Nothing pierces through the noise like your child’s scream.

That was the sound that echoed through the smoky airwaves aglow with the flames of the Tubbs Wildfire in California, a state where millions live through the summer and fall months at the burning edge of climate change.

That dreadful cry stretched from one end of a telephone conversation to the other—to a phone held by Joshua Weil, MD, on duty that fateful 2017 night as the assistant physician-in-chief at Kaiser Permanente Medical Center in Santa Rosa.

My latest for the AMA. The whole shebang.