I don’t think this one is a puffy/airy as the last one?
February 6, 2020
by drplasticpicker
I have nothing TO DO this weekend. I will probably DO a lot, but I have nothing TO DO. I even put my work text messages on BUSY. Not DO NOT DISTURB just BUSY. I will finish Fridays charts this weekend, and probably do a couple of patient follow up calls. But even with the climate work, I don’t have anything TO DO. Last week we gave UCSD Family Practice Grand Rounds and submitted an abstract to the Journal of Applied Research in Children. So a lot happened.
And it is Saturday morning and even the kids don’t have anywhere to be because it is quarantine still. Last night I came home late from clinic on the later side, but not as late as the Friday night before. Our daughter had a Girl Scout meeting at 630pm and their father picked up sushi with lots of plastic packaging, as the kids requested sushi. I guess the carbon footprint from sushi isn’t that much because at most it’s little bits of fish. So we had sushi while our daughter was listening to her Girl Scout meeting and I went to bed early. Even with a normal full clinic day, work is tiring. Dr. Dear Friend had a very irate parent and multiple child protection issue cases, and she had a harder clinic day than I did. But it’s hard these days at work because of all the saddness when our families come in. COVID-19 has particularly hit the hispanic and southbay communities more, and this is where I practice. This is where I grew up.
I do everything in the stand mixer bowl. Less mess. Ready for dinner tonight.
February 5, 2021
by drplasticpicker
Slowly but surely I’m getting to the 24 hour pizza dough rise. The original recipe was the bobbie flay recipe, but I’ve done it so often now and added my own variations that I feel like it’s my own. Plus I use it as a food waste recipe to use the last remaining bits of flour. Today was 4 cups of flour (2 cups of bread flour, 1 cup of wheat flour and 1 cup of all purpose flour), 2 teaspoons of salt, 1 package of yeast, 1 teaspoon of sugar, and sprinkled rosemary AND thyme (the thyme is new). The sensory experience of kneading the warm dough in the relativeness darkness of the kitchen is very relaxing. It’s set on the kitchen counter covered near the cookbook area, covered with the pretty green beeswax wraps.
I have a full day of clinic today, and I may or may not have to show up at our Girl Scout meeting. Girl Sccouts is a whole other blog topic. But yesterday I wasn’t that helpful after clinic because I was tired still from the emotional elation of the UCSD Family Practice Grand Rounds entitled “Creativity, Wellness and Climate Activism.” I stopped by to thank Dr. AF for his honest and powerful presentation. But I’ve learned to self-care in a fundamental way. So last night I was napping on and off late afternoon, and then our tween daughter wanted me to toss the ball to her while she practiced volleyball. I was feeling tired initially but it was something important to her. So I self-elevated my mid-40s body off the couch, and threw her the volleyball again and again and helped her practice setting and spiking. I’m amazed that she likes volleyball, personally I’m scared of a ball hitting me. I think it’s because I wear glasses.
Kholrabi and lemons from our garden! Gardening credit is my mother-in-law.
Febraury 3, 2021
It’s on the later side than when I usually blog. It’s 6:16AM and I’m sitting at my kitchen table drinking instant coffee out of my Unicef Mug that my Girl Scout Co-Troop leader gave me. She is a friend and we have a long and strong relationship. The mug like that friendship is complex. Today, I added a bit of vanilla to my coffee for the first time. I don’t need to drink instant coffee and prefer real coffee now. But we have instant, and being green and sustainable is about being flexible. I’ll need to recheck on our coffee buying habits again soon. I thought we had decided to switch over to a rainforest friendly brand? The instant Nestle keeps on popping up?
Who knew saving the earth would include discovering new foods and making them? I was already Financially Independent https://drplasticpicker.com/the-road-to-fise-financial-independence-to-save-the-earth/, as I was born super frugal. But now with my culinary adventures and misadventures, I’m having a super fun time in the kitchen trying new fancy recipes. I thought I wasn’t a “foodie” and our tween daughter actually hates that term, as she thinks it’s very elitist. But I do love good food, and truly good food can lead to a good earth for all of us. Maybe if I end up writing my first book, I’ll just call it Good Food Good Earth???? I’ve thought about a book on and off, but honestly I’m having too much blogging to myself in the mornings.
My daughter shaped the pizza dough I made into a heart.
February 1, 2021
by drplasticpicker
I never expected Dr. Plastic Picker to be a rediscovery of my love for good food. We started the project at work called #kpkidsgoodfoodgoodearth and that is the crux of the issue, we need both. To save the planet, we have to change our food systems and our food supply. But the byproduct is that our food will become delicious, wholesome, plant-based and we’ll be healthier for it.
Closure so that one can accept a new ocean of new beginnings.
January 30, 2021
by drplasticpicker
Yoga continues to provide me with moments of bodily and emotional discovery. Last night I went to sleep just listening to the Ocean Waves Dark Screen YouTube Video, and it did help deepen my sleep. But the previous night I also did 10 minutes of Yoga by Adrienne and also the Ocean Waves Dark Screen YouTube Video – and I slept much more deeply. Good sleep is very important to have a clear spirit and mind.
Something Adrienne at Yoga by Adrienne said really struck me during one of the meditation YouTube videos. It was a series of simple stretches and meditation exercises toward the end of the day, and she said something along the lines of “embrace the close. The close of the day. And with the close, tomorrow you can accept the morning and a new beginning.” Maybe I made that up, but I could swear she was saying that directly to me. For no particular reason my thoughts started turning toward shifts in my professional life and other big life decisions. My thoughts turned to the two little toddler patients that had cancer that are intertwined in what had been a period of deep personal saddness for me, and whose story I have alluded to others several times and has been each time painful. And I realized that on multiple different fronts, I was ready to emotionally embrace the close.
I’m really proud of myself. I think it’s a function of having very encouraging parents who always taught me to be proud of myself when I deserved the praise. But I’m really proud of myself. I spent my time last evening being certified by the California Department of Public Health as a California Vaccines for Children Provider (VFC). It’s simply a series of 5 modules one has to go through, and are very specific for vaccine storage, distribution and how to account for these vaccines. Because it tests on a specific set of tasks that is required to order, distribute, store and ensure the safety of vaccines – you really can’t guess. I had done a similar training at the CDC website when I thought about leaving my current job during the height of my physician burnout and opening my own office. Good thing I started walking along the beach, and stopped feeling so bad. But this training was specific to california. For each module I was able to answer most of the questions as the material was similar to the federal one, but it was not exactly the same. Therefore missing one question, I had to go through the entirety of all four modules and test out. I passed them all.
Here is proof.
I proud of myself just like I’m proud of myself when I pick up a bag of litter. I have 2 more bags to reach my 20 bag a month goal I set for myself. It’s raining today and I have to orient a young pediatrician regarding the minutiae of quality metrics and then also have patients. But definitely this weekend I eyed a new spot I want to hike at, and maybe will pick up a bag of trash there.
Well. That is it. Nothing earth-shattering (which is good!) this morning. I spent last night on my OFF time training to be a California Department of Public Health as a California Vaccines for Children Provider (VFC). I’m one of two pediatricians in my organization, and it helps save our organization millions of dollars. Certainly that 4 hours is worth it. I also updated my resume on doximity! LOL.
Thank you to everyone for the virtual and real sympathy yesterday after my adventures with Moderna #2. Now almost 48 hours post vaccination, I am better after 3 doses of tylenol 1000 mg. My body feels like it ran a marathon, just exhausted but refreshed after actually sleeping and Mr. Plastic Picker brought home Rubio’s fish tacos and the fish taco was very healing. Someone in high school once told me fish was brain food, and since then I always think that when I eat fish – even if it’s from a fast-casual place.
The sympathic messages were very appreciated and healing. Please text me if you need similar sympathy, as I’m happy to text back some encouraging messages now that I’m done with Moderna #2 post-vaccine experience. Many of my real MD friends are about to embark on their experiences. This is a common shared experience for us, which is relatively uncommon in general but so much more frequent since the COVID-19 pandemic started.
I have been thinking about frugality and the importance of being truly fiscally responsible. Yesterday as I was trying to make it through the day, I was alternatively moaning in bed without anyone to attend to me (Mr. Plastic Picker was at work, my usually attentive tween daughter was at blended school, my teen son doesn’t hear anything and he’s a teenage boy and I’m his middle aged mother, and my in-laws are hard of hearing) except our crazy poodle-mix puppy. I did rest in bed, which was good to catch a few extra hours of sleep. I did take some tylenol 1000 mg doses, because after the first time it brought relief – I said why not??!! and took two more doses as I’m confidant that my body is teeming with spike protein antibodies. Just half kidding. I did take a total of 3 doses in the 48 hours. But in between my delirious social media posts about generating your will as I was thinking about my own eventual demise, texting my friend Usa who is the troop cookie mom this year for more cookies, and passing out again on the bed – I did do several things that I know were very healing and they were very cheap. The most relaxing things yesterday that helped me feel fundamentally better were sitting outside in the sunshine for a bit, and watching the birds at our two bird feeders. I looked at my small little container garden to see where the onions, sweet pea plant and succulents were at in their journeys. And then twice yesterday I did a few yoga stretches, once in the afternoon on the artifical grass in the warm sun and last night before going to bed. I turned on ocean waves as well before I went to bed and I had a good nights sleep. And now I feel better.
I am grateful to have received Moderna #2 yesterday. After Moderna #1 I had slight headache, fatigue and body aches. I was still able to go to work, and usually being ill (as long as I am not infectious) it is better to go to work because it distracts me. But last night Moderna #2 was a whole other experience. It just goes to show you can’t predict how one will react. I thought I would be fine. I received my vaccine at about 9am, and was doing fine most of the morning. I called into a middle managment meeting and conducting my irreverent Assistant Boss commentary from the parking structure – 4th floor. I was double masked and feeling good that Moderna #2 was done and I actually made it on time to the appointment. But by the evening I was getting irritable and more body aches. My temperature began to climb up, initially just low grade. I finished making a vegan dinner for the children (Beyond Beef and vegetables on corn torillas). The children immediately made it a vegetarian meal, because they added a little bit of cheese – but much less than they would have before.
I then headed up to bed and had to lay on my left side, because I receieved the intramuscular deltoid injection in my right arm. I decided on my right arm, because the first one I got on my left arm. The arm soreness for me was more than I ever imagined so I thought it was better to alternate. Then I settled in to bed, and it was one of the worse nights of my life (in terms of me just feeling ill). I had fever up to 103, headaches, chills, and arm pain. I just felt horrible. The entire time I was thinking , great the spike mRNA vaccine is working. I am still grateful for the vaccine but last night was not fun. I didn’t take tylenol the first moderna #1 because I wanted it to work. For moderna #2 I had resolved to try to do it without tyelnol, but by 2am – I was feeling so horrible I had Mr. Plastic Picker bring me 1000 mg tylenol and I took it with some water. The height of the fever had already passed but I honestly did not think I would make it through the night.
This morning I called in sick. I will still attend some meetings virtually regarding some middle management meetings and state programs that are important. I feel weak but still able to type and drink coffee. Wow. What a night. I was not sure if I should let everyone know the truth about last night. But I think it’s important to be honest. I’m 100% sure that receiving moderna #2 was the right decision. The pandemic has claimed over 400,000 American lives. I worry about my parents-in-law who still have to receive #2 to get full protection, and my own parents are due tomorrow for #1. It’s worth it to go through one bad night, to protect myself and my community and the ones I love. But wow, it was not easy. I will marvel at the miracle of the research that went into the Moderna vaccine later. But this morning, I’m just going to dwell on how residually crappy I feel. Even my coffee taste a bit off? I think maybe I had covid at some point and did not know it? I mean I’ve been working for 9 months in clinic. We haven’t done routine testing. I bet you I had asymptomatic or very mild COVID when Dr. Dear Friend had it. I tested negative but the test is not perfect. That would explain why I felt so bad with moderna #2.
Anyway, even with the tylenol 1000 mg – I know there are a lot of antibodies circulating in my blood stream right now. Something happened last night and something is still happening in my body. And that is the truth of Dr. Plastic Picker’s experience with Moderna #2 and using a rare sick day.
Our Girl Scout Troop’s Plant-based recipe. The interpretation of what plant-based means depends on the person.
January 26, 2021
by drplasticpicker
I was completely overwhelmed last night. There is a bit of political tussel at work about committee responsibilities. It’s easy being Assistant Boss because that’s the title I have, and I’ve reached a point in my career where I realize the titles are not that important. The important part is that I have specific responsibities in areas of our organization that actually mean money. I have to make sure we meet certain metrics, state required projects need to be completed, clinical quality measures reached. And if we don’t meet these metrics or get these state required quality projects completed, it means millions of dollars in fines. We are also a bonus driven organization, so when the physician group meets certain metrics than there are certain calculations to our compensation that happens. Sometimes I look out at departmental meetings and a fellow physician will be spouting nonsense about appointment times slots and 15 minute this and 30 minute that or why they aren’t included in certain meetings, and I’ll go into a trance and stand there and nod but I retreat into my own inner universe. I’ll think to myself “penny wise, pound foolish” and think about my networth or about the plastic pollution crisis or about my EMR inbox and the patient results I need to respond to. So much of the world is penny wise and pound foolish. I need to retreat into my inner universe at a lot of meetings, so I can just stand there, keep my mouth shut and move our department painfully forward.
