Lakshman Swamy (he/him)
@laxswamy.bsky.social
Pinned
Intensive 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!
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!
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
February 3, 2026 at 2:43 AM
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...
Reposted by Lakshman Swamy (he/him)
My second post is about writing as healing, living infinitely in the moment, and this. open.substack.com/pub/lswrites...
January 30, 2026 at 10:15 PM
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...
January 30, 2026 at 10:15 PM
My second post is about writing as healing, living infinitely in the moment, and this. open.substack.com/pub/lswrites...
Reposted by Lakshman Swamy (he/him)
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
January 30, 2026 at 1:35 PM
hi everyone I do not use bsky much but I am now on substack if you are interested! substack.com/@lswrites/p-...
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
January 30, 2026 at 1:35 PM
hi everyone I do not use bsky much but I am now on substack if you are interested! substack.com/@lswrites/p-...
Reposted by Lakshman Swamy (he/him)
#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
October 21, 2025 at 1:55 AM
#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 🙃
June 20, 2025 at 4:22 PM
The corporate perception of imagination: it needs clarity and focus 🙃
Sharing at my first ever workshop this week! #amwriting
June 17, 2025 at 1:33 AM
Sharing at my first ever workshop this week! #amwriting
Reposted by Lakshman Swamy (he/him)
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
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
media.tenor.com
June 11, 2025 at 9:34 AM
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
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
Reposted by Lakshman Swamy (he/him)
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
June 12, 2025 at 9:28 AM
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
Reposted by Lakshman Swamy (he/him)
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
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...
www.nbcnews.com
June 3, 2025 at 8:11 PM
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
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
Reposted by Lakshman Swamy (he/him)
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...
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
May 29, 2025 at 12:41 PM
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...
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...
Reposted by Lakshman Swamy (he/him)
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...
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
www.youtube.com
May 29, 2025 at 11:50 AM
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...
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...
Reposted by Lakshman Swamy (he/him)
I’m not trapped in rounds with you, you’re trapped in rounds with me
May 28, 2025 at 5:01 PM
I’m not trapped in rounds with you, you’re trapped in rounds with me
Reposted by Lakshman Swamy (he/him)
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.
This is absolutely terrible. Not only are pregnant women immunosuppressed but their physiology also puts them at increased risk for more severe disease. Shameful.
Is flu next? Also pregnant women are immunosuppressed and have always been on the list of high risk. This is beyond comprehension
May 27, 2025 at 5:26 PM
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.
Reposted by Lakshman Swamy (he/him)
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
CCR Journal Watch - tracking the critical care literature daily
https://doi.org/10.1016/j.ccrj.2025.100110
May 25, 2025 at 9:00 PM
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
CCR Journal Watch - tracking the critical care literature daily
https://doi.org/10.1016/j.ccrj.2025.100110
I'm at NTI if anyone is here!
May 19, 2025 at 6:19 PM
I'm at NTI if anyone is here!
Reposted by Lakshman Swamy (he/him)
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
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 ? ''
media.tenor.com
May 17, 2025 at 7:50 PM
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
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
Reposted by Lakshman Swamy (he/him)
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
May 12, 2025 at 11:25 PM
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...
Reposted by Lakshman Swamy (he/him)
A more artistic expression of moral injury, I have never seen.
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
May 13, 2025 at 12:07 AM
A more artistic expression of moral injury, I have never seen.
Reposted by Lakshman Swamy (he/him)
this is a lovely little comic about how icu nursing can (will?) require you to violate your own ethics
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
May 13, 2025 at 12:00 AM
this is a lovely little comic about how icu nursing can (will?) require you to violate your own ethics
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
May 12, 2025 at 11:25 PM
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...
Reposted by Lakshman Swamy (he/him)
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
April 29, 2025 at 3:42 PM
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
Reposted by Lakshman Swamy (he/him)
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.
April 29, 2025 at 3:43 PM
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.
Reposted by Lakshman Swamy (he/him)
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!
Not aware of any literature, though!
April 29, 2025 at 3:41 PM
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!
Not aware of any literature, though!