I celebrated Earth Day and the two day interlude between Family Medicine and Internal Medicine by going to a really beautiful part of the world with Ms Perpetual Motion. It turned out to be the perfect mix of sun, fun activities for kids, and hands-on with sea creatures. We both returned home a little brighter and little sleepy from a whole weekend of walking!!! After arriving we did not drive once until we got in the car to go back home. It was really nice because now I am driving about 40min. each morning to go learn from really, really sick people. Yesterday I felt a little overwhelmed after spending several hours in the afternoon in the ICU struggling to understand the dynamic process of multiple organ failures...cardiac, lung, renal...in the same person. OK, since I was raised a Human Ecologist, I should be able to grasp this concept pretty easily. Everything is interconnected. The heart is like the watershed, the lungs are like the trees and the kidneys are like the wetlands. If you destroy the wetlands, then silt and junk builds up and becomes toxic. When the trees are gone the world becomes hypoxic. And if the watershed is interrupted plants and animals starve or get flooded out. Today was a little better. I was able to find my way around the hospital a little more. Mother Earth was stable on her ventilator. But one big lightening strike could settle things down to a depth deeper and more still than Death Valley.
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