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Go West! Day 4, part 3: night in the park

As we approached Shoshone National Forest, which was adjacent to Yellowstone National Park, the sun was getting low on the horizon. Our goal was to set up in daylight so we didn’t stop much for photos. The road followed a river with mountains on both sides. We finally arrived at the east entrance to the … Continue reading »

Go West! Day 4, part 2: the road to Yellowstone

We finished checking out Mount Rushmore in mid-morning and started the long dash to Yellowstone National Park, almost 500 miles to the west. As soon as we started the descent to Highway 244 then Highway 16 eastward through Black Hills National Forest, I called to reserve a camp site at Bridge Bay, about 20 plus … Continue reading »

Go West! Day 4, part 1: Mount Rushmore

Day 4: Rapid City, SD to Yellowstone National Park, WY via Mt. Rushmore and Bighorn National Forest Mileage: 486 miles The thunderstorms of the previous evening had cleared the way for a gorgeous, sunny, warm morning in Rapid City. We had a quick breakfast at the Econo Lodge in this second-largest city in the state … Continue reading »

Go West! Day 3: Badlands! (part 2)

After over 500 miles of numbing flatness on Interstate 90, we finally turned on Highway 240 to enter Badlands. The changes in elevation were greatly welcome. Instead of the $15 park entry fee, we decided to opt for the $80 pass that would allow us access to all national parks. A great deal! Badlands National … Continue reading »

Goodbye, Boston

Thank you for the past thirteen years. I have lived here longer than any other city in my life. You have been a wonderful home, readily welcoming me when I first arrived alone at Logan airport, struggling to navigate the unfamiliar T with two small suitcases, emerging from the Harvard Square stop and shocked to … Continue reading »

The risks of fluid boluses, cutting cancer costs: interesting tidbits from this week’s medical journals

Fluid can kill! One of the hallmarks of early goal-directed therapy of sepsis management in adults is aggressive fluid resuscitation (Rivers et al. N Engl J Med. 2001;345(19):1368). Therefore, I was surprised to read a great paper just published online by New England Journal of Medicine on a randomized control trial comparing fluid boluses to … Continue reading »

The burden of fatherhood

I have been a father for slightly over a year and a half. My daughter is growing so fast that she seems to be a new person every week. Her unique personality is showing more. She makes her opinions known. She is testing how her actions affect other people around her. To me, she is … Continue reading »

The crime of silence

By now the anti-government protesters have been brutally driven out of Pearl square. What has happened to the 6-year-old girl above pleading for the world to speak up against the injustice in her country? Her sign is succinctly accusatory: “Silence is a war crime.” I wonder how many of us remain silent when witnessing injustices … Continue reading »

My grandma

My maternal grandma died last week at the age of 90 after a prolonged illness. She died in the same Vietnamese village that she had been born and grown up in. She was the only grandparent I knew. My maternal grandfather died shortly after I was born in his house.  Both of my paternal grandparents … Continue reading »

The last time in this world

It is hard to consider anything the last one. The last kiss. The last good-bye. The last coherent conversation I will have with a patient before the morphine drip is started. The last breath sound before the body turns gray. The last ventricular contraction before the heart tracing goes flat. And even though the family … Continue reading »

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