Category: Uncategorized

June 3, 2026

by Dr. Plastic Picker

It was the primary yesterday! I definitely voted and our daughter voted in her first election. I’ll be honest, I don’t really vote carefully. I kind of take my ballot and vote for the people I know well and trust, and the others sometimes I leave blank and sometimes I’ll just make sure to vote for a Democratic (I was raised Republican but lean left because obviously I’m a pediatrician and climate minded person). But I’m not a purist. I think because I was raised very conservatively I understand some of the concerns that are coming from the right side. But I’m definitely non-partisan usually I think? I don’t really donate to politicians. I think it’s a waste of money. But I definitely VOTE. Which is the most important thing.

The election was last night and I was only following it peripherally. Because of the Tijuana Sewage Crisis, I met Matt Mahan, Xavier Becerra, and also someone else – I forget who? Anyway. I met 3 people or was it just 2 – running for Governor. I actually voted for Becerra before I realized he had taken money from Chevron. But now that there is a Republican in the run off, I’m glad I did! No politician is perfect but definitely Becerra is preferable to a Republican right now. Anyway, I got to meet him in Imperial Beach and got to shake his hand and chatted with him before my shift. It was all very interesting. His wife is also I believe a Harvard trained physician.

I actually met Nicole Crosby who is in the run off for the District 2 seat as well. She was sitting at our table during our daughter’s Girls Scouts’ Emerging Leaders celebration. It was super interesting because our daughter gave a very good speech and received a good amount of applause when they introduced her and announced where she was going to college. I started following Nicole Crosby because she took our picture and was seated at our table. Politics and influence definitely flows through certain groups in San Diego and that includes Girl Scouts! Anyway, I thought she was really interesting and an up and coming young leader and started following her. She won last night! She mentioned in passing at the table that she knew Raul Campillo through something, who is also one of the current City Councilmen. Then one of my patient’s parents told me something about her, because this parent is a public defender. I have known this parent for years, so I thought her perspective was interesting. The entire election was interesting.

I’ll be honest though. I definitely vote and chat about politics and politicians, but I kind of just do my thing. I don’t think climate is left nor right, it’s just literally trying to survive. I think by concentrating on doing what I know I’m supposed to do, and then voting and participating – that I’m doing enough. So to the weird person’s campaign that called me to donate after I already blocked you on social media and on my phone, PLEASE STOP!

The weird thing about a lot of people, is they want to tell other people what to do. I really really hate that! I already am told what to do at work, by my patients, by my husband (in a partnership kind of way), by the IRS, and by my family – so I don’t take kindly to being told what to do! That’s why I don’t respond intuitively to some people and certain students. It’s like they are dumping things on me and telling me what to do with my time! Do it yourself! I’m pretty sure I’m busier than you, and all my activism is actually volunteer which is how I like it.

Anyway, just wanted to let the blog readership know I though the election was super interesting and will chat about it during work with my office buddies. I got to meet some of the politicians who like to tell us what to do. But the truth regarding democracy is that it’s really the people and grassroots organizing that controls the narrative. Also there is corruption is politics 100%, so we need to get to the root issue and take the money out of politics. I think Australia just requires everyone to vote on an easy to get to day like Saturday, and just fines people – if they don’t vote? I think that would save a lot of time and money if we did that. Again, I’d rather just be me and not involved or overly concerned with politics. But I did vote everyone! And the people I voted for actually did win. I think I’m reflective of the general population. And please don’t try to tell me what to do. I really respond poorly to that. I’ll literally just block you on social media, or ignore your emails. I’m a more collaborative person. I think I don’t like people telling me what to do because I’m Vietnamese, and imperial forces have been trying to control us for like a thousand years.

May 26, 2027

by Dr. Plastic Picker

It all worked out! I had previously blogged about the the nefarious HMO that was trying to take our chalkboards away https://drplasticpicker.com/dear-hmo-dont-take-away-our-chalkboards/. It ended up being a misunderstanding and miscommunication so we are keeping out chalkboards (YEAH!) albeit with a few infection control modifications. Then I was ranting about the premedical students not sending in any sort of slide deck for the big funding meeting https://drplasticpicker.com/thoughts-on-premed-mentoring-i-wonder-if-they-are-going-to-get-their-act-together/ at the San Diego Foundation yesterday. And it’s true the students I emailed did not send anything in, but another student had sent me a slide deck a few months ago and I was able to find it and texted him thanks and let the larger group know that he had generated one that I was able to use! It’s important to give credit where credit is due, and he showed up and got it done. Most importantly the two amazing UC San Diego Medical Students Daisy and Michelle during their busy clinical rotations, were able to come last minute and actually present 10 of the slides to the funding team. Given they had the slide deck just about 1.5 hours prior to the presentation and did it flawlessly, they did FANTASTIC!!! They are really smart and accomplished already because they are already in medical school.

So everything flowed well yesterday and it all worked out! We were able to reconnect with two wonderful people, who I had already met and known but fully understood who they are now. So they are climate friends with specific training backgrounds and roles they are playing in the San Diego climate space.

But during all that climate drama, I got to spend more time with my daughter. It’s this odd week where there are some activities for the graduating senior and a lot of off time. She wanted to get out of the house, and came to me to the funding meeting and sat in the corner. She baked cookies and we shared them with the four other women in the meeting. Home-made short bread cookies are special. And then we walked for a precious 20 minutes around Liberty Station. We bought some iced matcha, and talked and I was able to hear her perspective of the meeting. I try to be just her mother, but I could tell she was proud of me. She heard by spiel and my animated climate and health self – trying to save the earth for her and other children. But she’s 18 now, and technically no longer a child. I dropped her off at Senior Sunset making it right on time to see two of her classmates walking also toward the beach. The entire class was together at this picturesque spot, and I got to drive her and to drop her off. Her iPhone was directing her to her best friend Emily.

And a few days ago I realized why I really loved this plushie I bought at Little Tokyo. Where is she? (PAUSE). OMG I can’t find her! I have to go! I just found my wallet https://drplasticpicker.com/the-magic-of-blogging-i-found-my-wallet-subtitle-wallet-vs-warehouse-isr/. And now I’ve lost my lovey!

May 24, 2026

by Dr. Plastic Picker

Where is my darn wallet? I’ve been to so many places recently and life is in a bit of upheaval and I can’t find my mini-wallet that holds 1 credit card and my drivers license. I think it may be in . . . OMG I FOUND IT! I had to change the title of this blog post from “Wallet vs Warehouse ISR (Indirect Source Rule)” to “The Magic of Blogging! I Found My Wallet!”

I’ve been to so many different places lately and using different bags, and in different family cars since we have so many drivers. I’ve been just flowing with life and family functions and projects . . . but sometimes if you flow too much, you can misplace your wallet! OMG I was actually really stressed for about 24 hours because it’s been misplaced for a few days now. I had gone on a fun workout trip to the La Jolla YMCA with our oldest, and learning new ways to move my body and get stronger. We had a fun time stopping by Sprouts and got healthy salads, which of course I paid for. He is almost 21 but has never had a paying job, despite the good grades from the top Public University in the country. But anyways, I pulled out my wallet to register for a guest pass at the La Jolla YMCA and then paid for our healthy food at Sprouts which is the last time I remember having my wallet. I definitely had it when I paid for the food, so it was good to know likely it was somewhere in my car, or in the house , or in one of the shopping bags. I think you are like our family and probably have too many reusable shopping bags. Anyway, after looking through all the bags we’ve used recently, the different pockets of the different outerwear I’ve been wearing, and just looking and looking around the house – I FOUND MY WALLET! And it all started with I began this morning with the title “Wallet vs Warehouse ISR.” Thank you MY BLOG!

There is really magical things that happen on this blog! I guess I’ll be able to help with the Warehouse Indirect Source Rule. You probably missed the news stories about the Warehouse ISR because there is a toxic exposure in Garden Grove, and also the domestic terrorist attack at the local nice Islamic Center. It’s really terrible right now. But I try to concentrate on what I’m supposed to do, and I’m concentrating on the Warehouse Indirect Source Rule especially since I FOUND MY WALLET! Phew.

For the Warehouse Indirect Source Rule, I’ve gathered the “A team” for premedical students. Oh, let me text one of them back now! (pause). Okay texted them. And then I got distracted on Instagram by cute pictures of my daughter and her new Harvard sweatshirt.

Okay! Just know that I found my wallet and I’m super grateful for blogging for so many reasons. Everything that is lost is then found on this blog, especially my true self. Sending everyone green hugs!

May 19, 2026

by Dr. Plastic Picker

Dear HMO.

Don’t take away our chalkboards.

Don’t take away our space that we use to teach, to write, to communicate, to create.

Don’t take away our space that we use to connect, to write, to draw, to exist.

Don’t take way the space that we love.

We draw uteri

Kids draw fish

We draw lungs

Kids write messages

We draw bronchi

Kids draw circles

Magic happens on these chalkboards.

Dear HMO. Why do you love AI but you hate chalkboards?

Dear HMO. Go find someone else to control. You seriously have nothing better to do than go after our chalkboards?!!!

A pediatrician.

May 13, 2026

by Dr. Plastic Picker

We still have more than 3 months until our youngest goes to college, but I’m absolutely wallowing. I’m wallowing in the pit of boredom and life is not interesting. There is no more college updates about her class. There is no more dress fittings and major photo shoots (we have one more). There is no more drama about college (although that was exhausting). We are in a peaceful lull now. She’s done with all but one AP test and will finish her high school academic career strong with all top marks. I think she only ever got one A-? And she’ll be off to Harvard at the end of the summer.

I’ll wallow but I’ll wallow and drag this wonderful last summer out. She’ll still be here and it’s been healing seeing her healthy and happy with her accomplishments. She’s finally having some fun. And fun for a former preemie raised the way she is raised, is going to the craft store and fabric painting shirts for her friends. She’s running in the morning, and taking walks to the beach and sometimes I’m invited. She made focaccia bread and had funny stories about her homeroom teacher taking the last few ones in a tupperware to share with the other teachers. Her focaccia bread is THAT GOOD. We had some for dinner last night and relishing each piece. She’s giggling with her friends about doing “hot girl pilates” and working out with her high school friends, as they prepare for adulthood and college.

She’s missing her older brother who will be home soon. And she’ll finally be stress-free and enjoy his boisterousness because he’s a big personality.

And she’s healthy and alive. While I was wallowing a few days ago, she turned to me and said “mommy what are you going to do when I’m gone? You love me too much. What if I die?” And I confidently turned to her and said “you didn’t die, and you are alive” and each day is a gift with you. I never take anything for granted these days. Each breathe is a blessing.

May 10, 2026

by Dr. Plastic Picker

Happy Mother’s Day to everyone! Especially to all the mothers out there that I’m your actual or spiritual pediatrician. You deserve a WONDERFUL FANTASTIC SUSTAINABLE MOTHER’S DAY! Your pediatrician is cheering you and your children and your family on! I’m a bit self-serving though since your family keeps me employed!

I realized today is a big day, or an important Mother’s Day because I am done with my mothering of minor children. Our last child turned 18 before Mother’s Day and is now officially an adult. I know we never finish mothering, and I hope to be at some point in the next 10-15 years to be grand-mothering. I will of course continue doctoring and pediatrician-engineering (or is it pediatric-practicing?). But it’s a major milestone to finish raising minor children as a working pediatrician mother.

THAT WAS HARD!!! Trying to figure out work schedule with another physician parent with two minor children WAS NOT EASY! We had to leave Boston/Harvard and find a more manageable system, so landed back in San Diego where we had more family and enrolled them in prep school. We had to combine our household with my in-laws (and we happily have a three generation household now) so that everyone could take care of each other. We had to sit and coordinate call schedules, and I can’t tell you the number of times I almost quit. There were times things were so stressful that I wasn’t sure if we as a family would make it out on the other side of raising children, intact. It was super frustrating shipping my kids to relatives during school holidays or enrolled in another camp so that I could work and adhere to the rules of our organization. It was not easy and I look at the younger physicians in our office, and know it is super difficult for them and they don’t have as much support as we both had. I’m usually open hearted but this is my blog and an emotional journal of my climate and health journey, and I can just say here honestly – PHEW! I’m DONE! Good luck to you guys! LOL. It wasn’t easy and I don’t want to ever repeat the stress of the last 18 years when they were sick, hospitalized, college application season, emergency funerals where the grandparents had to suddenly go to Korea and on and on and on. I remember when Mr. Plastic Picker had back surgery and I wasn’t sure if we would be able to continue with the kids schooling without his income, and thought of so many alternatives. It was upsetting to me that I had to first figure out finances and not get to worry about my own husband’s health. He figured out his own health, as I sat and made contingency plans financially. It all worked out but it was stressful.

Now the children are 18 and healthy, and admitted or enrolled in good colleges. Their college accounts are fully funded, so they will be college-educated. And everything else is icing on the cake, and they have health insurance until 26. We did our duty, and I have finished my mothering of minor children. I told them both they need to get jobs and health coverage by 26. I expect both to go to graduate school.

Now I’ll just try to save the earth, which honestly will be much easier than mothering minor children. Happy Mother’s Day to everyone! Isn’t she cute? And she doesn’t want to be a mother yet – THANK GOODNESS! And it’s her choice. I’ve evolved in my thinking. I LOVED being a mother, but you can have a fulfilling life without being a mother. It’s less stressful and easier, and it’s a choice.

May 9, 2026

by Dr. Plastic Picker

I’ve been thinking about this concept a lot, the feeling of awkwardness. Relationship awkwardness mostly. Doing climate work and really trying to help get things done, has involved me meeting a lot of new people, new personalities and pushing myself to accomplish new things. New projects. New partners. New ideas. And putting the climate and the environment at the center has required personally growing, and redefining myself – and also growing closer to who I was originally in my purest form as a child. Being joyful and productive, this is something that comes naturally to toddlers and children! I’ve gotten to know so many people at different levels and learned how to have productive relationships with them, and also learning how to draw appropriate boundaries. It’s all led to this reoccurring concept in my daily life that it’s all just very AWKWARD.

And I’m okay with this. Sometimes people text you things that make me angry and sad, and I ignore it and things are just left hanging. Sometimes people cross personal boundaries, and it gets incredibly awkward because we aren’t really family.

I think it’s due to change. As one person changes, the others around them have to accommodate or make way for that growth – and there is that awkward stage. Eventually the relationship can continue and you can grow together, or it can remain awkward. Awkward is that in-betweenness in a relationship. It’s that pause that each other is not sure how the other one is going to move. The moment seems so long, but it’s brief. But that mindfulness of that moment and how incredibly long and AWKWARD it feels , is really interesting to me.

So if you are feeling AWKWARD. That’s okay. That’s a completely valid feeling! It means someone is changing and growing in a relationship, and sometimes others have to step back and let it happen. It can feel lonely at times. It can feel awkward.

May 8, 2026

by Dr. Plastic Picker

I appreciate all the time our speakers spent speaking at our H3SD 2025 Summit last year. We are in the midst of planning of H3SD 2026. I got to tell two captivated UCSD students the true origins from my point of view of the original summit at the Starbucks at Price Center and why I’m a Muir Provost Innovation Fellow. LOL. But it’s my take on the last few years, and just my perspective. But like your own children, these are my own students who belong to UCSD Revelle college, and I’m allowed to have my own perspective on events. That was super fun! My two students were so enthralled in my made up drama, but they are also doing real climate work through their UCSD Academic Internship with us.

They are officially interns through the American Academy of Pediatrics and Kaiser Permanente. This years internship has been so fun, and I’ve gotten to know the students better. I met with two separately yesterday and these are young kids struggling through midterms and academic stress. So it was good just to sit and listen to them share their stresses with classes. They are going to do great! I really want to give them a little gift bag after they complete their internships maybe get some free swag from AAP and from Kaiser? I’ll ask! It never hurts to ask!

Otherwise I’m oddly tired today. I did do a lot of walking last night and fell straight to sleep. I’ll try to walk at lunch today. Our 18 year old (OMG I can’t believe she is 18 already!) was up late last night making yummy short bread cookies for her last Library Ambassadors meeting at school. She’s president! She is packing me 6 cookies to split between the 3 nurses that I made gift bags for. It’s nurses week and it’s honestly been fun but nonstop eating in our clinic. I’ve been good and partaking just a bit, because it’s actually not the best-for-your-health food. But I’m present and enjoying everyone’s company mostly while drinking my tea. I did have a yummy KFC biscuit and 1 drumstick that was warmed up in the air fryer by Leilani one of our nurses. It was really yummy! I also had a sausage patty one morning, and there were nachos several times. OMG, nurses week needs to end! LOL. I have to give 3 wonderful nurses their gift bags. Nurses Week was a bit disorganized this year, but it all works out. Everyone gave out of love. I’m trying to show love through bookstore purchases! I think our nurses are going to love our gifts!

That’s it! I just wanted to remind myself to send out the H3SD 2025 video links!

April 14, 2026

by Dr. Plastic Picker

It’s 6:44am and I’m having some of my coffee (I’m back on coffee now and have ended my matcha era), and I’m blogging upstairs these days. My brother designed for me a custom built-in desk area and that’s where I’m blogging. I’m lucky.

The little one who is almost 18 ran out of the house without her shoes, and into the car with her father. Her Honors Ceramics class is going to LA on a field trip to the American Museum of Ceramics Arts (AMOCA) so they have a catch a bus from school, and had to leave earlier than usual. I wanted to see her outfit and see her off, but she was rushed and yelled from upstairs “Mommy, I HAVE TO GO!”

A teenage body in a blue hoodie and jeans rushed out and gave me a hug and apologized briefly, but was off before her grandmother and I could fully appreciate her. She’s off to a field trip, and soon she’ll be off to college to Harvard and Cambridge – where we are so happy she’ll be nestled for the next four years.

But I’m allowed to wallow. “Mommy, I HAVE TO GO!” And I stay at home with grandmother and grandfather, and the black poodle mix and her childhood memories. I stay home and keep myself busy taking care of other people’s children and continuing to work on climate projects. But my heart is with that teen and a twenty-year-old up at Berkeley.

It’s the universal truth of parenting in that when you succeed, you lose. You lose them to the world. As it should be. “Momma, I HAVE TO GO!” And mommy is crying on my blog because I don’t get to go with you.

April 12, 2026

by Dr. Plastic Picker

The two photos above are separated by 13 1/2 years. The first I was holding our youngest who was 3 after her Saturday ballet class in Liberty Station, and we jetted over to a Harvard Club of San Diego admit event for early admitted students at a Chinese Restaurant in town that has since closed. She was obviously exhausted and I’m sure I was exhausted too, because I was (and am still) a working doctor mother. The 2nd image is our daughter at the Harvard College San Diego Club admit event we attended yesterday.

Most of her college journey is her story to tell. She was a reaction video that would 100% go viral! But we are saving it just for family and friends and not even sharing it (you never know these days about other people sharing your videos), because she doesn’t want to be remembered for a funny reaction video. It’s really heart warming though especially her father’s response at the end. If you know me in real life, I’ll show you on my phone. She won’t be sharing her essays nor her application, because they are so intensely personal to her. She’ll just go to college, and continue her journey and figure out life.

But I did want to share a fun moment yesterday when I think I won in life! The event was at the local public library in a very nice part of San Diego. The kids were mingling and sizing each other up, and the parents were more relaxed in the corner. I was sitting with the other Asian mothers or different variations, and actually most of them were more recently immigrated. This makes sense because the immigrant work ethic is a very real thing. It was super fun for me because I got to speak Korean with someone who is fluent, and Vietnamese with another mother. I talked to another “Asian Auntie” who drove one of the students over (her parents were out of town) and she was a physician too, so we talked about doctor things. One mother is married is my older brother’s high school best friend. San Diego is a very small world when you are born and raised here, and doing community focused advocacy. I really like that small town feeling.

The parents were chatting and the students were mingling, and my daughter came over to hug me. She is a quieter person than the typical Harvard student. She said her MBTI is Introvert, Intuitive, Feeling and Perceiving. I think she is the polar opposite of what I was in high school. Now that I’m reading about this personality type, that is her precisely.

So my INFP daughter after hugging me, brought me a plate of food and she whispered something to me and we had a quiet mother-daughter moment. When she brought me a plate of food, there was a collective moment of quiet when the other Asian parents noticed and smiled. That’s it! We chatted about raising kids afterwards and I told them, that her Korean grandparents live with us so she’s a quieter person because she was raised by older grandparents. It was a beautiful moment that I wanted to remember.

I really can’t take credit for her being an INFP, or for her bringing me a plate of food. But I can take credit for yielding to a quieter personality type as I was raising her, and realizing that often the INFPs in the world are the ones who need to be heard. The rest of us just need to quiet down a bit, to see them and give them room to express themselves. I never thought I’d have an artistic daughter, and it has been one of the biggest gifts climate work has given me – the ability to recognize how special every single being in this universe is. To quiet myself to try to understand better others, and to realize that just existing is enough. Does that make sense? She brought me one brownie, a cookie and a tangerine. She was very impish afterwards when we were talking about the gathering afterwards, that she purposefully added that fruit to make me look healthy in front of the other parents. The girl knows what she is doing! LOL