We don’t always talk about guilt in medicine unless it’s framed as toxic or as a byproduct of impossible systems. But some guilt is earned. Some of it’s useful. The kind that nudges us when we’ve strayed from our values. And some is not. What follows is a story out of several that came to mine fr...

Years ago, I was leading a medical team in Southeast Asia after the tsunami. Infrastructure was gone, local health workers were either missing or tending to their own communities, and our team, hosted by a local NGO, was running long, hot, and emotionally heavy days. One morning, something was of...

One small aspect of the culture I grew up in centered around College Football. (Stick with me, non-sports fans) As we soon head into the College Football Playoffs, watching Sports Center Game Day with retired coach Nick Saban and former players Des Howard and Kirk Herbstreet is entertaining and i...

During our 30th anniversary trip, we explored new locales and discovered fantastic small restaurants that locals were trying hard to keep off TripAdvisor. One such gem was in Mainz, a cozy outdoor setting with beautiful ivy over the brick walls and around the fencing. If you have ever eaten out w...

Memorial Day weekend was the best weather we've had in Anchorage in quite some time. My friend, Kari, a lifelong Alaskan, asked if I wanted to hike Bird Ridge which starts at the Bird Creek parking lot, a popular moderate to difficult 5-mile 3400 ft elevation hike. I've never done it, although mo...

This week, I invite you to reflect on what patterns you observe in yourself - concerning anything - relationships, lifestyle, planning, mindsets, etc. You likely have some very helpful adaptive patterns and some that may be, well, less supportive of the life you want to live. There is great news ...