Are you itching to get outdoors this summer? Last night in the emergency department, I was talking with a fellow nurse practitioner about a vacation she is taking next month. Her trip is a sort of wilderness tour, hitting up Montana, Wyoming, and Canada for hiking, biking, kayaking, and an array of other activities for the outdoor enthusiast. While I do enjoy staying in a luxury hotel, or posting up in a beach cabana, I've been itching to get a taste of nature lately. Her trip got my vacation planning wheels spinning. Could a fall outdoor adventure be in the cards for me?