HeyJaredBreathing Free
Healthcare, Policy, and the quiet pleasure of tidying up a sloppy trach.
- Indexed issues, last 90 days
- 2
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- Aug 21, 2026
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- Jul 26, 2026
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The Blood is the Life (opens the original)
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Some time last year, I was present for an ECMO cannulation. ECMO, extra-corporeal membrane oxygenation, is for patients who are too sick to be sustained by mechanical ventilation and drugs alone; typically they’re ARDS patients whose lungs are simply too inflamed and stiff to function1. ECMO is like continuous dialysis for oxygenation; it removes blood through an enormous cannula inserted into the bloodstream somewhere, forces in oxygen and sucks out CO2, and puts it back in through another cann
Encroaching Madness (opens the original)
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Yesterday morning, around 0800—just as I was finishing up first rounds—the ICU charge nurse1 came blundering past our usual ICU RT hangout, sobbing. Naturally we asked her what was wrong, and she explained that she had been “fired” from Bed 18 and didn’t know what she’d done wrong. Firing is an occasional hazard of hospital work; every now and then a patient or their family member will decide that you are too incompetent or malicious to be trusted and they don’t want to deal with you anymore. It
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