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Infertile patients cannot afford to wait for treatment while their eggs get older.

Dr. Sherman Silber, Infertility Center of St. Louis, is offering video consultations for patients who need to plan now for their treatment while stay-at-home orders are in place. He is talking to and evaluating patients in their home to comply with social distancing measures.

Dr. Silber is discovering that patients actually prefer this method of telemedicine consultation over the conventional office visit. Patients have conveyed that “it is so much more convenient and less stressful” to have a telemedicine personal consultation than to take a day off from work to travel to the doctor’s office and sit with other nervous patients in the waiting room.

The COVID-19 pandemic is thus changing much of the way we will do things in the future, and for the better. “Our patients are surprisingly much happier with this approach. Of course, at some point we need to perform hands on treatment. But with this new manner of seeing patients, we can come to the right diagnosis and treatment plan for most patients more efficiently, quickly, and painlessly, with no loss of personal one-on-one communication.” This is a very welcome new era of telemedicine that has been forced on us by the current difficult times.

Dr. Silber in Alaska 2025

Alaska 2025 begins with a reflection on Bud Wilson, a lifelong friend of 58 years who was once a brilliant mathematician, businessman, outdoorsman, and larger-than-life role model. Now facing dementia at age 80, Bud’s decline reminds the narrator, age 83, that identity, awareness, relationships, and life itself are fragile and temporary.

The journey then moves to the 2025 summer solstice, where Steve organizes the “Woodstock of Alaska” atop a mountain near Kennecott in Wrangell–St. Elias National Park. A massive four-foot-tire military truck transports spectators and equipment up the rugged trail, and musicians perform past midnight under the solstice light.

Back at the family’s Lake Clark lodge, the adventure continues with king salmon fishing on the Nushagak River. Although salmon arrive there in abundance, the Katmai and Lake Clark areas experience a poor run. The narrator links the shortage to commercial fishing practices four years earlier, arguing that escapement targets do not protect individual spawning populations. As a result, bears in Katmai struggle to find enough salmon, illustrating how decisions made years earlier reverberate through an interconnected ecosystem.

Fishing becomes a metaphor for connection. A nearly invisible line briefly joins the human world above the water with the fish’s unknown world below, creating an intense encounter with wilderness before the fish is released or harvested for food.

The closing scenes examine changing water levels, overcast solstice skies, shifting river channels, and nature’s ability to adapt. Global warming is altering landscapes, yet a changing river may also shield grayling from overfishing. Watching waves cross Lake Clark leads to a final meditation on impermanence, Einstein, and the nature of reality: waves appear to bring new water, although the water remains, just as light behaves as both wave and particle. The central message is to recognize life’s interconnectedness and treasure every morning we awaken.