08/2026

How does one ask her 91 year old grandfather if he has anything My Favoeit Murder worthy?

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 13/08/2026

Just a casual reminder to ask your landlord for your security deposit back when you move! I know it's already your own money but it feels like free money!

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 11/08/2026

Deciding vaccine schedules based on vibes is cool I guess Or really really really dumb Probably the latter

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Rachel Alter, MD MPH @rachelalter007.bsky.social · 10/08/2026

Who says you can't work and play at the same time?

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