Medicine finds its way into our lives not through textbooks, but by getting sand in our shoes, salt in our hair, and noticing how our hands long to be in the dirt—or on people.

Liz Vitale didn’t simply move to the Oregon Coast. She rooted herself there among fishermen, surfers, firefighters, foresters, Latina moms, and retirees. Over time she became part of the village, not just as a practitioner, but as a neighbor, a volunteer firefighter, a customer at the grocery store and regular at the surfer pub.

In this conversation with Liz, we explore what happens when medicine is not practiced from behind clinic doors, but amidst the actual people it serves. We talk about treating fishermen underserved by mainstream care, how not to impose our “Chinese medicine stories” on patients, how community softens judgment, and how sometimes medicine works quietly—by helping people first feel seen.

Listen into this discussion as we explore how healing unfolds differently in rural places, why living joyfully may be part of the prescription, how treating everybody includes those who don’t agree with you, and how sometimes you find out how your treatments are working not from a clinic visit—but from the local pub, where someone shouts over fish and chips, “Liz, the herbs are working.”