July 8, 2021

by drplasticpicker

Yesterday I had two baby monarch catepillars that my mother-in-law mistakenly thought were pests. I came home after clinic and she said there was a slug eating up all the little plants I had asked her to grow from seeds I brought home. She had painstakenly grown those plants, and they were native milkweed from Nurse Lan’s garden. He had given me seeds. And we had just 6 little plants that were not more than 2 inches tall. Two catepillars had eaten them all up. My mother-in-law brought them for me to see, and they were floating in water. They were monarch catepillars and those milkweed plants were meant for them.

My mother-in-law did not know, and I knew how hard she had worked to grow these seeds I had brought home. We started the seeds late this season, and there are not enough for two hungry monarch catepillars. I read on the internet that sometimes zuchinnis or pumpkin or some kind of squashes will do, but to be careful of the pesticides even in “organic” squash. We had a small pumpkin, the first of the summer squash crop that is organic and grown from our own yard. So I did what the internet said, and placed them in a chopstick for the catepillars and also threw in a few of the remaining milkweed leaves. I’ll bring them into clinic if they are still alive today, and see if Nurse Lan can’t give them a home in his garden.

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July 6, 2021

by drplasticpicker

Two big things happened this weekend. I final submitted for our author group Durrwachter-Erno Et Al our paper titled “Informing Policy on Built Environments to Safeguard Children in Environmental Justice Communities: Case Study of Five American Academy of Pediatrics Climate Advocates” to the Journal of Applied Research on Children. This was the final edits after the copy-editor read through. It seemed like a simple process fixing the citations and doing the rewording, but it took all weekend and probably a combined 10 hours of actual work. Commas are important, and citations have to be formatted a certain way. It was a labour of love for all six of us. The round-table discussion from Children At Risk will be made available today as well, where they interviewed our author group along with two other climate and health related papers. During this process, I half fell in love with the copy editor (with my husband’s knowledge) as I felt his last read that he really understood what we were trying to impart. My hubsand was an editor of several highschool and college publications and an English major, and he understood.

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July 3, 2021

by drplasticpicker

Good morning everyone. I am so happy to be on this earth with you. I truly am. I hope my trashart this morning makes you smile, and shows you how much love there can be in the world – that all creatures are beautiful. We are so lucky to be alive. I am lucky to be the human me, the doctor me, the mommy me, the wife me, the environmental activist me, and even the middle-management me (despite my ranting yesterday LOL).

What I love most about this trash art piece is that it incorporates that ubiquitous corner of the the kettle corn chicka boom popcorn bags Mr. Plastic Picker buys. We are not plastic free at our house, although we have made great strides in our waste reduction. Yesterday was a particularly good day because I talked to an FBI agent, and that agent brought some more closure to a patient case that were lingering in my mind and I closed all my charts. I CLOSED ALL MY CHARTS!!! Now that is something to celebrate indeed.

I even had enough time despite an overly full panel of patients yesterday to see my friend at the HMO coffee shop to get the coffee grounds for the day. It was a heavy bag and it went right into the composter. I now know that one of my friends who is an RN sometimes will get the coffee grounds when I’m not there. It is so beneficial for the environment that it just makes so much sense to me to use it for the garden. That is methane averted from the landfill, and it makes beautiful black compost gold for our garden.

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July 2, 2021

by drplasticpicker

I’ve let middle-management worry me (it is 18.75% of my job description – literally) the last two days. It is a complex system and it’s easy to become a creature of said system. I’m definitely strong enough to manuever within it and still stay effective and impactful. But it is so annoying. That’s all I can say about it. So many committees, office politics, minutiae. In the end, it’s the children that get the better care at the end that make it worthwhile. It’s my colleagues and trying to improve their lives, which give me strength. I know I have been a transformational leader and have given the HMO monolith bang for their MD Middle Management buck. But I had an epiphany this morning, just sitting here at 4AM and typing away. I finished watching a NetFlix series which was really heart-warming and touching, and should have slept more – but I didn’t because I have to help a student with an abstract for the upcoming AAP meeting. My epiphany as I roused myself to do something that was important for a student and the earth, is that if I “fail” at this Middle Management or I chose to “opt out” it is 100% the system.

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June 20, 2021

by drplasticpicker

430AM is so much better than 245AM. My sleep cycle had shifted with everything that was happening, and I had been getting up too early. I was getting sleepy during the afternoon and then napping. That was not safe especially when you have to drive home in the afternoon at around 2-3pm when one’s cortisol hormone level is at the lowest (thank you 2/3 endocrine fellowship!). But working through things, I am better now and 430AM – 5AM is about the normal time I wake up. So I am better and the world is quiet, and I can do some climate work.

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June 13, 2021

by drplasticpicker

It was such a lovely Saturday. I didn’t blog yesterday. I think that’s why the trashart was flowing yesterday. I’m still using bits and pieces of the ocean beach plastic from eco-services of Mission Beach Cathy fame. I combine it with winecorks donated by my real life friends and then “clean” trash from around the house. I think I must be thinking about Christmas, and also in general I tend to make happy wine-cork people.

But yesterday was really lovely when I sit and reflect on how things were. We did go shopping for our teen daughter’s best friend’s unbirthday present (inside joke) at Barnes and Noble, but I put back the single-use expensive gift bag. We instead wrapped it in the pretty paper the World Wildlife Federation sent us, and ribbon that was essentially “new” that has been in the house for many many years. I also had two books in hand, but I put them away at the last moment. I realize there are so many books at home I haven’t finished reading and these days I prefer my own thoughts and writing/blogging rather than other people’s voices in my head. I started rereading “You Are Here” by Thich Nhat Hanh which not surprisingly resonates with me since I was essentially raised within a philisophically Buddhist household that also practices what Westerners term “ancestor worship.” I am essentially a Westerner but I find the term ancestor worship inadequate. On one general information webpage writes, “The Vietnamese accept as a fact that their ancestors continue to live in another realm and that it is the duty of the living to meet their needs. In return, the ancestors give advice and bring good fortune.” https://www.vietnam-culture.com/articles-107-3/Ancestor-worship.aspx It’s more like the ancestors are here. They are living spirits. Not acknowledging that they are here, is like having someone literally sitting at your kitchen stable and you don’t talk to them, acknowledge them, consult them or even feed them. It’s just rude. It’s not even really a religion, it’s just a reality. The ancestors are here literally right here. Why not ask their advice? Why not have them in your dreams help you fight your demons? Duh.

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June 9, 2021

by drplasticpicker

I was going to write a normal hopeful Wednesday post. But I realize that I only need one reason to be hopeful today. Today, Dr. Rachel Abbot is going to give a Climate and Health Talk at our HMO Family Practice. And that is my biggest reason to hope today. I posted something on our medical group facebook group which I’ll post again.

“I used to be a voracious reader. Speed-reading throug the all the romantics Austen, Brontes, George Elliot. I read Middlemarch in 8th grade in one weekend and I think didn’t eat, and almost fainted from being dehydrated. I was so immersed in the fictional story being spin. But what I realized in my middle age is that the stories are right here all around us. And those stories if I take time to stop, and to notice – are as real and heart-warming and heart-wrenching as any I can find in the pages of a novel.

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June 6, 2021

by drplasticpicker

I was having a conversation with a wonderful person the other day. We talked about wellness and physican burnout, and just catching up with eachother in life. But even wonderful people (including Dr. Plastic Picker) sometimes we have comments and snippets of conversations that are not helpful about others. I used to be a culprit. I’m not sure if I was worse than others, but certainly party to it too. Everytime I talk to this particular person or think about about 4 pediatricians in our group that came from the same department before they reached our HMO, I am reminded what a culture of bullying does to a group of young physicians. I am not sure what was exactly going on at the local children’s hospital in town in the emergency room, but it was toxic. Toxic enough that we had a mass migration and mass attempted migration of pediatricians into our HMO. We needed per diems at that time, but not that many phyisicans. As is with the nature of things, some we hired. Some work part-time. And some went on to other cities and hopefully went on to have solid careers.

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June 1, 2021

by drplasticpicker

Wow. How did it become June already? I think I’ll post my monthly bag totals later this week. I did make it to 20 bags and have in total collected 464 bags and salvaged 1617 items. I’ve added a new category called “organics” when I find fallen fruit or the odd banana peel, and if it inspires me – I’ll bring it home and throw it into the composter. Yesterday was a large bread bag full of plastic waste along Tourmaline to La Jolla, and mostly plastic bags that floated back onto shore. I noticed so many little crabs yesterday along the rocks. The cactus that sits framing the view of the cove along the outlook was blooming yesterday. I’ve never seen those cacti bloom. I wonder if it has to do with climate change?

It’s funny how the math works out, and how life has a rhythm to it. In about 2 months right at my 2 year blogging anniversary I’ll about reach bag 500. My goal is to blog for at least another 2 years, and get to bag 1000 while still working and living life. The plastic picking and ocean cleaning and the blogging, is about giving me time to reflect and write about silly things for fun. Often times the blogging has been painful but necessary, and I thank you for following along this journey. At some point I’ll take it all down from the internet and sort and choose what to put in a book. Then keep those special pieces just for myself. For now, I’m living this journey out loud in hopes that it helps my fellow physicians and also the earth.

It was another beautiful 20 bags. I have to believe each bag makes a difference. I saw someone yesterday also cleaning the beach in my remote corner in the early morning, and it was such a beautiful sight. I waved to him. He waved back and had a Gold Retriever with him. His bag was green.

May 24, 2021

by drplasticpicker

It’s been a world-wind two years, especially the last year. While everyone was holed up and quarantining at home, our department went to the office every single day. We worked the entire time. With more time at home though because the kids were home and the rest of the world shut down, I further dived into climate advocacy work. I am proud of that work. Wrote a paper, spoke at what seemed like a gazillion virtual conferences, picked up almost 500 bags of trash, and kept up the blogging and climate advocacy recruiting, But the world is opening up and I’m resting right now. I still have projects coming up. Next weekend we have a PHAC dinner and need to socialize with the beautiful people in the slide. I’m actually looking forward to it. Going to make Mr. Plastic Picker come as well. It will be good for him. Our fearless leader Dr. Bruce Bekkar gave us a big shout out at the Medical Society Consortium on Climate and Health Conference, which I attended virtually with an HMO colleage. One of the UCSD medical students and the the two pharmacy student leaders from VCU Sustainable Pharmacay Project also attended. I didn’t check up on the three students, but I did nudge UCSD to pay for one’s registration and the other two students I paid for them to register. Technically we still have a day of meetings tonight. But I’ve lobbied already and there are enough people. At some point, you need to know as a climate advocate when you’ve done enough and let others help. Another pediatrician and the other premed student are going to help, as they’ve essentially planned and done everthing for the journal club on Clean Air that is upcoming. The social media ad that our premed intern made is really beautiful. I’m excited about that. Then there is the Eco-America training early June.

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