Chair, The Nature Conservancy, Fmr U.S. Senate Majority Leader, Heart Transplant Surgeon, NashvilleHealth @nashhealthorg, Builder of Healthcare Companies

Joined April 2007
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Myth: Downpours have always happened. Rainfall isn’t changing. Truth: Warmer air holds more moisture — about 4% more per 1°F of warming. When storms form in warmer air, they can produce heavier rainfall. A nationwide analysis of 1,700 U.S. weather stations shows a clear shift toward heavier rain in recent decades. When it rains, it pours — more than it used to.
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Meet Bonnie. A Border Collie herding demo in 7 slides ⬇️
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Speed, angle, distance. All calculated. She moves the flock with precision.
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Instinct. Training. Patience. Trust. Bonnie showed students what it all looks like on a working farm.
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Boulder was a powerful classroom this week. From the Flatirons to the boardroom, two days with @nature_org’s Global Board, Trustee Council, leadership team, and @nature_colorado offered a chance to learn from Colorado and look ahead with purpose.
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Medicine taught me to look upstream. As a surgeon, I spent much of my life responding to disease at its most urgent point. But over time, I came to understand that health is shaped long before someone reaches the hospital.
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That realization changed how I think about medicine, prevention, and nature. The health of the body and the health of the world around us were never truly separate.
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I wrote more in my latest Substack reflection: tr.ee/worldaroundus-substack

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Last week, I had an excellent meeting with Aakansh Yerpude, a rising @Princeton senior and NashvilleHealth summer intern. As a fellow Princetonian, I’m encouraged to see him carrying forward the call to be “in the nation’s service and in the service of humanity” through community health work here in Nashville.
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Conservation begins long before policy. It begins with experience. At The Farm at Sinking Creek, @Virginia4_H students learned through cider making, cornmeal, sheep, oxen, bees, bluebirds, wetlands, trails, and local stories. Children protect what they first come to know, love, and feel proud to inherit.
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More than half the oxygen you're breathing right now comes from the ocean. Today is #WorldOceansDay. Here's why it matters 🧵
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We've already lost half our coral reefs and a third of our mangroves. What I saw diving the reefs of Palmyra Atoll this year made the stakes impossible to ignore.
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Ocean health is human health. Read more in my full reflection today on Substack: tr.ee/worldoceansday

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