Dr Plastic Picker – Page 2 – Dr. Plastic Picker

Author: Dr Plastic Picker

slide I used for a recent talk.

July 30, 2023

by Dr. Plastic Picker

It’s the last day of July and I’m growing nostalgic. It’s the last few weeks before we take our son up to college, and the last few weeks both of our teenagers will be with each other in the way that children are together. And during this summer that should be bittersweet and nostalgic, I have been blessedly distracted by planning the H3SD San Diego’s Heat and Human Health Summit.

I’ve been more on Instagram making reels like the rest of the world, really just to listen to them myself. It’s like the quick ability to make your own music video. I think all of us are enjoying it quite a bit. The reels are mostly of the kids and childhood photos that have popped up the way they pop up now because all of our memories and photos are in the iCloud.

What I am most grateful for today, is the absolute sense of love that I have for those that I’ve met through this journey of climate and health work. As the world becomes more plagued with chaos due to extreme heat events, for me I’m in a place of complete quiet and absolute self-awareness. The breeze is blowing through our neighbor’s palm tree in the back. It’s overcast this morning whereas yesterday morning we had a sunny summer shower, just above our backyard. It was so beautiful and I shared it with my mother-in-law because we were the only ones awake. Last night, we waited for 2 hours to have my daughter’s ears pierced and birds flew overhead in the outside waiting area. I felt like the birds were commiserating with my husband and my daughter at their impatience – but I was honestly happy to sit there on a summer evening in Encinitas waiting with two people I love so absolutely. I didn’t necessarily want my daughter to get her ears pierced but it’s something she wanted and she is fifteen.

I see love everywhere these days. I saw it in North Park where I wandered to meet in person a passionate climate advocate, and I traveled there with my son. I could feel the passion and the goodness and the hilarity of the personalities that collected in North Park that night. I have seen evil also, if that makes sense. I had someone stare at me so intently in clinic, someone I had known for years but I felt like someone crawled over my grave it was so eerie the stare that they gave me. I was not scared but I absolutely believe in a spiritual world and I prayed that the spirits of my ancestors were looking out for me that day. That person left, and I continued with my work. The interaction was quiet and intense, and it was just a look that was exchanged.

And I walked my baby brother’s Corgi around the block this morning. We are dog/puppy sitting this weekend. She’s been a bit off lately but we wandered around the neighborhood and ended up at a corner where there is a church, and an older unhoused neighbor who often sleeps at that corner. I’ve seen him but have never talked to him. And he petted our Corgi and fed her sandwich meat and gave her so much love. I saw grace when I looked at his eyes, at someone who sleeps on that corner I think to become closer to God.

I was texting back and forth with one of my college friends who is also a pediatrician and we are both climate people. We know the ocean temperatures in Florida are warmer than there have ever been. Greece is literally in flames. And we continue to have extreme heat events in our region. But we both are Vietnamese and we believe in the afterlife and reincarnation, and that our families will be reunited again in the next life. That understanding brings us both comfort.

There is so much love in the world. So much goodness in the souls that I have gotten to know through climate work. The faces in the slide above and indeed the hundreds of fellow people I’ve worked with, I am so grateful for you and that you are here with me on this blog at this exact moment.

I am often baffled why I end up where I end up, at any particular time of the day. I go to work and finish the job that pays, and otherwise I parent my children and try to keep the house fairly clean. And in the rest of my time, I try to help save this beautiful planet of ours. I was telling some of my new climate friends that I am flowing with the universe, and have absolute trust that if I continue to live up to the morals and values my parents and ancestors have instilled in me – that I will end up where I am meant to end up. And flowing with the universe has led me to so many of you.

Inspiring carrots.

July 6, 2023

by Dr. Plastic Picker

I’m not sure why but I find these carrots very inspiring. I’m not sure why they grew the way they grew, but they are so interesting. They are 100% organic and taste better than any store bought carrot I’ve ever eaten. Each new carrot that comes out of the garden, is really a marvel. My mother-in-law planted them in containers and we have many more to go.

Our son turned 18 and it’s the summer before he is off to college at UC Berkeley. He’s really proud of himself for how he did on the one AP test that he really cared about. He showed me his reaction video when he got his score back, and it’s in the field of study that he is considering. His good friend called him from the Serengetti to let him know the scores were in. Who knows what time it was in Africa? But back here in San Diego in the downstairs room that has been filled with his childhood memories, he celebrated by taking a reaction video for himself. I was so proud of him, just like his first words and his first steps or the first time he made a friend at school. He’s learning how to drive albeit later than the rest of his friends. He made straight As his last trimester, and we realized that without the stress of actually worrying about getting into college – he performed better and was more joyful. We know he is well prepared for college, and more importantly he has stumbled here academically and recovered. So he’s already learned those lessons, that I did not learn until well into my training.

And there are other children that have turned 18 as well. Their 18 has been very different, and they are some of my patients. Someone who only the medical team knows and her mother knows, she turned 18 as well. Hers was a very different childhood. She never walked nor talked. She came in a few times a year, and more commonly in the winter for aspiration pneumonias. She had specialists and not friends. She had G tubes and tracheostomy sites and not AP test. But she also had a mother that watched over her as carefully and diligently as I watched over my son. Her mother protected her. Her mother made sure she was always well dressed. Her mother advocated for her.

So many 18 year olds in clinic these days, or maybe I’m just noticing them more because my son turned 18. I was happy to see an 18 year old in clinic whose parents have worked so incredibly hard to give her the same opportunities that my son has. When children are born, it’s not an equal playing field. Some are born with more opportunities as others. That my son earned his spot fairly in the system and is attending the same prestigious UC system as many of my patients, is a point of pride for me. None of these children are perfect, but they are each really amazing and loving. Society works better when the children of all classes mix, an that there is mobility within the social structure.

But mostly I’m grateful that I raised a caring young man who has empathy and compassion. Many of the other 18 year olds going to college have that same empathy. There are the other 18 years old that have such a different future, where their parents have to file conservatorship paperwork because they are special needs children. But they are all 18 year olds. Jumbled in my mind. Diverse, none perfect, and all very organic and real. None were store-bought. That is what the diversity of life is supposed to be like. I’ll never enjoy a perfect store bought carrot as much as the ones that come from our garden.

Thanks for listening to my ramblings.

Oregon Island National Wildlife Refuge.

June 27, 2023

by Dr. Plastic Picker

We are back dear readers from our 5 day and 4 night vacation. It was a time to partially disconnect and reconnect. I partially disconnected from work and our lives in San Diego, and reconnected with our family and with climate friends that joined us. I like to think of it as really rewiring things. Breaking those old thought patterns that are no longer helpful, and reforming new connections and patterns. It was a transformational time away for our family. You could fundamentally feel the difference during the vacation and when we got home.

Mr. Plastic Picker and I slept so deeply. I’m not sure when, but I am generally healthier but had been getting up at night more at least once. But for three nights in a row I slept the longest stretch I’ve slept in years. My matcha green tea soy latte habit is somewhat disrupted in a good way. It didn’t taste the same anymore, and this morning is the first time I’m drinking just a bit of black tea. I told Mr. Plastic Picker that I may not even need matcha green tea soy latte anymore, it tastes too sweet and too matcha for me now – does that make sense? I didn’t even start drinking caffeine until I was 30 so after 15 years of it, I’m down to just some tea. I think that is generally healthy? I did have a matcha green tea soy latte last night to get through my late shift, but even that didn’t taste as good as it used too. I think that is a sign of healing. Everyone around me seemed to be talking too fast, I think the whole world is a bit overcaffeinated.

And it’s the first time we’ve ever gone on vacation with friends, and it was with true friends who are also climate friends. We cooked dinner together and our daughter made her famous foccacia bread. I think this is partially why Mr. Plastic Picker seemed fundamentally healed. It was experiences and conversations that we’ve never had before. Kind of awkward adult friendships that we need and are good for us, but really new. We are really good at being good family members, and I realize that I’m learning now in my mid 40s how to be a friend. My co-worker Lea is teaching me that. I never had a friend like her before and I’m learning how to be a friend, at least the kind of friend I want to be.

Our daughter is also learning about friendships. About what kind of friendships she needs, amongst boys and girls. We’ve been talking about boys so much that I realize that she really needs just to learn how to be friends with boys and not boyfriends. I need to shift that conversation with her. It’s awkward still being 15. She’s so beautiful and creative and loving. The love that emanates from that child is really difficult to explain, but she aims in directly at me. I’m the lucky recipient for now and I’ll take it, but she needs to learn how to share it with others. But it’s hard being 15.

I just wanted to let the readership know that we are back from an wonderful disconnecting and reconnecting vacation, and that it’s still been so much fun organizing H3SD San Diego’s Heat and Human Health Summit. It will be hard to see the entire process end. I have already plans for the next round of fun climate projects, and I’ll let the earth lead me to the next and just flow with the climate work.

You don’t have to go far to disconnect and reconnect. These beautiful places are everywhere really.

Inspiring still.

June 18, 2023

by Dr. Plastic Picker

I’m still in the whirlwind of climate work, and trying to still do this massive thing which is get H3SD San Diego’s Heat and Human Health Summit to happen. It’s definitely going to happen, and I’ve learned to listen to other climate advocates/activists, myself, and the earth to let this thing happen. I am more mindful of myself these days, as the last month was an absolute whirlwind of going to DC for the Kaiser Permanente and World Economic Forum Launch of “Connecting Climate Change and Health.” I still haven’t processed it all, and I’m not sure if I ever truly will. It was a moment that I realized I needed to be there. Traveling to DC for such a short trip and the massive emotional output and carbon output that trip entails was worth it, because it was part of the larger national conversation on climate change and health.

I was emailing someone at UCSD that I think of us as an ecosystem of climate activists, and each of us playing a different yet vital role. We are all interconnected to address this existential crisis. But as with all organisms, my own organism which is my body needs to rest. I’m not doing the furious emailing as much as many moving pieces are already in motion. We have about 2 months until the H3SD summit and an op-ed should drop soon this week regarding heat waves and human health. My name is not on the op-ed, but I had a big part in putting the writers together and they took it and ran with it. Another two op-eds are in the works that will hopefully drop in the LA Times, one on fossil fuel divestment and the other on lead pollution in k-12 drinking water. My name is on one, and the other is a team I helped put together. And then the breakout sessions for the H3SD San Diego Heat and Human Health Summit are mostly teams now linked together at least by email. They’ll figure it out, the hour they have to get things done. I’ve initiated the CME/CEU credit process already through our own HMO, and that has been a huge benefit and promise to those that are taking time out of their busy schedules to help make this happen. We should at least get some CME /CEU for it at the same time. If this summit doesn’t have educational content, than I don’t know what does?

I’ve been pushed to rethink about how we address fossil fuels, and Prof Adam Aron in an intense conversation advised that simply changing our personal banking over to Credit Unions has a huge impact https://aronclimatecrisis.net/. So I’ve started looking into switching some stock funds over and how to move things to ESG funds. I’m already trying to unravel our banking to move it away from the big funders of fossil fuels especially Bank of America and Wells Fargo. Step by step. We’ll get there. And at least my collective patients and children of the planet, and my own children know that I’ve been trying.

So I saw a big dead sealion on the beach and it was very shocking. I think I’m going to try to head over there to see if it’s still there. I need to pick up coffee grounds from my friend and drop off some lemons anyway. So I’m off my friends! Just wanted to let you know that I’m still fighting for us and our planet, but I need to be reminded of the why – which for me is when I go to the beach and get healed by the waves and the beautiful nature on this little stretch of the Pacific Ocean called Pacific Beach.

From the internet

June 8 , 2021

by Dr. Plastic Picker

Good morning dear readers! I’m back from a epic less than 36 hour trip back and forth from San Diego to Washington DC. It was an epic and carbon spewing trip. Quebec/Canadian wildfires caused the Washington Monument to be clouded in smog. But I had to spew carbon to help address climate change. It’s the paradox of climate work. But I had to be there because of who I am and where I work, and the earth called me to be there.

I’m typing this and watching the recorded live-stream broadcast at the same time. It was epic. The room in DC was packed and it was live-streamed by over 115K viewers. Likely many of them were internal within my own health care system. I’m honored to have gone, but know I did something big yesterday by playing my role and talking about my climate work.

But honestly, what did I want to let you know? I literally sat next to the Vice President of Mars, and he isn’t a martian???????!!!!!!!! LOL. I thought I was more popular than the Vice President of Mars because I got to tell over a hundred thousand people that I was a plogger!!! That was so much fun! I also told them very briefly about my journey and about H3SD San Diego Heat and Human Health Summit.

I’m grateful to have been there and got to tell my friends via email all about my adventures. I have that on record in my emails. I also received my new favorite reusable water bottle. It’s really nice. You can see it on Instagram.

I think that might have been my peak. The Green Dragon has been awoken. I think I helped wake the Green Dragon that is our health care organization a bit earlier. I still have more projects to work on, but it was hard for me. It was absolutely hard for me to go there and be away from my family. It’s not easy for me to be vulnerable and put myself out there. It’s not easy to put oneself out to be judged. It’s not easy to try to balance telling everyone about my journey and never getting to say the word “fossil fuels.” It’s not easy to use precious vacation days to travel out there, literally probably over $5000 of my own time and funds to be there and pay my own way because my time is valuable when at times I feel nickle and dimed by some. But I have the big picture in mind, and I have so much love for the place I work in a global sense. It was not easy, but I know it was where I was meant to be. I absolutely was in the right place yesterday and helped set the tone of hope for the room.

I don’t think I’ll be back there. But I’ll continue to work on climate in a smaller way. I think Dr. Plastic Picker may have peaked and I’m glad. I really am tired and I need to take care of myself. It was absolutely fun but in a “I can do this” not “true joy” fun.

But what was really fun, was this interview I got to do about wellness and decompressing. I really like Joshua Fitch from Contemporary Pediatrics! He is so nice. The Vice President of Mars was nice. But Joshua, was awesome!

Plastic Picker parents and plastic picker child #1.

June 4, 2023

by Dr. Plastic Picker

It was a big day for our entire family yesterday. For my real-life friends you’ve seen it on Facebook, all those senior moments that led up to graduation. Knowing that I’m his only mother has given me permission to take a break from climate work to do all those things that only I can do. Mr. Plastic Picker and I rushed around in the morning to Costco (had to split a hot dog) and then to Vons (to try to find graduation flowers). I was looking for a graduation lei, but we ended up with a small cute graduation sloth (that is his spirit animal) and flowers. My brother’s family ended up making us this amazing folded money lei instead that was truly unique. And then making sure I dyed my hair. Making sure we saved seats ahead for the ceremony, the reservations for dinner at Liberty Station. And even for next week, we are having a party at our house and getting the cleaning company to do a deep clean and ordering the food and sending the evite to those we consider close family friends. All those moments, only I can do and he wants to be celebrated. And it’s made me take care of myself, because I’ve always been his (and his sister’s) mommy first.

I am usually snapping pictures but yesterday I was just experiencing, and letting others snap the photos. I was just experiencing it all. The breeze was gentle and cool. The sunshades were majestic and appreciated. The colors vibrant. The happiness of the day and sadness of the upcoming parting of ways palpable. I sat at later that night at dinner with our extended family and just looked and gazed. I looked at my parents face multiple times as my father was laughing and saving his grandson’s number of his phone. I gazed at my own son’s face, as he was enjoying both sides of the table that he sat at the center. I gazed at the face of my daughter too often, as she was glowing in the center of her male cousins and her brother. She’s pretty and her prettiest is more evident when she’s the only girl. I gazed at my mother-in-law and father-in-law, as they sat in their fancy clothes eating American food, which they haven’t in a long while. I gazed at my husband and I pinched his cheeks, and then my mother-in-law pinched my father-in-laws cheeks in jest at the same time.

Yesterday was mostly about family and they realized how important the oldest and only son of the only son of the only son is to our family. He’s been this beautiful group project that we’ve all contributed and he’s turned out to be such a wonderful human being. I’m not sure if I’m really going to cry. I’ve certainly been teary eyed. But for my oldest after he was born, I had this great sense of responsibility. The feeling is very different than for our daughter. For him, I felt a heavy weight knowing I needed to raise him well. And I did. We all did.

He will have a wonderful two months off, of hanging out with friends and camping with best friends. He will clean his room. And we will enjoy these two months together before we launch him off to college this fall. There is not much time because his school starts the earliest of the UC campuses. But I wanted to thank the blog’s readership. This has been my emotional journey on these pages, and I needed to tell you that today I just feel relief. I feel relief that he had the graduation that he had. He grew up within a caring school and family community, and he’s a great human being. And I’m 100% going to wear Cal Mom gear unapologetically for the rest of my life – because I deserve it and I’m proud of him and himself. No senioritis. Had the highest grades he’s gotten in high school the last trimester, and graduated with honor roll. And he took his AP tests seriously and prepared and we are pretty sure passed, hopefully with a decent score. The most important thing to his father and me, is that he respected his school and respected the sacrifices his grandparents and parents have made for him to attend and graduate from his particular school. And that gratitude to me, is worth more than any accolades or name brand university. He’s grateful. And I’m incredibly grateful for that. The Prom King? The Homecoming Court? Now that was just cool!

Chalk drawings from the clinic recently.

May 27, 2023

by Dr. Plastic Picker

A mother I know well came in this week and it has been a while since I had seen her. She’s really sick right now and has around a year left to live from a cancer diagnosis, and I have been the children’s pediatrician for well over a decade. It’s one of those relationships where I know them well, and my nurse knows them well – just because we’ve seen them since birth. The children are in with therapy and the supports and resources have all been deployed.

What does one say as a pediatrician to a parent? How should a pediatrician react?

There is no answer because each relationships is different, each family is different, each parent and each pediatrician is different. For me, it is about responsibility. I have been lucky to be there for all those moments in clinic. The first visit when the parents come in so nervous and exhausted, meeting their pediatrician for the first time. We teach them how to swaddle the baby, or reassure them about the pooping frequency. We ask them, are you doing okay? Being in the clinic rooms, I often feel like being on a sitcom (I often laugh in clinic with my patient’s families) or sometimes it’s more of a series of commercials. But those moments are so powerful, the first weight check, the bilirubin visits, the anxiety about the high fevers, the first viral rash, and first broken bone. The main characters are of course the little adorable toddlers, and it’s true for me – my little patients even when they are big and grown, are perpetually toddlers in my mind. They are the adorable 15 month olds that are so mischievous that you forgive them their tantrums and their scowls when you try to examine them. It’s hard to be mad at little beings that have such huge eyes. Toddlers are really the manifestations of anime proportions, round face and big eyes and perfect skin.

After being there for a lifetime of those sitcom episodes or the short commercial visits for very focused moments, you get to the point in your career after practicing for 20 years when one of the parents have died. And that for me, is something I’ve been mulling over the last year and had been thinking about and reflecting on. It’s hard for those families of course, and as a pediatrician – the more connected one is the harder it is for us. I’m a connected pediatrician to my families and my community, and I hope it’s true for most – I know my families and I care for them. And because of this, when Stephanie was diagnosed with cancer, when Nicole died in a tragic car accident on Christmas break, when Jonathan was murdered when he went back home to Detroit likely because he was a young black man – it forever affected the lives of their children and the pediatrician who remains.

I needed to write out their names to make sure I remember them, and to my families I do. I remember the arguments I had with Johnathan about Malcolm X and race issues, and found it amusing that he trusted a small Vietnamese-American pediatrician about vaccines – despite his mistrust of the world in general. I remember Nicole all the times you drove down from East County to see me, trusted your boys with me and we talked about just random things – but always really liking each other for some reason. And I remember Stephanie each visit you had with your two little ones, how blond they were and the interplay within your family and felt sad when your family separated and now after we talked – I know a bit better why since your life was more complicated as a child then I ever realized the first years I knew you. I needed to write this down because I remember. I was there with you, and you were there for me as well.

It’s powerful mindfulness and being present. Yesterday I had what was probably just a ho-hum clinic day, where I worked the late staggered shift. But there were the two cephalohematomas that I’m still worried about, attached to two set of parents. There was the stress of finishing three triplet wic forms and doing the third version of them because I dared to spell Similac incorrectly , and me wondering if the WIC office really had so little to do to perseverate over my spelling, but attached was a loving uncle that always wears a certain kind of shirt and sweater , and so lovingly holds one of the triplets when his younger sister who is the mother comes in.

I’m still here. And what I said to the mother that came in this week who is dying of cancer was simple. I’m so sorry that you and the kids and your family are going through this. Can I let my old nurse who knows your family too know? So that he can pray for you, because he goes to church? He transferred to Bonita about a year ago. Do you need more supports? I am so glad the kids are in therapy, and we have more social workers now. Do you feel comfortable reaching out to me if you need help? And of course I’ll fill out that camp form that you need and this is when I review things for the kids through puberty. Maybe we should talk about sex sooner than later, especially so you don’t worry about them not having had the talk before you go. And, I will be here for them Stephanie. I’ll be their pediatrician until they turn 18, and please let me know if you need anything. And what I didn’t say was “I really want to give you a hug but our relationship is different. So I didn’t hug you, but I hugged the kids after you left the room, because it really sucks when your mother has cancer.”

Introverted me

May 18, 2023

by Dr. Plastic Picker

We are getting there. We are getting there. It’s been an absolute whirlwind of meetings and support, and emails and coming of like-minded hearts. For those of us deep in the climate work, we know that there is a very narrow window of time. It’s a literal planetary code. And that’s why that even though I know this the San Diego Heat and Human Health Summit won’t solve everything, it will move the climate work faster. We will get to averting rising global temperatures and ecosystem disruption a bit faster. Every act counts. Every bag of trash counts. Every major summit that changes the national conversation counts.

But it’s been a marathon of meetings and marathon of emails. Convincing and cajoling. Talking and persuading. Pleading and asking. And I’m doing this all for our collective children, but honestly for my own as well.

To all my friends, let me have my innocent dreams of my daughter and innocent hopes for her future. I need it so badly because I know how truly dire the situation is. Rising temperatures, hurricanes, atmospheric rivers, asthma. I usually have hope. But this morning I have to put on my happy persona which is mostly true. I’m excited to go to DC. I really am. I’m excited to be invited to the World Economic Forum. I’m mostly excited to see all of my friends on August 12, 2023 at UCSD School of Medicine. But I’m so much of an introvert , that it’s hard for me. It’s hard for me to reach out again and again. Usually people say yes, but sometimes I get a no. And the no, they hurt so much. But I keep on re-engaging and re-connecting, because we have to do this together as a region and as a community and as a people.

I think the introverts, those like me. We are the beautiful ones that the world does not see, because we are afraid to get hurt. We hide. But after being hurt and being healed, it gives you this sort of super human strength and knowledge. Those that tried to hurt you. The naysayers, The negative people. They are gone now. And all is left is the stark reality of the climate crisis and the planetary code, and I’m there and you are there – and what does one do, but try to resuscitate the patient.

So it’s really happening, The summit is really happening and thank you to my real friends who have seen me run up and down the hallway. I’m exhausted because I was so happy. And being so happy, you crash. It’s not a natural state for me, this extremes of emotion. But I’ll take it, for the earth and realize that I am meant to be where I am and to be who I am. And that I’m allowed to look at a picture and smile, and dream for my daughter.

The epic selfie!

May 12, 2023

by Dr. Plastic Picker

That was honestly way too much fun! My good friend Dr. ABG and I stopped by UCSD AMSA Premedical Society and spoke. Dr. ABG is one of the doctors I admire the most, and also happens to be on the San Diego Air Pollution Control District Governing Board. I had a part in getting her elected and I did so because I believe so strongly in her heart, her clinical skills and her ability to enact change. But she’s also a good friend, and UCSD alumnus. So we headed over to UCSD AMSA and amused the premedical students with our anecdotes about climate and health, but mostly about our friendship, our families, our husbands and our kids.

We were REALLY FUNNY!!! Totally not planned but I kind of knew what the trajectory of our open flow dialogue would go. Our premedical students and high school students said we were hilarious and entertaining and inspiring. The room was filled with laughter, and filled with beautiful young faces looking for leadership and inspiration. I’m hoping that two middle-aged pediatricians in our 40s gave some of that to them.

We also invited them to the San Diego Heat and Human Health Summit! It’s at their college and university and 100% they should be involved. So we’ve invited the premedical students. I got ALOT of new really cute UCSD premedical instagram followers yesterday. And I think we picked up a few new premedical interns. We have two graduating so we actually do need a few more to fill out our ranks.

new student! So cute!

My heart.

May 6, 2023

by Dr. Plastic Picker

It’s been on epic climate almost 2 weeks now. I haven’t been present as much on the blog to update the readership. I’ll update you now but mostly wanted to let you know that one of the main characters in my life turns 15 this month.

Our final version of the climate divestment paper was accepted to the Yale Journal of Biology and Medicine. I helped substantially with those edits and am in the middle of the authorship group, and incredibly grateful to have contributed to the writing of the paper. I was able to secure an interview session with Contemporary Pediatrics for our lead author to amplify the message of our paper. I initially thought we would have to write a commentary, so I’m relieved this will be an interview and I actually don’t need to do anything further. This paper helped me further understanding divestment work, and it will help with the overall movement to have this paper with important names on it to distribute to our friends on the front-lines advocating for divestment as child advocacy as climate change affects children’s health.

I also received a big award which I’m not allowed to share on social media but I don’t think this blog counts? I’m really honored to receive it. There is going to be a fancy reception and I’m getting a trophy! A real engraved trophy! Thank you to the American Academy of Pediatrics CA3 – San Diego and Imperial Counties for nominating me.

But it seems really simple and a bit selfish. One of the biggest reason I am working so hard to fight climate change, is that I want the above teenager to have a livable planet. I want her and her brother not to have to deal with as catastrophic heat waves that are predicted right now. I want to have grandchildren that can remain in San Diego, or at least not have to migrate too far. I want to hold my grandchildren and watch them, and it not to be that hot. I want this for them and myself, and for all our children and grandchildren.

And most of my time these days is organizing the epic San Diego Heat and Human Health Summit. I’m making lots of noise with my climate friends, to draw attention to the health effects of deadly heat waves. We need all hands on deck. And I think it’s working. Can you believe it? Its working. And honestly it began with a burned out pediatrician who almost left medicine because I was stressed and sad, and I found happiness on the beach picking up trash.

If you know me in real life and want to help with this summit, let me know! It’s going to be epic and filled with beautiful people who are so good and joyful, that it just shines when they walk in the room. Trust me. I see it! I see it in all of you. So to the being who has brought me 15 years of joy. I love you so very much. And this weekend, we will spend it together just our family.