Reletter
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Healthcare 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.

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Substack
PricingFreemiumPublishesDaily
Issues90Founded8 months agoLast Issue3 days ago
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Artwork for Field Notes on Care

Latest Issues

The Name on the Door, the Work in the Room

Healthcare mission statements are a beginning. Impact comes from varied lived expertise, representative evidence, meaningful change, and continuous learning.

Yesterday’s Field Signal followed four different calendars. Mission looks toward...

3 days ago
1

The Mission Has Lore. Care Has a Calendar.

A field signal on the different timelines of mission, growth, operations, and care—and where continuity enters the picture.

Mission says: dream big.
Growth says: let’s scale it.
Operations says: show me the dashboard.
Care opens the...

4 days ago
1

Somewhere Between Here and Care

Cancer survivorship requires ongoing care. Geography, insurance, primary care, and community shape whether that care stays within reach.

Even a manageable appointment takes planning

I can walk to my appointments. I can walk home, too....

10 days ago
2
5

The Number Was in the Book

A directory can list care. Communities help people navigate treatment, recovery, surveillance, and the life that continues around disease.

The number was in the book.
So were the hospital, the specialist, and the pharmacy. Credit where d...

11 days ago
2

One Step Later

Following patients and families through what happens after a prescription, denial, or policy decision—and the work it takes to keep care moving.

Yesterday, I wrote about the average and the people a useful number can smooth over. Today, I...

17 days ago
1

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  • Field Notes on Care

    Observing what happens when healthcare systems, technology, and policy meet real life.

  • Randi C. Ervin

    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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