Lakshman Swamy MD (he/him)'s avatar

Lakshman Swamy MD (he/him)

@laxswamy.bsky.social

387 followers 380 following 550 posts

Vegan dad, husband, marathoner, MD/MBA, board game designer @CritCareGame, Pulmonary/Critical Care @CHAlliance & @harvardmed, policy/quality @UMassMedical, EIC American Journal of Critical Care. views mine. media inquiries: info@centivox.com


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Memento Morty 🌙's avatar Memento Morty 🌙 @mortythenurse.bsky.social
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Of course thinking of this editorial Dr. Swamy contributed.

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Tony Corsentino's avatar Tony Corsentino @notalegalrecord.net
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Google “Massachusetts crisis pregnancy” and this link pops up. It’s part of a statewide campaign, including public signage (highway billboards!), urging people to avoid crisis pregnancy/anti-abortion centers. The Commonwealth is not fucking around with this.

18 replies 186 reposts 587 likes


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Dave Swedler's avatar Dave Swedler @daveswedler.bsky.social
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I am employed by a state healthcare agency in Massachusetts. It is really clear to me that they care about proactively protecting the health of the people of the Commonwealth. But if you need external proof that they really do care, see the below.

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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Board games are a celebration of the human brain 🎲✂️

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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Taught mottainai to my wife. She said, this is way too complicated, I have no idea what's going on, I'm tired and don't want to think about it. Meanwhile I'm so into it!! Then, as with every board game, she absolutely destroys me. Only difference this time was that I had to tell her she beat me 😅

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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Mottainai Mottainai For today, perhaps ... Dead of winter

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The Nerd Shelves's avatar The Nerd Shelves @thenerdshelves.bsky.social
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In the spirit of generating more boardgame chat, answer these 3 questions, what is/was... 1. last game played? 2. next game you'll play? 3. favourite game of all time?

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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I don't know why it took me so long but I'm finally supporting @ludologypod.bsky.social on patreon! Long overdue. And thanks to the last @ttgda.bsky.social webinar, I've realized it is totally a deductible expense! 🎲✂️

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Peter McPherson's avatar Peter McPherson @peterlmcpherson.bsky.social
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A couple of years ago, I started tracking all of my game design hours, breaking it down by game and task. I also include things like development work, rulebook writing, teaching, and general administrative stuff. Here's a look at 2024 so far, my first year designing as a full-time dad! 🎲✂️

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Seth Trueger's avatar Seth Trueger @mdaware.org
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PSA England: your teas at the bottom of the harbor.

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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Check out our op ed on hospitals and climate change, climatesky. 👇🏾

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Kevin Collins's avatar Kevin Collins @kwcollins.bsky.social
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The answer to political anxiety is political organizing.

17 replies 185 reposts 740 likes


Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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Given the impact on our patients and the potential for improvement in our units, considering climate change is part of our social responsibility in the ICU.

... More in our new editorial! Please check it out and share. aacnjournals.org/ajcconline/a...

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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Intensive care, unsurprisingly, has a dramatically larger carbon footprint than acute care; the difference is comparable to putting the patient in an airplane. Furthermore, the ICU’s footprint is dramatically higher in the United States than in other countries.

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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Effects seen in the ICU range from the immediate impact of catastrophic weather events to the secondary effects of infectious disease spread & the long-term impact on chronic disease exacerbation, all of which can affect the lived experience of patients and clinicians in the ICU.

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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Yet, climate change is manifesting in our local communities, more every day, and this touches our daily experience in the ICU more than we may recognize.

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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We may want the health system to do more about it. As clinicians practicing in the intensive care unit (ICU), the climate is particularly remote—in our units, we control and standardize the climate in every patient’s room. The weather can feel quite far away indeed.

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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For many of us, #climate change is intimidating but distant. We are worried about an abstract future, we hear all the time about how quickly it is approaching, we may be frustrated with how much is asked of us & how little it seems to matter what we do... aacnjournals.org/ajcconline/a... #medsky

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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Literally every charity I gave a one time donation to. Still getting snail mail from them years later. What a waste of everything... Yet it apparently pays off for them. And makes me want to be extremely... Careful about donating.

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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we live in a digital world!!! I can't handle these real life things either lol

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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Actually I stopped reading it, it's just a little much on audiobook for me 😬

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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It's not multi-tasking, it's task switching. I understand that literally all the evidence says task switching is bad but it's actually so good if your attention is not made of titanium.

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Peter McPherson's avatar Peter McPherson @peterlmcpherson.bsky.social
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Honored that Fit to Print won a Major Fun Award! So many games I played growing up had this award on the box, and I'm overjoyed to see Fit to Print join them. Give the Spiel episode on Fit to Print a listen if you can!

1 replies 1 reposts 11 likes


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Faine Greenwood's avatar Faine Greenwood @faineg.bsky.social
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Feeling down? Just think about how many Cybertrucks parked anywhere near a good bar are going to be *very* intentionally pissed on

46 replies 90 reposts 847 likes


Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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Otherwise it's just a moral lesson and not really a game?

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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something needs to carry forward between games, perhaps just points-whatever position you're in, are you able to make the most of it or are you able to maximize how good you are despite the challenges or something

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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Basically, I cut you choose?

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Elizabeth Hargrave's avatar Elizabeth Hargrave @elizhargrave.bsky.social
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I'm so tempted to copy this "game hut"! It's outside like a Little Free Library, but they ask you to borrow & return, not take-one-leave-one. Let's daydream: if your goal was to hook non-gamers, what games would you stock? (No cringes at moisture or theft pls, she says it's been all good!)

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Gabe Ortíz's avatar Gabe Ortíz @tusk81.bsky.social
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From the new Cyndi Lauper documentary 🏳️‍🌈

51 replies 1092 reposts 5030 likes


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Courtney Milan's avatar Courtney Milan @courtneymilan.com
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Here’s the role that personal choice plays in climate: a lot of the things you can do for personal choice that are in some vague sense of the phrase good for climate are also good for preparing you to be climate adapted.

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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Maybe in a decade you'll write an amazing mystery novel about woodland creatures starring the spoonbill Lokiu Lohlouy, an ace detective with a knack for asking just the right questions and everyone will say, wow, what a great name!

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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[in a patient room w interpreter on iPad] Interpreter: is the patient with you? Me: yes, they're in the bed Interpreter: ... Me: ... That came out wrong 😳

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Ed's avatar Ed @notdred.bsky.social
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The Game of Thrones franchise just makes me wish we could get a big budget prestige fantasy TV show that doesn’t constantly throw disturbing shit at you. Give all that money to the people who made Dungeons and Dragons: Honor Among Thieves

50 replies 157 reposts 1118 likes


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Geoff Engelstein's avatar Geoff Engelstein @gengelstein.bsky.social
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Designed by Kurt Vonnegut. Art by Bill Bricker & Ryan Goldsberry. Published by me. Coming in August.

10 replies 24 reposts 94 likes


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the corgi from cowboy bebop's avatar the corgi from cowboy bebop @realqrampage.bsky.social
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2 years ago today, I had a cardiac arrest. thankfully, I was brought back in just a few minutes (after defeating god, of course). I spent a long time depressed after that time due to my rare disease, treatment, and the fact that my life wasn’t what I wanted it to be

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Lakshman Swamy MD (he/him)'s avatar Lakshman Swamy MD (he/him) @laxswamy.bsky.social
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Oh no they are here 😭😭😭

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