Muddy river walk! #dogsofbluesky #dogs #blueskydogs

Cute doggo picture to break up all the bad news on the timeline. #dogsofbluesky #dogs #blueskydogs

She’s such a pretty girl! #dogsofbluesky #dogs #blueskydogs

Our jog this am was picturesque

Back to our normal program. #dogsofbluesky #dogs #blueskydogs

This is tone deaf and wrong. Rich people do have access to doctors and hospitals that the rest of us don’t. And doctors now average 100K+ in medical school debt and spend years working before having a positive net worth.

Does he really think people have access to care and medications now? Every day I care for patients who couldn’t afford their prescriptions or even their co-pays/deductibles. I’m an ICU doctor and unaffordability should NOT be why I am caring for a critically ill patient!

Let me answer the last question. Few get to see a primary care doctor before they see a specialist now. That specialist they see is the ED doctor for an illness that often could have been treated long before that ED visit.

Rainy days and Sundays never get us down. #dogsofbluesky #dogs #blueskydogs

Winter is here! The only bright color is in Kara’s sweater. #dogsofbluesky #dogs #blueskydogs

Launched 48 years ago in 1977, Voyager has recently passed the distance of a LIGHT DAY. The universe is very large indeed.

Kara in the mist #dogsofbluesky #dogs #blueskydogs

Trees, sun and a happy doggo #dogsofbluesky #dogs #blueskydogs

Still life with dog #dogsofbluesky #dogs #blueskydogs

Beach day! #dogsofbluesky #dogs #blueskydogs

Happy Thanksgiving from us to you!! #dogsofbluesky #dogs #blueskydogs

Asking for another treat! #dogsofbluesky #dogs #blueskydogs

Saw some Bald Eagles on our morning jog. The dark headed on is still a juvenile. #dogsofbluesky #dogs #blueskydogs

No need for a sweater today. It was 10 degrees warmer than yesterday. #dogsofbluesky #dogs #blueskydogs

Sweater weather!! #dogsofbluesky #dogs #blueskydogs

Mid-day ramble #dogsofbluesky #dogs #blueskydogs

Done with work for awhile so someone is jumping for joy! (Despite the picture, it was not Kara who jumped for joy, it was me!) #dogsofbluesky #dogs #blueskydogs

Kara is camouflaged. Can you find her? #dogsofbluesky #dogs #blueskydogs

I’ve been working this week and Kara has been needy at home. #dogsofbluesky #dogs #blueskydogs

Nap update: a change of position but still in the sun! #dogsofbluesky #dogs #blueskydogs

Sunbeam naps on the couch are the best naps! #dogsofbluesky #dogs #blueskydogs

Family hike this am. My wife takes the best photos and the PNW is beautiful! #dogsofbluesky #dogs #blueskydogs

More juvenile bald eagle sightings today!

We were in camo again today since Kara needed her raincoat! #dogsofbluesky #dogs #blueskydogs

This is what she looks like when I call her in for a treat! #dogsofbluesky #dogs #blueskydogs

Kara and I saw a juvenile Bald Eagle on our hike today!

They call Viszlas camouflage dogs. Here is Kara proving it is true! #dogsofbluesky #dogs #blueskydogs

It’s a good pup run when slobber ends up on the snoot! #dogsofbluesky #dogs #blueskydogs

Trying to stay sunny after last night’s storm! #dogsofbluesky #dogs #blueskydogs

More beauty #dogsofbluesky #dogs #blueskydogs

Running thru the fall leaves! #dogsofbluesky #dogs #blueskydogs

This one is good too! #dogsofbluesky #dogs #blueskydogs

My best Kara in the fall photo yet! #dogsofbluesky #dogs #blueskydogs

Beach!! #dogsofbluesky #dogs #blueskydogs

She just can’t understand why she is here and the seagull is there! #dogsofbluesky #dogs #blueskydogs

A bit misty this am but that’s Kara in the foreground, Carbon River in the mid ground and Mt Rainier in the background. #dogsofbluesky #dogs #blueskydogs

It was just gorgeous out today. #dogsofbluesky #dogs #blueskydogs

Prancing #dogsofbluesky #dogs #blueskydogs

Just when I think Fall has peaked.. #dogsofbluesky #dogs #blueskydogs

Kara and her raincoat competing with the fall colors! #dogsofbluesky #dogs #blueskydogs

Kara on our daily hike. The area got some moisture this week and the moss on the trees loved it! #dogsofbluesky #dogs #blueskydogs

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Pretty girl. Just a touch of sugar on her muzzle. #dogsofbluesky #dogs #blueskydogs

We live in a very pretty place. #dogsofbluesky #dogs #blueskydogs

Catching sunbeams is exhausting. #dogsofbluesky #dogs #blueskydogs