I wrote to a climate colleague the following, “Adam was so happy today. I really only did a paragraph. It was mostly Adam and Andrew. But I think what I’ll remember most about this one, was laughing with Adam over the word pyro-metallo-mania. He said pyromania and I added the metallo part.” And honestly that’s what I will remember most about this article. It was important to write, to say our piece as community leaders. I posted a lot about this on Instagram.
But here on this blog, I’m just me and I wanted to remember and share that moment. My professor friend, Adam, just laughing and being joyous when we were trying to save the world together.
I have to remember that I’m a person. I’m going to turn it off completely this weekend. I need to do two presentations on air pollution, and I need to start getting my heart rate up to make sure my physical body is strong. Mentally I’m doing wonderful and I’m grateful for this climate and health journey that I am on. But I am nearing 50, and I need to remember to do cardio enough that my heart rate gets up above 140 at times. So just a quick post to say hi, and give the op-ed a read if you have time. I’m almost done with my matcha (still with just a splash of soy milk and 2 teaspoons of sugar) and will go jogging for 30 minutes.
The house is a disaster. There is a gift bag filled with vegetables I need to drop off at Dr. Luis Castellanos’ house. I believe he has peaches for me, which I will come get hopefully Tuesday. They are probably overripe. The last of the cherry tomatoes are on the vines, and the summer is coming to a close for our family. We have the house to ourselves and somewhat our lives back after successfully finishing H3SD 2024 at UC San Diego School of Medicine. It’s hard to describe how successful the gathering was. Just some phrases I posted on my personal facebook page.
“H3SD 2024. It was an absolutely inspiring evening. Day #1 was all about the students. Opening and poster presentation.”
“It’s hard to sum up how wonderful it went. H3SD 2024 , the collective we (organizations and individuals) knocked it out of the park. So it gets an Instagram reel share on Facebook.”
Instagram posts as well with reels and commentaries. But we will write the summit proceedings up, as it needs to be shared as soon as possible. We made important connections during that meeting, and built up regional leadership to address global heating in our region. One of the most important connections we made as an organizing committee, is looping in San Diego State School of Public Health – as they are doing work at our most at-risk community which is the Imperial Valley. Our AAP CA3 chapter actually is San Diego and Imperial Counties so that is our catchment area as well. It’s humbling to know that as one of the chapter committee chairs, I don’t know enough about the children in the Imperial Counties.
But today is just a feeling of exhaustion. I’m sure our hard working coordinators are feeling the same. This year was so different than the first. I think this one belonged to everyone, and overall objectively improved and impactful. But I’m thinking back to last year, and it’s with an overwhelming sense of love. H3SD 2023, was my shooting my shot at global heating. I was shooting my shot at building relationships and connections across institutions. I was shooting my shot at perhaps chance meetings that would lead to some drama. And it led to something entirely different, and something more enduring.
As the person who helped start H3SD, the first one will always be the most loved. It’s like your first child. You don’t know what you are doing, but you know that you absolutely love him/her/they. And that love and fear and anticipation, can never be recreated. But the 2nd child, you are more experienced and it goes more smoothly. And H3SD 2024 was that. This was the 2nd child, well planned and executed. It was other people 1st child, but for me it was the 2nd. I started H3SD with friends as an idea on the wetlands, and it was powered by so much joy and hope. And I am so happy that it’s taken a life of it’s own. It no longer belongs to me, it belongs to the shared community that made H3SD 2024 a hopeful coming together of the house of medicine – raising it’s voice for the planet.
But I am indeed so tired. I need to do our taxes. The entire thing probably costs our family $10K or so? We received some funding for other sources and UC San Diego School of Medicine came through. But we applied for some grants and awards, and I know that this next year – it will be no longer just us but shared. Just letting things soak in and enjoying the exhaustion.
But my daughter reminded me that she’s a junior this year, and she needs my support. I’m going to limit myself this year. I only have her at home for another two years, and these are two crucial years. She’s my climate why, and I have to be mindful that I have to be there for her. I’m trying to save the earth for her, and my future grandchildren – whoever they might be.
I was going to show you a picture for her, but it’s her pictures and she has her own social media now. So I’m going to respect her privacy. I’m learning for sure, and growing and learning not to be so superficial.
My good friend and collaborator Dr. Luis Castellanos is at his house this morning, and he is living his life with his family. Being a husband and father. Mr. Plastic Picker and I are in our house, and my radiologist husband had to run out unexpectedly and will work all day at the HMO covering the hospital because of a sick call. He’s going to be “paid back” supposedly, but I never believe that. He’ll make extra money, but it’s money that we don’t need because we are FISE – Financially Independent to Save the Earth (it’s a phrase I tried to make a thing a few years ago). And another friend is nearby in another coastal city, and they have left the practice of medicine essentially. And here I am, Dr. Plastic Picker often collaborating with my friend Dr. Luis Castellanos on trying to save the earth. We have our upcoming H3SD 2024 San Diego’s Heat and Human Health Summit in less than a week at UC San Diego School of Medicine. What amazes me, that at some point we were all first year medical students together, in patient doctor 1 and just learning how to examine a patient. And now we are trying to resuscitate the planet.
But here I wanted to share with the readership the nomination we sent on behalf of my good friend Dr. Luis Castellanos for the Prebys Foundation Leadership Award. It’s a big prize and funds that he will put to good use to help address global heating and health, and address health disparities in San Diego County. Even if we don’t get it, the combined forces of our medical community will keep on trying to resuscitate the planet. And still be normal clinical doctors in pediatrics, cardiology and radiology.
Please send us good thoughts and we hope he is honored in November.
It’s 5:24AM and a Monday morning, and I’m typing on this blog. I’ve started three versions of this blogpost, and deleted them. But it’s been fun, because it’s thoughts I needed to write down which enabled me to return to my email and actually finish a climate project.
I’ve been working on and off with Prof. Adam Aron from UCSD Green New Deal and Andrew Meyer from San Diego Audubon Society on an op-ed we would like to submit to the San Diego Union Tribune. If you know me in real life, you likely haven’t heard me stop talking about the Sea World July 4th fireworks that were out of control, and lead to many shorebirds including elegant terns washing dead ashore. The fireworks are bad for human health as well, which is why I got involved. You’ll hopefully see the op-ed this week and it’s really cool to co-author something with my two climate friends! Prof. Adam Aron and Andrew Meyer are like some of my favorite people in the world!
If you were in San Diego on July 4th, you probably remember where you were and who you were with. You likely remember the fireworks displays. I was with my daughter on our roof deck and watching the fireworks, and thinking a bit “they are a bit out of control” and sure enough the next day, all these elegant terns were documented on social media washed up dead on West Ski Island. That event, led us to investigate further into the hazards of fireworks which includes air pollution, noise pollution and actually heavy metals raining down on Mission Bay. I was fascinated to learn there is something called Firework Dust (FD) and Legacy Dust (LD) that continues to pollute the environment.
Personally, I’ve never taken my children near the fireworks because they don’t like the noise close up. My son when he was a toddler in Boston, had an uncontrollable crying episode over watching the fireworks while sitting on a stroller near the Charles River. I wasn’t there because we had the new preemie baby at home. It makes sense that small children would be adverse to fireworks up close. He probably helped ensure his own good neurodevelopment, because his father brought him straight home and he wasn’t exposed to the noise pollution, heavy metal pollution and particulate matter. Since then, we kind of avoid the entire thing.
So I was standing on the roofdeck with my daughter, and honestly we don’t really enjoy the fireworks that much. Maybe that tells us that those that enjoy the fireworks and the spectacle of it, we are too different. But the community will need to decide what’s best for the children.
For my child during the summer of sixteen, she was with me physically and safe. She was away from the lead, cadmium, barium and copper raining down on Mission Bay. She was away from the possibilities of fingers being blown off. I remember acutely as a resident physician, the orthopedic hand surgeons had to reattach fingers from mostly teenagers living in New Hampshire that were playing with fireworks. It seems kind of silly to let your children do that, or allow them to hang out with friends who would do that. But in the end, everyone raises your own children. I only get involved when it affects all children, and of course the elegant terns and biodiversity.
This summer has been so unexpectedly wonderful for our daughter. It wasn’t the summer she expected. There was no boy, no summer romance (thank goodness!). But there was so much art and learning. The one month California State Summer School for the Arts CSSSA was an intensive 6-day program that was pretty much from 8:30am to 9pm every day. She studied mostly ceramics and had a lot of studio time, but also studied figure drawing, photographer, print-making, arts and culture. She got to go to the Getty and Disneyland with her friends! We saw her just twice for brief snippets the entire month, and we saw lots of selfies. She would send me her “fit-checks” (yes it is a teen thing). She was on artistic fire, honestly. She produced two large ceramics pieces that will be included in her portfolio. I loved seeing them in the pictures she sent us, but honestly they are physically very impressive when you see them in real life! She’s really an amazing 16-year-old.
Then she went to a Vietnamese youth leadership advocacy camp, that is too complicated to explain, but I was able to accompany her on Saturday. She finally met her team that she’s worked with over the year. She’s being mentored by amazing Vietnamese-American women, and meaningfully contributing to human rights work. For a Harvard educated mother, I am floored at times what she has accomplished. I just follow along with her, and try to gently guide her. We had so much fun this last weekend with new friends and connections we made. This is her community as it was mine, and it’s changing and blending and we are there to be a part of it. Plus the food was amazing. And it was cool when she hugged her new friends and we said “maybe we’ll come to Paris next year for the European camps?” And honestly, that is definitely possible.
But she’s tucked back in her room and sleeping soundly this morning. I have to leave for clinic in two hours, and back to clinical work. But I am so grateful to have spent this hour with you writing down my thoughts.