Field Notes on Care
Field Notes on Care, Randi C. ErvinHealthcare as it is actually lived. I write about how systems built for what is measurable or convenient leave coordination, judgment, and emotional labor to patients and clinicians. Patient voice here is structural, not optional.
| Platform |  | Pricing | Freemium | Publishes | Daily |
|---|---|---|---|---|---|
| Issues | 84 | Founded | 8 months ago | Last Issue | 5 days ago |
| Active | |||||
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fieldnotesoncare.substack.comLatest Issues
The Expertise Healthcare Institutions Don’t Know How to See
Lived experience is healthcare expertise. Patient knowledge reveals where cost, access, and care delivery break—and can help make care more complete.
I have had a lot of really good meetings this week—committee meetings, leadership program...
They Know the Setup. You Know How It Plays Out.
Builders can tell you how the pieces are meant to fit. Clinicians can tell you what the treatment is supposed to do. You can tell them what happened when all of it met an actual Tuesday.
You know about the side effect that showed up three...
Pattern Detected. Cause Assigned.
Institutional memory can preserve a pattern while erasing the conditions that produced it. Healthcare documentation, operations data, and current events show what happens when a partial record is authorized to act.
REPEAT CALLER.
DIFFIC...
The File Was Incomplete. Its Authority Was Not.
Institutional memory shapes future healthcare decisions. When incomplete records become official accounts, fragmented histories determine what happens.
An official account does not have to be false to produce a false future. It only has to...
The Power Beneath the Polish
Patient-centered language gets a flawless finish—until healthcare access, health equity, clinical-trial diversity, and accountability demand structural change.
THE NEW LOOK
Every era has its preferred surface. Ours is concern: softly...
Audience Metrics
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| Subscribers | Engagement | 71 | Monthly Web Visits | ||
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| Accepts Sponsors | Estimated Cost per Ad | ||||
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Authors
The writers behind this newsletter.
Observing what happens when healthcare systems, technology, and policy meet real life.
Based in Oakland, Randi C. Ervin works in marketing and engagement and thinks about who holds the bag when healthcare falls short. A survivor and former caregiver, she enjoys graphic novels, wine, whiskey, and wandering conversations.
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