Lakshman Swamy (he/him)
@laxswamy.bsky.social
✒️🫁🥋🎲☕🌱. https://substack.com/@lswrites/p-185980491
a snippet about the ICU and rounding from my novel. A song that broke my heart and a poem that mended it. and a rant. hope you find something it. open.substack.com/pub/lswrites...
Think Easy, Light, Smooth, and Fast
Tell me about despair, yours, and I will tell you mine.
open.substack.com
My second post is about writing as healing, living infinitely in the moment, and this. open.substack.com/pub/lswrites...
My second post is about writing as healing, living infinitely in the moment, and this. open.substack.com/pub/lswrites...
hi everyone I do not use bsky much but I am now on substack if you are interested! substack.com/@lswrites/p-...
Identity is an eternal question mark
until you die.
substack.com
hi everyone I do not use bsky much but I am now on substack if you are interested! substack.com/@lswrites/p-...
Identity is an eternal question mark
until you die.
substack.com
#CHEST2025 After Hours live storytelling event was 🔥🔥🔥 with baby gorillas and tales of being lost at sea and near drowning and break dancing! @chriscarrollmd.com @avrahamcoopermd.bsky.social @laxswamy.bsky.social
The corporate perception of imagination: it needs clarity and focus 🙃
Sharing at my first ever workshop this week! #amwriting
Try not to compare yourself to other authors. Writing's a long game, and other writers are looking at you wishing they could be where you are. So keep going, we're in this together. #5amwritersclub #amwriting #writerslife #WIP #poetry #wattpad #amreading #writingcommunity #writerscommunity
a group of people standing in a living room with pretty shows on the bottom right
ALT: a group of people standing in a living room with pretty shows on the bottom right
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Good morning, #5amwritersclub. I just received this link to my six-sentence story published today in Gooseberry Pie Literary Journal today. Enjoy (and remember: you don’t always have to write thousands of words). gooseberry-pie.com/survivors-ki... #microfiction #flash
Survivors’ Kids At Carcassonne - Gooseberry Pie Lit Magazine
Photo by Mak on Unsplash by Faye Rapoport DesPres At Carcassonne we bought cheese and baguettes and stuffed them into our backpacks. We’d arrived overnight on a Paris train, weary from sleeping in a c...
gooseberry-pie.com
He needed air. The price was $539. When OptumRx dropped coverage of his $66 inhaler, Cole couldn’t afford the new price. 5 days later, he died from a severe asthma attack—with no inhaler. He paid with his life. www.nbcnews.com/nightly-news... #MedSky #SciSky #PedsSky #PulmSky
22-year-old dies after being unable to afford asthma inhaler
In our new series “The Cost of Denial,” NBC News’ Anne Thompson reports on the young man who went to refill his asthma inhaler only to find it unaffordable because it was no longer covered by his insu...
nbcnews.com
This is going to be a different type of campaign. Because when you’re going after Medicaid and even ripping food away from hungry kids, all to cut taxes for donors and corporate lobbyists, we’re not pulling punches. I hope you’ll join us: secure.actblue.com/donate/loc_a...
Elect Annie Andrews
Donate to send Annie to the Senate!
secure.actblue.com
I'm Dr. Annie Andrews. I’m a pediatrician, not a politician. But either way I know how to handle people who are full of sh*t. Today I am announcing my campaign for US Senate to replace Lindsey Graham. Share this if you're with me. www.youtube.com/watch?v=J8wM...
Annie Andrews Launch Video: "Unafraid"
YouTube video by Annie Andrews
youtube.com
I’m not trapped in rounds with you, you’re trapped in rounds with me
If you ask medical intensivists which types of admissions scare us the most, I would guess the most common answer would be pregnant patients (followed by status asthmaticus, which is a separate conversation). Pursuing any policy that increases risk of severe disease in pregnant people is insane.
LeCaffeinated@thetirednurse.bsky.social · last yr.This is absolutely terrible. Not only are pregnant women immunosuppressed but their physiology also puts them at increased risk for more severe disease. Shameful.
In memory of professor Rinaldo Bellomo: A giant of intensive care medicine CCR Journal Watch - tracking the critical care literature daily https://doi.org/10.1016/j.ccrj.2025.100110
You intubate a patient smoothly with roc & ketamine After connection with the vent: - oxygen saturation is 98% - etCO2 tracing & values are normal - breath sounds are symmetric the vent starts alarming for a 60% air leak you ascultate the neck & cannot hear a leak what is happening? #1/2 #EMIMCC
a man in a tie is standing in front of a sign that says `` what is going on ? ''
ALT: a man in a tie is standing in front of a sign that says `` what is going on ? ''
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My friend (icu nurse) and his wife wrote this for the globe. They were finalists for the Pulitzer for the series! apps.bostonglobe.com/opinion/grap...
True stories from an ICU: Was it right to keep her alive?
An ICU nurse explores the impact of end-of-life care in an illustrated opinion piece.
apps.bostonglobe.com
this is a lovely little comic about how icu nursing can (will?) require you to violate your own ethics
Lakshman Swamy (he/him)@laxswamy.bsky.social · last yr.My friend (icu nurse) and his wife wrote this for the globe. They were finalists for the Pulitzer for the series! apps.bostonglobe.com/opinion/grap...
My friend (icu nurse) and his wife wrote this for the globe. They were finalists for the Pulitzer for the series! apps.bostonglobe.com/opinion/grap...
True stories from an ICU: Was it right to keep her alive?
An ICU nurse explores the impact of end-of-life care in an illustrated opinion piece.
apps.bostonglobe.com
I also think phrasing matters. When we hit certain milestones, we do sometimes get a party, but happens after a hitting a goal, and the perception is not that we are doing it for a party. If they asked me to do QI to get a party, it would not be an incentive
The other problem with any kind of party is that only a minority of people in the unit are on when it happens. And would need to make sure to cover both day and night shifts.
Interesting! I have not had this happen, but I do not think that would be a motivation for me. I would feel a little offended by a gift card, but I cannot articulate why. We do sometimes get pizza parties, but it's not linked to efficiency Not aware of any literature, though!
What, are you too good for a crisp $5 gift card to Dunkin?
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ALT: a man with a beard is sitting at a table with a cup in his hand .
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Getting a gift card or pizza party as a reward for clinical efficiency can feel cheap and devalue the intrinsic motivation. Have you experienced this? anyone aware of any literature on the topic? @iwashyna.bsky.social @deannamarie208.bsky.social @nursekelsey.bsky.social or others?
Added @yessir-icanbougie.bsky.social @matdesgro.bsky.social @lferrantemd.bsky.social @intensivemd.bsky.social @aboyle.bsky.social @alaurx.bsky.social!
Lakshman Swamy (he/him)@laxswamy.bsky.social · 2y agoIntensive Care I go.bsky.app/NC7iD2K - full! Intensive Care II go.bsky.app/GoXVFDp - full! Intensive Care III go.bsky.app/79wiREk - open! Let me know if you want to be added! Anyone who cares for or supports the care of the critically ill!