Month: June 2025

June 20, 2025

by Dr. Plastic Picker

I’ve woken up in abject terror. My friend Prof Adam Aron texted me some stories and updates about the speed that we are expected to be at 2 degrees warming and what is going to happen to certain ocean currents. Some areas of the world will have catastrophic sea rise and others will be plummeted in even more frigid winters some 50 degrees F colder than now. I keep connected with him because as a pediatrician and a mother, I want to know the truth. I want to know how bad it will be. What the world will be like in 20 years (I will be about 70), if we do not act now.

But the reality of today is that it is – we are not there yet. It is not 20 years from now. And the only answer I have after asking myself so many existential questions is this – I exist. I exist. I exist.

And my children exist at this moment, and they are allowed their mother. They are allowed their mother to be present and not dwell in terror. I can’t mother if I’m terrified. I can’t climate organize if I can’t even imagine the future. And I realized this while I was texting my friend the professor. I’ve already lived through terror. I know there are forces out there that are evil. There are forces of chaos. There is no greater evil than fossil fuel companies and the rapid militarization of our world, at the cost of children and the climate.

So I realize I can disagree with my friend the professor. I vehemently disagree with him. The answer to this climate crisis is our human relationships, and that we exist together. And the webs of connection and social cohesion that make us people, that literally allow us to exist. Those were the bonds that will solve the climate crisis. We must be bond more tightly together to literally survive what is to come.

So build your networks and build those bonds. Of friendship. Of marriage. Of family. Of common vocations. Of alumni networks. Of whatever titles and branding that gives you joy.

And you are allowed to exist. And we will continue to exist if we live lightly upon this earth. I did an incredible amount of climate organizing yesterday on AMICUS briefs for Our Children’s Trust, on H3SD , on combating fast fashion, on interesting projects for students and physicians. And in those moments, I know I am doing what I’m meant to do.

I still haven’t finished a post about the #NOKINGS march. It’s half way done reliving that momentous day. And I would like to remind my friend the professor, 13 million people marched. And neither you my friend nor myself are that unique. The both of us have done an incredible amount of climate work, and can you imagine another 13 million of us now more tightly bonded and connected? You can’t predict what will happen when people meet. What thoughts are exchanged. What growth people will have, and what actions they are inspired to do next. We were both at the same march, but saw such starkly different realities. And I think between the both of us, and 13 million other people, there will be a future that will be livable. I have to project my dreams into the future. Manifesting that desired destiny is very powerful. And I have to do that for my children. Every day they give me strength to move forward.

I exist. And this morning I have to exist in the office, and see a full day of patients.

June 10, 2025

by Dr. Plastic Picker

It’s 5:51am and I’m still alive and kicking! The world is kind of messed up right now. Greta Thunberg is on a boat that has been intercepted by Israel, as they’ve tried to reach Gaza/Palestine. The National Guard has been deployed to LA. I try not to watch the news too much and concentrate on doing what I’m supposed to do, but even after working the late shift – it was disheartening. All of it.

I’m not going anywhere. I’m not sure why folks are asking if we are moving to Oregon, but that is our climate bunker. We are here and advocating and part of this community. Oregon was a good investment and at some point it might make sense to migrate there, but for now – the problems in LA and the problems with our climate are our problems. I briefly mentioned to Mr. Plastic Picker around South Korea, and whether that is an option if things become unsafe. But I rethought, and honestly – I am not one of those. I’m not abandoning the only area that we know and call home. There is no where to run from climate change nor civil unrest. If we don’t stay strong, than who will? It’s crazy talk and it shows how confused the bad actors are trying to make us.

But do not be confused!!! I am not confused. I saw my patients yesterday and for the most part closed most of my charts. I have stuff to do and children still to parent. I am not being incapacitated by the chaos. If I’ve irritated by it, than there are others. I hope everyone votes at midterm elections, and that is what our family is concentrating on.

But there are more mundane things to worry about. I need to write two letters of recommendations. I need to respond to a very important email. Actually I need to respond to several emails. And I need to write an article about the Tijuana Sewage Crisis and give several talks at Harvard Medical School regarding the crisis. So this is what I will do.

Plus it’s our daughter’s last day of junior year and I want to pick her up at 3pm and have a fun SIDE QUEST! I am excited about the side quest! Just some thoughts as the national guard and marines are being deployed to LA. It’s really messed up all of it. We should have more native flowers around, and are we really deporting Mexicans and our citizens. Wasn’t all this part of the world formerly Mexico and before that it really belongs to the Kumeyaay. Maybe we should just give it all back to them. I think they’d do a better job than the current national government.

June 2, 2025

by Dr. Plastic Picker

It’s June! I can’t believe it’s June! I’m sure if you see me in clinic today that is what we are all going to be saying. “Dr. Plastic Picker! It’s June! I can’t believe it’s June!” I’ll be seeing Dr. Melissa Campbell in clinic today for the entire glorious day, and I’m really happy about that. It’s June, and I can’t believe it is the last June of her three years with me in clinic. She’s graduating and going on to be chief resident beginning in July. She’s my first continuity clinic resident after having been a pediatrician for almost 20 years. I decided late that mentoring suited me, even though I had been mentoring for most of my career – because that is naturally what doctors do.

But it’s June, and everything is in full bloom.

But I’m holding it all back. Purposefully slowing down time. Mindfulness, prayer, bird-watching, plastic-picking – are all very powerful. Because they all literally slow down time. And with time, we have joy and can be effective in doing the things that we need to do.

Everything is in full bloom, but I need time. I need the year until Mr. Plastic Picker agrees to be chief of his department. A position that I am absolutely dreading. The job is literally killing him. It’s too stressful and he needs to take care of his health. I need the entire 365 days until our little one graduates, because her life has taught me so much about my own life and the world. I have no desire to see her leave me one minute sooner than she will, as she likely will go off to college away from us and away from my mothering. I need the entire 365 days to organize and to work on climate projects, interwoven somehow into my clinical work. I need the entire 365 days to be a daughter-in-law to my in-laws who are getting older, and these 20 years with them have been wonderful. We’ve raised the four of us two wonderful human beings. I need the entire 365 days to be a daughter to my own parents, to spend more time with them. We are always working our family, and isn’t it time we were just together?

I need the entire 365 days. So it’s June, and everything is in full bloom. What do I do now? I live. I live every second and every moment of this beautiful chaotic life. I get to live today. And not worry about tomorrow.