Uncategorized – Dr. Plastic Picker

Category: Uncategorized

Decals in Exam Room #1 of 2.

September 20, 2022

by Dr. Plastic Picker

I must be doing something right. I worked on Saturday afternoon from 130-5pm and was still able to joyfully make dinner with Mr. Plastic Picker’s fancy radiology friend and pharmacist wife at 630pm. I wore a pretty dress and heels, and we talked about our mutual children and life. I had fun listening to them chat, and they listened to me – avidly at times as I recounted some of my adventures. Then last night I worked the staggered late shift, part of a shift I helped pilot and design. The system is not perfect but it’s certainly better for the five years I devoted to trying to make it more livable. I worked last night and it was certainly busy. I even had a resident that I mentored. All the patients were seen on time. A late newborn that had checked in over 4 hours late, I saw as well. I just asked our nursing staff to remind the parents I needed to see everyone in order. That baby ended up needing me anyway, for some simple lab follow up and saved them from having a drive back and the earth some carbon. Oh and the Saturday afternoon shift? I had one of the sickest patients I’ve had in a long time check in at 4pm. The nursing staff and I were able to turn around that patient within 45 minutes, and get them into the ambulance and off to the hospital already stabilized. I had dinner plans and our clinic technically closes at 5pm. I’ve been a doctor for a long time now and I know what to do quickly. At 530pm as the child and mother were safely in the care of the EMTs, I had my backpack with both straps on and walking out the door with most of my charts done.

I know I must be doing something right because last night I was working, I happened to glance an appointment access. There are absolutely no appointments and it’s absolutely horrible right now. I was initially irritated and began to get angry. I had been tasked with this integral part of management for four years. Like any responsibility given to me, I had done it with care. I had made sure there were at least 100-150 appointments available every day. I had recruited per diem pediatricians and kept an eagle on their credentialing to make sure they got through. I learned the intricacies of our system from nursing staffing, to our schedulers optimal work schedules when they were easiest to reach, and created a well-oiled machine on appointment access. It all came tumbling down when I made the decision not to let others take credit for my work, and not involve me in giving out positions and credit to those pediatricians who had taken these part-time positions for our department. When I own it, I own it completely. I literally said at a meeting, you want to take it – then you take it all. And then four years of proper access that lasted through some of the most horrible flu seasons I’ve been through and holiday schedules where we had one new doctor quit unexpectedly, yet everything still opened up with enough appointments – it all came tumbling down.

So last night I was just trying to find appointments for follow ups for my own patients I was seeing, and I happened to be looking at the different clinic schedules the way I used to look at things – and there were no appointments. I was angry initially. I could have written several different versions of scathing blog posts about this. When one is emotional, the writing actually comes out very well. Those are blog posts that get clicked on.

But I know I’m doing something right when I choose positivity and I choose beauty. I chose to let those thoughts meander in my brain as I numbed it with two Kdrama episodes last night. I chose to let the HMO middle management system try to right itself. I choose to be like my father, forever the small business owner that did not let the union machinery nor corporate largesse take credit for his work. He went out his own and built something beautiful. I choose this morning to blog and to remember the beautiful parts of yesterday.

The beauty yesterday as I left clinic was getting to really look at the decals in one of my new exam rooms. It’s a slow project and all I did was buy the decals. I love them and the new nursing partner I have. She also brings beauty and chooses positivity. I chose to chat with a young father who is a Family Practice doctor about his new baby, and give him some advice about life. And I choose to not get involved again in a system that needs to cleanse itself. And if the system doesn’t, than a new system will come. And I got to talk to my daughter last night, and my son as well – and oh yes Mr. Plastic Picker too. We all gathered at 830pm and had a late snack as everyone had a busy Monday. Volleyball tournament for our daughter, AP Biology homework for my son, invitation to speak at Harvard/MGH grand rounds for me, and the continuing adventures of the private school lunch line.

I’m up at 642am and finished a short blog to sort out my thoughts. My matcha green tea soy latte is delicious, and I’m going for a short jog to get my heart rate about 160. I remember pushing myself to run after working until 10pm, and then falling for the first time in my life after running about 7 years ago. I came home scrapped and bloodied, yet still forced myself to work the next day after having worked the night before. Back then my freshman daughter was 7 years of age, and I’m sure it scared her to see me scraped up and pushing myself. But now I’m not scaring anyone anymore, especially not myself.

Met this amazing person this week. Alex Nguyen, emmy award winning reporter and fellow Vietnamese-American from San Diego.

September 17, 2022

by Dr. Plastic Picker

It’s Saturday morning and 635am. I’m wearing a brown flowery shirt with ruffled short sleeves that is physically very cooling, and my mother-in-law while chopping some radishes said it was very pretty. I’m going to just blog for a bit, and then plog to the beach. I’ve slowed down my litter-picking as I’m at bag #730 now. I’m not rushing to get to #1000 which has been my goal. I’m enjoying the process and realizing that I’d like to jog a bit more so I can really get my heart rate up more. I am in my mid-40s and staying really active in your 40s is vital to ensure that I live well into my old age.

What’s the point of saving the earth and raising great kids, if I’m not healthy to see my grandchildren and see how the world turns out? It’s going to be an epic few decades to come. We’ve made great strides in combating climate change and personally I’m proud to have had a role, and to continue to have a role. But I’m aware that I’ve done more than my fair share now.

This week was again epic for climate work and environmental health work. We had a meeting of the Public Health Advisory Council (now called P-HACK), of Climate Actions Campaign to focus on our next year’s priorities. We are still going to work on building electrification and active transport, but now going to focus on resiliency. The recent heat waves drives home the point that this is where health care voices need to be at. I’m so proud to be the Chair of PHAC, and the amazing thing is that day I was just a participant. I reached out to the Vice-Chair, and honestly told her that I had almost fallen asleep driving home that afternoon. It was too much. I also had to be at a college counseling admissions meeting for my son at his posh private school, so it would be hard to lead the meeting. Most climate and health advocacy is volunteer. We all have full time jobs otherwise and this is the work of the heart. And the loving Vice-Chair said she could lead the meeting and it went so well. And one of our other PHAC council members is going to be on the panel of a large meeting Nexus, and her beautiful picture is on the social media ads for it. I’m so proud to know them both and to work with them. The other epic advancement is that everything is coming out fine for the Climate Ride that Dr. Sally Kaufman with a little help from myself, is planning. This is to raise awareness about the effects of climate change on pediatric health. Getting approvals and bringing up the proposals took a lot of bravery and persistence. I’m proud to have helped with that. A few more emails, gathering more sign-ups and getting the AAP Banner to fly for the actual day. (Just emailed the AAP San Diego folks to borrow the banner for two free publicity events).

And the I got to meet Alexander Nguyen, who is an Emmy-award winning journalist now with KPBS. He interviewed me for the anti-vaping legislation at Chula Vista City Hall. Our student Laisha Felix had her op-ed published in the Chula Vista Star News. Looking at her letter again, I am so proud of her for finding her voice. Our team did really well, and contributed a lot to the passing of the legislation 5-0. For this effort, it was myself, Dr. Dear Friend and our premed intern Laisha Felix. We were all over the news in Spanish and English, and Dr. Dear Friend brought it home in an emotional testimony that has now gotten her invited to testify at the state level for Proposition 31.

But in all those victories this week for the earth and the children, I learned to say no. I realize I want to run a bit more, and after almost falling asleep while I was driving home one afternoon – it’s not worth dying to help save the earth. It’s really all our jobs. I’ll continue to do it at a sustainable pace, but I need to sleep and exercise to get my heart rate up and healthy past 140!!!

So there are all the things I said politely NO to this week. These are all things that are not required for my job and nothing I’m actually responsible for. And actually, all these things are things that other people actually either get time or paid to do. So I’m not going to do their job if it does not bring me joy. I said NO to a presentation to nursing education on implicit bias. Its an HMO thing and I already lead two big committees for FREE. And I’m speaking at two regional conferences for FREE. And I’ve been of the news gathering publicity for our group at least 8 times for FREE. So to the actually beautiful person who went me the request, I politely said NO this year. They can ask me next year. I said NO to going out with the family practice residents for dinner last night. I already managed their first rotation for FREE. Gave a two lectures for FREE. Helped provide their breakfast for FREE. We even took them out to eat (although I did not get paid). They have faculty that actually I know get paid a lot of money to manage them and since this was my off time and Friday night, I spent the evening with my own children. I love the residents but would not love having dinner with them when my own children were at home. I also said NO to a conference for another peripherally related outdoor events advocacy group. I want kids to get outdoors and this work is important. But I’m actually hyper-focused on climate change and more impactful legislation, and none of the premed interns want to do this project. So I said NO. We are staying on their email list. I said NO to officially joining the physician wellness committee. I can do wellness events without actually being part of the actual committee. Wow, it’s really fun to say NO.

But the reason it’s important to say NO, is so that I can say YES to other things. So this weekend I’m saying YES to exercising my heart. I’m going on a run soon. I’m saying YES to working a shift at La Mesa, because we still have to work and the powers that be that are running the department (well, they are doing the best they can with the resources they have). I actually don’t mind working this afternoon because I’m going to get to see two friends that I haven’t seen in a while. They might call me off though. I’m the most expensive doctor. When I used to run things, I saved the HMO thousands and thousands for dollars. I have email evidence of all that. But no one really cares anymore. But I CARE!!!! So I’m saving myself money by taking care of my own health today! I’m off to the beach to plog!!!

Thank you for following along on the continuing adventures of Dr. Plastic Picker, your no longer burnt out pediatrician who finds the trashy world – fascinating! But let’s make it LESS TRASHY!!!

From a friend of a friend’s website.

September 4, 2022

by Dr. Plastic Picker

I’m sitting in the kitchen on labor day weekend and there is a heatwave in San Diego. It was >101 degrees in Mission Valley yesterday, as we were stuck in traffic trying to get past the 15 and 8 intersection. The new Snapdragon Stadium is up, and there was an Arizona versus SDSU football game. Young people were walking in the >100 heat on edgeways trying to get to the stadium and not pay for parking. The stadium is also bordered on the east by an asphalt parking lot. I know eventually there are some plans for green space, but from our CMAX Energi Hybrid that at some points was relatively fuel efficient for it’s day – it looked like literally a hot mess.

I had just last week been on a series of marathon interviews for the local news on extreme heat. Our HMO media person had reached out as I’m known in our organization to be “on call for the earth” and for these impactful opportunities – I certainly am. But after saying on the news multiple times hydrate, rest, get in the shade, and enact the climate action plan – I was watching our citizens walk over asphalt to get to a stadium and then to hit in the hot sun. Most of them were young and fit, but I did not see any reusable water bottles? Do you know if they are even allowed in the stadium? As a pediatrician, I just imagined San Diegan after San Diegan suffering heat exhaustion and maybe a few with heat stroke. I imagined the colleagues manning the health tent, and how frustrating it would be. But at some point, I’m able to disconnect and realize they are on – and I’m off. I did my duty and was on the news four times. I did my duty and was part of the grassroots movement to help pass $54 billion in California legislation that invests this sizable amount to helping bend the arc toward a sustainable future.

And now I’m in my house in the early morning with my daughter. She’s making us breakfast and adding an extra mushy banana to the pancake mix. In the relativeness of our imaginary place in the world, I know we are incredibly fortunate. We have air conditioning. We have solar panels. We have a garden that will survive the heat wave because I saved our extra bathwater and have been giving the plants a bit extra. But being a bit more fortunate in a world that still needs saving, means a need to do a little more. But I’m resting this weekend, and spending a gloriously slow weekend with my teen children.

Since finishing my Assistant Boss term a year early (I opted to leave at year 5 versus year 6) effective end of May, it’s been a gloriously long summer with my children. I missed so much when they were younger. Preschool costume parades, school award assemblies and the one time my daughter did ice skating camp and the end of camp performance – I remember crying in my office I was so frustrating that I couldn’t take that Friday afternoon off. Now looking back I would have told my younger self, just call in sick that day. If it was that important to you. I had not done that in fifteen years, and I 100% know it’s a common thing that is done. One day in 15 years, is not bad. Anyone who tells you otherwise is not human, or at least a dishonest one.

Hmmm, why did I start blogging? Oh yes. Just reminding myself and the readership to eat plants. Eat more plants. That is one of the easiest ways to heal yourself and heal the earth. The crazy thing is the world has made it so difficult for us to have the time to grow the plants, gather the plants, buy the plants and have time to cook the plants. The evil-doers of the world would rather take the plants, over process them, and wrap plastic in the them – and effectively make them cancer-causing agents and pollute the ocean with more plastic.

So I am sitting here in the morning and thinking of the beautiful banana that my daughter is adding to the pancake mix. I guess bananas have dopamine in them. Who knows what the mechanism is for the dopamine from the bananas effect on your health, or whether that dopamine is absorbed in the gut? We all do 100% know that eating more plants elevates your mood and gives us better health.

Grateful thoughts to the avocados we finished this last week, as our daughter made home-made guacamole to share. Grateful thoughts to the last of the tomatoes that we added to the stir frys an the pastas this week, and those tomatoes were from our garden. Grateful thoughts to the three large pumpkins we have in the back garden waiting for grandmother to come home from New York to decide when it’s time to take down the vines. Grateful to the Aerobin 400 composter that powers our garden, and helps us avert methane from landfill at the same time.

I’m one of the happiest pediatricians I know these days, and I think it’s simply because I’m eating more plants. I think my favorite dinosaur has got to be a brontosaurus! Yes it is, because they eat plants as well!

Lots of shoes. Sorry not sorry, we are Asian.

September 2, 2022

by Dr. Plastic Picker

This is the emotional journey of a formerly burnt out pediatrician who decided to pick up trash on the beach. I’m trying to get to 1000 bags of trash, and things have been slowing down a bit. For the month of August and September I only gathered 20 bags of plastic pollution. The reason why is that during my litter-picking I realized that I was better, and that the world actually was in need of a super-hero to help stop the existential threat of climate change. So Dr. Plastic Picker decided to join the legions of other super heroes that are trying to save the earth. Which is why this month the actual litter picking slowed down, because there were huge legislative wins this month.


protests on the Harvard campus re fossil fuel divestment.

August 18, 2022

by Dr. Plastic Picker

I’ve done my due diligence. I’ve presented at multiple high levels meetings and I’ve told the divestment story. I’ve shown pictures of students protesting at the UC campus and at Harvard. I talked about how members took over the Board of Directors within the Harvard governance system, and that is what forced the divestment issue. I showed pictures of union groups rallying regarding SB1173. I said specifically at least five times now to those in charge or with some level of influence, “there is a huge up swelling of grassroots support for fossil fuel divestment and this includes union groups. We need to be ahead of the curve to gain public support and gain trust equity within the community. It’s the right thing to do.”

I was met with the same expected response. Thank yous for my advocacy and passion. Thank you for understanding the system. Advice about how to proceed by taking smaller steps. I will continue to talk about divestment versus investment. I will work within our system. I’ll move our investments forward to more ESG funds and yes there are other projects to do like reducing the use of unnecessary surgical drapes.

But in the end, this blog is my emotional journey of a pediatrician who recognizes the existential crisis of climate change. And I had some big meetings and will continue to have these meetings, but I’m frustrated to the 100th degree. I’m a working stiff, who happily worked the staggered late shift last night. I’ve done so much for our medical system and I am very cost effective. And I’ve never wasted any money. And those that are sitting and being cogs in the HMO machinery. Those who are not listening to me, I get it. We are so big. But you are not being cost effective. You are wasting my time and my money. Fossil fuel investments are investments in climate disaster. What is your money and our real estate worth is the world keeps on warming?

We need to stop the existential threat of climate change, and fossil fuel divestment by our large HMO could pop the bubble in oil extraction. We could help bend the arc toward a sustainable future faster and maybe avert some of the dire catastrophic climatic disasters that are coming. The megaflood in California, the wildfires that are already here, the heat waves that are already here. But in the midst of all that, HMO you are asking me to take baby steps.

Yes I’ll work in the system and take baby steps. Someone else already tried to raise a rukus and got in trouble from another region. I’m a former Assistant Boss and I know not to do that. I’ll take baby steps and get that regional position that no one wants, because no one is being paid to do it – and I’ll do it for free. But in the end, I’m as crazy an environmentalist as those others that you fear who realizes what the threat is. I’m just old enough to have been in middle-management to know you need those within who support this.

But when the children come. When the protestors come. When the megafloods come (the wildfires and the drought are already here), I told you so. They won’t come for me because I’m Dr. Plastic Picker, and I was an inside agent anyway. I 100% told you so. And I put it on the blog and I’ve put it in at least 5 power point presentations. And that is it. This is the emotional journey of a litter-picking pediatrician who continues to try to move the needle on climate change within the very large frustrating HMO system.

It was an epic day.

July 1, 2022

by Dr. Plastic Picker

Yes dear readers. Dr. Plastic Picker strikes again. I spoke at a rally yesterday at the civic center, which I’m now very familiar with. I was one of the headline speakers and even had a fancy social media ad made about me. I spent at least 5 hours of my time yesterday committed as Chair, Public Health Advisory Council, Climate Actions Campaign. The updated San Diego Climate Action Plan that seeks to have net zero carbon by 2035 with accountability and transparency passed 4-0 in the Environmental Committee. It’s funny how I know the members of this committee by name as well as I used to know the members of the middle management HMO commitees I used to serve on.

We are all real people with real families, and San Diegans trying to get it right. But we are all playing our roles as well. My role was formal and I didn’t get to tell anyone I was Dr. Plastic Picker. I was a generic general pediatrician representing the generally shortest and less well paid but overly educated MDs who chose to take care of kids. I wore my white coat that I had upcycled from my Harvard residency MGH and just had my father-in-law iron on an SDPCA patch over it. I wore a bright light yellow and airy top with black trousers and flats. My hair was black and I wore glasses. Honestly, I was like every other pediatrician that you might meet out there. And even though in my real self, I’m off beat, I play that generic role honestly. I was there to speak for my profession and our children. I didn’t need to stand out. I think my comments went over well. I cried as I have real climate grief at times. I made my remarks toward our collective children. I’ll post them on the San Diego Pediatricians for Clean Air website. Here, on this blog, is my emotional environmental journey.

I let others take the attention. I introduced my wonderful former patient and now premed student to some law makers and climate leaders. We had a picture together and that was so meaningful, as our relationship is cemented in social media and in Fox News when they got her from the side of the climate rally. My student didn’t seek attention but I wanted her to get some. The Youth Vs. Oil speakers are young high school students who I now know play on the same volleyball club as my daughter and they demanded attention, and their youth and passion is the attention that the climate movement needs. And the politicians always demand attention and recognition, and that is well and good as they need to grand stand and take credit and the credit is well deserved. It’s amazing that Nicole Capretz the founder and executive director of Climate Actions Campaign never demands attention, but gets so much press coverage, and I hold her as an example of how to build an organization.

But in the end, Dr. Plastic Picker did get attention! During the public testimony of the San Diego CAP update, environmentalists from throughout San Diego came together and drowned out a few of the SDGE /fossil fuel voices. The Audubon Advocates showed up, and they were so awesome. You could tell it was their first time advocating because some of them did not know to change their zoom names to their actual names. But at the end of testimony where I was Chair, Public Health Advisory Council and American Academy of Pediatrics Environmental Health Council – I said “I just want to say AAP loves San Diego Audubon. What is good for the birds is good for kids!!!” And that is it. That is a sentence I’ve been emailing my friends at San Diego Audubon as we do shared projects and I said it as a pediatric shoutout to the bird people in the middle of city council chambers. There were chuckles from the chamber. I think I had the most fun yesterday. Dr. Plastic Picker with my new hashtag #whatisgoodforthebirdsisgoodforkids LOL LOL LOL.

June 28, 2022

by Dr. Plastic Picker

It’s been a minute, hasn’t it? When I began blogging I found so much freedom in being able to write into the internet ether. I remember the first November, I was blogging up to sometimes twice a day. It was cathartic and it meant freedom for me. Freedom to vent. Freedom to create. Freedom to be silly. Blogging is also written in the first person narrative. I am a blogger. I am Dr. Plastic Picker. It’s mostly all about me, even this eco-avatar is still me.

And having that “me” time, oddly allowed me to be the third person narrative at work. I stopped talking about myself as much, because I was finally listening to myself when I was blogging and creating. And now during clinic, I listen more attentively. Being the third person narrative at work, has been life-changing.

I was with a mother yesterday in clinic, who I have cared for through three different partners. I have been the stable part of that mother’s life, the person who cares for all of the children’s medical needs in this complex blended family. Sometimes when families are torn apart and then blended and torn apart again, the medical problems get more complex. Referring to specialists, getting more labs, recommending new wellness classes, talking about recipes and vegetables and screen time – we together are only scratching the surface. But over almost a decade, I’ve been there for them. Even when I myself was going through burn-out and just making it as a young mother doctor, I was there for my patients. My patients never suffered. Adding them on when the schedule was already full. Pausing and taking that extra moment to suggest something new on their road to health. And now that I’m better and able to really listen and be the third person narrative, I realize that part of what families really needed was me. They need me to listen and to witness.

So that is what I did yesterday for this mother. I just listened and I finally understood better what was going on in her life and her narrative. The core of what was the cause of the different partners and the severed families. She was understanding herself. The patient in front of me, the toddler, is just beginning to learn her words. And what she says is filled with emotion and tangents and loose associations. It’s coming out garbled. She needs therapy. And it’s a metaphor for how the mother’s narrative came out garbled and in phrases and sentences and actions over the decade that confused me, and didn’t make sense. But the mother is learning the vocabulary and the words. And then she can teach her daughter along with the speech pathologists and the therapist, so that that child can also clearly express herself.

I listened and took the time yesterday. I didn’t think about the green dots that are annoying sometimes, and remind me other patients are waiting. It turned out no one was waiting and I was on time at that part of the day. I can read body language well being a pediatrician for almost 20 years now. She didn’t need a hug. I put my hand lightly on her right shoulder in comfort. I kneeled in front of my little patient and at eye level, thanked her for coming it and waved good-bye with two hands. And during the visit as we went back to forth in a somewhat garbled patient visit, we figured out the next steps. I said sandwiched in between us trying to figure things out together, “I’m proud of you. My general impression is that you are starting to reach out. You are reaching out and forming your support network. You came today and I’m lucky to be part of that network. I’m proud of you for breaking this cycle of abuse. You will end it in this generation.” What a remarkable narrative I witnessed yesterday.

Using the google tranlsation app, which is only ok.

June 7, 2022

by Dr. Plastic Picker

I’m watching this current K-drama that I told my friend Dr. Sandra Gee about. She’s my green pediatric climate friend up in University of Rochester. It’s about an alien that arrived to Earth specifically Korean 400 years ago during the Joseon era. He stays for 400 years because he was stranded due to his fated love, who dies with arrows in her back as she sacrifices herself for him. Of course he is a very handsome alien of the Korean-persuasian. And now he is in our modern time, ready to leave earth 400 years later but waylaid by the reincarnation of his fated love who is now an A-list Korean actress.

The current K-drama is kind of silly, but I like it and I get to learn new korean words and rewatch scenes as I practice the conversations. This sillier K-drama works for me, because it’s not as addictive as the really excellent ones like “Descendents of the Sun” or “Reply 1988.” Those were really really good, just good story telling and better than anything I’ve seen in English. The non-addictive nature of the current K-drama is really good for me, because I went to bed on time and now I’m up blogging. The blog traffic is really going up. I’m not sure who is reading but it’s just me – Dr. Plastic Picker, former Assistant Boss and now just almost full time (technically 80% time) pediatrician doing volunteer climate work outside and showing up where I should.


This was an epic bag.

May 10, 2022

by Dr. Plastic Picker

It’s Tuesday morning and it looks like the middle management meeting was cancelled today. I don’t worry too much about office politics anymore, am I purposefully being left off emails? How are things running? It’s probably my overactive imagination anyway. Many people can be thoughtless, and I don’t think I’m that important to be the target of any political machinations. You have to care about someone to let them hurt you, and honestly thinking of everyone as just part of nature has helped me. You don’t get mad at compost nor at the carnivorous insects that devour a carcass? It’s part of the cycle of life, right? And I honestly think that is true for many human relationships as well. I met a young new doctor yesterday in the program that I used to run, and things were not going smoothly. I had written my workflow out many times when I was asked. It’s funny that I had written out step by step my workflow, and even those that had asked for it – I don’t think ever read it? I found it in my files when I was trying to get the new young doctor settled in. I was there and provided her supports and checked in on her, but it’s not my job anymore. I decided to let that part of life go and I’m forever grateful I did. It’s not anyone’s fault just the system is not running smoothly. The system will sort itself out. It’s not my job anymore.

With that, I’m so lucky to have meaningful work – both my work work and my volunteer climate work. I was a doctor yesterday and saw many patients. Lots of kids with fever and lots of my own patients. With each interaction, I felt I left each family a bit better. I addressed parents concerns, and sometimes I just listened. I shared their burdens. It’s funny how that simple thing can be very hard in the cacophany of our modern world, but it’s sometimes the most important. If I as a doctor don’t acknowledge their illness and their symptoms, than did it happen? I need to acknowledge. I need to witness. I need to be present.


My favorite piece that was already sold.

April 8, 2022

by Dr. Plastic Picker

It’s 528am and our daughter has returned from her epic-once-in-a-lifetime school trip. So far no COVID. I had a fleeting sore throat and it’s gone now. My teenage son and I also took a rapid home covid test, which were both negative. It’s a Friday and it’s payday, and this is when I usually do the accounting for the family and the impact I’ve had on the earth.