Rachel Alter, MD MPH

I had a yellow fever vaccine in 2007, but I don't have the lot number or yellow book proof. Had a pre-Guyana travel appointment today, and because I'm an employee, travel vaccines are covered for free. So I said HIT ME AGAIN. Yellow fever and typhoid ✔️✔️

it could happen today. the time change is very disorienting.

*hypotensive

They're gonna shock Javadi's mildly hypotension AFib RVR patient??? did I miss something here??

I told one of our ICU nurses, who is currently pregnant, not to get the flu shot because it causes autism. The look of absolute disgust she gave me before my attending, who overheard, told her I was joking, partially renewed my faith in humanity 🙃

Booooooooo 😂

a woman in a white shirt is crying and smiling . ALT: a woman in a white shirt is crying and smiling .

Does this mean #FreeBritney is back?

Britney Spears Arrested in California for DUI www.tmz.com/2026/03/05/b...

LOOK HERE
Woof

ICU team basking in our ***** afternoon

ER getting audacious

He's so beautiful

It's past 7pm so I'm allowed to say my cloud was on vacation for the last 3 hours of today's shift and we just blasted Disney songs on one of ICU computers 😂

‘Unbelievably dangerous’: experts sound alarm after ChatGPT Health fails to recognise medical emergencies Study finds ChatGPT Health did not recommend a hospital visit when medically necessary in more than half of cases

Study finds ChatGPT Health did not recommend a hospital visit when medically necessary in more than half of cases. www.theguardian.com/technology/2...

Cdiff 😭😭

That kinda morning

Not my intern telling a 93M patient's daughter the Fat Fertile Female Forty acronym when explaining that some people are prone to gallstones 😂

My dad has great ideas about reforming healthcare but this ain't one of them.

Punch the Monkey? If you're so worried about him, why are you telling us to punch him?

I've become second worst of my year, only next to the one we call Pikachu because of the number of shocks she's given 😭

All I want is to get home on time and watch the Pitt and enjoy someone else's chaos instead of my own

Dear God/gods/lack of God/flying spaghetti monster/all of humanity:

I am sincerely sorry for whatever I did to upset you. I have learned whatever lesson you are trying to teach me.

Please replace my PGY3 thundercloud with my PGY1 white cloud. I miss it.

Can Dolly Parton do a 7 to 7 banger? 9 to 5 not enough.

Whose great idea was it to send 5 critical walk in patients to the er at the same time (when we're on critical diversion!!) for me to admit all at once

Have you seen the Pitt?
That was actually me today.
One very dirty crash fem, 3 pea arrests, several bipap/high flows, and a missed lunch later

Adding a PENFAST dot phrase like a boss

Love me an out of context ER note

WOULD YOU RATHER take a shot of prune juice or a shot of thickened water cause I've done both and I have opinions

Bed by 9pm is this heaven

Make friends with respiratory therapists

I'm gonna take a shot for every ciwa admission we get

My Snowboy 🥰