The Art of Anesthesia

Substack Growth & Strategic Management

12/18/20251 min read

The Challenge

A CRNA nurse and anesthesiologist came to me with raw content and a vision for a newsletter about anesthesia—but zero knowledge of Substack or how to execute a launch. She wanted to make anesthesia accessible, engaging, and interesting for a broader audience, but didn't know where to start.

What I Did

I handled everything from day one:

Setup & Strategy

  • Complete Substack platform setup and configuration

  • Developed a comprehensive content strategy aligned with her goals

  • Created an editorial calendar with a consistent posting schedule

  • Refined her voice to make complex medical topics accessible and engaging

Content Management

  • Edit and refine all posts before publication

  • Schedule posts weekly for consistent delivery

  • Write engaging social media captions for LinkedIn and Instagram to promote each post

  • Develop and execute a social media strategy that drives newsletter growth

Community Building & Growth

  • Manage daily Notes (Substack's social feature) to increase visibility

  • Execute engagement strategy to build relationships with readers

  • Monitor and respond to comments to foster community

  • Track metrics and adjust strategy based on performance

The Results

In just over one month since launch:

  • 150 + subscribers and growing daily

  • 50%+ open rates consistently (industry average is 20-30%)

  • Pledge from readers willing to pay (before we even launched paid subscriptions)

  • Daily new subscribers with growth accelerating after social media launch

  • Comments on every post with increasing engagement on Notes

  • Strong momentum with steady, sustainable growth

What the Client Says

"I came to Nina with raw content and a vision for a newsletter about anesthesia, but zero knowledge of Substack or how to execute a launch. Nina handled everything – from developing a comprehensive content strategy to setting up the platform, refining my voice, and managing the entire publication process. In just over a month, we've grown to 150+ subscribers with consistent posting and strong engagement. What stands out most is how seamlessly we work together: Nina operates independently, delivers everything on schedule, and keeps me informed without overwhelming me. It's an ongoing collaboration I'm genuinely excited about."

- Jenni Ross Majumdar, CRNA
Founder, The Art of Anesthesia