I am a hospice and palliative medicine and physical medicine and rehabilitation physician and medical geographer. My primary clinical work is as an Integrative Pain, Palliative Care, and Rehabilitation Physician in private practice at AIMS Institute (Seattle, WA) and as an on-call MultiCare Palliative Physician and Associate Medical Director of MultiCare Hospice (Tacoma, WA). I previously ran the palliative care medicine consultation service at the MultiCare Auburn hospital and regional cancer center. My medical geographic scholarship interests are in geographies of access, delivery, and development of cannabinologic and psychedelic integrative medicine, especially as they pertain to development in pain management, hospice and palliative medicine, and rehabilitation services. I am also interested in global health equity, social medicine, and health and human rights, and use a political ecology of health and disease approach to understand psychoactive biotic commons enclosures, seed sovereignty reclamation and use depatholigization movements, and related therapeutic landscape formations.