Wednesday, December 30, 2009

MiM Mailbag: Calling other/former resident moms

Recent comment to New Years Resolution:

I would like to resolve to have one day of residency when I didn't wonder if I should quit and stay home with my son. And, once I've had that one day, I'd like to move on to more days than not...Any more experienced and wisers have advice for how to accomplish this?


How did others do it? Was/Is this a constant struggle? Any regrets? Does it get better?

23 comments:

  1. I had my kids in fellowship (#1 and 2) and as an attending (#3). Having a kid in residency has to be so much harder. With both of my first two kids, I gave serious consideration on many occasions to leaving my fellowship and just practicing general internal medicine once they were a little older. For many reasons, I didn't. My kids are now 6, 4.5, and 2, and I have been working 3 days/wk since the middle one turned 1. As a doctor who is essentially a stay at home mom 4 days per week and a working mom 3 days per week, let me tell you plainly that it looks like sunshine and lollipops to be home when you are working, but it is hard. Really, really hard. And often it is frustrating. And the work never stops. And it is often thankless. And most of the day to day activity of your day is not what you envisioned when you signed up for this. All of the things you might feel about residency are true of being an at home parent, too. For me, working part-time has been the solution. It isn't just because I want to keep up my doctoring skills despite being an at home parent half the week. It is also because I would lose my mind if I had to do 7 days per week what I currently do for 4--take care of the kids! I don't know how old your son is, but if he is a baby or toddler, there will come a time not far in the future when you will be grateful to go to work! And medicine, in addition to all the warm and fuzzy reasons to choose it as a career, has the added advantage that it is a field In which you can make a decent living and have a satisfying career (not just a job) even working part-time. I would advise you to think
    long and hard about quitting your residency unless you hate the field you have chosen. You will have a lot of life left ahead of you once your kid is in school all day (kindergarten in many states), and it is important to have a career you love!

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  2. I had both kids in residency, and it was tough. I am still struggling, two plus years into a three-year to partner private practice job, to resolve many issues in my life that I simply ignored in order to keep going. Restoring my own mental health and happiness. I am much happier now. Still working on that.

    Staying home for eight weeks for maternity leave (it was only six, but I orchestrated my way into eight since I started residency a month early - convinced the higher-ups I deserved it and could finish with all my requirements) made me realize, like Tempeh above, that staying home is just as tough, and, like she said, often thankless. I leaned a lot on a stay at home-mom down the street, a good friend then and now, for support, and realized that she had her ups and downs, just like me. There are pluses and minuses to any decision that you make.

    I pushed through, and feel like it was worth it. I have a lot more free time now than I did in residency, a lot more vacation, and am slowly regaining a sense of control in my life and work. I'm glad I stuck it out. I think it worked for me. I am proud of my career, doing medicine, my performance, my relationship with my colleagues, and establishing a presence in a large hospital. Having relationships with clinicians that count on me. Having respect (of and from) and friendship with an enormous population of lab technicians, cytotechs, gross room assistants, and transcriptionists. All of that is almost as rewarding as motherhood.

    On the flip side, I have two good female friends who gave up after residency - one quit when she started having kids and is now a full time mom of four, and another quit soon into her life as a pediatric allergy-immunology attending, after doing a fellowship at a prestigious institution. The latter's second son required more attention due to developmental problems, and she decided that staying home was more important. She was at the top of our class; a quiet, humble, lightning smart, and incredibly beautiful former ballet dancer. I bump into her at the local pool during the summer. She hasn't changed, and she seems happy with her decision.

    I don't think you can go wrong, either way. I think it took an incredible amount of soul-searching and selflessness for both of my friends to have given up their dreams for full-time motherhood. I respect the hell out of them. Both waited until after residency to make that decision, which I think is a smart thing to do, since residency is the place where you are working the hardest and have the least amount of control.

    Good luck to you and your decision.

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  3. This really struck home to me. I feel like I spent every day of medical school wanted to quit and stay home with my then 4 year old and newborn boys. Now that I am in residency, I only feel like that 50-75% of the time.

    I was incredibly blessed to take six months off during medical school for my maternity leave. I loved every day of those six months. Yes, being a stay at home mom is hard, and the thank-yous few and far between. But I honestly loved it.

    The problem is, I actually do like medicine. Which, some days, surprises me.

    The plan for me, once I'm finished with residency, is to work part time. I want to do medicine, but more than anything, I want to be a mom that is available and there for my children. Parttime seems the logical choice.

    Hang in there.

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  4. Yeah, what Tempeh said,

    When I am home, I idealized being at work. When I am at work, I idealized being at home.

    But not so much anymore.

    I had one PGY3 baby, one fellowship baby, and one private practice baby. Each had their advantages and challenges.

    The big advantage of kids in residency is that I got paid during my maternity leave. In the real world, if you don't work you don't get paid.

    I figure if I find myself always wishing I were working a little less and a little more then the balance must be about right.

    After my fellowship, I took 10 months off to be home with #1 and #2. I found myself working 20 hours a week for the preschool #1 attended. I figured I must want something to do.

    So I found a private practice to join. I LOVE the grown-up company at work and the intellectual stimulation.

    Honestly, I think that had I taken more time off I might have been so fearful about my knowledge base that I might have stayed away much longer or not returned at all. Sad thought since I love my chosen field.

    Let me tell you what my mom says.

    Mom says, "As a woman you may live for 80 years. That is a long time to do only one thing. So expect to do many things over your career. Just not always at the same time."

    Smart mom.

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  5. Just wanted to say thanks for the post, and the comments! I'm a pre-med student with a 3.5 year old and a 3 month old, and I've been a stay-at-home-Mom for 3.5 years now. I struggle daily, wondering if my love for medicine is somehow shortchanging my kids, and I'm glad I'm not the only one. The truth is, for me, I'm a MUCH better mother when I'm in school than when I'm not. I value each and every second I'm with my kids, rather than watch the minutes click on endlessly . Then again, I've only attended part time since my son was born 3 years ago. Next fall, when my daughter is one, I will start full-time in preparation for the MCAT's, and medical school, and while I'm so excited at the prospects, I'm terrified of leaving my kids all day. It's nice to see other Mothers struggle with the same question, and to come out successfully, on the other side.

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  6. I'm a fourth year general surgery resident with a 2.5 year old son (I had him during my first of two research years) Over the last year I have thought often of leaving residency. The main reason is that as my son has gotten older he now talks about the fact that I'm not around much, so it's clear that it does have an impact on him. If I'm home when he wakes up in the morning on a weekend, the first thing he asks me is whether I have to go to work. If I say no, he's so genuinely excited. It doesn't seem right. Sometimes a couple of nights go by and I can't make it home before he goes to bed. My schedule has also been very hard on my husband. There is no way around it. At the same time, I love what I do and have been at this for 5.5 years (including the research). It's hard to imagine quitting. At this point I just hope that I will make it through these next 18 months. I truly believe that it is possible to have a family and a rewarding medical (and yes surgical) career; but of course this requires finishing residency first! Good luck to you!

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  7. Anon --

    My mom was an investment banker and spent 80 hours a week at work until I was 5 and she was laid off (never went back). She tells me that I used to hang on her leg every morning and beg her to stay home with me, and that this made her feel terribly guilty.

    You know what? I turned out fine. And she was a good mother.

    Fundamentally (probably with some exceptions), the decision is about what YOU want to do, not whether you are somehow screwing your children by working a demanding job when they are little.

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  8. Original Poster here. First, thank you so much, KC, for making my comment a post. Second, I am so grateful for the comments. I find myself jealous of attending moms with part-time options. I have a dual-degree and a couple working years before that, so during med school was "time". I'm finding intern year challenging in terms of the time away. I imagine I would love it, if I did not feel so torn. I never tire of hearing the "my mom worked and I turned out fine" stories--they do buoy me. However, I also know that I will never get my baby time back and perhaps that is what saddens me. I have a top-notch residency spot, too, and I know if I walk away, it will be bye bye clinical career. It's just a tough choice...and eye opening to realize having it all means having less fulfillment on both sides, mixed in with feelings of being conflicted constantly.

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  9. Wouldn't it be great if there were at least an *option* to do residency "part time" in exchange for additional years to make up the training?

    I wonder how many people would take advantage of such an option...

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  10. Old MD Girl,

    Great idea about PT residencies. I have heard of people doing it. The arrangement I have heard that works best for the residency is to have the person on every other month. I suppose the best way to arrange this would vary among specialties.

    I know some residencies can accommodate people who have medical issues, ie seizure disorders, where conventional overnight calls cannot be done.

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  11. I would! Even if "part-time" meant 40 hours, which I guess would be about right. This field is sick!

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  12. I know quite a few people in Austrslia who job share in hospital jobs (not just General Practice) because of children or for other reasons (health, studying for exams, burn out, lifestyle, other interests etc). It doesn't seem to happen as much in surgery, but in everything else there is often some sort of part time option (obviously more when you have finished your postgraduate training). It might have something to do with the way our training programs (your "residency") are structured. Not saying it makes it easy at all though (particularly since I've never been in that situation).

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  13. I spent most of my first year back from my maternity leave wanting to quit... or at least, wishing residency could finally be over so that I could just stay home with my daughter.

    Then when graduation from residency started to approach and I almost had what I always wanted, all I could think about was, "OMG, I need to have a job!" Now I'm a fellow and I would never ever be a SAHM. Once my schedule became reasonable, I realized that working makes me appreciate my time with my daughter even more. That said, I'm hoping for a job that will allow me to work only four days a week.

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  14. I'm from Australia and I know an Obgyn, a psychiatrist, an endocrinologist, a paediatrician and a pathologist who all managed to "job share" in their Registrar (like Resident) years. This essentially meant working half time. It took some negotiating, including finding someone willing to share the job with them, but they all managed it. Thye would work part of every week and share on call.
    I think we are slightly more flexible over here (Thankfully!), but also our training programs run for a longer time. It takes 6 full time years to qualify in OBGYN, I think it takes 5 for psychiatry etc. Maybe the length of training means that more flexibility is allowed.
    My intern year was in a hospital that discouraged overtime so I never worked more than 50hrs a week. Very early on I joined a GP (Family Medicine) program that allowed part time training, but I was finished all of that by the time I had children. I truly feel that part-timr work allows the best of both worlds, but I;m really sorry that this does not seem to be an option for you.
    Rebecca

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  15. I want to add my voice to the choir. Despite constant ambivalence, from my reading and my own experience, mothers and children benefit from the mother having meaningful, challenging, rewarding work. My mother left a career she loved to be home with her four children and then started graduate school in a completely different field when she was fifty. She tore herself up with guilt about not being full time at home, but she was so, so much calmer, happier and more fulfilled once she went back to school that I vowed I would never stay home full time, and I haven't. I thought that this was slightly shameful, and that my satisfaction in working was a guilty secret, until I stumbled across the book Juggling by Faye Crosby. She reviews all the evidence for and against mothers working outside the home, and provides a clear view of the many advantages of continuing to work, with full appreciation of difficulties.

    Husbands and fathers are somewhat invisible or inaudible in this blog, but these decisions also involve them. My husband married my adult self, not my momself; I think that being a working mom may help a marriage. In our lives, my fairly demanding work meant that my husband had to step up and become an engaged father long before there was a soccer/basketball/swim team to coach. So the changes we experienced becoming parents were pretty much in sync, and have remained so now that the kids are fially grown.

    Residency is not just a job, of course, and having very young children is especially demanding, but with the new work hour rules, and with most programs getting progressively more flexible as you move from pgy I to later years,thing really do improve. The baby years are precious, but the lovely moments don't accumulate-whether you have them every hour, every day, or only whenever you can, the memory fades as the children's later selves eclipse the earlier ones. Negotiate, adapt, be flexible, but don't do anything rash!

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  16. I'm really struggling. I have 2 years left in my residency, have a 8 month old daughter and am now 8 weeks pregnant (not planned!). My program is full of very nice people and because I transferred from a different res program and was already off cycle, I am able to take a nice long maternity leave. I have help taking care of the kids from my mom. My husband is in medicine and is an attending and we have plenty of money. I don't even have any debt, thanks to an amazing family. Everyone in my life is supportive of me doing what I need to do. I feel like I have so much going for me and I'm so so fortunate. Problem is, I just don't want to do this anymore. It's not just that I'm dying to be at home with my daughter and that she cries when I take her away from her grammy (which destroys me). Or that another baby is probably going to be too much for my mom to handle for the year (at that point) until I'm done. I was a yoga teacher before I went to med school, loved it, wanted to do an ND or ayurveda school, but it seemed better at the time to do an MD because I believed it was the best training I could get about the human body. I always thought I'd go back and do some hybrid of conventional and alternative medicine. But I got caught up in the excitement of the match, etc, and decided to do residency too, which I didn't really regret until I got pregnant with my daughter. Since then it's been a constant struggle and its getting worse internally I'm in turmoil. I'm actually a really good resident and most days I manage to do what's in front of me quite well, but I'm faking it, every day and it's starting to wear me out. I don't think I can do two more years. I really want to go back to teaching yoga and one day (when the kids are older) open up my own studio. The training will never hurt me. I'm just not sure sacrificing two more years is worth it, since I'm quite certain that I won't feel the nagging urge to go back to practice when the kids are older (I see myself in my studio, not in my office, later in life!)
    That being said, I'm not a quitter and I wince every time I think of letting down my fellow residents and PD. And I'm terrified I'll regret the choice I'm thinking of making. Any thoughts? Help!

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  17. I'm reading all of your comments with such a sense of deja vu. I'm a mom of three (one 2nd year of residency, two post-residency), with my youngest about to graduate high school. I quit my psychiatry practice when pregnant with #3 eighteen years ago and never went back. Although I was working "part-time", patient emergencies and questions had a way of bleeding into my off time so I felt I was always juggling kids/patients and not being very mindful of either. And I'd gotten to the point where I felt my "real life" was at home--I just wanted to be with my kids. I've loved being a stay-at-home mom, and have never been bored for long since I have a lot of interests and passions (and of course, one's own children are great fodder for a psychiatrist). I do have one regret though. I wish I had listened to my inner voice during medical school, the one that kept nagging me that I wasn't loving what I was doing and maybe didn't want to be in medicine at all. I stuck with it because once in, it's so difficult to disengage. I didn't want to disappoint others and I was also accumulating lots of student debt which added to the sense that I had no choice. I'd accepted an offer to an accelerated premed-med program at 17 and was out of med school by 24--some are maybe very clear at that age about career goals but I was really too young and immature to know, so I let myself be propelled along by the system and by others' opinions. I wish that I had listened to my doubts and pursued the other careers that really spoke to me. If I had, I'd now be a low-paid architect :-) but I most likely would have continued working at least part-time. So, ashtung, I guess I would encourage you to make the decision based on what you want, not on what others are expecting of you. I wish that someone had told me, back when I was feeling that I might be making a mistake, that it was okay to reconsider, that I wasn't stuck, and that my life needed to be about making myself happy and fulfilled and not about anyone else's expectations. That's what's going to matter to you in 10,20,30 years. Although I'm financially secure, I'll be going back to work soon, just not in psychiatry. And that process of moving into a new career would have been much easier had I followed my heart in the first place. Good luck to you--I hope that you find a way to make peace with whatever you decide.

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  18. I feel for you, ashtangiMD. I had my first child during R2 year, and second and third after graduating. I left my psychiatry practice when my third child was born. I was working part-time but even so, patient demands and emergencies had a way of bleeding into my home life and I didn't think I was doing a great job of either being a parent or a physician. I never went back, so I've been home full-time for 18 years. I have no regrets about quitting. I've loved being home with my children and I can say that I really cherish those years, as hard as they were at times. I've rarely been bored, but I have many interests so being home full-time gave me opportunities to pursue other passions. I do have one regret though, that may relate to your struggle. I wish that I had really stopped to consider, while in medical school, whether this was truly what I wanted. At the time, I was vaguely aware that something wasn't quite right, that this was something I was good at but not something I loved. I came to medicine sort of by accident--I was accepted at 17 to an accelerated premed-med program so by 24 I was applying to residencies. I was far too young and immature to make such far-reaching decisions at that 17, but I let myself be propelled along by the system without stopping to think about what I wanted. In retrospect,I was driven far too much by others' expectations and the belief that I was stuck, that it would be humiliating to back out now and if I left would never be able to pay off my rising student debt. Although I'm financially secure, I'm ready to go back to work now, but it's not going to be in psychiatry. Had I followed my heart and done what I loved in the first place, I likely would have continued to work part-time during those child-raising years. So I would encourage you to really think about what YOU want, not about what others want for you, and to recognize that you do have a choice. When you look back in 10,20,30 years, you will want to do so without regrets and knowing that you did what was right for you, regardless of others' expectations and opinions. Hopefully your husband, being in medicine, can also serve as a good sounding board for your choice. Good luck, and I hope you find peace with whatever decision you make.

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  19. Post 1 of My Dissertation on MIM-ing it!

    Hi,

    I first found this blog sometime last night/early this morning.

    I am NOT a doctor.

    I am NOT a mother.

    I am NOT a COOL person, and therefore unqualified to give advice that is worth taking...but...an opinion...I shall give! :P

    My summation, after reading so many of the "A Day in the Life of...," posts, and some of the wise and superbly sagacious comments following said posts...is this:

    As an offspring, as a little cognitive ability, and as a procrastinator (aka an Internet blog comment poster :-)), I will say this:

    A LOT of the "moms" who make a lot of you moms feel guilty or less than "mom-adequate" may make EVERY PTA meeting, may be class mothering it all day, they may be preaching in the church pews, and baking muffins and cakes for various and sundry sick people...BUT...in reality...they MAY be a witch in saints clothing (to kind of "chop and screw" something the Son of God said somewhere in the Holy Bible...in Matthew about wolves wearing designer sheep's skins aka disguises).

    These "moms" may have little to do with the title "mom" at ALL! There children may fear their cruel and illogical temper tantrums behind closed doors, and worse abusive behavior, and ALL taking place behind bolted shut closed doors of secrecy.

    I KNOW firsthand, I have TWO parents that fit this bill to a TEE! They have/had the ability to show up to every PTA meeting, even be an active committee member. They had the ability to speak words of alleged Christian and Holy Spirit origination to inspire the sick, the downtrodden and the poor. Oh, and speaking of the poor, they had the ability to "secretly" give money to those in a bad way.

    Sound like pillars of the community--one was a stay at home "mom," the other, a "dad" who worked all day and all night to support his "family." They had the nicest masks when out in public, but as SOON as they were behind closed doors, the masks of "mom" and "dad" came off.

    They did, and still do, things that I won't bother mentioning here. They were, and still are gross abusers, liars, manipulators, stc. I bring up the manipulation part not to air the less than clean laundry but to illustrate the FACT that ALL of the things that they did that seemed so nice and sacrificial in public--were for manipulation purposes ONLY. The PTA meetings, the "Christian" letters of encouragement, the endless sympathy cards, the "selfless" baking, even the class mothering, etc., all of this was for manipulation purposes.

    They were as much their roles as great "mom" and "dad" and "parent" and person in general as Hugh Laurie, Sarah Chalk, and Patrick Dempsey are qualified to operate on human flesh. In other words...they were...and still are actors.

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  20. Post #2 from My Dissertation on/of MIM-ing it:

    Don't let what you see and what you THINK you see make you feel any way about YOUR life. Don't let what you hear of others, or what comes out of the mouths of the same make you feel any way about YOUR life.

    Stop letting other people's opinions, feelings, expectations, adversities, tragedies, critiques and lives make you think ill of your own!

    You are as much an expert on other people's lives as Hugh Laurie is an expert MD (in real life...that is)!

    If you have guilt. Examine it. Examine YOUR life as you are the most qualified, no--the most OVER QUALIFIED expert in the management OF IT!

    Lamentations, grief, guilt, etc., are 100% irrelevant...as are vainglorious boastings, occult braggings (which is to say, saying something for the sole purpose of being praised and lauded, yet hiding that true intent in a mask of suffering and sacrifice), and going fishing for compliments.

    The reason being, you ALL are experts on the truth as it concerns YOUR life. Just be honest within yourselves and do what is best for YOU and YOUR ship. As a mom...you are captain of "the MOTHER ship," LOL :P, so do whatever YOU need to not only merely keep that ship afloat, but to make sure that ship is kept in tip top shape, that is not merely functioning, but THRIVING.

    This may mean working Full-Time.

    This may mean working Part-Time.

    This may bean working in a different place, working in a different health care environment, or working in a different field (either inside of healthcare or outside of healthcare).

    NO ONE can make the BEST decision for YOU, but YOU! Long after your attendings, fellow residents, neighborhood moms, outside of your household family members, fellow bloggers, academic department heads, patients, partners, and various and sundry other people (not residing aboard "the mother ship"), have gone OUT of your life--who will still be IN YOUR life? And will they have gotten the BEST YOU out of your life, or will they have gotten something less?

    I personally, am 100 babillion, fufillion, mazillion, batrillion PERCENT UNABLE to dispense ANY advice. I have NO li-"SENSE" to do so.

    I just want you beautiful, smart, hard-working, dedicated, and admirable "girls" to take the noses that are not your primary investments (husband & children) OUT of your primary [thoughts] when it comes to decision making!

    As a wise woman already commented SOMEWHERE else on one of these posts: in life, every decision has consequences.

    I, as a non-Jew, would like insert a FLY Jewish proverb here: "If everyone would sweep in front of his/her own house, the entire STREET would be clean!"

    I admire you women for being GOOD students (because I wasn't one)!

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  21. Post #3 on My Dissertation on/of MIM-ing it

    I admire you women for pushing passed the point of tiredness and having that Pro-Athlete mentality of "playing hurt," and having that same mentality of caring about not letting down your team (your fellow residents, partners, hospitals, etc.) by pulling your weight (and then some, and then some, and still...some more!), etc.

    I admire you for being doctors, or being pre-med.

    I admire you for doing the above^^ as women.

    I admire you because I am inspired by you to do the same (well...not exactly...but...to apply it in and to my OWN life).

    And that is where I'll end this "rant."

    This is YOUR OWN life. As in YOU are the CEO, the COO, the Chief-of-Staff, the President, the Vice President, etc., and so on, and so forth. You are not only qualified, but you are OVER QUALIFIED (not matter how old OR young you are) to make the BEST decisions for YOU!

    You ALONE will live with the consequences thereof in the future--be they in the form of regrets or in the form of joy in having steered YOUR ship in the BEST direction for YOU!

    You're on a ship. You're looking out into the rough waters...out into the rough seas. Sure, you can take advice via the radio thingy on the ship from more experienced ship captains, but truly...they are NOT facing the storm--you can describe the storm, you can text a pic of the storm (depending on how good of a signal you have on your smartphone thingy), etc., but only YOU are at the helm, FEELING that wheel thingy that Captains or Skippers or First Mates or whatevz have to stir--and you KNOW this ship the BEST! You've got hubby on this ship, children on this ship, and possibly a dog or cat, as well as YOURSELF!

    You can pray to God in His name, in His Son Jesus Christ's name, and in His Holy Spirit's name (The Holy Ghost) for guidance, but even IF you choose NOT to do so...you have been given a good brain by Him (GOD, your Heavenly Father) to analyze, to interpret data, to make decisions in high-stakes, high-pressure, and fast-paced situations...otherwise...you PROBABLY wouldn't be on this blog in the first place...right?

    If you feel comfortable letting other people who are NOT on YOUR ship lead and direct your decision making FOR you regarding YOUR ship...then so be it...but in doing so...you'll STILL HAVE to live with the consequences in how YOU chose to stir not only YOUR precious life, but the lives of the rest of that precious cargo aboard YOUR ship.

    I won't give my opinion, as it's not worth two cents, but I think that you guys [gals]...if you don't LIKE how you have 80, 100, 125 hours in residency and beyond, then...well...maybe you guys need to Sojourner Truth and Fredrick Douglass that to CHANGE the way things are for the future generations of moms in medicine.

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  22. Post #4 (and the FINAL) on My Dissertation on/of MIM-ing it

    As far as neurosurgery, cardio-thoracic surgery, general surgery, psychiatry private practice, etc., it seems like...if there were more residency spaces (or whatever it is that you guys do after medical school, I guess) for more people to add to the job sharing responsibilities, then people would be able to DO what they LOVE AND have a family/social life/or other outside interests as well.

    *Said I wouldn't offer my opinion, but did--because if you guys don't CHANGE things, or at least cut the bushes down to make way for the trails to be blazed...by someone else in the future...how is quality of life going to change? Humans need sleep, they need food, they need exercise, they need love (I guess...on that last part...pretty sure about the others...to some extent...kind of sort of :) to not just "exist" in caffeine-laced shells, but to THRIVE!

    I don't want you guys [gals] operating on me and having to turn your attention to answering a pager to consult about operating on some other bum! I want your FULL, DEVOTED, and UNCONDITIONAL ATTENTION on MY body and MY operation, LOL. And as I want my pilots, I want you guys to be not under the influence of sleep deprivation (snapping at humans, or not in PRIME, PEAK players condition) when you're diagnosing, prescribing, and well, doing anything to me.

    Call me selfish, but hey!

    -I have a LOT of love for this blog, and I've got some MAJOR love for the writers thereof of the posts that I've loved!

    Medicine can be BETTER! Why not make it better for those that actually practice it and/or WANT to practice it in the future? The politicians, the insurance companies...they didn't go to school, or get their training to make YOUR decisions...there IS something that can be done, but you guys just have to be the revolutionaries to DO it! Stop letting them get their way! You're moms, SURELY you know how to check bratty, immature, selfish and out of control behavior (NOT talking about your kids, but the kids of the mothers and fathers of those that run, well, EVERYTHING in life just about).

    Well, Cheerio (and with LOVE!!!),
    She who hearts you guys, and is thankful for your hard work, your commitment to accomplishing goals, and for your drive to push through!

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  23. Post #5..of 4 on My Dissertation on MIM-ing it--

    ARGH!!! Next time I post ANYTHING, ANYWHERE, I'll read it and edit it! My apologies for the grammatical errors, and um, yep...that was all!!

    ;-)

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