Lakshman Swamy (he/him)'s Avatar

Lakshman Swamy (he/him)

@laxswamy

βœ’οΈπŸ«πŸ₯‹πŸŽ²β˜•πŸŒ±. https://substack.com/@lswrites/p-185980491

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19.08.2023
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Latest posts by Lakshman Swamy (he/him) @laxswamy

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Think Easy, Light, Smooth, and Fast Tell me about despair, yours, and I will tell you mine.

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...

03.02.2026 02:43 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Lady macduff in Macbeth just before she and her children are murdered by the state: 

Whither should I fly?
 I have done no harm. But I remember now
 I am in this earthly world, where to do harm
 Is often laudable, to do good sometime
 Accounted dangerous folly. Why then, alas,
 Do I put up that womanly defense
 To say I have done no harm?

Lady macduff in Macbeth just before she and her children are murdered by the state: Whither should I fly? I have done no harm. But I remember now I am in this earthly world, where to do harm Is often laudable, to do good sometime Accounted dangerous folly. Why then, alas, Do I put up that womanly defense To say I have done no harm?

My second post is about writing as healing, living infinitely in the moment, and this. open.substack.com/pub/lswrites...

30.01.2026 22:14 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Lady macduff in Macbeth just before she and her children are murdered by the state: 

Whither should I fly?
 I have done no harm. But I remember now
 I am in this earthly world, where to do harm
 Is often laudable, to do good sometime
 Accounted dangerous folly. Why then, alas,
 Do I put up that womanly defense
 To say I have done no harm?

Lady macduff in Macbeth just before she and her children are murdered by the state: Whither should I fly? I have done no harm. But I remember now I am in this earthly world, where to do harm Is often laudable, to do good sometime Accounted dangerous folly. Why then, alas, Do I put up that womanly defense To say I have done no harm?

My second post is about writing as healing, living infinitely in the moment, and this. open.substack.com/pub/lswrites...

30.01.2026 22:14 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Preview
Identity is an eternal question mark until you die.

hi everyone I do not use bsky much but I am now on substack if you are interested! substack.com/@lswrites/p-...

30.01.2026 13:35 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Preview
Identity is an eternal question mark until you die.

hi everyone I do not use bsky much but I am now on substack if you are interested! substack.com/@lswrites/p-...

30.01.2026 13:35 πŸ‘ 1 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

oh it was SO GROSS WHY DID YOU HAVE TO REMIND ME!! hahaha

30.01.2026 13:35 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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#CHEST2025 After Hours live storytelling event was πŸ”₯πŸ”₯πŸ”₯ with baby gorillas and tales of being lost at sea and near drowning and break dancing! @chriscarrollmd.com @avrahamcoopermd.bsky.social @laxswamy.bsky.social

21.10.2025 01:55 πŸ‘ 16 πŸ” 3 πŸ’¬ 0 πŸ“Œ 1
"staying active is a powerful source of drive. It strengthens our bodies and lights up our minds - bringing clarity and focus to our imagination"

"staying active is a powerful source of drive. It strengthens our bodies and lights up our minds - bringing clarity and focus to our imagination"

The corporate perception of imagination: it needs clarity and focus πŸ™ƒ

20.06.2025 16:22 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Sharing at my first ever workshop this week! #amwriting

17.06.2025 01:33 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
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

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

11.06.2025 09:34 πŸ‘ 52 πŸ” 10 πŸ’¬ 6 πŸ“Œ 0

I try to remember that even the person i was a year ago is looking at me that way. But it is easy to forget πŸ˜…

12.06.2025 12:25 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Survivors’ Kids At Carcassonne - Gooseberry Pie Lit Magazine Photo byΒ MakΒ onΒ 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...

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

12.06.2025 09:28 πŸ‘ 23 πŸ” 4 πŸ’¬ 0 πŸ“Œ 1
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22-year-old dies after being unable to afford asthma inhaler In our new series β€œThe 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...

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 attackβ€”with no inhaler.
He paid with his life.
www.nbcnews.com/nightly-news... #MedSky #SciSky #PedsSky #PulmSky

03.06.2025 20:11 πŸ‘ 3232 πŸ” 1775 πŸ’¬ 232 πŸ“Œ 441
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I just read this and loved it, and learned so much. I am a better reader now. A Swim in a Pond in the Rain: In Which Four Russians Give a Master Class on Writing, Reading, and Life g.co/kgs/FPaMFbq

01.06.2025 22:54 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Never underestimate rage

30.05.2025 02:59 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Elect Annie Andrews Donate to send Annie to the Senate!

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...

29.05.2025 12:41 πŸ‘ 2093 πŸ” 566 πŸ’¬ 74 πŸ“Œ 28
Annie Andrews Launch Video: "Unafraid"
Annie Andrews Launch Video: "Unafraid" YouTube video by Annie Andrews

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...

29.05.2025 11:50 πŸ‘ 20789 πŸ” 8056 πŸ’¬ 1111 πŸ“Œ 1093

Exactly. And then they get a bit older and you get a good stretch and boom it happens again and you're set entirely back.

28.05.2025 17:56 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

I’m not trapped in rounds with you, you’re trapped in rounds with me

28.05.2025 17:01 πŸ‘ 16 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0

Do i take my gorgeous home made food to the resident workroom and ask them why on earth they're eating the cafeteria garbage? Yes, because i am literally the worst.

28.05.2025 16:58 πŸ‘ 13 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

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.

27.05.2025 17:26 πŸ‘ 11 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0

πŸ’― all i see is politics which is the same as everywhere else so no real value.

25.05.2025 23:16 πŸ‘ 2 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

I think it is not going to be what it was and that is ok. I am glad we had what we did while we did.

25.05.2025 23:13 πŸ‘ 3 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
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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

25.05.2025 21:00 πŸ‘ 18 πŸ” 11 πŸ’¬ 0 πŸ“Œ 0

It requires more people posting which isn't happening w/o traction, which won't happen without posting, etc. I don't know if it is worth all that work tbh.

25.05.2025 20:42 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Are there effective feeds on bsky? Yes. Could someone make a more generally interesting medsky feed? Maybe. It isn't easy to bring together so many broad interests - the biggest med journals don't really achieve that either.

25.05.2025 20:42 πŸ‘ 4 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

The feed isn't focused at all. Twitter had a strong clinician focus which is lacking here. Too much is research or really just too political -- which is everywhere anyway. The feed doesn't work for me.

25.05.2025 18:39 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Yeah, the engagement is so weak here.

25.05.2025 18:36 πŸ‘ 9 πŸ” 0 πŸ’¬ 2 πŸ“Œ 0

I'm at NTI if anyone is here!

19.05.2025 18:19 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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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 ? ''

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

17.05.2025 19:50 πŸ‘ 41 πŸ” 8 πŸ’¬ 1 πŸ“Œ 0