April 18, 2020

by drplasticpicker

It was almost a month since I did any serious litter picking, and the ocean is closed. As you well know, we are still in statewide COVID-19 quarantine. The quarantine is a good thing because we all need to #flattenthecurve. I also was not sure if I was exposing my patients and my family to unnecessary risk if I litter picked. But yesterday I saw a purple single-use disposable glove on the street in front of our neighbor’s house, and that just is not right. I was masked, used gloves and a metal grabber and picked up a small bag of litter. I washed my hands also and showered afterwards. I felt so much better after picking up those few pieces, and am confident I did not catch anything. More importantly, I think I am preventing social unrest because trash like that will push people to the brink. Maybe that is why there are protestors now at various state capitals. I bet you they live on littered streets, but really they should just pick it up. So I will litter pick in the early mornings now with a metal grabber, mask and gloves.

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April 16, 2020

drplasticpicker

Twenty-five years ago this month, I was seventeen and would lie on a hammock in our back yard that overlooked the winding road that led to our mailbox. My father always complained about that road because it was asphalt and technically private, so all the neighbors had to agree and contribute money anytime the road needed repairs. It’s a windy road that is shaded by a canopy of non-native eucalyptus trees. I remember seeing those same trees in Austalia with koalas. I saw these same trees in Peru last year up high in the Andes during a medical mission trip. They are non-native to Peru, encouraged by the government in the 1970s as a fast growing cheap source of fuel-wood. Those trees have contributed to the disruption of the water cycle there. In Australia and Peru, I oddly felt at home because I knew those trees despite their invasive nature.

Twenty-five years ago the teenage me was laying on the backyard hammock with one foot slowly pushing off to power the rhythmic motions. I would just quietly watch the windy road below . I loved hammocks as a child. As a mother, a few years ago I had this moment of determination and marched to Home Depot with my skeptcal non-hammock- loving husband. That weekend, I taught my half-grown children how to correctly use one. Seeing them try to sit and subsequently fall onto the ground, dazed and laughing as the hammock continually flipped over was wonderful. Laying correctly on a hammock is an artform that I mastered as a child. When you lay on a hammock you have to move with it, and somewhat let go of control which is difficult for uptight people.

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April 15, 2020

by drplasticpicker

We are in the middle of unprecedented times, when much of the world is in quarantine and COVID-19 is a menacing danger. I am sitting at home in Southern California, and most of my department are not doing any heroics. Most outpatient pediatrics is doing virtual visits. As Dr. Plastic Picker, I don’t know when I can return to the beach to start picking up plastic again. As Pediatricians, we don’t know when we will return to seeing face to face patients or what medicine will be like after this is all over. We are blessed that for the most part children are doing okay. Rates of respiratory illnesses are down because kids are not swapping germs anymore, a side effect of quarantining. Even with New York City still in the midst of a true crisis and the rest of the country is anxiously watching to see if the curve truly flattening – I still have hope.

It’s easy for me to have hope, because I have not been asked to do much. I have tried to help as much as I can but it seems woefully inadequate in comparison to the sacrifice others are making. I have helped distribute a few thousand masks, tried to make sure my little corner of the medical world is flattening the curve, and continued to have the environment on my mind. But I have hope because from great hardship the world can change. It sometimes takes momentous challenges for us to reach our true potential. Personally for me, the greatest times of personal growth have been after great personal and professional failures. So I am hopeful that we will make a better world post COVID-19.

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April 14, 2020

by drplasticpicker

This is definitely one of those topics that Dr. Plastic Picker is a much better pediatrician now than I was at the beginning of my career. It helps that I myself have gone through puberty, completed a clinical year of pediatric endocrinology, and am semi-successfully guiding my own two children through this process.

This can be both a stressful and wonderful time in life. There is a sense of loss for the littleness of your children. I had this profound sense of loss because I worked so much when they were little. I miss the warmth of those young bodies snuggling up to me at night. The promise of that time would often get me through the long overnight calls or urgent care shifts. Our daughter had a profound sense of loss as well. When her body began changing she said that she did not want to grow up. Our son was very nonchalant about the whole thing, which is true to his easy going personality.

But as I tell my children and my patients, puberty is a wonderful thing because it means the body is working! It means that your hypothalamic-pituitary-gonadal axis is functioning as it should and you’ve reached this milestone. If you didn’t go through puberty by a certain time, it would be a medical problem. I would have to start getting blood work, radiographs and maybe MRI your brain. As a pediatrician, I am aware of the dangers of being little as well. You are more susceptible to diseases which is why there are more vaccines when you are young. Little children can’t physically protect themselves as well. So I look at puberty, as a wonderful time that children are gaining bodily strength. They are developing themselves to be adult people. Because in the end the purpose of raising children and protected them while they are young is to get adults, and then they can protect and fend for themselves. And now my own teenagers can get things I need from the upper shelves that I can’t reach! Score!

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It is the 5th week of essential lock-down for our family. We started social distancing prior to the general order in California and our city. I had been following the COVID-19 MD Facebook groups closely. Before most were social distancing, we had cancelled our early March vacation and cancelled Mr. Plastic Picker’s parents trip to New York. Thank goodness, as New York is now the epicenter of COVID-19. California has done remarkably well, but even with hundres of thousands of cases averted and thousands of deaths prevented – we have many dissenters. Probably there are not many, but they are taking up a sizeable share of the blogsphere. I had a high school friend post on facebook COVID-19 misinformation. I replied but didn’t have the energy to have a prolonged facebook discussion. I ended it with let’s just be grateful that we in California are doing okay.

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April 12, 2020

by drplasticpicker

It has been a wet spring in Southern California, and our rain barrels have been overflowing. The country is still under COVID-19 quarantine orders, but I have been gratified that this blog has seen an uptick in traffic – hopefully providing everyone with some entertainment. This has motivated me to keep on writing. Anyway, our rain barrel makeshift collection system caught 395 gallons of water yesterday. My mother-in-law will use it over the course of the next few weeks to water her garden. Her garden is truly a work of wonder where in the normal sized front yard she is able to yield enormous amounts of lettuce, kale, onions, tomatoes, lemons, and different varieties of squash.

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April 11, 2020

by drplasticpicker

I’ll be blunt here. Physicians are not for the large part good stewards of their own money. Physicians often think other fields are easier than our own work. I hear this a lot. Some of my colleagues think there is easy money in real estate investing, yet rarely do those same people have actual real estate outside of their primary home. It’s kind of a minor insult to true real estate professionals, just like a parent telling you they could drain an abscess better than you could with a sewing needle and exacto knife.

To actually support a middle-class or upper-middle-class family solely through the real estate boom and bust cycles of the market is not easy. Like performinig surgery, real estate investing requires a very specific skill set. It requires negotiating, managerial skills interacting with skilled laborers and tenants, having good accounting skills and being able to take on financial risks. You need to know about the specific tax laws, termite inspections, cost by the square footage of decking material and on and on. It also requires time and focus and attention to detail.

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April 8, 2020

by drplasticpicker

There is much to be hopeful for Wednesday. In the end we will never know what the death toll would have been if we had not #flattenthecurve and #stayhome. But as an outpatient MD following along, I do believe it would have been in the order of 500,000 to 1,000,000 lives lost. We still have at least a month left of mandatory quarantine, but we should recognize that the community accomplished many hundreds of thousands of lives saved by pulling together already. I thank our state and local leadership for putting in shelter in place orders early. It has been a remarkable thing to see how well California has done. Still a lot of work to do, but this Golden State, that embraced our immigrant family even before my birth and formed me as a person, has made me so proud. I have always and continue to be even more so proud to be from California!

With that, there is hopeful news for the environment. I wanted to highlight today how the practice of medicine can be more sustainable after COVID-19. We have learned that we can practice effective medicine and environmental stewardship. I apologize for skipping last week’s Hopeful Wednesday post. I was feeling down last Wednesday, but today I am happy.

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April 6, 2020

by drplasticpicker

This blog series is monthly. This month I am 5 days late. Forgive me as there is this thing called a pandemic going on. But in all seriousness, I am so happy to be forced to write a non-COVID19 post. When I started this blog called Dr. Plastic Picker, I really wanted it to be more about Plastic Picker – but it’s become more about Dr these days. I try to deny it, but I am one and am doing my due dilligence these days to be a competent one. In fact, I held the On-Call COVID Pediatric walkie-talkie for our large outpatient building today. I decided my code name is Dr. Spock and I asked the nursing manager to call me that when she needed me. This is why this series is so important, because it keeps my tangential brain on earth and not in outerspace. This series keeps me accountable for making real changes in our lives that are good for the environment. I am responsible for reporting out monthly 15 changes that I have made in our daily lives that help the environment.

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April 5, 2020

by drplasticpicker

Chris was my anatomy lab partner during our first year of medical school. We had the right side of the cadaver of a 90-something-year-old woman, and across from us was Felipe and Andrew. Felipe was the son of a Nobel Prize winning chemist. He was always a more morose soul, and would disappear after class. He made it through and I believe is an internist in New York. Andrew was very slim and handsome, and dated a fellow student who was beautiful and smart. They broke up before the Residency Match as they were applying in very competitive fields. I believe the beautiful girlfriend is an ophthalmologist now. Andrew stayed at one of the teaching hospitals as an academic specialist. It is ironic because he used to talk about the stock market and money a lot.

Even before medical school, Mr. Plastic Picker and I were already together and had been dating for 3 years in college. We were planning our lives together. I studied harder in the last few years of college so I could attend the same medical school as Mr. Plastic Picker. Life worked out. He was initially a year ahead of me at school, and when I was starting my first year of medical school – he purposefully took an extra year of research so that we could be in sync during our training. He was having a relatively relaxed time driving around putting on event monitors on volunteer study subjects with varying Bostonian accents. His lab was studying the effects of air pollution on cardiovascular events. He was there to support me, and talk me through the first year.

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