It's time to buy a new car. Would seem a straightforward decision, but true to my planning nature, I'm trying to fulfil a number of requirements. My eldest, HG, will apply for his learners permit in 4 more years, which falls within the lifetime of this car. Although I want to buy a military tank in which to encase him, I realise this is not terribly practical. So I set about looking for a safe car, the safest car if I'm honest, and find that the European (read expensive) cars have unquestionably more safety features than the locally built models. But it comes with a big price tag, and whilst I wish to keep him safe, I also don't want him driving around in a luxury car that smacks of entitlement. To be honest, such a car is not really me either. I'm not sure if this fixation on ultimate safety is borne out of my work in seeing people smashed up by car accidents, and having a real appreciation for the value of life, or whether it's just me.
Of course, such dilemmas started with his birth - the safest cot, safest pram etc so this dissonance is nothing new. A car is a much bigger investment than a pram though. So, do I go with my cautious MiM nature and buy the European car with all the latest safety features, in case he's ever in an accident? Or something more moderate - good enough in the safety stakes - and more in keeping with my non-flashy nature and what I'm trying to teach him about life? Has being a MiM ever swayed your buying/life decisions?
Wednesday, September 10, 2014
Tuesday, September 9, 2014
MiM Mail: Physician depression and suicide
Dear Mothers in Medicine,
Long time reader here and new resident now (2 months in and there's no lookin' back). I was struck by the recent heartbreaking op-ed onphysician suicide in the New York Times. It was especially poignant to me because I'm at the same place in my training as the residents who took their lives. Each night I go home and think about my patients, but I also find myself worrying about my friends and colleagues from medical school in more grueling and less understanding specialities than my own. I know intern year is rough for us all, and I hope they are doing okay. And I'm terrified because I'm a female physician who's struggled with depression in the past (not currently) and I know the grim statistics on female physician depression and suicide rates.
What have you done when you've seen colleagues struggling? How do you handle your own struggles in a field that often overlooks the deep mental and emotional toll this work takes on a person?
- J the intern
Long time reader here and new resident now (2 months in and there's no lookin' back). I was struck by the recent heartbreaking op-ed onphysician suicide in the New York Times. It was especially poignant to me because I'm at the same place in my training as the residents who took their lives. Each night I go home and think about my patients, but I also find myself worrying about my friends and colleagues from medical school in more grueling and less understanding specialities than my own. I know intern year is rough for us all, and I hope they are doing okay. And I'm terrified because I'm a female physician who's struggled with depression in the past (not currently) and I know the grim statistics on female physician depression and suicide rates.
What have you done when you've seen colleagues struggling? How do you handle your own struggles in a field that often overlooks the deep mental and emotional toll this work takes on a person?
- J the intern
Saturday, September 6, 2014
Nanny Search??
My husband and I recently decided that daycare is no longer a good fit for our daughter, for many reasons. We are now starting to look for a nanny. I am reaching out to the MiM community to see if anyone could give any words of wisdom on finding a good nanny?? I have signed up for care.com, but there are so many nannies available and I can't figure out how to weed out the good from the bad!
Also, if anyone has used a nanny cam, can you recommend a good brand?
ALSO, if anyone has a good idea for keeping personal items safe within the home, how would they recommend I do so? (I assume get a safe? But curious if anyone has any other ideas.)
Thanks!!!
Also, if anyone has used a nanny cam, can you recommend a good brand?
ALSO, if anyone has a good idea for keeping personal items safe within the home, how would they recommend I do so? (I assume get a safe? But curious if anyone has any other ideas.)
Thanks!!!
Tuesday, September 2, 2014
What's your idea of fun?
Our health
centers are “medical homes” now, so I have to come to accept (but not necessarily
embrace) my allotted turn or assignment to work, i.e. see pediatric patients, on an
occasional Saturday. Periodically, I am
able to trade these away, so they end up being few and far between. After a full day of patient care on a recent Saturday
on a recent 3-day holiday weekend, my family (me included) were out to dinner
and a colleague happened to be picking up dinner at the restaurant where we
were dining. She came over to make small
talk, and I mentioned I'd just come from working the whole day.
My young son then chimes in with, “But mom, for you, work is fun, so it’s not so bad.”
And that got me thinking about whether or not it is fun. Of course, there are all kinds of fun. Family fun is our recent amusement/water park trip, swimming in any lake, ocean, or gorge together, and family movie night. My individual "fun" is going on a long run, doing the Sunday NY Times crossword puzzle, or simply sleeping late.
But the perception that work is fun has got me thinking. Indeed, a lot of pediatrics and teaching is, when my patients giggle and the toddlers talk and my students are inspired and inspiring. And my work is gratifying. It feels meaningful. But at times it is heart-wrenching. I’m intrigued that “fun” is how I portray my work to my children, or that this is how they perceive my orientation towards what takes me from them day to day. That this one word (fun) has encapsulated their mom’s chosen career path.
My young son then chimes in with, “But mom, for you, work is fun, so it’s not so bad.”
And that got me thinking about whether or not it is fun. Of course, there are all kinds of fun. Family fun is our recent amusement/water park trip, swimming in any lake, ocean, or gorge together, and family movie night. My individual "fun" is going on a long run, doing the Sunday NY Times crossword puzzle, or simply sleeping late.
But the perception that work is fun has got me thinking. Indeed, a lot of pediatrics and teaching is, when my patients giggle and the toddlers talk and my students are inspired and inspiring. And my work is gratifying. It feels meaningful. But at times it is heart-wrenching. I’m intrigued that “fun” is how I portray my work to my children, or that this is how they perceive my orientation towards what takes me from them day to day. That this one word (fun) has encapsulated their mom’s chosen career path.
Monday, September 1, 2014
Self advocacy - why is it so hard?
It’s funny how a few things collide, to suddenly make life crystal clear. It’s job application time for me, and I was lucky enough to receive three offers, strangely enough covering the gamut of work life balance from no after hours to full on subspecialty. After much deliberation, I chose the job that would best complement all my roles – mother, wife, doctor, furry friends owner, health advocate wannabe – you all know the list. I recognised I was burnt out, and at risk of leaving medicine altogether if I didn’t make an active decision to change my hours and where I was headed. Both my husband and I are in high level, full time roles, something I never felt comfortable with for the children. Here was my opportunity to make a change more in line with what I wanted for my family. I’m a firm believer in if-something-isn’t-right-fix-it, don’t just wish or whinge! Fast forward one week - past all the happiness at finally making a decision, the peace that the decision was right for me and mine, excitement of starting a new job, the daydreams and plans to incorporate fitness, walk the furry friends, spend more time with hubby and children - to today. I’m catapulted from a state of contented decision-making bliss into Guilt – guilt I now know is ‘doctor guilt’ (thank you Emily). It deserves a capital G, don’t you think, for the central place it often plays in women’s lives? So what happened?
Well a couple of things. Firstly, taking this new, wonderful job involves resigning from my current job, something that I’ve never had to do before (I’m yet to do this, because I’m waiting on a formal contract). It also means leaving a path I’d always thought I’d follow, and jumping into a reasonably unknown area for me. After making my decision, I had a conversation with the boss of the subspecialty I’d originally planned to follow, creating doubt in my mind that I’d made the correct choice. She wanted me to take her job offer, and I felt like I was letting her down in choosing not to. It was also ‘known’. After the ‘doctor guilt’ came self recrimination – in resigning, I am jumping ship, baling out, leaving colleagues in the lurch. In reality, my position is actually supernumerary at present, so in actual fact, no-one is left in the lurch, but my soon to be old hospital won’t remember that. I’m now the person I never thought I’d be – the one who leaves a post early.
This really forced me to choose what was important to me. I sat down and thought long and hard about my values, what I considered ethical, the life I wanted for my family, the sort of mother I wanted to be, and whether that married with my current workload (no surprises the answer is no). I pictured myself in each of the three jobs, and tried to see how I felt, what my reactions were. I read widely, trying to build a picture of my future career options. I came across an article about women failing to speak up when sexually harassed and why we are all so ingrained to be ‘good girls’, to not create waves, keep everyone else happy. I had many long chats with close medical friends, trusted senior colleagues, and my husband, who all agreed I should take this job. People who, like me, would never ordinarily leave a post early. I was told leaving a post early is common, people do it all the time. Not me though. Never me. In an ideal world, I would ask to start the new job when this one finishes, in five months time. That’s the path of least resistance.
But spending another week, let alone another month, in my current position is too long. My family needs to make a change now. As well as that, moving now saves me time at the end – possibly nearly a year of time (due to retrospectively counting some of this year, something that probably won’t happen if I don’t move until next year). The next five months in my current job is surplus to my training needs. So, for the first time in my life, I’ve chosen to do what is right for me. I’m going to take the community based, no after hours or on call job, and I’m going to start in 4 weeks. All I have to do now, is tell them. Resign. Although I’ve decided, I still question it, and probably will, until my contract arrives, and I have to make the decision final.
So I guess two questions. Has anyone else ever left a post early? Taken a leap of faith? Any advice on whether it turned out ok in the end? Fingers crossed.
Well a couple of things. Firstly, taking this new, wonderful job involves resigning from my current job, something that I’ve never had to do before (I’m yet to do this, because I’m waiting on a formal contract). It also means leaving a path I’d always thought I’d follow, and jumping into a reasonably unknown area for me. After making my decision, I had a conversation with the boss of the subspecialty I’d originally planned to follow, creating doubt in my mind that I’d made the correct choice. She wanted me to take her job offer, and I felt like I was letting her down in choosing not to. It was also ‘known’. After the ‘doctor guilt’ came self recrimination – in resigning, I am jumping ship, baling out, leaving colleagues in the lurch. In reality, my position is actually supernumerary at present, so in actual fact, no-one is left in the lurch, but my soon to be old hospital won’t remember that. I’m now the person I never thought I’d be – the one who leaves a post early.
This really forced me to choose what was important to me. I sat down and thought long and hard about my values, what I considered ethical, the life I wanted for my family, the sort of mother I wanted to be, and whether that married with my current workload (no surprises the answer is no). I pictured myself in each of the three jobs, and tried to see how I felt, what my reactions were. I read widely, trying to build a picture of my future career options. I came across an article about women failing to speak up when sexually harassed and why we are all so ingrained to be ‘good girls’, to not create waves, keep everyone else happy. I had many long chats with close medical friends, trusted senior colleagues, and my husband, who all agreed I should take this job. People who, like me, would never ordinarily leave a post early. I was told leaving a post early is common, people do it all the time. Not me though. Never me. In an ideal world, I would ask to start the new job when this one finishes, in five months time. That’s the path of least resistance.
But spending another week, let alone another month, in my current position is too long. My family needs to make a change now. As well as that, moving now saves me time at the end – possibly nearly a year of time (due to retrospectively counting some of this year, something that probably won’t happen if I don’t move until next year). The next five months in my current job is surplus to my training needs. So, for the first time in my life, I’ve chosen to do what is right for me. I’m going to take the community based, no after hours or on call job, and I’m going to start in 4 weeks. All I have to do now, is tell them. Resign. Although I’ve decided, I still question it, and probably will, until my contract arrives, and I have to make the decision final.
So I guess two questions. Has anyone else ever left a post early? Taken a leap of faith? Any advice on whether it turned out ok in the end? Fingers crossed.
Monday, August 25, 2014
Eureka Moment
I was wrapping things up at a rare early 3:30 today and filed my slides. What to do? Attack the pile of journals three months thick sitting in the far left corner of my desk. I flipped through the Journal of Arkansas Medical Society, the latest CAP Today, and the Arkansas State Medical Board newsletter. Picked up the August edition of Archives of Pathology and Laboratory Medicine. Hit an article titled "Smart Phone Microscopic Photography: A Novel Tool for Physicians and Trainees."*
I'm a sucker for the latest tech tools, so I read the easy page article eagerly. I was flabbergasted. I could hold up my iphone to the left eyepiece, steady the camera, and take a microscopic pic? One that rivals my $2K microscope camera that is so complicated I get anxiety whenever I decide to use it? Without an app or anything? Unbelievable.
I practiced the image capture that the article described - they were right the steadying of the phone while taking the pic at just the right moment took a bit of practice but five minutes later I had this:
Well it is still framed by iphone bars but I imagine this can be taken care of easily. Note how little energy bars I get in my lab basement. The ease and accessibility of this is astounding. Conferences. Sharing hard cases with co-workers (HIPAA restrictions intact and observed, of course). And as the article mentions, high-quality images suitable for presentations, posters, and publications. With your phone.
I ran around in nerdy glee showing off my newfound skill to my fellow pathologists - all as excited and disbelieving as I was and practicing with varying levels of immediate success. My fraternal rival good friend partner caught on quicker than I did capturing a fantastic picture of the lung pleura he was examining (he crowed that it must be his new workout routine). I copied the article and placed it in everyone's box, and noticed that it was written by a dermpath doc I haven't met who works at the University of Arkansas at Medical Sciences - he is a recent transplant and although I spent a day last week visiting all my former attendings and fellow residents (below me!) who are now attendings I haven't met him yet. I hear he's quite good but dermpath is one area I stay away from so I hesitated outside his door and decided familiarity was more important in my limited time off. I enjoyed chatting with a former co-resident who was just hired as chief of pathology at the VA, as well as many others. Man time flies.
*Smart Phone Microscope Photography. A Novel Tool for Physicians and Trainees. Morrison, A.S. and Gardner, J.M. Archives Pathol Lab Med - Vol 138, August 2014.
I'm a sucker for the latest tech tools, so I read the easy page article eagerly. I was flabbergasted. I could hold up my iphone to the left eyepiece, steady the camera, and take a microscopic pic? One that rivals my $2K microscope camera that is so complicated I get anxiety whenever I decide to use it? Without an app or anything? Unbelievable.
I practiced the image capture that the article described - they were right the steadying of the phone while taking the pic at just the right moment took a bit of practice but five minutes later I had this:
Which I found in a gallbladder. Just kidding. It's a honeybee mouth. I got it at a local science store a few years back, along with a planaria and an ant and a couple of other fun bugs for the kids to play with under my scope when they came up to the office with me occasionally on the weekends.
I used the zoom function on my phone and got rid of the shadowed vignette, just as the article recommended:
I ran around in nerdy glee showing off my newfound skill to my fellow pathologists - all as excited and disbelieving as I was and practicing with varying levels of immediate success. My fraternal rival good friend partner caught on quicker than I did capturing a fantastic picture of the lung pleura he was examining (he crowed that it must be his new workout routine). I copied the article and placed it in everyone's box, and noticed that it was written by a dermpath doc I haven't met who works at the University of Arkansas at Medical Sciences - he is a recent transplant and although I spent a day last week visiting all my former attendings and fellow residents (below me!) who are now attendings I haven't met him yet. I hear he's quite good but dermpath is one area I stay away from so I hesitated outside his door and decided familiarity was more important in my limited time off. I enjoyed chatting with a former co-resident who was just hired as chief of pathology at the VA, as well as many others. Man time flies.
*Smart Phone Microscope Photography. A Novel Tool for Physicians and Trainees. Morrison, A.S. and Gardner, J.M. Archives Pathol Lab Med - Vol 138, August 2014.
Thursday, August 21, 2014
Guest post: Doctor guilt
I have been a faithful reader since sometime in med school (6 years ago?) and have so appreciated all of your posts! I haven't found a community anywhere else with as many talented, empathetic, articulate and amazing women. I'm a family practice doc in a rural town practicing full spectrum family medicine. I have been in practice for two years since residency and absolutely love my job, even when it is stressful and hectic. I am a wife to an underemployed lawyer and mom to a beautiful, sweet, developmentally delayed 11 month old girl with tuberous sclerosis. She is the joy of our lives.
Having worked my whole life, I was really looking forward to maternity leave. I thought, finally, time for a break! As any mom knows, maternity leave isn't any kind of a vacation, but it really was a much needed mental and physical break from work. However, it was also disorienting to not have a schedule and frequent social interaction. I absolutely loved maternity leave and I think part of what kept me sane was knowing that I was going back to work. When the time came closer, people warned me about how hard it would be, and that I was going to cry my first day back.
I shed a few tears the day before, but the day I went back to work I was 100% ok. I enjoyed it, actually. I felt like I was back at my second home with my second family. The first night back I assisted with a crash c-section and had a blast.
It's been 8 months and I'm still going strong. I work in clinic on Monday, Wednesday, and Friday. I do 4 to 5 24 hour ER shifts per month. I am there nearly every day rounding on patients, since I almost always have a patient in the hospital. In reality I probably average 40 hours per week even though I'm considered "part time." I love having every other day off. After a crazy clinic day it is nice to have the next day to decompress. After having a day of playing with my daughter and being at home I look forward to the fast paced environment of being at work the next day.
Strangely enough, I never experienced the mommy guilt that is so prevalent among working moms of every profession. I love both of my jobs. I know my daughter is in good hands. (My husband is with her most of the time when I'm at work, and we have a wonderful neighbor who helps). I miss her when I'm working a 24 hour shift but that's not the same thing as feeling guilty that I'm not there. I don't know if it's because I'm the primary breadwinner or some other reason. I am 100% at peace with my decision to work. How many men who are breadwinners feel daddy guilt? Is mommy guilt something that is part of our genetic makeup or something that we are told culturally we are supposed to experience?
What I have felt sometimes is doctor guilt. I think part of this is because I was 32 when I gave birth so working is what I've known my whole life. I wonder if I should be working when I'm playing with my girl. I wonder if my colleagues are jealous that they don't get more time off to spend with their kids. (They never say anything - I just wonder). Maybe we'd all be better off as doctors, moms and dads, if we had the flexibility to have more time with our families.
Anybody else have doctor guilt, rather than mommy guilt?
Having worked my whole life, I was really looking forward to maternity leave. I thought, finally, time for a break! As any mom knows, maternity leave isn't any kind of a vacation, but it really was a much needed mental and physical break from work. However, it was also disorienting to not have a schedule and frequent social interaction. I absolutely loved maternity leave and I think part of what kept me sane was knowing that I was going back to work. When the time came closer, people warned me about how hard it would be, and that I was going to cry my first day back.
I shed a few tears the day before, but the day I went back to work I was 100% ok. I enjoyed it, actually. I felt like I was back at my second home with my second family. The first night back I assisted with a crash c-section and had a blast.
It's been 8 months and I'm still going strong. I work in clinic on Monday, Wednesday, and Friday. I do 4 to 5 24 hour ER shifts per month. I am there nearly every day rounding on patients, since I almost always have a patient in the hospital. In reality I probably average 40 hours per week even though I'm considered "part time." I love having every other day off. After a crazy clinic day it is nice to have the next day to decompress. After having a day of playing with my daughter and being at home I look forward to the fast paced environment of being at work the next day.
Strangely enough, I never experienced the mommy guilt that is so prevalent among working moms of every profession. I love both of my jobs. I know my daughter is in good hands. (My husband is with her most of the time when I'm at work, and we have a wonderful neighbor who helps). I miss her when I'm working a 24 hour shift but that's not the same thing as feeling guilty that I'm not there. I don't know if it's because I'm the primary breadwinner or some other reason. I am 100% at peace with my decision to work. How many men who are breadwinners feel daddy guilt? Is mommy guilt something that is part of our genetic makeup or something that we are told culturally we are supposed to experience?
What I have felt sometimes is doctor guilt. I think part of this is because I was 32 when I gave birth so working is what I've known my whole life. I wonder if I should be working when I'm playing with my girl. I wonder if my colleagues are jealous that they don't get more time off to spend with their kids. (They never say anything - I just wonder). Maybe we'd all be better off as doctors, moms and dads, if we had the flexibility to have more time with our families.
Anybody else have doctor guilt, rather than mommy guilt?
Tuesday, August 19, 2014
MiM Mail: Two parents in residency possible?
Hello! I am a pre-medical student and wanted to share with you how much your blog has comforted me about my future in medicine with a family. Although I do not see kids in my near future, I have been with my boyfriend since freshmen year of high school and am confident that we will end up married (side note- he is also pre-med). I am one of those people who needs to have all their ducks in a row, so to say. I obsess over the future and planning, which I know is not always convenient when it comes to both motherhood and medicine. Upon looking for advice about when the best time to have children was in the medical career, I found many people who said that it was best to give birth during medical school. This just seemed extremely difficult to me because there is so much studying that needs to be done, and I don't want to add years to my training as I plan to do a general surgery residency and then continue to specialize for about another 4-5 years afterwards. I went on to search for advice/experience from women who were juggling babies and residency, and that's when I found your blog! It has been immensely comforting to read from women who have made it through and to not have to read comments from male doctors that "a woman should either be a mother or a doctor, because each one requires 100%" (seriously, one doctor ranted about this on a discussion board, but failed to explain why it was okay for him to work full-time and barely see his kids just because he was a male...)
My boyfriend and I are the same age, so we would be in the stages of our training at the same time....is it possible to manage children with 2 parents working in residency? (if it helps, he is interested in a radiology residency, although I know that both our choices could change over time). I know many of you have had such difficulties when only one parent is in medicine, so it scares me that my situation may be impossible.
Thank you again for writing such a wonderful blog for anyone interested in the medical field to turn to. I believe that as women we shouldn't have to give up what we love to do for our children, but I still want to be able to have a good relationship with my children. I realize my questions might seem premature considering I'm only pre-med, but the ducks must be in a row for me...... :-)
My boyfriend and I are the same age, so we would be in the stages of our training at the same time....is it possible to manage children with 2 parents working in residency? (if it helps, he is interested in a radiology residency, although I know that both our choices could change over time). I know many of you have had such difficulties when only one parent is in medicine, so it scares me that my situation may be impossible.
Thank you again for writing such a wonderful blog for anyone interested in the medical field to turn to. I believe that as women we shouldn't have to give up what we love to do for our children, but I still want to be able to have a good relationship with my children. I realize my questions might seem premature considering I'm only pre-med, but the ducks must be in a row for me...... :-)
Thursday, August 14, 2014
All Holidays
A friend of mine came to me with a dilemma I thought this community could be helpful in solving.
She is a nontraditional student who is midway through medical school. She is going through a divorce and about to become a single parent. For that reason, she asked me if it's possible to have a career in medicine where she could be off during all the school holidays. Not the entire summer, obviously, but during the Christmas break, the winter break, Easter vacation, all the major holidays, and the weeks between camp and school starting.
I told her probably not.
Considering in an earlier post years ago, I was skewered for suggesting that people with young children have some priority in getting to choose which holidays they needed off, I figured she would be burned at the stake for asking for every single holiday off every year. But maybe I'm wrong. Maybe there is some job for physicians that allows you that kind of schedule.
She is a nontraditional student who is midway through medical school. She is going through a divorce and about to become a single parent. For that reason, she asked me if it's possible to have a career in medicine where she could be off during all the school holidays. Not the entire summer, obviously, but during the Christmas break, the winter break, Easter vacation, all the major holidays, and the weeks between camp and school starting.
I told her probably not.
Considering in an earlier post years ago, I was skewered for suggesting that people with young children have some priority in getting to choose which holidays they needed off, I figured she would be burned at the stake for asking for every single holiday off every year. But maybe I'm wrong. Maybe there is some job for physicians that allows you that kind of schedule.
Wednesday, August 13, 2014
Taking Care Of Ourselves
Genmedmom here.
A patient of mine recently asked me how my kids are, and what cute things were they doing nowadays? I'm very open about my family with all of my patients. They've seen me huge and pregnant, and they've seen my colleagues during my maternity leaves. My kids' photos hang in my exam room. We often trade parenting experiences as part of the visit.
So, I was not at all put off by her asking about my kids. Her visit was over anyways, and we were only making small talk as we wrapped it up. I described how Babyboy is a little engineer, always building and figuring things out, and that Babygirl is full of sass and song, teasting and challenging and singing all day long. She laughed and said a few things about her kids, how they were all grown up, how she missed their little days, but didn't miss how hard it had been.
"Make sure you take care of yourself," she said, suddenly not laughing anymore. It was a bit abrupt, this serious turn of mood.
"I mean you need to take the time for care for you, because you need to replenish your strength, to be able to care for your kids. Exercise, salon time, friends time, it's really important. You need to do that." She was beseeching me.
"Uh, okay, yes, I know what you mean, absolutely..." We were moving towards the door.
She stopped, and said, quietly: "No, really, I can see how tired you are. You're really, really tired. Remember to take care of you. I need you to, too!" Here she smiled, and the door opened and she was gone, leaving me unusually flustered, standing there for a few seconds, wondering what next.
I know I carried on with my clinic, and then went home, and did the dinner/ bathtime/ bedtime routine with my kids. I know I crammed in some mail opening, bill pay, and reading. I know that sleep was likely disrupted by something... If not one of the kids (usually Babygirl) then the cats, or this nagging cough I've had. I know I am really, really tired.
Now, I have alot of help from a wonderful husband and my untiring mother. I do get to exercise twice a week. I write, which is therapeutic. Hubby and I sit down for dinner every night that he's not traveling, and we have family dinners every week. I don't shop much, or see friends that often, and I can't remember the last time I went to a salon.
I honestly can't tell if I'm taking care of myself enough or not. I think I am. But if patients see me as exhausted, drained, that's not good. I'm not sure how much more time I can carve out for "down time" things, and I'm not sure I feel that strongly about making that happen.
What do others do to take care of themselves? How much down time do you need?
A patient of mine recently asked me how my kids are, and what cute things were they doing nowadays? I'm very open about my family with all of my patients. They've seen me huge and pregnant, and they've seen my colleagues during my maternity leaves. My kids' photos hang in my exam room. We often trade parenting experiences as part of the visit.
So, I was not at all put off by her asking about my kids. Her visit was over anyways, and we were only making small talk as we wrapped it up. I described how Babyboy is a little engineer, always building and figuring things out, and that Babygirl is full of sass and song, teasting and challenging and singing all day long. She laughed and said a few things about her kids, how they were all grown up, how she missed their little days, but didn't miss how hard it had been.
"Make sure you take care of yourself," she said, suddenly not laughing anymore. It was a bit abrupt, this serious turn of mood.
"I mean you need to take the time for care for you, because you need to replenish your strength, to be able to care for your kids. Exercise, salon time, friends time, it's really important. You need to do that." She was beseeching me.
"Uh, okay, yes, I know what you mean, absolutely..." We were moving towards the door.
She stopped, and said, quietly: "No, really, I can see how tired you are. You're really, really tired. Remember to take care of you. I need you to, too!" Here she smiled, and the door opened and she was gone, leaving me unusually flustered, standing there for a few seconds, wondering what next.
I know I carried on with my clinic, and then went home, and did the dinner/ bathtime/ bedtime routine with my kids. I know I crammed in some mail opening, bill pay, and reading. I know that sleep was likely disrupted by something... If not one of the kids (usually Babygirl) then the cats, or this nagging cough I've had. I know I am really, really tired.
Now, I have alot of help from a wonderful husband and my untiring mother. I do get to exercise twice a week. I write, which is therapeutic. Hubby and I sit down for dinner every night that he's not traveling, and we have family dinners every week. I don't shop much, or see friends that often, and I can't remember the last time I went to a salon.
I honestly can't tell if I'm taking care of myself enough or not. I think I am. But if patients see me as exhausted, drained, that's not good. I'm not sure how much more time I can carve out for "down time" things, and I'm not sure I feel that strongly about making that happen.
What do others do to take care of themselves? How much down time do you need?
Friday, August 8, 2014
(Don't) Hide your kids!
The first year after my daughter was born, my end of year evaluations digressed into a lot of talk about whether or not I was mommy tracking myself. The criticism was not about my work ethic or my skills. Apparently, there was an extensive discussion about how overly preoccupied I seemed to be about my daughter. I mentioned her too often. The suggestion of part-time residency came up and the sentiment was that I would no longer reach my full potential. These meetings are supposed to be confidential-ish but I was told afterwards that perhaps I should try to hide my kid.
The instructions to hide my daughter came from a good place. It came from an attending who had my best interest in mind. He mentioned that in this world even though I was working just as hard, family issues were going to be looked down upon. I would be stereotyped. People aren't used to mom surgeons, especially not as residents. He told me a story about sneaking off from work as a fellow to pick up his sick son by making up some elaborate story to hide the reason that he had to leave. “It is more respectable to meet friends for beer than try and pick up your child from daycare,” he told me. My response…I would talk about my child incessantly!
So, I did. I figured, if the world wasn't ready for women to be both surgeons and moms, than I would help to make them ready. The end result is that I feel this has brought me a lot closer to the other hospital staff who are sometimes more open about recognizing the importance of family. Being closer to the hospital staff makes my job easier. I chat with the nurses, scrub techs, office managers about our families. I feel like it gives me a sense of legitimacy and realness which means we are all on the same team. Also, an unexpected result was that I became the “mama hen” of the residents. There are a few more junior residents with kids or husbands and the associated stress. I try to keep an open door policy for them. And we have real and frank conversations about how hard this can be. The supportiveness of being able to have this dialog goes both ways! Also, I find that many of my attendings take an interest in my family life as well as my surgical development.
This past year’s evaluations had no mention of mommy tracking. In fact, I was made chief resident. Last night, as I sat finishing up work in the chief’s office while my baby girl bounced around watching Dora and coloring, I felt I made the right decision. She knows all the names of the other chiefs and incorporates them into her world. She loves coming to the office and is well known throughout the department. She chats with me at night about her day and asks about my day. She tells me she wants to be a doctor like me when she grows up (well, a doctor and a cowgirl of course). I’ll never hide this beautiful girl!
The instructions to hide my daughter came from a good place. It came from an attending who had my best interest in mind. He mentioned that in this world even though I was working just as hard, family issues were going to be looked down upon. I would be stereotyped. People aren't used to mom surgeons, especially not as residents. He told me a story about sneaking off from work as a fellow to pick up his sick son by making up some elaborate story to hide the reason that he had to leave. “It is more respectable to meet friends for beer than try and pick up your child from daycare,” he told me. My response…I would talk about my child incessantly!
So, I did. I figured, if the world wasn't ready for women to be both surgeons and moms, than I would help to make them ready. The end result is that I feel this has brought me a lot closer to the other hospital staff who are sometimes more open about recognizing the importance of family. Being closer to the hospital staff makes my job easier. I chat with the nurses, scrub techs, office managers about our families. I feel like it gives me a sense of legitimacy and realness which means we are all on the same team. Also, an unexpected result was that I became the “mama hen” of the residents. There are a few more junior residents with kids or husbands and the associated stress. I try to keep an open door policy for them. And we have real and frank conversations about how hard this can be. The supportiveness of being able to have this dialog goes both ways! Also, I find that many of my attendings take an interest in my family life as well as my surgical development.
This past year’s evaluations had no mention of mommy tracking. In fact, I was made chief resident. Last night, as I sat finishing up work in the chief’s office while my baby girl bounced around watching Dora and coloring, I felt I made the right decision. She knows all the names of the other chiefs and incorporates them into her world. She loves coming to the office and is well known throughout the department. She chats with me at night about her day and asks about my day. She tells me she wants to be a doctor like me when she grows up (well, a doctor and a cowgirl of course). I’ll never hide this beautiful girl!
Thursday, August 7, 2014
The things they carried (in their Dora backpacks)
I had been looking forward to the summer, thinking things would get easier once I didn't have to deal with making it to school in time to catch the late bell or nightly homework. I was really wrong.
With both kids in camp, the list of things I have to do prior to getting them out the door is overwhelming:
--breakfast
--pack lunch for both kids
--snacks
--if needed, diapers or wipes
--put both of them in swimsuits
--clothing over the swimsuit or packed in bags
--swim shoes
--normal shoes
--towels
--remember if there's a trip that day, and if so, the cut off time for arrival (anywhere from 8 to 9:30)
--if there's a trip, remember camp T-shirt
--remember to freeze water bottle the night before, then remember to remove from freezer
--sunscreen
--if Monday, remember to bring blanket for naptime
Honestly, it's a miracle we get out the door anytime before noon.
Is the summer over yet?
With both kids in camp, the list of things I have to do prior to getting them out the door is overwhelming:
--breakfast
--pack lunch for both kids
--snacks
--if needed, diapers or wipes
--put both of them in swimsuits
--clothing over the swimsuit or packed in bags
--swim shoes
--normal shoes
--towels
--remember if there's a trip that day, and if so, the cut off time for arrival (anywhere from 8 to 9:30)
--if there's a trip, remember camp T-shirt
--remember to freeze water bottle the night before, then remember to remove from freezer
--sunscreen
--if Monday, remember to bring blanket for naptime
Honestly, it's a miracle we get out the door anytime before noon.
Is the summer over yet?
Wednesday, August 6, 2014
Where is the grass greener now?
An anecdote to describe my life:
I found a new work bag that I wanted, told my husband about it, he went out and got it for me in the color that I wanted, and I changed my mind the next day. Returned that bag, bought a different shaped one (same company) in a different color, was finally settled with my decision, then decided I wanted the first one after all. The grass is always greener on the other side right?
How does it relate to my more important mother/wife/doctor life?
I know a mother, whose life I so desperately want, but so do not want at all. She is not a physician, she is a stay at home mother. Since the birth of her first-born, and she has been for many years.
She has a lot of help, a housekeeper, a couple of babysitters. Her kids go to school full time. I so don't want to ask the awful and judgmental question 'What do you do all day?' But I wonder.
She leads the life that us working, 24-hour-call-taking mothers dream of. But I saw her in her own zone recently. Angry and yelling at her kids. Frustrated with them, frustrated with her husband, frustrated with herself. And I thought, "Wow, I hope I don't become like that!"
For once the grass was greener on my side. But it didn't stay that way for long. Maybe I should spend more time with her...
The grass didn't stay greener because soon after, I went to a playground with my baby after work. It was an unusual thing for me to do after work, but I did it. There was a mother there swinging her daughter next to me and SHE struck up a conversation with ME. We talked for a while and I found her pretty likable, her daugher was my baby's age, and she was a stay at home mom, and I was even thinking that this would be a perfect opportunity to make a new friend with a baby that is my Doll's age in the area since I really don't know any moms. I wanted to ask her if she wanted to do something like a playdate (which I have never done, because I don't know anyone around here and because I don't have time) and the entire time, I was replaying Fizzy's old post about playdates in my mind. The post said that the stay at home mothers do playdates only during the week, because weekends are "family time."
To make a long story short, a friend of this woman came up to us and said, "Wow you guys are chatting away!" and this woman responded with, "Hey, she's firing out the questions left and right, it's not me!" It seems the psychiatrist in me had reared it's ugly head...
I had not felt like I was asking a lot of questions, and if I was doing that, it was because I was so excited about meeting someone new. I felt like she had asked a good number of questions herself. But perhaps the conversation was more one-sided than I imaged. I went home that day without a playdate and feeling awful about myself as a mother and as a person. Was I really shooting out questions like I am so used to doing at work? Am I really not able to put work behind me when I'm home? Was her facial expression when I said I was a psychiatrist only in my head?
The mother I spoke of earlier in this post has playdates all the time (or at least had them when the kids were younger.) She has other mother friends. She used to go to the playground during the day in the middle of the week.
I have always wanted to be an involved mother who provides a healthy and social environment for her children outside of daycare, and I just haven't been able to do that.
So... the grass is greener on the other side. It is true.
I found a new work bag that I wanted, told my husband about it, he went out and got it for me in the color that I wanted, and I changed my mind the next day. Returned that bag, bought a different shaped one (same company) in a different color, was finally settled with my decision, then decided I wanted the first one after all. The grass is always greener on the other side right?
How does it relate to my more important mother/wife/doctor life?
I know a mother, whose life I so desperately want, but so do not want at all. She is not a physician, she is a stay at home mother. Since the birth of her first-born, and she has been for many years.
She has a lot of help, a housekeeper, a couple of babysitters. Her kids go to school full time. I so don't want to ask the awful and judgmental question 'What do you do all day?' But I wonder.
She leads the life that us working, 24-hour-call-taking mothers dream of. But I saw her in her own zone recently. Angry and yelling at her kids. Frustrated with them, frustrated with her husband, frustrated with herself. And I thought, "Wow, I hope I don't become like that!"
For once the grass was greener on my side. But it didn't stay that way for long. Maybe I should spend more time with her...
The grass didn't stay greener because soon after, I went to a playground with my baby after work. It was an unusual thing for me to do after work, but I did it. There was a mother there swinging her daughter next to me and SHE struck up a conversation with ME. We talked for a while and I found her pretty likable, her daugher was my baby's age, and she was a stay at home mom, and I was even thinking that this would be a perfect opportunity to make a new friend with a baby that is my Doll's age in the area since I really don't know any moms. I wanted to ask her if she wanted to do something like a playdate (which I have never done, because I don't know anyone around here and because I don't have time) and the entire time, I was replaying Fizzy's old post about playdates in my mind. The post said that the stay at home mothers do playdates only during the week, because weekends are "family time."
To make a long story short, a friend of this woman came up to us and said, "Wow you guys are chatting away!" and this woman responded with, "Hey, she's firing out the questions left and right, it's not me!" It seems the psychiatrist in me had reared it's ugly head...
I had not felt like I was asking a lot of questions, and if I was doing that, it was because I was so excited about meeting someone new. I felt like she had asked a good number of questions herself. But perhaps the conversation was more one-sided than I imaged. I went home that day without a playdate and feeling awful about myself as a mother and as a person. Was I really shooting out questions like I am so used to doing at work? Am I really not able to put work behind me when I'm home? Was her facial expression when I said I was a psychiatrist only in my head?
The mother I spoke of earlier in this post has playdates all the time (or at least had them when the kids were younger.) She has other mother friends. She used to go to the playground during the day in the middle of the week.
I have always wanted to be an involved mother who provides a healthy and social environment for her children outside of daycare, and I just haven't been able to do that.
So... the grass is greener on the other side. It is true.
Monday, August 4, 2014
MiM Mail: How happy should you feel in residency about your specialty?
I am a third year psychiatry resident and a mother to a precious 21 month old little girl. I often find myself wondering how happy I should feel as a resident in my specialty. I was very ambivalent about choosing a specialty and considered family medicine and pediatrics as well. I ultimately chose psychiatry because I felt it would be less stressful and offer a better lifestyle. I also tend to not believe in myself and wondered if I could handle the rigors of those other specialties. As a resident I often wonder if I made the wrong choice. I don't hate my specialty but often find myself wondering if my personality would have been a better for the aforementioned specialties. Sometimes i feel "too nice" for psychiatry and I despise emergency psychiatry and the legal aspects of the field. I have thought about finishing psychiatry and then completing another residency but I just don't feel that I have the stamina for that and want to work part time as soon as possible. I'm just wondering if others have struggled and ultimately found happiness in their field? I'm hoping my feelings are related to burnout and don't indicate I will never find fulfillment in psychiatry.
Thursday, July 31, 2014
MiM Mail: Time for a second child?
Hi there,
I've been enjoying and learning from MiM for several years - since before medical school and before I was a mother. So thanks for creating such a great forum.
Now I am a second year medical student with an almost-3-year-old. She is great. And for the most part, medical school is great. But that's right now. My husband and I have been through a lot in the last five years to get here. We've both gone back to school and dedicated ourselves to new and intense professional fields. These changes have required two moves. In that time we have also both had pretty significant medical problems that have since resolved, but that caused a whole lot of disruption and stress, including stress on our marriage. In my case, this lengthened the medical school process.
Things have finally settled down. My husband has recently found steady work that he loves and provides him exciting opportunities. And our daughter, almost 3, is thriving. And now I feel like I can fully enjoy her.
Some years ago I thought I'd be trying to get pregnant right now. I put that thought out of my mind as we worked through all our many challenges. But as things settled down recently, I started thinking about a baby. The timing of things are no longer what I'd planned. We could try to get pregnant very soon - in which case I'd take Step 1 very pregnant. Or we could wait another year. Another year means an almost 5 year gap between children. (I am trying to prevent another year of school, hence the timing constraints).
I think our daughter is ready now for a sibling. She is becoming independent, potty-trained, able to start to share, etc. And if it weren't for all the circumstances, my husband and I would be more than ready. But I am concerned about perpetuating that pattern of being in constant stress, in constant needs-only, no time for fun mode.
On the other hand, some of that is inherent to the early childhood period, even if we were not dealt a few additional challenges. We all have to balance family and career and if this time is not going to be great fun anyway - why not create another awesome creature while we're at it?
I worry about some of the details. Would being 35 weeks pregnant affect my ability to maximize my step 1 score? (I have lots of interests right now, including one that is very competitive). And would having a baby in early 3rd year be crazy? I was back at work with a lot on my plate three years ago. I know I can do it. But doing it while missing two kiddos instead of one seems worse.
These are all details. And big picture is that family is important to me. And living the kind of life I want to live and become a doctor (rather than living life to be a doctor) is important to me. But so is happiness. And I don't want to push myself and my family so hard we can't enjoy what we already have.
Thoughts?
I've been enjoying and learning from MiM for several years - since before medical school and before I was a mother. So thanks for creating such a great forum.
Now I am a second year medical student with an almost-3-year-old. She is great. And for the most part, medical school is great. But that's right now. My husband and I have been through a lot in the last five years to get here. We've both gone back to school and dedicated ourselves to new and intense professional fields. These changes have required two moves. In that time we have also both had pretty significant medical problems that have since resolved, but that caused a whole lot of disruption and stress, including stress on our marriage. In my case, this lengthened the medical school process.
Things have finally settled down. My husband has recently found steady work that he loves and provides him exciting opportunities. And our daughter, almost 3, is thriving. And now I feel like I can fully enjoy her.
Some years ago I thought I'd be trying to get pregnant right now. I put that thought out of my mind as we worked through all our many challenges. But as things settled down recently, I started thinking about a baby. The timing of things are no longer what I'd planned. We could try to get pregnant very soon - in which case I'd take Step 1 very pregnant. Or we could wait another year. Another year means an almost 5 year gap between children. (I am trying to prevent another year of school, hence the timing constraints).
I think our daughter is ready now for a sibling. She is becoming independent, potty-trained, able to start to share, etc. And if it weren't for all the circumstances, my husband and I would be more than ready. But I am concerned about perpetuating that pattern of being in constant stress, in constant needs-only, no time for fun mode.
On the other hand, some of that is inherent to the early childhood period, even if we were not dealt a few additional challenges. We all have to balance family and career and if this time is not going to be great fun anyway - why not create another awesome creature while we're at it?
I worry about some of the details. Would being 35 weeks pregnant affect my ability to maximize my step 1 score? (I have lots of interests right now, including one that is very competitive). And would having a baby in early 3rd year be crazy? I was back at work with a lot on my plate three years ago. I know I can do it. But doing it while missing two kiddos instead of one seems worse.
These are all details. And big picture is that family is important to me. And living the kind of life I want to live and become a doctor (rather than living life to be a doctor) is important to me. But so is happiness. And I don't want to push myself and my family so hard we can't enjoy what we already have.
Thoughts?
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