One of the roughest weeks in clinic for a while. I had to give it my all; and, as is often the case, I find myself wondering if my all is enough. On the plus side, I felt like I practiced good medicine even during the roughest patches.

I'm fighting anti-vaxxers in GD, tooth and nail.

I'm seeing our nation sink further and further into squalor and criminal behavior as a new normal.

And in the midst of it all, I play the 'Jupiter' section of Gustav Holst's "The Planets", and cry tears of joy at the 'I Vow To Thee' middle section of the piece, which is beautiful, awe-inspiring, uplifting, hopeful, triumphant, and life-affirming. Sometime life truly is good.

I'm drunk. Be patient with me...

I love you all...

Today, I got four already.

And the day's only half over.


The weekend can't come fast enough...

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I have visited with this patient for six years now. He's in his late sixties. He ran track and field for his country in the 1976 Olympics ( I won't say which country; a trip to the almanac could reveal his name.) and he's been homeless for about the last ten years. He's not a US citizen, and now the Trump government wants to deport him.

I wrote a letter just now disapproving him for overseas travel based on his medical condition. I'm hoping they will delay or cancel his deportation as a result. Be thinking good thoughts for my patient.

When they sigh and say: "I'll try..." I want to go the full-Yoda on them:

"No! Try not! Do! Or do not! There is no try!"

What I actually do offer a lame: "Well, keep at it..." because doing this: hurts too much, and is bad for the thought-process.

Any night owls up?

I'm sorry this is so late. It's what I get for binge-watching The Marvelous Mrs. Maisel...

I Am Proof That You Have Forgotten:

I'm not going back there until they get a velvet rope and a 500-lb guy named Tiny for the front entrance. I realize Red Robin isn't exactly Chez Louis au Provence, but still; you're in public, Dude. Save the stupid shit until you get back to whatever tarpaper shack you're currently crashing in.