Vance Frost
Vance FrostTwenty years in the red zone: municipal ER/ICU, NYC. Writing what happens when the monitor flatlines and cameras aren't rolling. Zero anesthesia.
| Platform |  | Pricing | Only free issues | Publishes | Daily |
|---|---|---|---|---|---|
| Issues | 13 | Subscribers | Read | vancefrost.substack.com |
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Latest Issues
Recent posts by this newsletter. Browse the email archive.
Your Medicare Labeled It "Observation." That Word Costs $14,000.
You’re in a hospital bed. IV in your arm. A nurse checks your vitals every four hours, and the overhead speaker pages a code team to the third floor. You’ve been here for two nights.
Caregivers Save the System $60,000 a Year. The System Won't Spend $40 on Their Blood Test.
Laws vary by state. Specific legal steps: verify with an elder-law attorney in your state.
127 Hours Sold You a Miracle. My ICU Got the Bodies.
Ralston lived after five days trapped. My 24-year-old patient died after eight hours. Same injury. Different lottery ticket.
The Dementia Pill That Costs $20 to Start and $40,000 in Care to Stop
The discharge conference takes four minutes. The nurse reads off medications. Metoprolol. Amlodipine. Famotidine. Then: “Quetiapine twenty-five milligrams at bedtime. For the evening agitation.”
Authors
The writers behind this newsletter.
Healthcare. ICU background. I write about the things that break people before they hit the system, and the mess left behind.
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