By keeping my hand in that, it's the way I keep learning. The main way you learn in medicine is by practicing and working with patients.

To be clear, I worry as much about the impact of the Internet as anyone else. I worry about shortening attention spans, the physical cost of sedentary 'surfing' and the potential for coarsening discourse as millions of web pages compete for attention by appealing to our base instincts.

In the world at large, people are rewarded or punished in ways that are often utterly random. In the garden, cause and effect, labor and reward, are re-coupled. Gardening makes sense in a senseless world. By extension, then, the more gardens in the world, the more justice, the more sense is created.

If you have difficulty sleeping or are not getting enough sleep or sleep of good quality, you need to learn the basics of sleep hygiene, make appropriate changes, and possibly consult a sleep expert.