What are your biggest challenges? Jan 1 – It’s the first morning of the new year. It’s a cold morning and the clouds are low. They have an almost fog like presence that pushes the coldness right to your core. I feel motivated to start the year right, make some goals, and do some writing. Winter is…
I find this question so frustrating most of the time. Just thinking about it makes me crave a donut. An apple fritter in particular. When I have to drive, this is a literal cage fight of wants and desires. It plays out like a movie in my mind… The actor playing me is Jack Black, with some bad tight…
As a nurse practitioner, I’ve had many conversations with people about how long they want to live. In fact, part of my routine as a primary care provider has been to have a conversation about end of life issues, fill out a POLST form (portable/physician orders for life sustaining treatment), and talk about advanced directives and…

What does it mean to be a kid at heart? One of the most unhealthy sayings of all time is “curiosity killed the cat”. I remember as a child hearing this in various contexts, usually when I was asking questions about something that an adult wanted to squash and leave behind. The meaning left behind was…

Do you ever see wild animals? Yes. Here’s a fast and furious picture slide show of some of my favorites that I captured with my camera… And a video of my favorite bird… And a video of my favorite scary North American mammal… I hope to see more and more… I’ll update this as I find more…

Now that I am over 50 years old, my favorite exercise has changed from playing a sport, like basketball, to doing a workout called high intensity interval training (HIIT). What does age have to do with it? For me, it is basically pain and propensity for injury. When you are being competitive with others, it is…

This time of year always brings me to review the past twelve months and try to put things in perspective, and then look to the future. All in all, the last year has been a shocking change for me in multiple aspects of my life. Travel restart: after three years of COVID and avoiding air travel, I…

Today, I thought about this question and have a favorite but I do not guarantee that the favorite will remain the same. In fact, I thought about this prompt many days, and my favorite hike changed every time I considered the act of choosing. I am actually a fairly decisive person, so what is my problem? Washington has…
The average age of an American at death has been going down since 2014, and just recently took a steep dive in 2021, seven years later. I was trained and grew up in an era that believed in “American exceptionalism”. I took it for granted that we had the best medical system in the world, and…
It is two days until Christmas and Thanksgiving seems like a distant memory. This time of year is busy for most. The thing that makes it busy is our plans to connect with relatives and friends to spend time, celebrate the holidays, and enjoy. So, why do we do this? That can be a long answer, and there are…