Dr Plastic Picker – Dr. Plastic Picker
 

Author: Dr Plastic Picker

Social Media Poster for vaccine selfies.

January 27, 2021

by drplasticpicker

I am grateful to have received Moderna #2 yesterday. After Moderna #1 I had slight headache, fatigue and body aches. I was still able to go to work, and usually being ill (as long as I am not infectious) it is better to go to work because it distracts me. But last night Moderna #2 was a whole other experience. It just goes to show you can’t predict how one will react. I thought I would be fine. I received my vaccine at about 9am, and was doing fine most of the morning. I called into a middle managment meeting and conducting my irreverent Assistant Boss commentary from the parking structure – 4th floor. I was double masked and feeling good that Moderna #2 was done and I actually made it on time to the appointment. But by the evening I was getting irritable and more body aches. My temperature began to climb up, initially just low grade. I finished making a vegan dinner for the children (Beyond Beef and vegetables on corn torillas). The children immediately made it a vegetarian meal, because they added a little bit of cheese – but much less than they would have before.

I then headed up to bed and had to lay on my left side, because I receieved the intramuscular deltoid injection in my right arm. I decided on my right arm, because the first one I got on my left arm. The arm soreness for me was more than I ever imagined so I thought it was better to alternate. Then I settled in to bed, and it was one of the worse nights of my life (in terms of me just feeling ill). I had fever up to 103, headaches, chills, and arm pain. I just felt horrible. The entire time I was thinking , great the spike mRNA vaccine is working. I am still grateful for the vaccine but last night was not fun. I didn’t take tylenol the first moderna #1 because I wanted it to work. For moderna #2 I had resolved to try to do it without tyelnol, but by 2am – I was feeling so horrible I had Mr. Plastic Picker bring me 1000 mg tylenol and I took it with some water. The height of the fever had already passed but I honestly did not think I would make it through the night.

This morning I called in sick. I will still attend some meetings virtually regarding some middle management meetings and state programs that are important. I feel weak but still able to type and drink coffee. Wow. What a night. I was not sure if I should let everyone know the truth about last night. But I think it’s important to be honest. I’m 100% sure that receiving moderna #2 was the right decision. The pandemic has claimed over 400,000 American lives. I worry about my parents-in-law who still have to receive #2 to get full protection, and my own parents are due tomorrow for #1. It’s worth it to go through one bad night, to protect myself and my community and the ones I love. But wow, it was not easy. I will marvel at the miracle of the research that went into the Moderna vaccine later. But this morning, I’m just going to dwell on how residually crappy I feel. Even my coffee taste a bit off? I think maybe I had covid at some point and did not know it? I mean I’ve been working for 9 months in clinic. We haven’t done routine testing. I bet you I had asymptomatic or very mild COVID when Dr. Dear Friend had it. I tested negative but the test is not perfect. That would explain why I felt so bad with moderna #2.

Anyway, even with the tylenol 1000 mg – I know there are a lot of antibodies circulating in my blood stream right now. Something happened last night and something is still happening in my body. And that is the truth of Dr. Plastic Picker’s experience with Moderna #2 and using a rare sick day.

Our Girl Scout Troop’s Plant-based recipe. The interpretation of what plant-based means depends on the person.

January 26, 2021

by drplasticpicker

I was completely overwhelmed last night. There is a bit of political tussel at work about committee responsibilities. It’s easy being Assistant Boss because that’s the title I have, and I’ve reached a point in my career where I realize the titles are not that important. The important part is that I have specific responsibities in areas of our organization that actually mean money. I have to make sure we meet certain metrics, state required projects need to be completed, clinical quality measures reached. And if we don’t meet these metrics or get these state required quality projects completed, it means millions of dollars in fines. We are also a bonus driven organization, so when the physician group meets certain metrics than there are certain calculations to our compensation that happens. Sometimes I look out at departmental meetings and a fellow physician will be spouting nonsense about appointment times slots and 15 minute this and 30 minute that or why they aren’t included in certain meetings, and I’ll go into a trance and stand there and nod but I retreat into my own inner universe. I’ll think to myself “penny wise, pound foolish” and think about my networth or about the plastic pollution crisis or about my EMR inbox and the patient results I need to respond to. So much of the world is penny wise and pound foolish. I need to retreat into my inner universe at a lot of meetings, so I can just stand there, keep my mouth shut and move our department painfully forward.

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Rosemary that I asked for, from a friend’s bush. We bartered!

January 25, 2021

by drplasticpicker

It’s 542am and the wind is howling. It’s raining in Southern California, and it’s much needed but unusual for us. Having lived through multiple droughts in our sunny state, I’m always grateful for whatever rain we can get. I spent last night updating our finances and refining our goals. I thought I had neglected things of late, but everything was fine. We are in tip-top shape financially and have some medium sized investments that we will make soon. It’s funny how the hard-work and foundation we laid out fifteen years ago are paying generous dividends. Personal finance is easy now. I had mentioned on the KevinMD podcast that it helps to be financially independent, and I wanted to check if that was true for our numbers. And it actually is. I could stop working now completely, and we would be fine without my income. But that has never been the point of financial independence, it was more freedom from someone else or some other entity being able to control me.

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2nd version of the ad

January 24, 2021

by drplasticpicker

GATHER was featured in the New York Times and a critically acclaimed film on Indigenous Food Systems and Indigenous Food Rights. It explores the connections between restoring ecosystems and food systems. (Peds Chief) , (CATCH Peds Obesity Clinic) and I are proud to invite limited interested members of our medical group to a free virtual film screening of Gather, and panel discussion with Chef Nephi Craig (Western Apache Nation and professional chef) and our own Dr. Dana Patton (Pediatric GI) and Dr. William Pfeiffer. Target audience is primarily the AAP-CA, Kaiser SD Peds Department, and San Diego Area Pediatricians, but we will have room for some interested in our medical group outside of pediatrics. This is funded by a generous grant from AAP-CA3 San Diego. You will be emailed a link to view the movie for free, and panel discussion for CME will be on March 5, 6pm. Please comment below or email Mr. Hakim Tokhi to RSVP AAPCHILDRENSARTCOUNCIL@GMAIL.COM

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Riding Away on a Plastic Wine-Cork Sailboat: Good-Bye. Made 1/23/2021 and gone.

January 23, 2021

by drplasticpicker

I made this wine-cork upcycled ocean plastic figure yesterday. I was in an intense storm of professional angst, and he came together from the bits and pieces I had saved from the last solo beach clean up. I remember where I found the figure, who I now know is Evil Kenevil, in the sand embankment where the Surf Rake deposits it’s load. I found the blue plastic sand toy handle nearby, broken as many cheap plastic beach toys are. People are often surprised that there are plastic hangers in the beach. I’ve found many like the one above. Just the top parts. I don’t know how and I don’t now where from. I just find them and keep the interesting plastic bits. It all came together to make a sailboat, and a plastic figure (now I know from Toy Story 4) that was trying to ride off into an unknown future.

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Litter-picked up.

January 22, 2021

by drplasticpicker

I just wrote this great post that I won’t publish. I needed to work through some emotions and a work situation. I feel a lot better now, but I don’t want to create more waves than I need to – so I’ll keep it to myself. Writing is ever therapeutic for me. I’ll instead try to be productive and get stuff done for the environment today.

  1. Movie Screening “Gather.” Wrote to Director Sanjay again to try to nail down a date and time for a film screening. I’m wondering if professional creative types and their email response times. Maybe he has a lot on his plate. Maybe he’s working an another fantastic movie. This is my first time interacting with a director!
  2. CleanMed 2021 Abstract Submitted: Possible Conference May 2021

Climate Activism from A Middle-Managers Perspective: How Do I Engage The Department?

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New dinner habit! Olives and plant-based extra appetizer tray in the middle.

January 19, 2021

by drplasticpicker

I watched my KevinMD podcast at least 15 times, maybe more. Mr. Plastic Picker asked me if I was watching it AGAIN, and I got a bit irritated at him. The reason I was watching it multiple times because it was almost like my Plastic Picking Senior Thesis. My actual senior thesis in college likely only three people ever read. It was a year of futility because I picked a topic that would be doable within the year at Harvard, and not something I was passionate about. I was so focused on the mechanics of getting into medical school and not a passion. I need to remember this for my now 5 AAP-CA3 Climate Change and Health interns. I need to find them work that they are PASSIONATE about. This is the only way to true growth and progress. I was not passionate about cleft palate and eugenics theory. I learned the mechanics of academic historical writing. I AM PASSIONATE about plastic picking and ocean beach cleaning, and physician wellness and management and environmentalism. I think this is demonstrated in the KevinMD Podcast interview. Plus, I kept on listening to the podcast because honestly I did not prepare for it. I thought I was very tangential as I was giving the interview. But the interview is actually the culmination of what picking up almost 400 bags of ocean plastic pollution and salvaging over 1500 items from the ocean/landfill and reploying it into the circulation of human consumption does to a person. This litter picking journey and ocean plastic pollution reduction journey for me has been about passion. I think that passion is evident in the podcast interview.

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Upcycled CDs!!!

January 18, 2021

by drplasticpicker

I think my work iPhone broke! Oddly I’m totally okay with that. I was carrying it downstairs this morning to start blogging at about 430am, and it was on top of two laptops. I was balancing the iPhone and two mouses as I walked carefully down the dark stairs. When I reached the kitchen safely, something plopped loudly on the ground. I was worried it was the mouse, but it was actually the work iPhone and it had fallen exactly horizontally planar onto the ground. No glass is broken. But it won’t turn on. I’m oddly OK with it. I have the day off anyway today. My work iPhone is the only way for me to check Instagram and udpate (or at least how I typically use my devices) or for people to text me. I’m sure it will start working when I replug it in, but I’m enjoying the work Iphone quiet right now.

My interview on KevinMD posted and I’m still in that cringy/shy stage after revealing myself and the blogstory. https://youtu.be/d4QVLqg7Okg or https://www.kevinmd.com/blog/2021/01/how-ocean-plastic-picking-made-me-a-better-pediatrician-podcast.html I watched it several times, and am truly happy with it but can still be cringy. My friend Dr. McFrugal was right, Kevin Pho is a very kind and encouraging interviewer. In the end, my daughter and mom really liked the interview and that made me happy. I posted it on my personal facebook page and several groups I am part of. The entire point is to raise awareness about the plastic pollution crisis and environmentalism, so I need to share it. I questioned again why I am so open and why I began this blog journey, and my daughter reminded me that “Mommy, if this encourages one person to start picking up plastic – than it is worth it.” Tweens are so wise at times. And so it’s all worth it. The story is simple and straightforward and it’s mine. I should be proud to share it. I did look great on camera though! My mom liked my shirt. She doesn’t know that I bought it at Good Will. LOL.

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From Chef Nephi’s WuTang Wednesday’s talk.

January 16, 2021

by drplasticpicker

I’ve had an intellectual breakthrough in the last few months. Litter-picking and Instagram and Envrionmental Activism has led me to think more about the world and myself. We are all inter-related. Being presented with departmental problems that are unsolvable and then health systems issues that are unsolvable within the framework given to us, made me realize that it’s the framework itself/ the system itself that has to be redesigned or reimagined.

I’ve found a lot of intellectual growth watching Chef Nephi from the Western Apache Nation, and his efforts to solve substance abuse through food. Food is in this case is actually medicine. The whole process of food, the restoration of the land that it grows on, the cultivation, the cooking, the community that eats it, the actual recipes and the stories that surround the food. Having come from a community and family whose food traditions have stayed intact for centuries, I know in my fish-sauce infused blood that I am intertwined with the fish that I crave and the water that produces the fish. This is why the destructions of rivers and wetlands and oceans panics me more. I am a person that has been bred near a delta, and raised on food that comes from the rivers and the ocean.

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