Long-Post-Short-Good. It doesn’t take long to become immersed in the ebbs and flows of the call schedule. On Long Days, the medical team admits patients from noon through the evening — each one requiring detailed history, a thorough physical exam, a working diagnosis, and orders for the appropriate nursing care, diagnostic testing, and medications. On Good Days, there are no new patients.

A tree fell across the road that leads down to the lake. There was no wind, just days and days of rain. The soil loosened its grip. The tree’s roots stretched to the sky behind yellow caution tape and a Seattle Parks Department truck with flashing lights.
We are, at the moment the tree gave up, 22.5 months into a pandemic, significantly too far into a climate crisis and leaning over the precipice of our democracy.

I discovered the babysitter looking through a taboo photo collection with my five-year-old daughter as I stepped through my front door. My quickening heart beat faster and faster and, fearing it could explode out of my chest, I focused my sights on control. Gliding into the living room, I channeled my perfect Stepford-wife-voice, and asked, hey, how was your night?

Viewed from the top of the minaret, the desert stretches for miles until it touches a brilliant cerulean sky. On the horizon a blazing sun moves toward its afternoon descent. Even now, all these years later, I can still feel the rays of that sun burning my scalp, still feel my parched lips sucked dry of moisture. The desert sand shimmers in the sun.

“Mom, why are all the police cars and fire trucks here?”
“What did you say, honey?” I said, covering my free ear. “Police? Fire trucks?” Noise at the reception counter made it difficult to hear. I gestured to co-workers to lower the volume. A quick reply of silence followed. They listened to the boss, my prerogative as the Chief Medical Examiner.

It was as if all my colors had changed. There was no control or curation to my feelings anymore, only raw and wild outbursts. I tried explaining to a friend, “I’m a Jackson Pollock painting right now. Red! Blue! Yellow! I prefer a bit more nuance. Something impressionistic typically suits me, like shadows that fade in the afternoon sun. Purple and gray into peachy yellow ochre – these are my colors.”

It was a bright cold day in April of 1984 when I tested positive for the HIV virus. I remember the date and the weather because not only does the devastation of life-altering news make one hyperconscious of his environment and bring the physical world into magnified bold relief, I was that week also reading Orwell’s 1984 for the third time…

These days I see my mum less often. But I see her better. Since I moved from the city to work as a country doctor twenty-five years ago, she visits a few times a year. She stays for a week or more. We get to share breakfast, lunch and dinner. Tonight, I am sitting with her in our lounge room. My kids are in bed. My wife is out. We are watching Fiddler on the Roof.

It happened a long time ago in a small town of Kotovsk, located in Eastern Ukraine, which belonged to the Soviet Union. Mama, Papa, and I sat in the back of the menacing-looking, Khrushchev-Era four-story building in front of our ground floor apartment’s window. The three of us enjoyed the last few days of the good weather. It was pleasantly warm for an October evening.

“I can’t feel a pulse,” Mae says, her rose-lacquered fingertips probing the carotid of her dying friend Dora. Mae’s a just-retired nurse, so what she says carries weight. Even though she’s here in her civilian capacity, like the rest of us, to watch Dora die.

The thermonuclear bomb and I practically share a birthday—that was the first hydrogen fusion device with the power of 800 Hiroshima bombs. They called it the superbomb, the “city killer.” Physicist Enrico Fermi said its “practical effect is almost one of genocide.” I always knew the fear-begotten arms race and I grew up together.

Standing in Tiananmen Square that autumn day in 1998, I marveled at its vastness. The few people populating its more than fifty-three acres seemed like ants on an enormous sidewalk. The square could hold many, many more. Multitudes.

I was watching a gothic tableau play out from the corner of a hospital room. A pale girl lay on the bed below. Dark hair on white pillows. White sheets between her legs stained with blood. I felt compassion for the pale girl and the three people bending over her. Two nurses and a young doctor. A cry caught in his throat. “We’re losing her!”

Hope is what filled Helga’s letters, in fact, they were overflowing with hope. Hard to imagine so much hope inside a prison cell. That first year awaiting trial moved slowly, with little to do inside that cell. Helga was in solitary confinement for over eight months.
My mother and her sister, Helga, were part of the resistance in Nazi Germany. As teenagers they worked as couriers, smuggling anti-Hitler newspapers across the mountains from Czechoslovakia into Germany.

It’s always been remarked upon in my family — by family I include all my cousins — that whenever there’s a large gathering, my brother Bobby, youngest of all the twenty-one cousins, will slip away unnoticed, thus aptly demonstrating the “Irish Goodbye.” He began his disappearing act at the age of two and a half.

Back in the seventies, J-Bee drove a cab in New York. Tips were in nickels and dimes. When he’d saved enough, he hitched across the country. He arrived in Berkeley in summertime, land of eucalyptus trees and soup kitchens where the sun sets backwards, over the vast, sleepy, amnesic Pacific.

Marianne paced as she walked around the space praying. It was a lull between the movements, so she took a moment to stretch her legs. Fourteen years ago and a month, she did not remember this being so hard.
“Mama!” Marianne ran back to her daughter’s side and squatted down next to her.

The decade of childhood – 1981
The little girl’s red hair looked like a splash of sunrise on the white pillowcase. She moved her head to the edge of the bed and then opened her hazel eyes that shone like two big pieces of amber that had just started to cool down.

The baja sauce zings my tastebuds with fire from the ancho chili peppers. The light, flaky sauteed mahi mahi and fresh guacamole with lime make for fish taco perfection. Digging my toes deeper into the sand, I take another bite – a Chronic Taco party in my mouth. Gary and I sit on the warm sand and watch the waves crash onto the beach.

We haven’t spoken in years, but I almost always remember George’s birthday. The first day of summer. This year, it landed on Father’s Day. Without a message attached, he texted me a photograph of his family. Not the one that raised him when he and I were growing up. This is of him, his wife and three kids.

It is important that you know that I am a very sensitive person. So much so I have worked really hard to not be. I have found it too difficult to feel all the world’s problems on top of my own. I have worked to build walls so as not to feel it all.

New York City had never seen such dreadful weather. The rain poured on Sunday with such ferocity as to relieve wavering worshippers from attending services, for it suggested that the heavenly deity would rather that they stay at home. No sooner had night fallen, however, than a bitter cold set in, first freezing the remnants of the day’s precipitation upon the streets, then turning the rain into heavy snow.

The flight wasn’t long from Guatemala City to Dallas, two hours. It wasn’t long from Texas to Wisconsin either, two and a half hours more. Finding something to do for that timespan was nothing compared to the twenty-four plus hours it took to visit my brother and his family in Tel Aviv.

I was sitting in a poolside chair nursing some mixed concoction at Bally’s Las Vegas. Two days earlier, I stood atop Mt. Whitney via the Mountaineer’s Route, the same route first climbed by John Muir in 1873.
I had several more peaks to grab on my list. Denali in Alaska at 20,237 feet was next up, the highest peak in all fifty states.